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Student nurses’ practices and willingness to teach relatives breast self-examination in Nigeria 尼日利亚护士学生教授亲属进行乳房自我检查的做法和意愿
Pub Date : 2024-01-25 DOI: 10.4102/hsag.v29i0.2494
J. Aluko, Olayinka Abolore Onasoga, R. R. Marie Modeste, O. Ani
Background: Breast cancer is the most common cancer and the leading cause of cancer-related death for women worldwide. Breast self-examination (BSE) is an essential, low-cost, and simple tool for detecting breast cancer early. Employing the idea of ‘charity begins at home’ by involving student nurses in teaching BSE to relatives will improve early detection.Aim: To assess nursing students’ practice and willingness to teach BSE to their relatives.Setting: A college of nursing and midwifery in one state under North-Central Nigeria.Methods: A cross-sectional descriptive design was employed. Through incidental sampling technique 197 respondents were selected from the first to the third year. Data were collected using a structured questionnaire. Descriptive and inferential analyses, with a p-value of 0.05 were conducted.Results: Respondents indicated where they learned about BSE. There were 98.5% respondents who had heard about BSE, and 89.8% of them had good practice of BSE. However, a quarter did not teach BSE to relatives. There were no statistically significant associations noted.Conclusion: Most of the nursing students were aware of BSE and knew how to perform it, although a quarter did not teach BSE to their relatives. Therefore, it may be necessary to sensitise nurses to cultivate the habit of teaching BSE to relatives and women in the community.Contribution: It is crucial to provide nurses with the skills and knowledge required to carry out BSE effectively, as well as teach women how to perform it on themselves, to improve breast cancer detection rates in Nigeria.
背景:乳腺癌是最常见的癌症,也是全球妇女因癌症死亡的主要原因。乳房自我检查(BSE)是早期发现乳腺癌的重要、低成本且简单的工具。运用 "慈善始于家庭 "的理念,让护士学生向亲属传授 BSE,将提高早期发现率。目的:评估护理专业学生向亲属传授 BSE 的实践和意愿:环境:尼日利亚中北部一个州的护理和助产学院:采用横断面描述性设计。通过偶然抽样技术,从一年级至三年级的学生中抽取了 197 名受访者。使用结构化问卷收集数据。进行了描述性分析和推理分析,P 值为 0.05:受访者表示他们从哪里了解到 BSE。98.5%的受访者听说过 BSE,89.8%的受访者有良好的 BSE 实践。然而,四分之一的受访者没有向亲属教授 BSE。结论:结论:大多数护理专业学生了解 BSE 并知道如何进行 BSE,但有四分之一的学生没有向其亲属传授 BSE。因此,有必要提高护士的认识,培养她们向亲属和社区妇女传授 BSE 的习惯:贡献:为护士提供有效进行 BSE 所需的技能和知识,以及教会妇女如何自己进行 BSE,对于提高尼日利亚的乳腺癌检出率至关重要。
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引用次数: 0
Healthcare providers’ knowledge, attitudes and practices on smoking cessation intervention in the Northern Cape 北开普省医疗服务提供者对戒烟干预的认识、态度和做法
Pub Date : 2024-01-24 DOI: 10.4102/hsag.v29i0.2489
Lizwe C. Muza, C. Egenasi, Wilhelm J. Steinberg, Moa Benedict, T. Habib, Ferdinand Mampuya, C. van Rooyen
Background: Clinicians are crucial in encouraging smokers to quit through behavioural or pharmacological smoking cessation interventions. Smokers quit better with professional help. The level of healthcare providers’ (HCPs) knowledge, attitudes and counselling skills related to effective smoking cessation support in the study area remains uncertain.Aim: The study aimed to determine HCPs’ knowledge, attitudes and practices (KAP) on smoking cessation intervention strategies in the Sol Plaatje district, Northern Cape.Setting: Sol Plaatje’s 13 district municipality clinics, Kimberley, Northern Cape.Method: A descriptive, cross-sectional analytical study involving healthcare workers in the above setting.Results: A total of 165 HCPs, including medical officers, professional nurses, enrolled nurses and assistant-enrolled nurses working in primary healthcare clinics, were invited to participate in the study, with 156 completing the questionnaires. About 53.9% had no knowledge of South African tobacco smoking cessation guidelines, while 87.2% knew the importance of counselling patients about smoking and its impact on quitting. The majority of them did not know the medicines recommended for tobacco treatment in South Africa. About 89.7% expressed that smoking cessation counselling is an important part of their jobs. However, less than half indicated that they make follow-up arrangements for those attempting to quit.Conclusion: The study revealed gaps in KAP regarding smoking cessation among the respondents, necessitating the need for continuing education on the existing smoking cessation guidelines among these HCPs.Contribution: The results of this study will help to improve smoking cessation intervention knowledge among health providers. 
