scholarly journals Clinical experiences with the use of oxytocin injection by healthcare providers in a South-Western State Nigeria: A Cross sectional study

2018 ◽  
Author(s):  
Chioma Stella Ejekam ◽  
Ifeoma Peace Okafor ◽  
Chimezie Anyakora ◽  
Ebenezer A. Ozomata ◽  
Kehinde Okunade ◽  
...  

AbstractBackgroundPost-Partum Hemorrhage (PPH), is a leading cause of maternal mortality in Nigeria and most low and middle income countries(LMIC). The World Health Organization(WHO) strongly recommends oxytocin as effective, affordable and the safest drug of first choice in the prevention and treatment of PPH in the third stage of labor. However, there are concerns about its quality. Very high prevalence of poor-quality oxytocin, especially in Africa and Asia has been reported in literature. Excessive and inappropriate use is also common with oxytocin in low-resource settings.ObjectiveTo assess clinical experiences with quality of oxytocin used by healthcare providers in Lagos State Nigeria.MethodsIt was a descriptive cross-sectional study done in 2017. Seven hundred and five respondents (doctors and nurses) who use oxytocin for obstetrics and gynaecological services were recruited from 195 health facilities (public and registered private) across Lagos State. Data collection was quantitative, using a pretested self-administered questionnaire. Data analysis was done using IBM SPSS version 21. Statistical significance was set at 5%(p<0.05). Ethical approval was obtained from Lagos University Teaching Hospital Health Research Ethics Committee. Funding support was provided by the Promoting the Quality of Medicines, a program funded by the U.S. Agency for International Development and implemented by the U.S. Pharmacopeia Convention.ResultsOnly 52 percent of the respondents knew oxytocin should be stored at 2°C to 8°C. About 80% of the respondents used oxytocin for augmentation of labor; 68% for induction of labor, 51% for stimulation of labor and 78% for management of PPH. Forty-one percent used 20IU and as much as 10% used 30IU to 60IU for management of PPH. About 13% of the respondents have experienced use of an ineffective brand of oxytocin in their practice. Just over a third (36%) of the respondents had an available means of documenting or reporting perceived ineffectiveness of drugs in their facility. Of these, only about 12% had pharmacovigilance forms available in their facilities to report the ineffectiveness.ConclusionThe inappropriate and inconsistent use of oxytocin especially overdosing likely led to the spuriously high perception of medicine effectiveness among respondents. This is also coupled with lack of suspicion of medicine ineffectiveness by clinicians as a possible root cause of poor treatment response or disease progression. Poor knowledge of oxytocin storage and consequent poor storage practices could have contributed to the ineffectiveness reported by some respondents. There is need for the establishment of a unified protocol for oxytocin use with strict compliance to the guidelines. Continued training of healthcare providers in medicines safety monitoring is advocated.

2021 ◽  
Vol 15 (3) ◽  
Author(s):  
Supriya Patil ◽  
Yamini Patil ◽  
Sanjay Kumar Patil

Diabetes is a chronic metabolic disorder that disturbs the quality of life (QOL) of patients. Therefore, evaluation of diabetes- related QOL could be a key outcome measure for its management. This study assessed the QOL in type 2 diabetes mellitus (T2DM) patients using the World Health Organization (WHO) quality of life (QOL)˗BREF questionnaire and disease-specific appraisal of diabetes scale (ADS). In this cross-sectional study, 520 T2DM patients were included. Patients’ demographic data, clinical information was collected through interviews, and the WHOQOL-BREF instrument and ADS were used for the QOL of patients. Statistical analysis was performed by using R software (Version 3.6.0). The mean ADS scores were lower in controlled diabetic subjects (18.50±3.08) and higher in uncontrolled diabetic subjects (19.29±2.73) (P<0.05). For WHOQOL-BREF, the mean scores for all the domains (overall general health, physical, psychological, social, and environmental) were significantly higher in controlled diabetic subjects (P<0.001). In addition, the age, duration of diabetes, associated comorbidities, treatment, and HbA1c level of patients showed a highly significant correlation with WHOQOL-BREF (P<0.001). Diabetic patients had poor-to-average QOL. Therefore, public health measures and education of diabetic patients are essential to create more awareness for improving the QOL of T2DM.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505192p1-7512505192p1
Author(s):  
John V. Rider ◽  
Justina Selim ◽  
Alexys Garcia

