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Nurses' knowledge and attitude towards palliative care in Northcentral Ethiopia: a cross-sectional study 埃塞俄比亚中北部地区护士对姑息关怀的认识和态度:横断面研究
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.46
Tigabu Munye Aytenew, N. Ejigu, Melese Kebede, T. Amera, Amare Simegn, Tadila Dires, Demewoz Kefale, Solomon Demis, Gebrie Kassaw, Berihun Bantie
Background: Due to limited development of palliative care practice in Africa, many patients have not yet received formal palliative care. However, there were limited studies conducted among nurses assessing their knowledge and attitude towards palliative care in Ethiopia. Objective: The study aimed to assess nurses’ knowledge and attitude towards palliative care. Methods: A cross-sectional study was conducted, and a total of 402 were included in the study. A structured and pre-tested self-administered questionnaire was used to collect the data. Binary logistic regression was used to analyze the outcome variables. Finally, the association was declared using AOR at a 95% CI at p ≤0.05. Results: Of the total respondents, 216 (55.81%) were women. This study finding revealed that 304 (78.55%) of the respondents had inadequate knowledge, and 273 (70.54%) had unfavourable attitude towards palliative care. Educational level (AOR=2.61, 95%CI: 1.39, 4.89) and work experience (AOR=5.86, 95%CI:1.27, 26.92) were significantly associated with knowledge and attitude towards palliative care. Conclusions: This study finding showed that educational level and years of work experience showed a significant association with nurses’ knowledge and attitude towards palliative care. The concerned bodies and stake holders shall work together to enhance the nurses’ knowledge and attitude towards palliative care. Keywords: Knowledge; attitude; palliative care; nurses.
背景:由于非洲的姑息关怀实践发展有限,许多病人尚未接受过正规的姑息关怀。然而,在埃塞俄比亚,对护士进行姑息关怀知识和态度评估的研究十分有限。研究目的本研究旨在评估护士对姑息关怀的知识和态度。研究方法本研究为横断面研究,共纳入 402 名护士。研究采用了结构化的、预先测试过的自填式问卷来收集数据。采用二元逻辑回归分析结果变量。最后,在 p≤0.05 时,使用 95% CI 的 AOR 宣布两者之间的关联。结果在所有受访者中,216 人(55.81%)为女性。研究结果显示,304 名受访者(78.55%)对姑息治疗的认识不足,273 名受访者(70.54%)对姑息治疗持否定态度。受教育程度(AOR=2.61,95%CI:1.39,4.89)和工作经验(AOR=5.86,95%CI:1.27,26.92)与对姑息关怀的知识和态度显著相关。结论研究结果表明,受教育程度和工作年限与护士对姑息治疗的认识和态度有明显关系。有关机构和利益相关者应共同努力,提高护士对姑息关怀的认识和态度。关键词知识;态度;姑息关怀;护士。
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引用次数: 0
Aflatoxins contamination in spices marketed in selected areas of Tanzania and their Detection by Chromatographic Technique 坦桑尼亚部分地区市场上销售的香料中的黄曲霉毒素污染及其色谱检测技术
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.17
Sharifa Juma, Clarence A Mgina, Kessy F Kilulya
Background: Aflatoxins are a family of toxins produced by fungi species known as Aspergillus flavus and Aspergillus parasiticus. Contamination of aflatoxins in agricultural crops is of high concern as it has negative effects on public health. Objective: This study reports on the levels of aflatoxins in four types of spices (black pepper, turmeric, cardamom and garlic) collected from markets, stores and farms in selected locations of Tanzania. Methods: A total of 84 samples of selected spices were collected. The determination of aflatoxins was performed using high-performance liquid chromatography, coupled with fluorescence detector. Results: The results obtained showed that 64 samples (76%) were contaminated with total aflatoxins at varying levels with respect to location and weather conditions. Mean concentrations of total aflatoxins ranged from < DL to 8.41 ngg-1 for black pepper, from < DL to 0.22 ngg-1 for garlic, from < DL to 11.07 ngg-1 for cardamom and from 0.28 to 2.21 ngg-1 for turmeric. 4.7% of samples exceeded the maximum tolerable limit of 10 ngg-1 for total aflatoxins (TAF) set by European Commission and 7 (8.33 %) samples exceeded the maximum tolerable limit of 5 ngg-1 for Aflatoxin B1. Conclusion: The observed aflatoxin contamination gives an alert for control of aflatoxins for improved public health. Keywords: Aflatoxins; mycotoxins; liquid chromatography; contamination; spices.
