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Prevalence and Contributing Factors of Smoking among Undergraduates in Pokhara Metropolitan City, Nepal 尼泊尔博卡拉市大学生吸烟率及其影响因素
Q4 Medicine Pub Date : 2022-11-08 DOI: 10.37107/jhas.310
P. Khadka, Pooja Bhandari
Introduction: Smoking is one of the most common preventable causes of death globally, contributing significantly to the global burden of diseases, especially chronic non-communicable diseases like cardiovascular and respiratory diseases, cancers, and stroke. It is a known fact that cigarette smoking is harmful and addictive, but very few pay attention to its deadly results.The study was conducted to assess the prevalence and contributing factors for smoking among undergraduates. Methods: The purposive sampling technique was used to select the subjects. Total 220 undergraduates were choosen and a self–administered questionnaire was used to collect data. Results: The respondents at around 70.0% were of age less than 21 whereas 30.0 % were of age more than 21. The mean age was 21.01±1years. More than half (54.08%) of the respondents were female, while 45.09% were male. The majority (92.72%) of the respondents belonged to the Hindu religion. Regarding ethnicity, 70.93% of the respondents were from the upper caste, while less than 1.36% belonged to religious minorities.The prevalence of smoking was found to be 15.0%. Among 67.16% of the respondents initiated smoking at the age of 15-20 years. Maximum 56.71% bought smoking agents from their own pocket money. The major influencing factors for smoking were experimentation i.e. 46.26%, followed by peer pressure, 25.37%. The variables such as sex, age, religion, and educational status of a mother were found to be associated with smoking. Conclusion: The prevalence of smoking among college students is low. Among them who smoke, majority of the students started smoking as experimentation and peer pressure.Strict laws against smoking should be formulated and implemented effectively. Awareness programs should be carried out focusing on harmful effects of smoking.
导言:吸烟是全球最常见的可预防死亡原因之一,严重加剧了全球疾病负担,特别是心血管和呼吸系统疾病、癌症和中风等慢性非传染性疾病。众所周知,吸烟有害并且会使人上瘾,但是很少有人注意到它的致命后果。该研究旨在评估大学生吸烟的流行程度及其影响因素。方法:采用目的抽样的方法选择研究对象。选取220名大学生,采用自填问卷收集资料。结果:年龄在21岁以下者占70.0%,年龄在21岁以上者占30.0%。平均年龄21.01±1岁。超过一半(54.08%)的受访者是女性,45.09%的受访者是男性。大多数(92.72%)受访者信奉印度教。在种族方面,70.93%的受访者来自高种姓,而不到1.36%的受访者属于宗教少数群体。吸烟率为15.0%。67.16%的受访者在15-20岁开始吸烟。最多56.71%的学生用自己的零用钱购买吸烟剂。影响吸烟的主要因素是尝试(46.26%),其次是同伴压力(25.37%)。研究发现,母亲的性别、年龄、宗教信仰和教育程度等变量与吸烟有关。结论:大学生吸烟率较低。在吸烟的学生中,大多数是由于实验和同伴压力而开始吸烟的。应该制定严格的禁烟法律并有效实施。应该开展宣传活动,重点关注吸烟的有害影响。
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引用次数: 0
Prevalence and Factors Associated with Mental Health Outcomes among Healthcare Workers Exposed to COVID-19 Pandemic in Nepal 尼泊尔暴露于COVID-19大流行的医护人员中心理健康结果的患病率和相关因素
Q4 Medicine Pub Date : 2022-11-08 DOI: 10.37107/jhas.269
P. Ghimire, Brihaspati Sigdel, P. Dhakal, Shradda Kumari Sharma Baidhya, K. Pandey, S. P. Wasti
Introduction: Corona virus disease (COVID-19) is an infectious disease caused by a newly discovered corona virus. Healthcare workers are at risk of developing psychological distress and other mental health related symptoms. This study was intended to evaluate the prevalence and predictors of depression, anxiety, stress, and fear during COVID-19 pandemic among healthcare workers of Nepal. Methods: A cross-sectional survey was conducted between June and July 2020 with 167 healthcare workers. Mental health outcome, specially, fear was estimated using fear of COVID-19 scale (FCV-19S) whereas depression, anxiety and stress were assessed using DASS-21 survey questionnaire. Statistical analysis used: Chi-square test was performed to observe the association between mental health outcomes variables among health workers and the significance level was considered to be a p-value less than 0.05. Results: There were 15.0%, 24.0%, and 5.4% of the respondents who had severe and extremely severe level of depression, anxiety, and stress respectively and 44.3% of the respondents had fear during COVID-19 pandemic. The gender and job position were statistically significant with depression. The gender, job position, and respondents who had any health problems were statistically significant with anxiety. The respondents who had any health problems were statistically significant with stress. The gender, education, and job position were statistically significant with fear. Conclusion: During the COVID-19 outbreak, the frontline healthcare workers have experienced a varying level of depression, anxiety, stress, and fear. Specific counseling, support system, training on handling COVID-19 patient, and assigning normal working hour as government protocol to all healthcare workers are needed to enhance their psychological wellbeing and strengthen the healthcare systems capacity during pandemic.
