scholarly journals Attitude and self-care practice on hypertension among antihypertensive medication users in a tertiary care hospital Nepal

2021 ◽  
Vol 9 ◽  
pp. 205031212110407
Author(s):  
Jyoti Shrestha ◽  
Nirmal Raj Marasine ◽  
Rajendra Lamichhane ◽  
Nabin Raj Marasini ◽  
Sabina Sankhi
Keyword(s):  
Positive Attitude ◽  
Tertiary Care ◽  
Self Care ◽  
Sampling Technique ◽  
Educational Interventions ◽  
Care Practice ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Attitude And Practice

Background: Hypertension a “silent killer” is a serious global health problem, whose prevalence is increasing in Nepal. Objective: This study aimed to determine the attitude and practice of hypertension among anti-hypertensive medication users in a tertiary care teaching hospital in western Nepal. Methodology: A hospital-based cross-sectional study design was used among 136 hypertensive patients under medication, aged ⩾ 30 years, and visiting medical outpatient department, medical ward, and geriatric ward, using a non-probability convenience sampling technique. Semi-structured questionnaires were used for data collection through interviews. Descriptive and inferential statistics were used, and a p value < 0.05 was considered statistically significant. Results: Most of the patients were male (56.6%), mean ± standard deviation age was 56.74 ± 12.58. Majority of them were Hindu (69.9%), upper caste people (29.4%), illiterate (22.1%), and house maker (27.2%). Half of the patients (50.7%) had a positive attitude and more than half (52.2%) had performed adequate self-care practice. Selected variables such as educational status and dietary pattern and attitude were significantly associated, whereas no association was found between sociodemographic variables and self-care practice. Attitude and self-care practices were found strongly associated with one another (p = 0.002). Conclusion: Our study found that half of the study population had positive attitude, and more than half of them had performed adequate self-care practice. Hence, educational interventions and awareness programs on dietary aspects should be focused for improving the attitude and practice of all the patient groups.

scholarly journals Study of knowledge attitude and practice towards COVID-19 among patients attending a tertiary care hospital in Durg district of Chhattisgarh

2021 ◽  
Vol 8 (10) ◽  
pp. 4880
Author(s):  
Mohd Junaid ◽  
Swapnil Shinkar ◽  
Amol Patil
Keyword(s):  
Positive Attitude ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Income Group ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Awareness Campaigns ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: Poor knowledge, attitude, and practice (KAP) patterns among patients might reflect the danger of possible high transmission of COVID-19 and the need for awareness campaigns. The need of the hour is to gauge the knowledge, awareness and practices of the people to help prevent the further outbreak of COVID-19.Methods: Questionnaire based cross sectional study was done for a period of 7 days to access the knowledge attitude and practice towards COVID-19 among patients attending a tertiary care hospital in Durg, Chhattisgarh.Results: A total of 288 people participated in the study, majority of respondents were males 53% mean age was 39±15.9 years. Overall, 80.4% of the participants had good knowledge, 68.6% of the participants had a positive attitude, 83.8% of the participants were following good practices. Gender and income influenced knowledge scores, being significantly higher in males and higher income individuals (p value <0.05) while attitude and practices scores had no significant association with gender and income group (p value >0.05).Conclusions: Though the population demonstrated decent knowledge, appropriate practice, and positive attitude towards COVID-19 at the time of outbreak there is still need of on-going health education and awareness campaigns and need of policies and intervention that are more person centred. 

scholarly journals Attitude and Self Care Practice on Hypertension among Antihypertensive Medication Users in a Tertiary Care Hospital Nepal

2021 ◽  
Author(s):  
Jyoti Shrestha ◽  
Sabina Sanhi ◽  
Rajendra lamichhane ◽  
Nabin Raj Marasini ◽  
Nirmal Raj Marasine
Keyword(s):  
Antihypertensive Medication ◽  
Family Income ◽  
Tertiary Care ◽  
Self Care ◽  
Care Practice ◽  
P Value ◽  
Care Hospital ◽  
Hypertensive Patients ◽  
Attitude And Practice ◽  
Number Of Patients