背景:黄曲霉毒素是由黄曲霉和寄生曲霉这两种真菌产生的一系列毒素。农作物中的黄曲霉毒素污染对公众健康有负面影响,因此备受关注。研究目的本研究报告了从坦桑尼亚部分地区的市场、商店和农场采集的四种香料(黑胡椒、姜黄、小豆蔻和大蒜)中黄曲霉毒素的含量。研究方法共采集了 84 个香料样本。采用高效液相色谱法和荧光检测器测定黄曲霉毒素含量。结果显示结果显示,64 个样本(76%)受到总黄曲霉毒素的污染,污染程度因地点和天气条件而异。黑胡椒、大蒜、小豆蔻和姜黄的黄曲霉毒素平均含量分别为小于 DL 至 8.41 ngg-1、小于 DL 至 0.22 ngg-1、小于 DL 至 11.07 ngg-1、0.28 至 2.21 ngg-1。4.7% 的 样 本 黄 曲 霉 毒 素 总 含 量 超 出 欧 洲 委 员 会 订 定 的 10 纳 克 - 1 可 容 忍 上 限 , 7 个 样 本 (8.33 %) 的 黄 曲 霉 毒 素 B1 含 量 超 出 5 纳 克 - 1 可 容 忍 上 限 。结论观察到的黄曲霉毒素污染为控制黄曲霉毒素以改善公众健康提供了警示。关键词:黄曲霉毒素黄曲霉毒素;霉菌毒素;液相色谱法;污染;香料。
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引用次数: 0
Knowledge, attitude and practices related to tuberculosis among patients at the Presbyterian Hospital in the Asante Akim North District 阿桑特-阿基姆北区长老会医院病人对结核病的认识、态度和做法
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.10
Sebastian Osei Kwarteng, Eric Sampane Donkor, Julius Eyiuche Nweze
Background: Tuberculosis (TB) is one of the major public health concerns in Ghana, with serious economic and social consequences. Tuberculosis is an infectious disease that is preventable and curable, as health educational programmes contribute to the control of TB However, the evidence required for such programmes is lacking in Ghana. Objectives: The aim of this study was to examine the underlying practices, attitudes and knowledge (PAK) of the patients at the Presbyterian hospital in Agogo, the Asante Akim North District (PHAA-AND) about tuberculosis disease and healthcare-seeking behaviour. Methods: This was a cross-sectional study among patients in the PHAA-AND. A simple random sampling method was used in selecting 370 participants for the study, who were interviewed regarding their TB knowledge, attitude and infection control practices. Results: Our study shows that the majority of the respondents demonstrated good knowledge about TB regarding its causative agent (68%), transmission (85.6%) and prevention (81.7%). However, poor knowledge was expressed regarding TB treatment by the majority (80.8%) of the respondents. Generally, the majority of respondents had a positive attitude and expressed good infection control practices regarding TB. The strongest determinants of TB related knowledge, or attitude or towards infection control practices were; level of education (OR, 1.49, CI; 1.25-1.77, p < 0.001), and gender (OR, 0.37, CI; 0.21-0.69, p=0.001). Conclusions: Respondents had good PAK towards TB, though some gaps were identified. These gaps called for health education about TB in the study area, and effective educational programs. Keywords: Knowledge; attitude; practices; tuberculosis; Presbyterian Hospital in the Asante Akim North District.