简介:冠状病毒病(COVID-19)是一种由新发现的冠状病毒引起的传染病。卫生保健工作者面临出现心理困扰和其他精神健康相关症状的风险。本研究旨在评估尼泊尔医护人员在COVID-19大流行期间抑郁、焦虑、压力和恐惧的患病率和预测因素。方法:于2020年6月至7月对167名医护人员进行横断面调查。心理健康结果,特别是恐惧,采用恐惧量表(FCV-19S)评估,抑郁、焦虑和压力采用das -21调查问卷评估。统计分析采用卡方检验观察卫生工作者心理健康结局变量之间的相关性,p值小于0.05为显著性水平。结果:在新冠肺炎大流行期间,重度、极重度抑郁、焦虑和压力分别占15.0%、24.0%和5.4%,44.3%的受访者存在恐惧情绪。性别、工作岗位与抑郁有显著性差异。性别、工作职位和有任何健康问题的受访者在焦虑方面具有统计学意义。有任何健康问题的受访者在压力方面的统计意义显著。性别、受教育程度和工作职位与恐惧有显著的统计学意义。结论:在新冠肺炎疫情期间,一线医护人员经历了不同程度的抑郁、焦虑、压力和恐惧。需要具体的咨询、支持系统、处理COVID-19患者的培训,并将正常工作时间作为所有卫生保健工作者的政府协议,以增强他们的心理健康,并加强大流行期间卫生保健系统的能力。
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引用次数: 1
Awareness and Practices on Occupational Safety among Building Construction Workers in Pokhara Metropolitan 博卡拉市区建筑工人职业安全意识与实践
Q4 Medicine Pub Date : 2022-11-08 DOI: 10.37107/jhas.224
Sujata Adhikari, S. Wagle
Introduction: The risk of occupational injury and accident is more prominent in the construction industry than in other sectors. These accidents and injuries are the results of a low level of awareness and limited practice of safety measures. So, the main aim of this study was to assess the awareness and practices on occupational safety among the building construction workers. Methods: A cross-sectional study was carried out among 384 building construction workers of Pokhara Metropolitan. Multi-stage sampling technique was used. Face-to-face interview and interview schedule was the data collection technique and tool. The questionnaire was pre-tested among (10%) of the total sample. Ethical approval was taken from the Institutional Review Committee of Pokhara University. Results: This study showed that most of the workers (94.8%) were aware of the use of Personal Protective Equipment (PPE). The majority of the workers (63.8%) had poor levels of practice of PPE. The practice of PPE was significantly associated with the marital status, work experience, work hours, First aid kit facilities, Insurance services, awareness of the use of PPE, PPE availability, awareness about the occupational health problems, and workplace safety training. Conclusion: Most of the workers were aware of the use of safety measures but the practice of safety measures was poor. Marital status, awareness of safety measures, and so on were found to be significantly associated with the practice of PPE. Construction companies should implement the compulsory use of PPE to prevent accidents and injuries at construction sites.