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This cross-sectional study provides a deeper understanding of how the experience of homelessness affects occupational engagement and quality of life. Health-related disparities among persons experiencing homelessness and their implications for functioning in daily life were analyzed through the World Health Organization Disability Assessment Schedule 2.0. Results indicate that the emotional burden of health conditions had the greatest impact on daily functioning. Highly affected domains included participation, mobility, and life activities. Primary Author and Speaker: John V. Rider Additional Authors and Speakers: Justina Selim, Alexys Garcia


2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Saad Khoshhal ◽  
Khaled Al-Harbi ◽  
Ibrahim Al-Mozainy ◽  
Saeed Al-Ghamdi ◽  
Adnan Aselan ◽  
...  

Abstract Background and aims Health-related quality of life (HRQOL) has garnered increasing interest especially for health care providers and researchers. The study aims to evaluate the HRQOL in parents of congenital heart disease (CHD) children, and to clarify the effect of the disease severity on the outcome of the HRQOL perception. Also, to analyze the internal consistency of the Arabic version of the World Health Organization (WHO) QOL-BREEF tool in order to determine whether the tool had good validity for the target population. Methods A cross-sectional study. The HRQOL perception was evaluated using WHOQOL-BREF questionnaire, and the internal consistency of the tool was tested using Cronbach’s alpha (α-C), Results The study sample consisted of 200 individuals, 120 parents of CHD children, compared to 80 parents of children with minor illnesses (mean age of participating parents = 35.1 ± 9.8 years). While evaluating the HRQOL, the group of parents of children with minor illnesses had higher scores than the total group of parents of CHD children in all domains, indicating a better HRQOL. Class-IV subgroup of parents of CHD children showed the most significant lower total score of domains between all classes (44.47 ± 12, p < 0.001). With respect to the internal consistency of the WHOQOL-BREF, estimation of α-C values were 0.84 points for the group of parents of CHD children, and 0.87 for the group of parents of children with minor illnesses. Conclusions This short-term study emphasized that, HRQOL scores among parents of CHD children are compromised, and the severity of their children illness significantly affect the total score of domains in their HRQOL perception. Furthermore, the tool showed to be practical and efficient to evaluate the QOL of parents of CHD children in our population in future researches.


Author(s):  
Danah Alsadun ◽  
Hassan Arishi ◽  
Abdullah Alhaqbani ◽  
Reema Alzighaibi ◽  
Emad Masuadi ◽  
...  

ABSTRACT Introduction The aim of this study was to evaluate the change in the healthcare providers' perceptions regarding the World Health Organization Surgical Safety Checklist (WHO SSC) and patient safety in the operating room (OR) at a tertiary hospital in Riyadh, Saudi Arabia. Methods This cross-sectional study was conducted at King Abdulaziz Medical City. Data were collected from two years (2011 and 2019) for comparison. The co-investigators distributed a self-administered Likert scale questionnaire in the various operating areas (35 ORs). Results The total sample was 461. Number of participants enrolled from both years was 235 (51%) and 226 (49%), respectively. The results indicated a statistically significant difference in the attitude of the participants regarding all aspects of patient safety in the OR when the two periods were compared (p &lt; 0.001). Similarly, healthcare providers' perceptions regarding the importance of the WHO SSC increased from 50% (2011) excellent to 68% excellent (2019) (p &lt; 0.001). Conclusions Currently, more healthcare providers recognize the importance of the WHO SSC, and more have a positive attitude toward teamwork, communication, and feeling free to speak out when surgical safety is compromised. All of these cultural changes have positive impact on the overall safety of the OR; however, there are still aspects requiring improvement to provide a safer OR and surgery. Educational interventions regarding the importance of communication and teamwork would improve the safety of surgical care in the OR.