背景:临床医生在鼓励吸烟者通过行为或药物戒烟干预戒烟方面起着至关重要的作用。在专业人士的帮助下,吸烟者的戒烟效果更好。目的:本研究旨在确定北开普省索尔普拉杰地区医疗服务提供者(HCPs)在戒烟干预策略方面的知识、态度和咨询技能水平:地点:北开普省金伯利市 Sol Plaatje 的 13 个区市政诊所:方法:描述性横断面分析研究,涉及上述环境中的医护人员:共有 165 名医护人员(包括在初级保健诊所工作的医务人员、专业护士、注册护士和助理注册护士)应邀参加了研究,其中 156 人填写了调查问卷。约53.9%的人对南非戒烟指南一无所知,87.2%的人知道向患者提供吸烟咨询的重要性及其对戒烟的影响。大多数人不知道南非推荐用于烟草治疗的药物。约 89.7% 的人表示戒烟咨询是他们工作的重要组成部分。然而,只有不到一半的人表示他们会为试图戒烟的人做出后续安排:这项研究揭示了受访者在戒烟 KAP 方面存在的差距,因此有必要对这些高级保健人员进行有关现有戒烟指南的继续教育:贡献:本研究的结果将有助于提高医疗服务提供者的戒烟干预知识。
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引用次数: 0
Informational continuity by skilled birth attendants during antenatal care in Lesotho 莱索托熟练助产士在产前护理过程中提供信息的连续性
Pub Date : 2024-01-22 DOI: 10.4102/hsag.v29i0.2403
Angelina Zhangazha, D. Kaura, Anneline E. Robertson
Background: Informational continuity (IC) is one of the four approaches that enables integrated people-centered health services. IC enables the availability of all health and psychosocial information of the pregnant women at all health encounters. World Health Organization (WHO) recognised that ineffective IC results in fragmented health care and duplication of services. Hence, IC may assist in the reduction of maternal morbidity and mortality.Aim: The purpose of this study was to explore and describe the experiences of skilled birth attendants (SBAs) with IC during the antenatal periodSetting: Three primary healthcare centers in Maseru district, Lesotho.Methods: A qualitative descriptive phenomenological design was used with purposive sampling to choose nine participants.Results: Four themes emerged; Theme one: SBAs and pregnant women information communication, theme two: Information communication between the SBAs, theme three: information collection during ANC and theme four: guidelines used during ANC to standardise care. Several challenges regarding information communication form the sources of information, transition of information, information between caregivers and women which demonstrated the frustration between the women and the SBAs during ANC leading to ineffective care coordination.Conclusion: Enabling IC during ANC enables effective data collection from the sources of information, transition of information during care giving within and between health facilities.Contribution: Effective informational continuity enables effective care coordination in ANC in Lesotho.
背景:信息连续性(IC)是实现以人为本的综合保健服务的四种方法之一。信息连续性可使孕妇在所有医疗场合都能获得所有健康和社会心理信息。世界卫生组织(WHO)认识到,无效的信息通报会导致医疗保健的分散和服务的重复。目的:本研究旨在探讨和描述熟练助产士(SBAs)在产前阶段使用产前检查的经验:莱索托马塞卢地区的三个初级医疗保健中心:方法:采用定性描述现象学设计,通过目的性抽样选择九名参与者:出现了四个主题主题一:SBA 与孕妇的信息沟通;主题二:SBA 之间的信息沟通;主题三:产前护理期间的信息收集;主题四:产前护理期间使用的标准化护理指南。信息沟通方面的几项挑战包括信息来源、信息转换、护理人员与孕妇之间的信息沟通,这表明在产前检查期间孕妇与 SBA 之间存在挫折感,导致护理协调效率低下:结论:在产前护理期间实现信息连续性能够有效地从信息来源收集数据,并在医疗机构内部和医疗机构之间提供护理期间的信息过渡:贡献:在莱索托,有效的信息连续性有助于有效协调产前护理。
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引用次数: 0
Academic help-seeking behaviour and barriers among college nursing students 护理专业大学生的学业求助行为和障碍
Pub Date : 2024-01-18 DOI: 10.4102/hsag.v29i0.2425
M. Bimerew, John P. Arendse
Background: First-year college student’s smooth transition and academic success influenced by academic help-seeking behaviour. Academic help-seeking behaviour is largely affected by many factors, including demographic factors, self-esteem and the use of sources for academic learning.Aim: The study investigated academic help-seeking behaviour and barriers among first-year college nursing students.Setting: The study was conducted at a nursing college in the Western Cape province of South Africa.Methods: A cross-sectional descriptive survey design with a self-administered questionnaire was used to collect data from 130 first year nursing college students. Descriptive statistics and bivariate analysis were computed using Statistical Packages for Social Sciences (SPSS).Results: More than 77.7% used course materials and books to help with academic learning, 50% of students sought help from their teachers. Only 24.6% and 17.7% of students used YouTube and computers respectively. In all items measured help-seeking is not a threat to self-esteem, teachers and parents did not have unrealistic expectations of their academic performance. Language is significantly associated with (p  0.001) academic help-seeking behaviour.Conclusion: Most students mainly used informal sources for academic learning. Help-seeking was not a threat to self-esteem. The language barrier is significantly associated with academic help-seeking behaviour. The nursing college should provide a coordinated academic language support, academic consultation and counselling services for academically stressed first-year nursing students.Contribution: The findings highlighted language as a barrier to academic help-seeking. The study provides insight to strengthen the language and academic support for academic learning for first year nursing students.