背景:肺结核(TB)是加纳主要的公共卫生问题之一,会造成严重的经济和社会后果。结核病是一种可防可治的传染病,健康教育计划有助于结核病的控制,但加纳缺乏此类计划所需的证据。研究目的本研究旨在考察阿桑特-阿基姆北区(PHAA-AND)阿戈长老会医院患者对结核病的基本做法、态度和知识(PAK)以及寻求医疗保健的行为。研究方法这是一项针对 PHAA-AND 患者的横断面研究。研究采用简单随机抽样的方法,选取了 370 名参与者,就他们对结核病的了解、态度和感染控制措施进行了访谈。研究结果我们的研究表明,大多数受访者对结核病的病原体(68%)、传播途径(85.6%)和预防方法(81.7%)有较好的了解。然而,大多数受访者(80.8%)对结核病的治疗方法知之甚少。总体而言,大多数受访者对结核病持积极态度,并表示有良好的感染控制措施。受教育程度(OR,1.49,CI;1.25-1.77,p <0.001)和性别(OR,0.37,CI;0.21-0.69,p=0.001)是决定结核病相关知识、态度或感染控制措施的最主要因素。结论受访者对结核病的认知良好,但也存在一些不足。这些差距要求在研究地区开展有关结核病的健康教育,并制定有效的教育计划。关键词知识;态度;实践;结核病;阿森特-阿基姆北区长老会医院。
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引用次数: 0
Postnatal neonatal outcomes of a targeted mobile phone intervention use in antenatal care amongst pregnant women in a pastoralist community in narok county, Kenya: a randomized control trial 肯尼亚纳罗克县一个牧民社区的孕妇在产前护理中使用定向手机干预的产后新生儿结局:随机对照试验
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.26
D. Muvengei, Simon Karanja, P. Wanzala
Background: Complications in pregnancy, at childbirth and the pueperium cause high mortality and morbidity among women and neonates globally especially in the Lower and Middle Income Countries. Antenatal care is a key high impact strategy to improve maternal and child health. The objective of the study was to examine the effects of a targeted mobile phone intervention use in the provision of antenatal care on attendance and subsequent postnatal outcomes among pregnant women in a pastoralist community. Methods: We conducted a Randomized Controlled Trial (RCT) in four hospitals in Narok County, Kenya. Pregnant women were recruited early in pregnancy and followed upto 42 days after delivery. Recruitment started in June 2018. There were two study groups; the intervention and non-intervention groups with the non-intervention group receiving the routine care. Results: Two-hundred-and-sixty-two of the 280 study participants completed the study (93.6% response rate). The difference in proportion of study participants who had neonatal mortality at birth between the two study arms was 9.32% (95% CI 1.91-16.74%) between the intervention (6.06%) and the non-intervention (15.38%) study arms (p value = 0.015). Conclusion: A targeted mobile phone intervention used in antenatal care was associated with improved antenatal care attendance and better neonatal outcomes. Keywords: Postnatal neonatal outcomes; targeted mobile phone intervention; use in antenatal care amongst pregnant women; in a pastoralist community in Narok county; Kenya.
背景:在全球范围内,尤其是在中低收入国家,妊娠、分娩和产褥期并发症导致妇女和新生儿的死亡率和发病率居高不下。产前保健是改善孕产妇和儿童健康的一项关键性、高影响力战略。本研究的目的是考察在提供产前护理时使用有针对性的手机干预措施对牧民社区孕妇的就诊率和后续产后结果的影响。研究方法我们在肯尼亚纳罗克县的四家医院开展了一项随机对照试验(RCT)。在怀孕初期招募孕妇,并随访至产后 42 天。招募工作于 2018 年 6 月开始。研究分为两组:干预组和非干预组,非干预组接受常规护理。研究结果280 名研究参与者中有 262 人完成了研究(回复率为 93.6%)。干预组(6.06%)和非干预组(15.38%)的新生儿出生时死亡比例相差 9.32%(95% CI 1.91-16.74%)(P 值 = 0.015)。结论在产前护理中使用有针对性的手机干预措施与提高产前护理就诊率和改善新生儿预后有关。关键词产后新生儿预后;有针对性的手机干预;在孕妇产前护理中使用;肯尼亚纳罗克县的一个牧民社区。
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引用次数: 0
TB co-infection and associated factors among HIV patients attending highly active antiretroviral therapy in Saint Peter’s TB Specialized Hospital, Ethiopia: a five years retrospective study 埃塞俄比亚圣彼得结核病专科医院接受高效抗逆转录病毒治疗的艾滋病患者中的结核病合并感染及相关因素:一项为期五年的回顾性研究
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.7
Dereje Getaw, F. Tigu
Background: TB and HIV are the two widely distributed and successful microbial diseases which impose public health problems globally. Objectives: The study aimed to determine the prevalence and associated factors of TB among people living with HIV (PLHIV). Methods: A retrospective study was conducted among PLHIV at Saint Peter’s TB Specialized Hospital (SPTSH). Study participants were selected by random sampling technique. Logistic regression analyses were employed to determine the associations between dependent and independent variables. P ≤ 0.05 was taken as statistically significant. Results: The prevalence of TB among PLHIV in the entire study population was 24.6%. The proportion of pulmonary TB (PTB), disseminated TB (DTB) and extra pulmonary TB (EPTB), were 49 (57.6%), 9 (10.6%) and 27 (31.8%), respectively. Logistic regression analysis showed that PLHIV who are non-adhered to ART (AOR = 51.6, 95% CI 24.18 - 387), HAART duration of > 35 months (AOR = 0.39, 95% CI 0.198 - 2.10) and WHO clinical stage IV (AOR = 40.14, 95% CI15.14 -106.44), were significantly associated with TB/HIV co-infection. Conclusions: TB co-infection is the major public health issue of PLHIV. Special emphasis is required to reduce the incidence of TB/HIV associated morbidity and mortality among PLHIV. Keywords: Adherence; ETB; prevalence; TB/HIV co-infection.