导读:建筑行业的职业伤害和事故风险比其他行业更为突出。这些事故和伤害是由于意识水平低和安全措施实践有限造成的。因此,本研究的主要目的是评估建筑施工工人的职业安全意识和实践。方法:对博卡拉市384名建筑工人进行横断面调查。采用多级采样技术。面对面访谈和访谈日程是数据收集的技术和工具。问卷在总样本中(10%)进行预测。伦理批准由博克拉大学的机构审查委员会。结果:本研究显示,绝大多数(94.8%)工人了解个人防护装备(PPE)的使用情况。大多数工人(63.8%)的PPE操作水平较差。个人防护装备的使用与婚姻状况、工作经验、工作时间、急救箱设施、保险服务、个人防护装备的使用意识、个人防护装备的可用性、对职业健康问题的认识以及工作场所安全培训显著相关。结论:大多数工人对安全措施的使用有一定的认识,但安全措施的实施程度较差。发现婚姻状况、安全措施意识等与个人防护用品的使用显著相关。施工企业应强制使用个人防护装备,防止施工现场发生事故和伤害。
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引用次数: 0
Breast Cancer Screening Behavior and its Contributing Factors among Women of Pokhara Nepal 尼泊尔博卡拉地区妇女乳腺癌筛查行为及其影响因素
Q4 Medicine Pub Date : 2022-11-08 DOI: 10.37107/jhas.254
Sushma Poudel, Rojana Dhakal
Introduction: Breast carcinoma is the most prevalent cancer in both industrialized and developing nations among women. Early screening play a vital role in cancer identification and prevention, potentially decreasing mortality due to breast cancer. The study’s primary goal was to find out breast cancer screening behavior and factors related to it among women of Pokhara. Methods: A survey was carried out among the 269 women residing in ward number 33, Pokhara using systematic sampling. Pokhara University Institutional Review Committee provided approval for the the study. Data were gathered through the use of validated questionnaire. Chi-square test has been applied to analyze the relationship between variables. Results: Out of 269 women, only 15.6% ever heard of breast cancer screening measures. Among those who are informed about breast cancer screening only 12.3% of women screened at least once in their life for carcinoma of breast. Breast self-examination, clinical breast exam, mammography, and breast ultrasound were practiced once in a life by 1.9%, 6.8%, 3.3% and 0.3% of women, respectively. Women educational level, ever heard of breast cancer screening programs, institutional factors, pain, concern of cost, availability of female doctor were associated with breast cancer screening. Conclusion: Overall, cancer screening behavior was poor in women of this location. Educational level, breast cancer screening information and health professional recommendation were identified as important factors for breast carcinoma screening behavior.
乳腺癌是工业化国家和发展中国家妇女中最普遍的癌症。早期筛查在癌症识别和预防中起着至关重要的作用,可能会降低乳腺癌的死亡率。这项研究的主要目的是找出博卡拉妇女的乳腺癌筛查行为及其相关因素。方法:采用系统抽样的方法对博克拉33号病区269名妇女进行调查。博卡拉大学机构审查委员会批准了这项研究。通过使用有效的问卷收集数据。采用卡方检验分析变量之间的关系。结果:269名女性中,只有15.6%的人听说过乳腺癌筛查措施。在那些被告知乳腺癌筛查的女性中,只有12.3%的女性一生中至少接受过一次乳腺癌筛查。乳房自我检查、临床乳房检查、乳房x光检查和乳房超声检查分别有1.9%、6.8%、3.3%和0.3%的女性一生中进行过一次。女性受教育程度、是否听说过乳腺癌筛查项目、机构因素、疼痛、对费用的担忧、女医生的可获得性与乳腺癌筛查相关。结论:总体而言,该地区妇女的癌症筛查行为较差。受教育程度、乳腺癌筛查信息和健康专家建议是影响乳腺癌筛查行为的重要因素。
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引用次数: 0
Pediatric vaccinations: Nepal's life-saving weapon 儿童疫苗接种:尼泊尔的救命武器
Q4 Medicine Pub Date : 2022-11-08 DOI: 10.37107/jhas.369
Bimala Bhatta
One of the most successful and economical public health interventions ever developed, vaccinations have significant positive effects on social, economic, and health ‎1 ‎2. Pediatric immunization helps shield kids and adults from serious, curable, and occasionally fatal diseases. One of the key initiatives for Sustainable Development Goal 3 is ensuring universal access to vaccinations (SDG 3). But over 20 million kids under the age of five still lack all necessary immunizations. This is a particular issue in developing countries like Nepal‎3. Complete immunization of young children is a crucial component of a kid's health and wellbeing since it lowers newborn and child mortality rates and reduces the transmission of infectious diseases.
