Assessment of role strain among family caregivers of adult patients with cancer at a national referral hospital in Kenya

Introduction: The aim of this hospital-based study was to assess the prevalence and associated factors of pterygium among adult patients visiting the Ophthalmology Outpatient Department (OPD) in the Jigme Dorji Wangchuck National Referral Hospital (JDWNRH), Thimphu. Methods: A cross sectional study was carried out in the ophthalmology OPD in the national referral hospital, Thimphu from 1st January, 2018 to 31st December, 2018, during which 1599 adult patients were selected through systematic random sampling. Results: The prevalence of pterygium was 12.8% (95% CI: 11.2 -14.5). Among 271 eyes with pterygium, the distribution of grade 1, grade 2 and grade 3 pterygium was 34.7%, 56.1% and 9.2% respectively. Pterygium wasmost common in the age group of 36-55 years. The significant factors associated with pterygium were age group, occupation and usage of sunglasses. Individuals who were 36-55 years (adjusted OR 2.70, 95% CI 1.82-4.0) and >55 years (adjusted OR 2.17, 95% CI 1.34-3.50) had significantly higher risk than 18-35 years (p< 0.002), and not using sunglasses (adjusted OR 1.97, 95% CI1.17-3.33, p = 0.007) significantly increased the risk of pterygium. Indoor occupation, particularly being a student was protective against pterygium (OR 0.08, 95% CI 10.02-0.33, p< 0.001). Only 14.1% used sunglasses and among them, 27.6% were aware that sunglasses can protect from ultraviolet radiation. Conclusion: This study found a high prevalence of pterygium among adults aged 18 years and above. Those aged 36-55 years and an occupation involving outdoor activities were affected more. Encouraging usage of sunglasses may reduce pterygium

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Relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer: implications for nursing practice

Scandinavian Journal of Caring Sciences ◽

10.1111/scs.12795 ◽

2019 ◽

Vol 34 (4) ◽

pp. 889-898

Author(s):

Zahra'a H. Saimaldaher ◽

Dhuha Y. Wazqar

Keyword(s):

Mental Health ◽

Physical Health ◽

Family Caregivers ◽

Nursing Practice ◽

Adult Patients ◽

Patients With Cancer ◽

Caregiving Stress

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Perioperative Risk Factors for Intraoperative Hypothermia in Adult Patients Undergoing Elective Surgery at a National Referral Hospital in Bhutan: A Prospective Observational Study

Journal of Health Science and Medical Research ◽

10.31584/jhsmr.201966 ◽

2019 ◽

Author(s):

Kinley Zangmo ◽

Sunisa Chatmongkolchart ◽

Pasuree Sangsupawanich

Keyword(s):

Risk Factors ◽

Heart Rate ◽

Observational Study ◽

Prospective Observational Study ◽

Elective Surgery ◽

Perioperative Risk ◽

Referral Hospital ◽

Adult Patients ◽

Intraoperative Hypothermia ◽

National Referral Hospital

Objective: Intraoperative hypothermia is commonly encountered in anesthetic practice. It is related to several risk factors and can lead to various adverse events. It is important to detect it early and prevent the complications related to it. This study was done to identify incidence and perioperative risk factors of intraoperative hypothermia at a national referral hospital in Bhutan.Material and Methods: A prospective observational study was conducted in adult patients who underwent elective surgery lasting more than 30 minutes. Patient characteristics, incidence of hypothermia, and any interventions for treatment of hypothermia during the operation were recorded. Intraoperative hypothermia was defined as a core body temperature less than 36 °C measured with an esophageal probe.Results: Data were obtained from 91 patients with a mean (±standard deviation; S.D.) age of 42.3 (17.2) and American Society of Anesthesiologists (ASA) scores of 1 and 2 in 62.6% and 37.4% of the patients, respectively The patients underwent elective surgery with a mean (S.D.) duration of 73.24 (48.1) minutes and a mean (S.D.) duration of anaesthesia of 80.9 (49.2) minutes. The incidence of intraoperative hypothermia was 61.5% (56/91). Preoperative heart rate more than 80 beats per minute [hazard ratio (HR) 0.45, 95% confidence interval (CI), 0.26-0.77] was a protective factor and duration of anesthesia more than 60 minutes (HR 1.82, 95% CI, 0.98–3.38) was a risk factor for intraoperative hypothermia.Conclusion: Patients with a preoperative heart rate less than 80 beats per minute and undergoing duration of anesthesia more than 60 minutes should be assessed from the preoperative period and continuously monitored throughout the intraoperative period.

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Acceptance of Routine Testing for HIV among Adult Patients at the Medical Emergency Unit at a National Referral Hospital in Kampala, Uganda

AIDS and Behavior ◽

10.1007/s10461-006-9180-9 ◽

2006 ◽

Vol 11 (5) ◽

pp. 753-758 ◽

Cited By ~ 60

Author(s):

Damalie Nakanjako ◽

Moses Kamya ◽

Kyabayinze Daniel ◽

Harriet Mayanja-Kizza ◽

Jurgen Freers ◽

...