背景:肺结核和艾滋病毒是两种分布广泛且成功治愈的微生物疾病,给全球带来了公共卫生问题。研究目的本研究旨在确定肺结核在艾滋病病毒感染者(PLHIV)中的发病率和相关因素。研究方法在圣彼得结核病专科医院(SPTSH)对艾滋病毒感染者进行了一项回顾性研究。研究对象通过随机抽样技术选出。采用逻辑回归分析确定因变量和自变量之间的关联。P≤0.05为具有统计学意义。结果在整个研究人群中,PLHIV 的结核病患病率为 24.6%。肺结核(PTB)、播散性肺结核(DTB)和肺外结核(EPTB)的比例分别为 49(57.6%)、9(10.6%)和 27(31.8%)。逻辑回归分析表明,未坚持抗逆转录病毒疗法的 PLHIV(AOR = 51.6,95% CI 24.18 - 387)、HAART 持续时间大于 35 个月(AOR = 0.39,95% CI 0.198 - 2.10)和 WHO 临床分期 IV(AOR = 40.14,95% CI 15.14 -106.44)与结核病/艾滋病毒合并感染显著相关。结论结核病合并感染是 PLHIV 的主要公共卫生问题。需要特别重视降低 PLHIV 中与 TB/HIV 相关的发病率和死亡率。关键词依从性;ETB;流行率;结核病/艾滋病毒合并感染。
{"title":"TB co-infection and associated factors among HIV patients attending highly active antiretroviral therapy in Saint Peter’s TB Specialized Hospital, Ethiopia: a five years retrospective study","authors":"Dereje Getaw, F. Tigu","doi":"10.4314/ahs.v24i2.7","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.7","url":null,"abstract":"Background: TB and HIV are the two widely distributed and successful microbial diseases which impose public health problems globally. \u0000Objectives: The study aimed to determine the prevalence and associated factors of TB among people living with HIV (PLHIV). \u0000Methods: A retrospective study was conducted among PLHIV at Saint Peter’s TB Specialized Hospital (SPTSH). Study participants were selected by random sampling technique. Logistic regression analyses were employed to determine the associations between dependent and independent variables. P ≤ 0.05 was taken as statistically significant. \u0000Results: The prevalence of TB among PLHIV in the entire study population was 24.6%. The proportion of pulmonary TB (PTB), disseminated TB (DTB) and extra pulmonary TB (EPTB), were 49 (57.6%), 9 (10.6%) and 27 (31.8%), respectively. Logistic regression analysis showed that PLHIV who are non-adhered to ART (AOR = 51.6, 95% CI 24.18 - 387), HAART duration of > 35 months (AOR = 0.39, 95% CI 0.198 - 2.10) and WHO clinical stage IV (AOR = 40.14, 95% CI15.14 -106.44), were significantly associated with TB/HIV co-infection. \u0000Conclusions: TB co-infection is the major public health issue of PLHIV. Special emphasis is required to reduce the incidence of TB/HIV associated morbidity and mortality among PLHIV. \u0000Keywords: Adherence; ETB; prevalence; TB/HIV co-infection.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"72 s320","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141835237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of COVID-19 pandemic in tuberculosis diagnosis in sub-Saharan Africa: data from DREAM program in Mozambique COVID-19 大流行对撒哈拉以南非洲结核病诊断的影响:莫桑比克 DREAM 计划的数据
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.11
F. Ciccacci, Kanyza Ibraimo, A. Sineque, Susanna Ceffa, Zita Sidumo, Stefano Orlando, Cristina Marazzi
Background: TB is a global emergency, COVID-19 reversed the trend in TB mortality reduction to 2017 levels. Mozambique is one of the highest-burden countries with 368 new cases per 100.000 population in 2020.Objectives: This analysis aims to evaluate a TB diagnostic service in two Mozambican cities before and during the COVID-19 pandemic.Methods: We reviewed routine activity data from two laboratories in Mozambique (Maputo and Beira) in the period 01/2018–08/2022. GeneXpert test was prescribed based on clinical suspicion. Data about the number of tests, results, and rifampicin resistance were collected.Results: In the period 3,071 tests were conducted: 391 positive, and 32 rifampicin resistant. The number of positive samples was higher in Beira (20.2% vs 5%, OR 4[3.1-5.2]).In Maputo, we observed a higher percentage of rifampicin-resistant samples (13.2%vs7%, OR 0.5[0.2-1.1]), but the overall prevalence of rifampicin resistance was higher in Beira (14.1‰vs6.6‰, OR 2.1[1.0-4.5]).In 2020 and the first semester of 2021 a reduction in activity was observed, but positivity rates remained stable, with a slight increment starting in 2020.Conclusions: Our data confirm the impact of the COVID-19 pandemic on TB diagnostic services but also highlight possible benefits in terms of diagnostic appropriateness in clinical centers.Keywords: COVID-19 pandemic; tuberculosis diagnosis; sub-Saharan Africa; Mozambique.
