scholarly journals Caregiver burden among family members of patients diagnosed with cancer in Jimma medical center oncology unit, south west Ethiopia.

2022 ◽  
Author(s):  
Bikila Dereje Fufa ◽  
Misgana Bezabih Bezabih ◽  
Desalew Tilahun Beyene
Keyword(s):  
Cancer Patients ◽  
Caregiver Burden ◽  
Medical Center ◽  
General Level ◽  
P Value ◽  
Multivariable Logistic Regression Model ◽  
Psychological Burden ◽  
South West ◽  
Oncology Unit ◽  
South West Ethiopia

Abstract Background Cancer is a type of disease defined by uncontrolled growth and spread of abnormal cells, which can result in death. Globally, around 25 million people are surviving with it. The burden of cancer is growing in developing countries and it frequently comprises patient’s vitality. In addition, it has emotional, economical, physical and psychological burden on family, friends, significant others, community and other social resource. Objective To assess caregiver burden of cancer patients in Jimma medical center oncology unit, South west Ethiopia. Method An institutional based cross-sectional study design was employed. The study was done on 141 respondents using simple random sampling. A pretested semi structured interviewer administered questionnaire was used to collect the data. The collected data was entered in to EPI data version 3.1 then transferred to SPSS version 23 for data analysis. Multivariable logistic regression model was fitted, Adjusted Odds Ratio (AOR) at 95% confidence interval and p-value <0.05 were estimated to determine statistically association between predictors and outcome variables. Results The data were collected from the total of 141 respondents with 100% response rate. The mean ±SD age of cancer patients and care givers were 46.4 ±12.406 and 32 ± 11.23 years, respectively. The general level of caregiver burden in this study was mild to moderate (71.6%) with ZBI total score of 30 and by using CBI114 (80.9%) had some burden. Caregivers whose their age is greater than 40 years were 4.01 times more likely have high burden than those age between 20-40 old age [AOR=4.01, 95%CI (1.58, 10.17)]. Conclusion The study disclosed a moderate level of caregiver burden among family caregivers.

Factors affecting multidimensional caregiver burden: Results from national surveys.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 301-301
Author(s):  
Michael T. Halpern ◽  
Mallorie Fiero ◽  
Melanie Bell
Keyword(s):  
Quality Of Care ◽  
Cancer Patients ◽  
Caregiver Burden ◽  
Quality Care ◽  
Direct Patient Care ◽  
Psychological Burden ◽  
Factors Affecting ◽  
National Surveys ◽  
Nationally Representative

301 Background: Quality of care for individuals with cancer is affected by the burden on their caregivers. For high quality care, it is important to understand domains of caregiver burden and factors affecting this burden. Methods: Using data from two national surveys, the National Survey of Caregiving (NSOC) linked to the National Health and Aging Trends Survey (NHATS), we identified all participants in the NHATS diagnosed with cancer who had a caregiver participating in the NSOC. Twenty-two items in the NSOC related to caregiver health, mood and outlook were included in factor analysis to develop scales capturing domains of burden. Multivariable regression analyses examined whether activities performed by caregivers and supports for caregivers were associated with these burden scales. Results: Analysis of responses from 245 caregivers of cancer patients identified three scales: emotional burden; psychological burden; and relationship with the patient. Providing assistance managing medical care was associated with increased emotional and psychological burden, while assistance with non-medical issues was increased psychological burden and worsened relationships with patients. Caregiver provision of direct patient care activities was also associated with increased burden but improved relationships with patients. Use of support services showed mixed associations with burden. Conclusions: Using a nationally-representative sample of cancer patients and their caregivers and brief publicly-available survey questions, we present three scales addressing different aspects of caregiver burden that are responsive to caregiver activities and social supports. This may assist in developing and evaluating intervention to decrease caregiver burden and thereby improve quality of care for individuals with cancer.

scholarly journals Awareness of Colorectal Cancer and Associated Factors Among Adult Patients in Jimma, South-West Ethiopia.