Keyword(s):

Referral Hospital ◽

Adult Patients ◽

Medical Emergency ◽

Emergency Unit ◽

Routine Testing ◽

National Referral Hospital

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To Tell or Not to Tell: Exploring the Preferences and Attitudes of Patients and Family Caregivers on Disclosure of a Cancer-Related Diagnosis and Prognosis

Journal of Global Oncology ◽

10.1200/jgo.19.00132 ◽

2019 ◽

pp. 1-12

Author(s):

Arunangshu Ghoshal ◽

Naveen Salins ◽

Anuja Damani ◽

Jayeeta Chowdhury ◽

Arundhati Chitre ◽

...

Keyword(s):

Family Caregivers ◽

Response Rate ◽

Additional Treatment ◽

Adult Patients ◽

Full Disclosure ◽

Course Of Illness ◽

Patients With Cancer ◽

Diagnosis And Prognosis ◽

Expected Length ◽

Indian Setting

PURPOSE To understand the preferences and attitudes of patients and family caregivers on disclosure of cancer diagnosis and prognosis in an Indian setting. METHODS Overall, 250 adult patients with cancer and 250 family caregivers attending the outpatients of a tertiary cancer hospital for the first time were recruited purposively. The mean ages of patients and caregivers were 49.9 years (range, 23-80 years) and 37.9 years (range, 19-67 years), respectively. Separately, they completed prevalidated, close-ended preference questions and were interviewed for open-ended attitude questions. RESULTS A total of 250 adult patients (response rate, 47.17% overall, 73.2% in men, and 26.8% in women) and 250 family caregivers (response rate, 40.65% overall, 84.0% in men, and 16.0% in women) participated. Significant differences were observed in the preference to full disclosure of the name of illness between patients (81.2%) and caregivers (34.0%) and with the expected length of survival between patients (72.8%) and caregivers (8.8%; P < .001). The patients felt that knowing a diagnosis and prognosis may help them be prepared, plan additional treatment, anticipate complications, and plan for future and family. The caregivers felt that patients knowing a diagnosis and prognosis may negatively affect the future course of illness and cause patients to experience stress, depression, loss of hope, and confidence. CONCLUSION Patients with cancer preferred full disclosure of their diagnoses and prognoses, whereas the family caregivers preferred nondisclosure of the same to their patients. This novel information obtained through a large study with varied participants from different parts of the country will help formulate communication strategies for cancer care.

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Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda

African Health Sciences ◽

10.4314/ahs.v21i3.36 ◽

2021 ◽

Vol 21 (3) ◽

pp. 1259-1265

Author(s):

Francis O Sebabi ◽

Walter O Okello ◽

Faith Nakubulwa ◽

Rogers Sempindu ◽

Catherine Driciru ◽

...

Keyword(s):

Cataract Surgery ◽

Cross Sectional Study ◽

Referral Hospital ◽

Adult Patients ◽

Sub Saharan Africa ◽

Related Factors ◽

Cross Sectional ◽

Factors Associated ◽

Mulago National Referral Hospital ◽

National Referral Hospital

Background: Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult pa- tients seen at Mulago National Referral Hospital eye clinic in Uganda. Methods: Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impair- ment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined question- naire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients. Results: Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of partic- ipants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision. Conclusions: Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors asso- ciated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education. Keywords: Risk factors; operable cataract; cataract; surgery; Uganda; sub-Saharan Africa.

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Burden and outcome of community-acquired pneumonia in adult patients admitted to National Referral Hospital, Bhutan

Bhutan Health Journal ◽

10.47811/bhj.122 ◽

2021 ◽

Vol 7 (2) ◽

pp. 1-7

Author(s):

Sonam Choki ◽

Chhabi Lal Adhikari ◽

Dhrupthob Sonam ◽

Sonam Chhoden R

Keyword(s):

Hospital Length ◽

Community Acquired Pneumonia ◽

Referral Hospital ◽

Adult Patients ◽

Hospital Length Of Stay ◽

Ethical Approval ◽

Severity Of The Disease ◽

Medical Wards ◽

Sensitivity Specificity ◽

National Referral Hospital

ABSTRACT Introduction: Community acquired pneumonia is one of the leading causes of morbidity and mortality globally with the highest burden being reported from Asia. In Bhutan, community acquired pneumonia was reported to be one of the top five causes of mortality and one of the top ten causes of morbidity. Methods: This was an observational study done in a cohort of adult patients with community acquired pneumonia who were admitted to National Referral Hospital of Bhutan from February 2020 – February 2021 using purposive sampling. The Research Ethics Board of Health, Bhutan, gave ethical approval. We evaluated the burden and outcome of the community acquired pneumonia, and assessed the predictive capability of CURB-65 score to predict mortality as an outcome in these patients. Results: The inpatient burden of community acquired pneumonia was found to be 4.7% among patients admitted to medical wards. The mortality was 7.8%. 15.7 % of patients were managed in the intensive care unit out of which 5.9% patients needed mechanical ventilation. The mean hospital length of stay of these patients was 13 days. The sensitivity, specificity, PPV and NPV of CURB-65 score to predict death as an outcome in these patients were 87.5%, 43.6%, 11.7% and 97.6% respectively. Conclusion: The inpatient burden of Community Acquired Pneumonia in the National Referral Hospital is of concern. The CURB-65 score can be used a supplement to clinical judgement to assess the severity of the disease and make appropriate management decisions.

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