背景:结核病是全球性的紧急问题,COVID-19 将结核病死亡率下降的趋势逆转到了 2017 年的水平。莫桑比克是结核病负担最重的国家之一,2020 年每 100,000 人口中将新增 368 例病例:本分析旨在评估 COVID-19 大流行之前和期间莫桑比克两个城市的结核病诊断服务:我们回顾了莫桑比克两个实验室(马普托和贝拉)在2018年1月至2022年8月期间的常规活动数据。GeneXpert检测是根据临床怀疑开具的处方。我们收集了有关检测次数、结果和利福平耐药性的数据:结果:在此期间共进行了 3071 次检测:结果:在此期间共进行了 3071 次检测:391 次呈阳性,32 次对利福平耐药。在马普托,我们观察到耐利福平样本的比例更高(13.2%vs7%,OR 0.5[0.2-1.1]),但在贝拉,耐利福平的总体流行率更高(14.1‰vs6.6‰)。2020年和2021年上半年,活动有所减少,但阳性率保持稳定,从2020年开始略有上升:我们的数据证实了 COVID-19 大流行对结核病诊断服务的影响,但也强调了在临床中心诊断适当性方面可能存在的益处:COVID-19大流行;结核病诊断;撒哈拉以南非洲;莫桑比克。
{"title":"The impact of COVID-19 pandemic in tuberculosis diagnosis in sub-Saharan Africa: data from DREAM program in Mozambique","authors":"F. Ciccacci, Kanyza Ibraimo, A. Sineque, Susanna Ceffa, Zita Sidumo, Stefano Orlando, Cristina Marazzi","doi":"10.4314/ahs.v24i2.11","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.11","url":null,"abstract":"Background: TB is a global emergency, COVID-19 reversed the trend in TB mortality reduction to 2017 levels. Mozambique is one of the highest-burden countries with 368 new cases per 100.000 population in 2020.Objectives: This analysis aims to evaluate a TB diagnostic service in two Mozambican cities before and during the COVID-19 pandemic.Methods: We reviewed routine activity data from two laboratories in Mozambique (Maputo and Beira) in the period 01/2018–08/2022. GeneXpert test was prescribed based on clinical suspicion. Data about the number of tests, results, and rifampicin resistance were collected.Results: In the period 3,071 tests were conducted: 391 positive, and 32 rifampicin resistant. The number of positive samples was higher in Beira (20.2% vs 5%, OR 4[3.1-5.2]).In Maputo, we observed a higher percentage of rifampicin-resistant samples (13.2%vs7%, OR 0.5[0.2-1.1]), but the overall prevalence of rifampicin resistance was higher in Beira (14.1‰vs6.6‰, OR 2.1[1.0-4.5]).In 2020 and the first semester of 2021 a reduction in activity was observed, but positivity rates remained stable, with a slight increment starting in 2020.Conclusions: Our data confirm the impact of the COVID-19 pandemic on TB diagnostic services but also highlight possible benefits in terms of diagnostic appropriateness in clinical centers.Keywords: COVID-19 pandemic; tuberculosis diagnosis; sub-Saharan Africa; Mozambique.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"40 2‐3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence of post-partum complications and referrals of mothers and neonates to hospitals from a Midwife Obstetric Unit 产后并发症的发生率以及助产士产科将产妇和新生儿转诊到医院的情况
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.27
Akm Monjurul Hoque, S. Buckus, M. Hoque
Background: The successful implementation of obstetric care should identify the maternal and foetal complications and refer to higher healthcare facilities in saving their lives. The study aimed to estimate the maternal and foetal complications risk factors during post-partum. Method: A retrospective cohort study was undertaken at a midwife obstetric unit among all women who had childbirths from January 2018 to October 2019. Regression analysis was used to predict risk factors. Results: The maternal and neonatal complications were 5.9% and 6.7% respectively. Regression analysis showed that mothers did not have antenatal care (ANC) were 2.8 times (OR=2.8, 95% CI: 1.5:5.4, p=0.001) and six times (OR=5.9, 95% CI; 2.7:12.5, p=0.000) more likely to have maternal and neonatal complications respectively. Gestational age < 32 weeks 19.0 times, (OR=19.0, 95% CI; 9.3:39.0, p=0.000) and 32-36 weeks, 4.6 times (OR=4.6, 95% CI; 2.5:9.4.0, p=0.000) more likely to have neonatal complications. Mothers without syphilis was 63% (OR=.37, 95% CI; .14:.97, p=0.04) less likely to have neonatal complications. Conclusion: Maternal and neonatal complication rates were comparable with others of similar settings. Pregnant women should be educated on the importance of ANC and strategies should be considered for improving ANC uptake and care to reduce maternal and neonatal complications. Keyword: Antenatal care; gestational age; syphilis.