Abstract Background:Hypertension a “silent killer” is a serious global health problem, whose prevalence is increasing in Nepal. This study aimed to determine the attitude and practice of hypertension among antihypertensive medication users in a tertiary care teaching hospital in western Nepal.Methodology: A hospital-based cross-sectional study was conducted among 136 hypertensive patients under medication, aged ≥30 years, and visiting medical outpatient department, medical ward, and geriatric ward, using a non-probability convenience sampling technique. Semistructured questionnaires were used for data collection through interviews. Descriptive and inferential statistics were used, and a p-value < 0.05 was considered statistically significant.Results: The maximum number of patients (36; 26.5%) was in the age range of 50-60 years with a mean (SD) of 56.74 (12.58). Most of 77(56.6%) were male, Hindu, 95(69.9%), upper caste people (40; 29.4%), illiterate (30; 22.1%), house maker (37; 27.2), and monthly family income of 21,000 and above (66; 48.5).Almost half of the patients (69; 50.7%) had a positive attitude and more than half (71; 52.2%) had performed adequate self-care practice. Selected variables such as educational status and dietary pattern and attitude were significantly associated, whereas no association was found between sociodemographic variables and self-care practice. Attitude and self-care practices were found strongly associated with one another (p=0.002).Conclusion: Hypertensive patients were found with better level of attitude and adequate self-care practice. Educational interventions and awareness programs on dietary aspects should be focused for improving the attitude and practice of all the patient groups.

scholarly journals KNOWLEDGE OF DENTAL PROFESSIONALS REGARDING TOOTH RESTORABILITY AT A PUBLIC SECTOR TERTIARY CARE HOSPITAL OF KARACHI, PAKISTAN

2019 ◽  
Vol 9 (2) ◽  
pp. 69-72
Author(s):  
Zulfiqar Ali Shaikh ◽  
Afifa Yaseen ◽  
Amna Yaseen ◽  
Subhana Akber
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Inadequate Knowledge ◽  
Pain Symptoms ◽  
Dental Professionals

Background: Panoptic knowledge of dental professionals is required to provide care for patients with any dental problem which ranges from screening, emergency care or referral to alleviation of pain symptoms. Ideally to provide dental care, dental practice should be based on current clinical concepts originating from evidence-based dentistry which clearly demarcates a level between a tooth that is able to be restored so that intervention is done on it for esthetic and functional stability, or ready for extraction. Dental professionals' knowledge regarding tooth restorability is very crucial in restorative and preventive dentistry. The aim of this study was to assess the knowledge of dental professionals regarding tooth restorability. Methods: Knowledge regarding tooth restorability of dental professionals of Dow University of Health Sciences was assessed through a multi centered cross sectional study. A sample size of 140 participants was calculated using through open Epi version 3, and a convenient non-probability sampling technique was used. The study was conducted in May-June, 2018. An informed consent prior to the study was taken. The dental professionals were evaluated through a self- administered, structured questionnaire in English. The SPSS-23 was used to obtain results. The knowledge of the students was graded as adequate if >12 and inadequate if<12. Results: Out of 140 study participants, 113 (81%) dental professionals had significantly adequate knowledge (p-value <0.05); while 27 (19%) had inadequate knowledge. Among the respondents, 56% said that the traumatic dental injury must be treated by dentist whereas the others considered it to be treated by private doctor or by nearest hospital casualty. Conclusion: The knowledge of dental professionals working at teaching institutes is adequate; and as per their knowledge they might be taking right decisions regarding tooth restorability.

scholarly journals EARLIEST SYMPTOMS OF PRESENTATION IN COVID-19 PATIENTS IN TERTIARY CARE HOSPITAL

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S500-03
Author(s):  
Maqbool Raza ◽  
Muhammad Ali Raza ◽  
De Emmal Asjad Cheema ◽  
Maham Asjad Cheema ◽  
Atif Rafique ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Military Hospital ◽  
P Value ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
Significant Difference ◽  
Chi Square Test