疫苗接种是有史以来最成功、最经济的公共卫生干预措施之一,对社会、经济和健康都有显著的积极影响。儿童免疫有助于保护儿童和成人免受严重、可治愈和偶尔致命的疾病的侵害。可持续发展目标3的关键举措之一是确保普遍获得疫苗接种(可持续发展目标3)。但仍有2000多万5岁以下儿童缺乏所有必要的免疫接种。这在像尼泊尔这样的发展中国家是一个特别的问题。幼儿的全面免疫接种是儿童健康和福祉的关键组成部分,因为它可以降低新生儿和儿童死亡率并减少传染病的传播。
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引用次数: 0
Experience of Mothers towards Hospitalization of Preterm Infants in Neonatal Intensive Care Units 母亲对新生儿重症监护病房早产儿住院的体会
Q4 Medicine Pub Date : 2022-11-08 DOI: 10.37107/jhas.273
T. Shrestha, Archana Pandey Bista
Introduction: Hospitalization of the preterm infant (PTI) in the neonatal intensive care unit (NICU) is a stressful situation for mothers requiring nurses’ care and support for adjustment and coping. Understanding mothers’ experience is valuable for enhancing care and support for them. Therefore, this study was conducted to explore mothers’ experience regarding hospitalization of PTIs in NICUs. Methods: The qualitative pilot study was conducted among purposively selected 5 mothers of NICU admitted PTIs in a public academic hospital of Bagmati province from May to July 2019. After obtaining ethical approval, in-depth interviews were conducted using interview guideline. The data were analyzed using the content analysis method. Results: Exploration of mothers’ experience has identified 4 themes: worry and uncertainty regarding the condition and outcome of the PTIs; altered attachment and maternal roles; attachment, and care enabling with care involvement; mixed experience of care, and support. Conclusion: Hospitalization of PTIs in NICUs was distressing to mothers related to inadequate and altered attachment, and maternal roles. They experienced mother-infant attachment, contentment, and care enabling with involvement in PTI care. They valued nurses’ PTI care and care guidance and expected more guidance, communication, and emotional support. Considering study findings might be worthwhile for enhancing care status in NICUs.