背景:产科护理的成功实施应能识别产妇和胎儿的并发症,并将其转诊至更高一级的医疗机构,以挽救她们的生命。本研究旨在估计产后产妇和胎儿并发症的风险因素。研究方法在助产士产科对2018年1月至2019年10月期间的所有产妇进行了一项回顾性队列研究。采用回归分析预测风险因素。研究结果产妇和新生儿并发症的发生率分别为5.9%和6.7%。回归分析表明,未进行产前护理(ANC)的产妇发生产妇并发症和新生儿并发症的几率分别是未进行产前护理的产妇的2.8倍(OR=2.8,95% CI:1.5:5.4,p=0.001)和6倍(OR=5.9,95% CI;2.7:12.5,p=0.000)。胎龄小于 32 周的产妇发生新生儿并发症的几率是 32-36 周产妇的 19.0 倍(OR=19.0,95% CI;9.3:39.0,p=0.000),是 32-36 周产妇的 4.6 倍(OR=4.6,95% CI;2.5:9.4.0,p=0.000)。没有梅毒的母亲出现新生儿并发症的几率要低 63% (OR=.37, 95% CI; .14:.97, p=0.04)。结论孕产妇和新生儿并发症的发生率与其他类似情况的孕产妇和新生儿并发症的发生率相当。应向孕妇宣传产前检查的重要性,并考虑采取策略提高产前检查率和护理水平,以减少孕产妇和新生儿并发症。关键词:产前护理;胎龄;梅毒。
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引用次数: 0
Birth preparedness and its association with place of delivery among women in rural and urban communities of Ogun east senatorial district Nigeria 尼日利亚奥贡东参议院地区农村和城市社区妇女的分娩准备及其与分娩地点的关系
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.23
Ngozi O Adefala, T. Ashipa, Kolawole J Sodeinde, Fikayo E Bamidele, Adebola Y Omotosho, Abiodun O Osinaike, Chimaobi C Nwankpa
Background: Birth preparedness promotes the timely use of skilled maternal and neonatal care, reduces delays in receiving care; reduces maternal death, and ensures women have professional delivery thus reducing obstetric complications. Making the right decisions regarding the place of delivery influences the outcome of labour and childbirth. Objectives: To assess the practice of birth preparedness and its association with the place of delivery among women in rural and urban communities of Ogun East Senatorial District. Methods: A comparative cross-sectional study was carried out among 750 women in the rural and urban communities selected using a multistage sampling technique. An interviewer-administered, structured questionnaire adapted from the safe motherhood questionnaire of the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO) and the Nigeria Demographic Health Survey (NDHS) 2018 was used. Data was analyzed using IBM SPSS version 22.0 and the statistical significance was set at p<0.05. Relevant descriptive and inferential statistics were calculated and results were presented in frequency tables. Results: Urban respondents were older (mean age 31.07±6.115 years) than their rural counterparts (mean age 30.69±6.312 years). The difference in the mean ages was not statistically significant (p=0.401). Urban respondents were significantly better prepared during their last pregnancy than rural respondents (p=0.022). The majority of respondents in both rural (n=288, 76.8%) and urban areas (n=296, 78.9%) utilized health facilities as a place of delivery during their last pregnancy; the difference was not statistically significant. Conclusion: Disparities existed in this study between rural and urban areas in the practice of birth preparedness. This calls for more health education interventions to increase the practice of birth preparedness in rural areas, having an ideal birth plan, which targets health facility delivery. Keywords: Birth preparedness; practice; place of delivery; utilization of skilled birth attendance.