Objective: To determine the frequency of earliest symptoms of COVID-19 infection among patients with confirmed SARSCOVID-19 infection. Study Design: Cross-sectional analytical study. Place and Duration of Study: Combined Military Hospital Multan, from Jun to Dec 2021. Methodology: Data from 299 patients admitted in tertiary care settings was collected on a questionnaire. Patients regardless of gender and age who had confirmed COVID-19 infection through Real Time Polymerase Chain Reaction (RT-PCR) were included in the study. A nonprobability consecutive sampling technique was used to select samples. Data was entered and analyzed through SPSS version 22. Frequencies and percentages of various presenting symptoms were calculated. Sample size calculated at 95% level of confidence, 1% required precision, and 27% anticipated population proportion were 299. The overall difference in frequencies of symptoms in various groups was compared by using chi-square test. p-value <0.05 was taken as significant. Results: A total of 299 participants were included in this analysis. The median age for participants (interquartile range [IQR]) was 46 (36-54) years. Among 299 adults the reported symptoms were cough 238 (79.6%), fever 176 (58.7%) and, dyspnea 113 (37.8%). Only 78 (26.1%) of participants with confirmed infection reported having all three symptoms of cough, fever, and dyspnea. Other reported symptoms in patients were diarrhea 54 (18.1%), fatigue 128 (42.8%), myalgia 113 (37.8%), and anosmia 98 (32.8%). There was no significant difference in the frequency of symptoms across both genders. Conclusion: The most frequent symptoms of COVID-19 are cough, fever, and dyspnea.

scholarly journals Assessment of patients’ knowledge, attitude and practice regarding hypertension in a tertiary care hospital

2020 ◽  
Vol 7 (12) ◽  
pp. 4967
Author(s):  
Alak K. Das ◽  
Gautam Lahiri ◽  
Aaheli Bose ◽  
Dipak K. Sarkar
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Cardiovascular Complications ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Level Of Education ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Knowledge Attitude And Practice

Background: Hypertension is an important risk factor for cardiovascular complications. This can be described as the ‘sleeping snake’ which bites when it wakes up. We aimed to determine the knowledge (K), attitude (A) and practice (P) [KAP] regarding hypertension among hypertensive patients taking antihypertensive medication in Medical College, Kolkata.Methods: A cross-sectional study was conducted among the hypertensive patients from July 2017 to September 2017 using random sampling technique. Suitably designed and validated questionnaire of knowledge, attitude and practice on hypertension consisting of 20 questions were used to determine the KAP scores. The difference in the median KAP scores between sex, level of education and duration of hypertension were assessed using Mann-Whitney U test.Results: A total of 318 patients met the inclusion criteria and majority of them were male (53.15%), had received secondary level of education (43.08%) and had hypertension for <5 years (56.91%). The blood pressure ranged from 110-240/70-120 mmHg. The median K, A and P scores were 4 (5), 5 (0) and 3 (1) respectively. Practice was statistically associated with sex (p<0.007). Significant differences were found between patients with below and above secondary educational level regarding knowledge (p=0.0001), attitude (p=0.02) and practice (p=0.001). Patients with duration of hypertension more than five years had better knowledge compared to those with duration less than five years (p=0.0001).Conclusions: Our study showed that there are scopes for improving knowledge, attitude and practice among hypertensive patients for better management of hypertension.

scholarly journals The assess of knowledge, attitude and practice of antibiotic stewardship among healthcare providers in a tertiary care hospital

2019 ◽  
Vol 8 (8) ◽  
pp. 1766
Author(s):  
Akhilesh Kumar ◽  
Monica Aggarwal ◽  
Varsha Rathor
Keyword(s):  
Tertiary Care ◽  
Healthcare Providers ◽  
Educational Interventions ◽  
Care Hospital ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Antimicrobial Prescribing ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Knowledge Attitude And Practice