2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Amanda Ienne ◽  
Rosa Aurea Quintella Fernandes ◽  
Ana Claudia Puggina

Abstract Objectives: To assess the spirituality of nurses and relate it to personal characteristics, sector of activity, and spiritual practices; to analyze the influence of spirituality of nurses in the record of a "spiritual suffering" diagnosis. Methods: Quantitative cross-sectional study, using the World Health Organization's Quality of Life Instrument-Spirituality, Religion and Personal Beliefs Module (WHOQOL-SRPB). Results: 132 nurses were included and most of them were women (81.8%), married (56.8%), with an average age of 34 years (± 6.8). Most nurses believe in God or in a superior force (99.2%) and have never recorded a "spiritual suffering" diagnosis (78.8%). There was no association of spirituality with the sector of activity; the variable "marital status" was significant in six out of the eight factors of spirituality, and the variable "willingness to talk about spirituality" was significant in seven out of the eight factors. Conclusion: The spirituality of nurses does not interfere with the recording of a "spiritual suffering" diagnosis.


Author(s):  
Omid Rezaei ◽  
Yaser Mokhayeri ◽  
Javad Haroni ◽  
Mahdi Jamshidi Rastani ◽  
Mohammad Sayadnasiri ◽  
...  

AbstractBackgroundLack of sleep and on going sleep disorder can affect family health and interpersonal relationships.ObjectiveThe aim of study was to investigate the association between sleep quality and the probable determinants of quality of life among students of a public health faculty at Shahid Beheshti University of Medical Sciences (SBMU) in the 2015 academic year.MethodsThe data from a cross-sectional study of 275 students that randomly stratified sampling between different classes of college students of a public health faculty of Shahid Beheshti University of Medical Sciences were used in this study. The data were collected using a structured questionnaire consisted of modules on socio-demographic characteristics, the Petersburg Standardized Sleep Quality Questionnaire(PSQL) and the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF). Data analysis was done with descriptive and logistic regression. All analyses were carried out using SPSS software V.19.ResultsA total of 275 students participated in this study. The mean age ± standard deviation (SD) was 22.1 ± 3.6 years. In the univariable model, students that were living in their own homes had the odds of 2.18 times more than the others to have a higher quality of life level [95% confidence interval (CI): 1.07–4.45]. Moreover, sleep disorder was negatively associated with the quality of life [odds ratio (OR) = 0.23; 95% CI: 0.12–0.46].ConclusionThese results will help university administrators and policy makers to identify factors associated with poor sleep and provide approaches to enhance sleep hygiene and relevant knowledge in university students. Living in a dormitoy while also suffering from sleep problems could significantly reduce the quality of life.


Author(s):  
Asia Mushtaq ◽  
Shamsa Arif ◽  
Fazaila Sabih

Abstract Objective: To determine the predictive role of premenstrual symptoms in reproductive-aged women’s quality of life. Methods: The cross-sectional study was conducted in Rawalakot, Azad Kashmir, from September 2017 to January 2018, and comprised married women aged 20-45 years. Urdu versions of Greene Climacteric Symptoms Scale and World Health Prganisation Quality of Life scale were used. Data was analysed using SPSS 23. Results: Of the 300 women with a mean age of 32.59±7.12 years, 245(81.7%) had a regular menstrual cycle. There was significant negative relationship between premenstrual symptoms and all domains of quality of life (p<0.05). Somatic symptoms were predominantly affecting the quality of life in more negative manners compared to other symptoms (p<0.05). Conclusion: Premenstrual symptoms disturb the daily activities of reproductive-aged women and adversely affect their educational, occupational and psychosocial functioning. Key Words: Premenstrual symptoms, Quality of life, Reproductive-aged women. Continuous...