背景:做好分娩准备可促进及时使用熟练的孕产妇和新生儿护理,减少接受护理方面的延误;减少孕产妇死亡,并确保妇女获得专业的分娩,从而减少产科并发症。就分娩地点做出正确的决定会影响分娩和生产的结果。目标评估奥贡东参议院区农村和城市社区妇女的分娩准备做法及其与分娩地点的关系。方法:横断面比较研究采用多阶段抽样技术,对农村和城市社区的 750 名妇女进行了横断面比较研究。研究使用了由访谈者主持的结构化问卷,该问卷改编自约翰霍普金斯妇产科国际教育计划(JHPIEGO)的安全孕产问卷和 2018 年尼日利亚人口健康调查(NDHS)。数据使用 IBM SPSS 22.0 版进行分析,统计显著性设定为 P<0.05。计算了相关的描述性和推论性统计数据,并以频数表的形式呈现结果。结果城市受访者(平均年龄为 31.07±6.115)岁,高于农村受访者(平均年龄为 30.69±6.312)岁。平均年龄的差异无统计学意义(P=0.401)。与农村受访者相比,城市受访者在最后一次怀孕期间的准备情况要好得多(p=0.022)。农村地区(288 人,76.8%)和城市地区(296 人,78.9%)的大多数受访者在末次妊娠期间都将医疗机构作为分娩场所;差异无统计学意义。结论在本研究中,农村和城市地区在分娩准备方面存在差异。这就需要采取更多的健康教育干预措施,以增加农村地区的备产实践,制定以医疗机构分娩为目标的理想分娩计划。关键词分娩准备;实践;分娩地点;熟练助产士的使用。
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引用次数: 0
Quality of life among drug-resistant tuberculosis patients on treatment in SouthWest Nigeria 尼日利亚西南部接受治疗的耐药结核病患者的生活质量
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.9
J. Bamidele, O. Abiodun, K. Sodeinde, T. Bitto, A. Alabi, Callistus A. Akinleye, O. Adejumo, Olusoji Daniel
Background: Drug-resistant tuberculosis (DR-TB) continues to be a public health concern. Several factors, including the disease itself, affect the quality of life of DR-TB patients. This study aimed to assess the quality of life (QOL) and associated factors of drug-resistant tuberculosis patients in Nigeria. Methods: A cross-sectional study of 165 participants using an interviewer-administered 26-item World Health Organization Quality of life Brief version (WHOQOL-BREF) tool. Two questions assessed overall quality of life and general health while twenty-four questions assessed the physical, social, psychological and environmental domains of QOL. Continuous variables were summarized using means, standard deviations while association between categorical variables were analyzed using Chi-square test. Binary logistic regression model assessed the predictors of QOL with statistical significance at p<0.05 Results: Mean age was 35.63 ± 11.36. The overall quality of life was 3.96±0.82. The environmental domain had the highest mean quality of life (64.9±14.6), while the physical domain had the lowest (59.2±11.2). Marital status, family size, and support from the TB programme were associated with a good QOL. Conclusion: Overall quality of life was good. Continued financial and social support for drug-resistant tuberculosis patients on treatment by the national tuberculosis control programme is recommended. Keywords: Drug-resistant tuberculosis; quality of life; Nigeria.
背景:耐药性结核病(DR-TB)仍然是一个公共卫生问题。包括疾病本身在内的多种因素会影响 DR-TB 患者的生活质量。本研究旨在评估尼日利亚耐药结核病患者的生活质量(QOL)及相关因素。研究方法对 165 名参与者进行横断面研究,使用由访谈者管理的 26 个项目的世界卫生组织生活质量简明版(WHOQOL-BREF)工具。两个问题评估总体生活质量和一般健康状况,24 个问题评估 QOL 的身体、社会、心理和环境领域。连续变量采用均值和标准差进行总结,分类变量之间的关联采用卡方检验进行分析。二元逻辑回归模型评估了 QOL 的预测因素,P<0.05 时具有统计学意义:平均年龄为(35.63 ± 11.36)岁。总体生活质量为(3.96±0.82)分。环境领域的平均生活质量最高(64.9±14.6),而身体领域的平均生活质量最低(59.2±11.2)。婚姻状况、家庭规模和结核病计划的支持与良好的生活质量相关。结论:总体生活质量良好:总体生活质量良好。建议国家结核病控制项目继续为接受治疗的耐药结核病患者提供经济和社会支持。关键词:耐药结核病耐药结核病;生活质量;尼日利亚。
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引用次数: 0
Exercise tolerance and fatigue response to aerobic versus resisted exercise among hemodialysis patients 血液透析患者对有氧运动和阻力运动的运动耐受性和疲劳反应
Pub Date : 2024-07-11 DOI: 10.4314/ahs.v24i2.42
Shehab M Abd E-Kader, Neveen Refaey, Afnan M AlKhateeb, Saad S AlFawaz, Ziyad A Neamatallah, Umar M Alabasi, Amer Alsaif, Riziq Allah Mustafa Gaowgzeh, Salwa R El-Gendy, Mohamed F El- Banna, H. Embaby, Fatma A Hegazy, Rasha M Hegazy, Khaled M Mounir, Saif Mehmed, Mohamed Y Abdelsamee, Ahmed M Aboeleneen
Background: Hemodialysis (HD) patients usually suffer from exercise intolerance. However, exercise training improves their exercise tolerance and quality of life. Objective: This study was designed to compare the effects of aerobic and resisted exercise on exercise tolerance and fatigue response in hemodialysis patients. Methods: Fifty-six sedentary patients with CKD were recruited from the dialysis unit of the King Abdulaziz University Teaching Hospital (Jeddah, Saudi Arabia). Participants were allocated randomly into two study groups; group (A) received intradialytic aerobic exercise training on cycle ergometers. However, group (B) received intradialytic resisted exercise training for six months. Results: There was a 30.05 % reduction in mean values of MFI total score and 32.04 % and 32.13 % increase in mean values of hand grip strength and six-minute walking test respectively in group (A). While, there was a 16.78 % reduction in mean values of MFI total score and 17.35 % and 16.20 % increase in mean values of hand grip strength and six-minute walking test respectively in group (B). In addition, the differences between both groups were significant at the end of the study. Conclusion: Aerobic exercise alleviates fatigue and improves exercise tolerance more effective than resistance exercise among hemodialysis patients. Keywords: Aerobic exercise; exercise tolerance; fatigue; hemodialysis; resistance exercise.