早产儿(PTI)在新生儿重症监护病房(NICU)住院是母亲的压力情况,需要护士的照顾和支持,以适应和应对。了解母亲的经历对加强对她们的照顾和支持很有价值。因此,本研究旨在探讨母亲对新生儿重症监护病房pti住院的经验。方法:对2019年5 - 7月在巴格马提省某公立学术医院NICU收治pti的5名母亲进行定性试点研究。在获得伦理许可后,采用访谈指南进行深度访谈。采用内容分析法对数据进行分析。结果:对母亲经历的探索确定了4个主题:对pti的状况和结果的担忧和不确定性;依恋和母亲角色的改变;依恋,照顾能力和照顾参与;照顾和支持的混合体验。结论:新生儿重症监护病房的pti住院给母亲带来痛苦,与依恋不足和改变有关,与母亲角色有关。他们经历了母子依恋、满足和参与PTI护理的照顾能力。他们重视护士的PTI护理和护理指导,期望更多的指导、沟通和情感支持。考虑到研究结果可能对提高新生儿重症监护病房的护理水平有价值。
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引用次数: 0
Fear of COVID-19 among Health Workers during the Early Stage of Pandemic in Nepal 尼泊尔大流行初期卫生工作者对COVID-19的恐惧
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.37107/JHAS.274
S. Banstola, N. Shrestha, N. Gurung, B. Sharma
Introduction: Fear is an emotion that has effects on behavior of people and fear of COVID-19 has significantly impacted the psychological and mental well-being of health workers. The study aimed to assess the fear of COVID-19 among health workers of different cadre during COVID-19 pandemic in Nepal. Methods: This was cross-sectional online survey involving 427 health workers currently working in Nepal from April 25 to June 10, 2020. COVID-19 fear was measured using a standard scale of seven items. Questionnaire was prepared in Google form and was sent to study population through social medias and emails. Descriptive and inferential statistics were computed at 5% level of significance. Ethical approval was taken from Nepal Health Research Council, Kathmandu. Results: Of the total, 49.6% respondents were male and 50.4% were female. Among total, 58.8 % respondents were in the age group of 19 to 29 years, and 38.4% respondents were from government organizations. Nearly half of the respondents were doctors. Out of maximum 35 COVID-19 fear score, mean COVID-19 fear was16.38 among males and 19.00 among females, 19.48 among nursing professional and 16.80 among doctors. Mean COVID-19 fear was significantly different across sex and type of health workers. Type of the organization did not have any significant relation with mean fear of COVID-19. Most of the items of COVID-19 fear were significantly associated with sex and type of health workers. Conclusion: A high level of COVID-19 fear among health workers was found in Nepal during the early stage of COVID-19 pandemic. Mean COVID-19 fear was significantly different across sex and type of health workers. Sex of the health workers and type of profession should be considered while planning psychological intervention among health workers to address the impact of COVID-19 fear.
恐惧是一种影响人们行为的情绪,对COVID-19的恐惧严重影响了卫生工作者的心理和精神健康。本研究旨在评估尼泊尔不同干部卫生工作者在COVID-19大流行期间对COVID-19的恐惧。方法:这是一项横断面在线调查,涉及427名目前在尼泊尔工作的卫生工作者,调查时间为2020年4月25日至6月10日。对COVID-19的恐惧是用七个项目的标准量表来衡量的。问卷以Google形式准备,并通过社交媒体和电子邮件发送给研究人群。描述性和推断性统计以5%显著性水平计算。从加德满都尼泊尔卫生研究理事会获得伦理批准。结果:男性占49.6%,女性占50.4%。其中,58.8%的受访者年龄在19岁至29岁之间,38.4%的受访者来自政府机构。近一半的受访者是医生。在最高35分的新冠肺炎恐惧得分中,男性平均为16.38分,女性平均为19.00分,护理专业人员平均为19.48分,医生平均为16.80分。不同性别和类型的卫生工作者对COVID-19的平均恐惧有显著差异。组织类型与对COVID-19的平均恐惧无显著关系。大多数COVID-19恐惧项目与卫生工作者的性别和类型显着相关。结论:在COVID-19大流行的早期阶段,尼泊尔卫生工作者对COVID-19的恐惧程度很高。不同性别和类型的卫生工作者对COVID-19的平均恐惧有显著差异。在规划卫生工作者的心理干预措施以应对COVID-19恐惧的影响时,应考虑卫生工作者的性别和职业类型。
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引用次数: 0
Awareness and Willingness on Organ Donation among Undergraduate Students of Pokhara University 博克拉大学大学生器官捐献意识与意愿调查
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.37107/JHAS.244
K. Banstola, Sunita Sharma
Introduction: Organ donation is possible only when a person allows his/her own organ to be removed and transplanted to another person legally with a consent. People’s attitude toward organ donation can be influenced by various factors such as awareness related to organ donation, level of education, and religion. This study aims to assess the awareness and willingness on organ donation and identify the correlation between awareness and willingness on organ donation. Methods: A cross-sectional descriptive research design was used for the study. Non-probability purposive sampling technique was used among 342 respondents. Structured self-administered questionnaire was used to collect data. Pearson correlation coefficient (r) was used to find out the relation between the variables i.e. awareness and willingness. Results: In this study, 57.1% of the respondents had poor level of awareness whereas 32.7% respondents had satisfactory awareness and 10.2% had good level of awareness on organ donation. Regarding willingness on organ donation, 45.0% respondents showed willingness on organ donation and 55.0% showed no willingness on organ donation. There was low degree positive correlation (r=0.127) between awareness and willingness of the respondents on organ donation. Conclusion: The findings of the current research study concluded that more than half of the respondents had poor level of awareness and majority of respondents showed no willingness on organ donation. There is low degree of correlation between awareness and willingness of the respondents.