Background: Antibiotics are the most commonly used drugs often associated with inappropriate use leading to resistance. While knowledge enlightens and provides an insight into the problems faced, behavioral change solely depends on the beliefs and attitude. Aim of this study to evaluate the knowledge and beliefs about antimicrobial prescribing among prescribers in a teaching tertiary care hospitalMethods: The present study was conducted in the Department of Pharmacology, ESIC   Medical College and Hospital, Faridabad. after  Ethical clearance from the Institutional Ethics Committee. Design of this study was a prospective, cross-sectional study carried out in the form of a survey in which a pretested, semi-structured, validated questionnaire of 30 questions was provided to Junior residents, Senior residents and Faculty of different specialties and response was recorded. Questionnaire comprises of 10 questions each in knowledge, attitude and practice section.Results: Out of 132 prescribers 86.5% believed that irrational practice will cause global resistant development. majority (92.3%) were expressing the need that sample culture should be sent before starting antibiotics but only 69.2 % were of the opinion that culture and sensitivity should be done in all infections and 92.3% were expressing the view that hospital antibiotics policy is useful in reducing AMR.Conclusions: The present survey on antibiotic usage gives useful information about the knowledge, attitudes and practices of prescribers and help plan suitable educational interventions that aim at improving the antimicrobial prescribing and minimizing the development of resistance.

Causes of Epilepsy in Elderly Patients Presenting in a Tertiary Care Hospital of Karachi

2020 ◽  
Keyword(s):  
Elderly Patients ◽  
Cerebrovascular Disease ◽  
Neurodegenerative Disorder ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Traumatic Head Injury ◽  
Keywords Epilepsy ◽  
College Hospital ◽  
Cross Sectional

Background: Epilepsy is fairly a frequent occurrence in the elderly. It is commonly diagnosed after the episode of two or more unprovoked seizures. Unprovoked seizures in elderly are recurrent rather than younger individuals. This study was designed to estimate the concrete burden of frequent causes of epilepsy. Methods: A descriptive cross-sectional study with a total of 153 patients diagnosed case of epilepsy were included in this study at Jinnah Medical College Hospital from February 2018-August 2018. Mean was calculated for age, duration of disease of the patients. Causes of epilepsy, gender, and education was calculated and presented as percentages. Electrolyte readings were taken i.e., Sodium, Calcium and Magnesium levels and imaging was planned to rule out stroke, primary neurodegenerative disorders and tumors. Post stratification Chi square test was applied and p-value less than or equal to 0.05 was considered significant. Results: The mean age of the patients was 63.91±5.68 years and mean duration of the disease was 4.61± 1.07 months. The common causes of epilepsy were found to be cerebrovascular disease 56.9%, cryptogenic 54.2%, neurodegenerative disorder 20.3%, traumatic head injury 11.8%, metabolic abnormalities or electrolyte disturbances 10.5% and brain tumor 7.8%. Conclusion: Elderly patients with first seizure should present to a facility designed in a way that neurologist, cardiologist, rehabilitation and geriatrics work together to identify and treat the condition in a better way. Keywords: Epilepsy; Seizures; Cerebrovascular Disease; Neurodegenerative Disorder.

scholarly journals A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (9) ◽  
pp. 138
Author(s):  
Gopal Teli ◽  
B. G. Ponnappa
Keyword(s):  
Diabetic Foot ◽  
Tertiary Care ◽  
Self Care ◽  
Research Centre ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
The Mean

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.

scholarly journals Transport Factors Affecting the Outcome of Referred Neonates Admitted in A Tertiary Care Hospital

2018 ◽  
Vol 41 (3) ◽  
pp. 159-164 ◽  
Author(s):  
Madhabi Baidya ◽  
Mahfuza Shirin ◽  
Liton Chandra Saha
Keyword(s):  
Perinatal Asphyxia ◽  
Care Center ◽  
Tertiary Care ◽  
Preterm Neonates ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Neonatal Transport ◽  
Group I ◽  
Group Ii