2019 ◽  
Vol 2 (1) ◽  
pp. 128-140
Author(s):  
Indah Pratiwi ◽  
Haniarti ◽  
Herlina Muin

Status gizi dikatakan baik bila pola makan kita seimbang. Artinya, asupan, frekuensi dan jenis makanan yang dikomsumsi harus sesuai dengan kebutuhan tubuh. Menurut World Health Organization Quality of Life (WHOQOL), Kualitas Hidup adalah kondisi fungsional lansia yang meliputi Kesehatan fisik, kesehatan psikologis, hubungan sosial, dan hubungan lingkungan.Tujuan penelitian ini untuk menunjukkan adakah hubungan status gizi dengan kualitas hidup lansia di tinjau dari kesehatan fisik, kesehatan psikologis, kondisi sosial, kondisi lingkungan di Wilayah Kerja Puskesmas Madising Na Mario Kota Pare – Pare. Metode yang digunakan dalam penelitian ini adalah metode analitik dengan pendekatan cross sectional study. Peneliti mengidentifikasi melalui obeservasional dengan menggunakan kuesioner pada sampel, dimana sampel dalam penelitian ini sebanyak 89 orang. Data dianalisis secara univariat dan bivariat menggunakan uji chi square melalui SPSS Versi 24.Hasil penelitian menunjukkan bahwa ada hubungan kesehatan fisik (0,009<0,05), tidak ada hubungan kesehatan psikologis (0,450>0,05), ada hubungan kondisi sosial (0,014<0,05), tidak hubungan kondisi lingkungan (0,241>0,05) dengan status gizi lansia di Wilayah Kerja Puskesmas Madising Na Mario Kota Parepare


BJGP Open ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. bjgpopen19X101672
Author(s):  
Alhan Haji

BackgroundPrinted health education (HE) materials are commonly provided in primary health care (PHC). However, little is known about their use by PHC visitors.AimThis study explored patients’ opinions and use of printed HE materials in order to determine an ideal output format for HE.Design & settingThis was a cross-sectional study, which was conducted in three PHC centres at King Abdulaziz Medical City in Riyadh, Saudi Arabia.MethodData were collected through a self-administered questionnaire.ResultsFifty-five point two per cent of participants obtained printed HE materials from PHC waiting areas. The majority read one or more materials and found it helpful and memorable. Seventy-seven point two per cent applied the written message, 24.0% of participants regularly read HE materials, and more than half spent time reading them in the PHC centre’s waiting area. Around half (51.1%) put the material back in its place after reading it. The preferred format was card with text and graphs. The preferred content was healthy lifestyle advice.ConclusionPatients do use printed HE materials in a positive way. More efforts are needed to improve the quality of the materials. Different healthcare providers should contribute more in HE.


2021 ◽  
Vol 5 (1) ◽  
pp. e000244
Author(s):  
Rajesh Kumar Sahu ◽  
Sunil Kumar ◽  
Pankaj Yadav

Background: The World Health Organization defines - Health as a “state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” Methodology: A cross sectional study on 96 patients with stroke aged more than 30 years was carried out NIMS Hospital, Jaipur for a period of 4 months from 1st January 2018 to 30th April 2018. Results: Out of 96 patients, Mean quality of score of patients with stroke was 65.04±9.982 there was significant difference seen in quality of life score according to sex, side of lesion, duration of stroke, socioeconomic status, occupation and hypertension. Conclusions: It can be said that quality of life is a multidimensional concept. As stroke cases is among the most devastating of health aspect, having multiple and profound effects upon all aspects of life, hence evaluation of quality of life is very important. Each and every effort should be made to improve these aspects and in turn to activity daily living (ADL) and improve the overall quality of stroke patients.


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