器官捐献只有在本人同意的情况下,允许将自己的器官合法地移植给另一个人。人们对器官捐赠的态度会受到各种因素的影响,比如对器官捐赠的认识、教育水平和宗教信仰。本研究旨在评估器官捐献的意识和意愿,并确定器官捐献意识和意愿之间的相关性。方法:采用横断面描述性研究设计。采用非概率目的抽样方法对342名调查对象进行调查。采用结构化自我管理问卷收集数据。使用Pearson相关系数(r)来找出意识和意愿这两个变量之间的关系。结果:57.1%的受访者对器官捐献的认识程度较差,32.7%的受访者对器官捐献的认识程度较好,10.2%的受访者对器官捐献的认识程度较好。在器官捐献意愿方面,45.0%的受访者表示愿意捐献,55.0%的受访者表示不愿意捐献。受访者对器官捐献的认知度与意愿呈低程度正相关(r=0.127)。结论:本次调查结果表明,超过一半的受访者对器官捐献的认识程度较差,大多数受访者对器官捐献没有意愿。被调查者的意识与意愿之间的相关程度较低。
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引用次数: 1
Japanese Encephalitis Mass Vaccination Coverage Survey in Five Districts of Nepal 尼泊尔5个县日本脑炎大规模疫苗接种覆盖率调查
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.37107/JHAS.219
Bijay Khatri, Sulav Deo, Lakshmi Narayan Deo
Introduction: The World Health Organization recommends mass vaccination campaigns in children under 15 years before introducing the Japanese Encephalitis (JE) vaccine into the routine immunization program as the most effective immunization strategy in JE disease-endemic countries. The study was conducted to assess the JE vaccine coverage during the recent mass vaccination campaign in five districts of Nepal in 2016. Methods: A stratified three-stage cluster design was used for this cross-sectional sample survey. The JE mass vaccination campaign of 2016 targeted children aged between 1-14 years, and the interview was conducted among systematically sampled households’ mothers and guardians of children aged between 2-15 years in 2017. Results: The coverage of the JE mass vaccination campaign in the year 2016 was 96.9%; the males had slightly higher coverage (97.4%) than females (96.6%). The vaccine utilization increased with an increase in age, 94.0%, 98.1%, and 99.1% coverage among children aged 2-5 years, 6-10 years, and 10-15 years, respectively. The school enrolled children were four-times (OR: 4.016, CI: 2.595–6.216) likely to be vaccinated than out-of-school children and association was statistically significant. Among 86 children who were not vaccinated, 45.3% were ill during the campaign. Besides, 6.6% of out of school children also didn’t get the vaccination. Only three in ten (30.4%) respondents knew that the JE vaccine was given to protect against JE disease or brain fever. More than one-third (36.3%) of respondents reported that the recommendation from the health workers was  main reason for vaccinating their children. Only 1.1% of vaccinated children had minor issues following vaccination. Conclusion: Despite low awareness about the specific protection of the JE vaccine, the vaccination coverage was high during the JE mass vaccination campaign. Increasing awareness about the particular vaccine and including activities to vaccinate out-of-school children could help achieve universal coverage in future mass vaccination campaigns