背景:血液透析(HD)患者通常患有运动耐受不良症。然而,运动训练可提高他们的运动耐受力和生活质量。研究目的本研究旨在比较有氧运动和阻力运动对血液透析患者运动耐受性和疲劳反应的影响。方法:对 56 名久坐不动的血液透析患者进行研究:从阿卜杜勒-阿齐兹国王大学教学医院透析室(沙特阿拉伯吉达)招募了 56 名久坐不动的慢性肾脏病患者。参与者被随机分配到两个研究组;A 组接受透析室内有氧运动训练,使用自行车测力计。而 B 组则接受为期 6 个月的肾内阻力运动训练。结果显示A 组的 MFI 总分平均值降低了 30.05%,手部握力和六分钟步行测试的平均值分别提高了 32.04% 和 32.13%。而在 B 组中,MFI 总分的平均值降低了 16.78%,手部握力和六分钟步行测试的平均值分别增加了 17.35% 和 16.20%。此外,在研究结束时,两组之间的差异显著。结论在血液透析患者中,有氧运动比阻力运动更有效地缓解疲劳和提高运动耐受性。关键词有氧运动;运动耐量;疲劳;血液透析;阻力运动。
{"title":"Exercise tolerance and fatigue response to aerobic versus resisted exercise among hemodialysis patients","authors":"Shehab M Abd E-Kader, Neveen Refaey, Afnan M AlKhateeb, Saad S AlFawaz, Ziyad A Neamatallah, Umar M Alabasi, Amer Alsaif, Riziq Allah Mustafa Gaowgzeh, Salwa R El-Gendy, Mohamed F El- Banna, H. Embaby, Fatma A Hegazy, Rasha M Hegazy, Khaled M Mounir, Saif Mehmed, Mohamed Y Abdelsamee, Ahmed M Aboeleneen","doi":"10.4314/ahs.v24i2.42","DOIUrl":"https://doi.org/10.4314/ahs.v24i2.42","url":null,"abstract":"Background: Hemodialysis (HD) patients usually suffer from exercise intolerance. However, exercise training improves their exercise tolerance and quality of life. \u0000Objective: This study was designed to compare the effects of aerobic and resisted exercise on exercise tolerance and fatigue response in hemodialysis patients. \u0000Methods: Fifty-six sedentary patients with CKD were recruited from the dialysis unit of the King Abdulaziz University Teaching Hospital (Jeddah, Saudi Arabia). Participants were allocated randomly into two study groups; group (A) received intradialytic aerobic exercise training on cycle ergometers. However, group (B) received intradialytic resisted exercise training for six months. \u0000Results: There was a 30.05 % reduction in mean values of MFI total score and 32.04 % and 32.13 % increase in mean values of hand grip strength and six-minute walking test respectively in group (A). While, there was a 16.78 % reduction in mean values of MFI total score and 17.35 % and 16.20 % increase in mean values of hand grip strength and six-minute walking test respectively in group (B). In addition, the differences between both groups were significant at the end of the study. \u0000Conclusion: Aerobic exercise alleviates fatigue and improves exercise tolerance more effective than resistance exercise among hemodialysis patients. \u0000Keywords: Aerobic exercise; exercise tolerance; fatigue; hemodialysis; resistance exercise.","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"70 s288","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141834714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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African health sciences
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