背景:大学一年级学生的顺利过渡和学业成功受学业求助行为的影响。学术求助行为在很大程度上受很多因素的影响,包括人口统计因素、自尊和学术学习来源的使用:研究在南非西开普省的一所护理学院进行:采用横断面描述性调查设计,通过自填问卷的方式收集了 130 名护理专业一年级学生的数据。使用社会科学统计软件包(SPSS)进行了描述性统计和双变量分析:超过 77.7% 的学生使用教材和书籍帮助学习,50% 的学生向老师寻求帮助。分别只有 24.6% 和 17.7% 的学生使用 YouTube 和电脑。在所有测量项目中,寻求帮助都不会对自尊造成威胁,老师和家长也不会对他们的学习成绩抱有不切实际的期望。语言与学业求助行为明显相关(P 0.001):大多数学生主要通过非正规渠道进行学术学习。求助行为不会对自尊造成威胁。语言障碍与学业求助行为明显相关。护理学院应为学业紧张的护理专业一年级学生提供协调的学业语言支持、学业咨询和辅导服务:研究结果表明,语言是学业求助的障碍。本研究为加强一年级护理学生学业学习的语言和学术支持提供了启示。
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引用次数: 0
Epidemiological pattern of rape cases managed at a regional hospital in South Africa 南非一家地区医院管理的强奸案的流行病学模式
Pub Date : 2024-01-15 DOI: 10.4102/hsag.v29i0.2434
C. Egenasi, Moa Benedict, A. Adefuye, Lynda U. Madu
Background: South Africa has one of the highest incidences of rape globally. Understanding the epidemiological pattern of rape is needed to inform the design of effective intervention programmes for rape prevention and management of alleged rape cases.Aims: To investigate important epidemiological patterns associated with rape in Kimberly, Northern Cape Province, South Africa.Setting: The Robert Mangaliso Sobukwe Hospital (RMSH) forensic unit.Methods: A descriptive, retrospective cross-sectional clinical audit of rape cases.Results: The majority (93.3%) of the alleged rape victims were women, with a mean age (SD) of 21.6 years (11.3); the male population made up 6.7% of the cases, with a mean age (SD) of 10.5 years (6.9). The highest incidence of alleged rape in the male population was seen in the age group ≤ 16 years (81.8%) and for women 17–30 years (50.3%). Most of the incidents occurred at the perpetrators’ homes (42.7%); on the days Fridays (14.6%), Saturdays (29.9%) and Sundays (23.2%); at night up to midnight 20:00–23:59 (32.9%) (p = 0.01) and involved threats of violence (55.5%). The majority (56.0%) of the perpetrators were known to the victims.Conclusion: Important information about the victims and circumstances in which rape occurs as reported herein can be used to inform the design of effective intervention programmes for sexual crime prevention and management in Kimberly, South Africa.Contribution: This study helped to advance knowledge and understanding of the epidemiological pattern associated with rape in Kimberley, Northern Cape Province of South Africa.
背景:南非是全球强奸案发生率最高的国家之一。需要了解强奸的流行病学模式,以便为设计预防强奸的有效干预方案和处理涉嫌强奸案件提供信息。目的:调查南非北开普省金伯利市与强奸有关的重要流行病学模式:罗伯特-曼加利索-索布奎医院(RMSH)法医室:方法:对强奸案进行描述性、回顾性横断面临床审计:大多数(93.3%)涉嫌强奸的受害者为女性,平均年龄(SD)为 21.6 岁(11.3);男性占 6.7%,平均年龄(SD)为 10.5 岁(6.9)。在男性人口中,16 岁以下(81.8%)和 17-30 岁(50.3%)女性的强奸案发生率最高。大多数事件发生在施暴者家中(42.7%);周五(14.6%)、周六(29.9%)和周日(23.2%);夜间至午夜 20:00-23:59 (32.9%)(p = 0.01),并涉及暴力威胁(55.5%)。大多数施暴者(56.0%)为受害者所认识:本文所报告的有关强奸受害者和强奸发生环境的重要信息,可为南非金伯利市性犯罪预防和管理的有效干预方案的设计提供参考:本研究有助于加深对南非北开普省金伯利市强奸案相关流行病学模式的认识和理解。
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