导言:世界卫生组织建议在将日本脑炎(乙脑)疫苗纳入常规免疫规划之前,在15岁以下儿童中开展大规模疫苗接种运动,作为乙脑疾病流行国家最有效的免疫策略。进行这项研究是为了评估2016年尼泊尔5个县最近开展的大规模疫苗接种运动期间乙脑疫苗的覆盖率。方法:采用分层三阶段聚类设计进行横断面抽样调查。2016年日本脑炎大规模疫苗接种活动以1-14岁儿童为目标,并对2017年系统抽样家庭中2-15岁儿童的母亲和监护人进行访谈。结果:2016年全国乙脑大规模预防接种覆盖率为96.9%;男性的覆盖率(97.4%)略高于女性(96.6%)。疫苗使用率随着年龄的增长而增加,2-5岁、6-10岁和10-15岁儿童的接种率分别为94.0%、98.1%和99.1%。入学儿童接种疫苗的可能性是校外儿童的4倍(OR: 4.016, CI: 2.595-6.216),且相关性具有统计学意义。在86名未接种疫苗的儿童中,45.3%在运动期间患病。此外,6.6%的失学儿童也没有接种疫苗。只有十分之三(30.4%)的应答者知道接种乙脑疫苗是为了预防乙脑病或脑热。超过三分之一(36.3%)的答复者报告说,卫生工作者的建议是其子女接种疫苗的主要原因。只有1.1%接种过疫苗的儿童在接种后出现轻微问题。结论:在乙脑大规模预防接种活动中,尽管乙脑疫苗的特异性保护意识较低,但接种覆盖率较高。提高对特定疫苗的认识,包括为失学儿童接种疫苗的活动,有助于在今后的大规模疫苗接种运动中实现普遍覆盖
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引用次数: 0
Satisfaction on Intranatal Services among Mothers in Pokhara, Nepal 尼泊尔博卡拉母亲对产前服务的满意度
Q4 Medicine Pub Date : 2021-08-18 DOI: 10.37107/JHAS.203
Rekha Thapaliya, K. Paudel, S. Shrestha
Introduction: Understanding maternal perception of care and satisfaction with services is a key determinant of service utilization. This study aimed to assess the level of satisfaction with intranatal services among mothers in Pokhara. Methods: A cross-sectional study design was used among 165 mothers having under one child attending 33 Maternal and Child Health Clinic of Pokhara Metropolitan City. Systematic random sampling was adopted. Face-to-face interview technique with a structured interview schedule was used. Descriptive and inferential statistics were used for data analysis. Results: The mean age was 25.64±4.547 years, 60% were multi-parous, and 41.8% had spontaneous vaginal delivery with episiotomy. The satisfaction of the mothers was 81.2%. Most of the mothers (90.3%) were satisfied with pain management and technical aspects of care. There was a significant association between age of mothers and parity with satisfaction with intranatal services. A majority of mothers (83.6%) had the willingness to receive service next time and 84.2% recommend services to their families and friends. Conclusion: It is concluded that most of the mothers were satisfied with the intranatal services. The level of satisfaction was lowest in physical facilities and provision of respect and privacy. Hence, improvement in the physical environment of the health facilities and provision of respect and privacy of the mothers help to increase satisfaction in all the aspects of care.
前言:了解产妇对护理的感知和对服务的满意度是服务利用的关键决定因素。本研究旨在评估博卡拉母亲对产前服务的满意度。方法:采用横断面研究设计,对在博卡拉市33家妇幼保健诊所就诊的165名育有1个以下孩子的母亲进行调查。采用系统随机抽样。采用了面对面的面试技巧和结构化的面试时间表。采用描述性统计和推断性统计进行数据分析。结果:平均年龄25.64±4.547岁,多次分娩占60%,会阴切开术自然分娩占41.8%。母亲满意度为81.2%。大多数母亲(90.3%)对疼痛管理和技术方面的护理感到满意。母亲的年龄和对产后服务的满意度之间存在显著的关联。大多数母亲(83.6%)表示愿意再次接受服务,84.2%向家人和朋友推荐服务。结论:多数产妇对产前服务满意。在物理设施和提供尊重和隐私方面满意度最低。因此,改善保健设施的物理环境,尊重母亲的隐私,有助于提高对护理的所有方面的满意度。
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引用次数: 0
期刊
Online Journal of Health and Allied Sciences
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