Background: Adequate neonatal transport is a key component of care of the sick newborns who require referral to tertiary care center. Poor transportation is one of the iatrogenic factors associated with greater neonatal mortality. Neonatal transport is the greatest challenge faced today in our country. The purpose of this study was to find out characteristics of transport of referred neonates and to idention the factors that contribute to mortality.Methodology: This cross sectional study was conducted in Dhaka Shishu (Children) Hospital from June 2013 to November 2013. Both term and preterm neonates who were referred within first seven days of life were included and those with gross congenital abnormalities and left against medical advice were excluded from the study. After enrollment, data were collected using a structured questionnaire including birth details, interventions before transportation, reasons for referral, and details of transportation. Outcome & duration of hospital stay were also recorded. Neonates who were expired considered as group I and who were survived considered as group II. The study variables were analyzed for their association with immediate outcome by applying chi square test and t test. P value <0.05 was considered significant.Results: This study found that out of 332 neonates 181 were expired with 54.5% mortality rate. One eighty one neonates who were expired, considered as group I and one fifty one neonate were survived, considered as group II. The mortality was significantly high in male neonates [RR 0.80 (0.66-0.97)] and neonates those delivered at home [RR 1.34(1.10-1.64)] (p<0.05). Perinatal asphyxia, pre-term low birth weight, neonatal sepsis were the main causes of referral. It was found that transportation without any referral note [RR 1.40 (1.14- 1.71)], no advice regarding maintenance of airway[RR 1.50(1.17- 1.92)]and keeping warm [RR 1.51(1.17-1.950], resuscitation on admission [RR 1.63(1.23-2.17)] and transportation required > 3hours [RR 1.36(1.09-1.69)] were associated with significantly higher mortality among referred transported neonates(p<0.05).Conclusions: This study found that male neonates, home delivery, transportation without any referral note, no advice regarding maintenance of airway and keeping warm, resuscitation needed on admission and prolonged transportation time were significantly associated with mortality of referred transported neonates.Bangladesh J Child Health 2017; VOL 41 (3) :159-164

scholarly journals Visual Outcome of Ocular Trauma Presenting in a Tertiary Care Hospital in Sahiwal

2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Ahmad Zeeshan Jamil ◽  
Muhammad Luqman Ali Bahoo
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Visual Outcome ◽  
P Value ◽  
Care Hospital ◽  
Open Globe ◽  
Patient Reported

Purpose: To find the visual outcome of ocular trauma presenting in a tertiary care hospital in Sahiwal. Study Design: Descriptive observational study. Place and Duration of Study: This study was conducted at District Headquarter Teaching Hospital affiliated with Sahiwal Medical College, Sahiwal from January 2016 to June 2019. Material and Methods:  Four hundred and thirty five patients were included in the study by convenient sampling technique. Patient’s age, gender, occupation, activity at the time of injury, nature of object causing trauma, duration of trauma, visual acuity at the time when patient reported to hospital, the time delay before coming to the hospital were recorded. Ocular injuries were classified according to Birmingham ocular trauma terminology. Detailed ocular examination was performed. Patients were managed and post-management visual acuity at three months was recorded. Results: Mean age of patients was 29.07 ± 12.53 years. There were 219 (50.3%) closed globe and 216 (49.7%) open globe injuries. In 59 (13.6%) cases, cause of injury was metal object. In 146 (33.6%) cases injury was classified as contusion. In 164 (37.7%) cases cornea was involved. Majority of the patients were male. Eighty-seven patients presented within 1 day after trauma. In 154 (35.4%) patients, visual acuity at the time of presentation was 6/12 or better while in 171 (39.3%) cases it was less than 6/60. Chi-square test was used to calculate the difference between pre and post-management visual acuity. This difference was statistically significant with p-value less than 0.05 Conclusion:  Ocular trauma cases, if properly and timely managed, have a statistically significant increase in visual acuity.

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