2020 ◽  
Author(s):  
Abdulmenan Hamza ◽  
Zeleke Argaw ◽  
Debela Gela
Keyword(s):  
Colorectal Cancer ◽  
Associated Factors ◽  
Adult Patients ◽  
P Value ◽  
Bloody Stool ◽  
Cancer Awareness ◽  
Awareness Campaigns ◽  
South West ◽  
Study Participants ◽  
South West Ethiopia

Abstract Background: Colorectal cancer (CRC) is the first commonest diagnosed cancer in men and the fourth commonest in women in Ethiopia. The most significant factors that may increase the risk of having CRC were modifiable. However, little is known about the awareness of CRC and associated factors among adult patients in study area. Therefore, the study aimed to assess the awareness of CRC and associated factors among adult patients in Jimma, South-West Ethiopia, 2020. Methods: The institution-based quantitative cross-sectional study design was conducted among 422 patients from March 8 to April 30, 2020. The study participants were recruited by a systematic random sampling method and data was collected semi-structured interviewer-administered questionnaires. Descriptive, bivariate, and multivariate logistic regression was implemented. The statistical level of significance was stated at p-value < 0.05. Result: A 100% response rate in this study was recorded. More than half (57.6%) of the study participants had low awareness of colorectal cancer. Smoking (78.2%) and bloody stool (49.3%) were the most known risk factors and symptoms. There is a significant association between awareness of colorectal cancer with gender, residency, monthly income, level of education, information sources, and heard about CRC. Conclusion: Overall awareness of patients towards CRC was inadequate. Participants with high levels of education and females had better awareness, however; the overall awareness of them was insufficient. Therefore, there is a need for awareness campaigns and health education for promoting colorectal cancer awareness.

Association Between Mucositis Severity and Vancomycin-Resistant Enterococcal Bloodstream Infection in Hospitalized Cancer Patients

1999 ◽  
Vol 20 (10) ◽  
pp. 660-663 ◽  
Author(s):  
Matthew J. Kuehnert ◽  
John A. Jernigan ◽  
Amy L. Pullen ◽  
David Rimland ◽  
William R. Jarvis
Keyword(s):  
Cancer Patients ◽  
Bloodstream Infection ◽  
Medical Center ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Severity Of Illness ◽  
Vancomycin Resistant ◽  
Increasing Risk ◽  
Oncology Unit

AbstractObjective:To determine the role of mucositis severity in the development of vancomycin-resistant enterococcal (VRE) bloodstream infection (BSI).Setting:A tertiary-care university medical center.Participants:Hematology-oncology-unit inpatients.Design:Patients with VRE BSI (case-patients) were compared with VRE-colonized (control) patients from September 1994 through August 1997. Oral mucositis severity was recorded on the day of VRE BSI for case-patients and on hospital day 22 (median day of hospitalization of case-patient VRE BSI) for controls. There were 19 case-patients and 31 controls.Results:In univariate analysis, case-patients were significantly more likely than controls to have a higher mucositis severity score, diarrhea, or a higher severity of illness score. In multivariate analysis, only mucositis remained as an independent risk factor, and increasing mucositis score was significantly associated with VRE BSI.Conclusions:Mucositis severity was independently associated with an increasing risk for VRE BSI. Interventions to alter mucositis severity may help to prevent VRE BSI in hospitalized cancer patients.

scholarly journals EXPRESSED EMOTION AND SELECTED PATIENTS’ CLINICAL FACTORS AMONG CAREGIVERS OF SCHIZOPHRENIC PATIENTS VISITING JIMMA UNIVERSITY MEDICAL CENTER PSYCHIATRY OUT PATIENT UNIT, SOUTH WEST ETHIOPIA

2020 ◽  
Author(s):  
Bethlehem Yimam ◽  
Matiwos Soboka ◽  
Yemiamrew Getachew ◽  
Bezaye Alemu ◽  
Gutema Ahmed ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Expressed Emotion ◽  
Medical Center ◽  
High Status ◽  
Clinical Factors ◽  
Care Givers ◽  
South West ◽  
Schizophrenic Patients ◽  
South West Ethiopia ◽  
Jimma University

ABSTRACTBackgroundExpressed emotion (EE) measures the emotion of the caregivers of persons with schizophrinia and is predictive of symptom levels in a range of medical and psychiatric conditions. It is worth to assess expressed emotion and associated factors among caregivers of patient with schizophrenia in Ethiopia since there is limited data on this issue in this part of the world.ObjectiveTo assess the status of expressed emotions and selecte patients’ clinical factors among care givers of patients with schizophrenia attending psychiatry oupatient unit of Jimma university medical center, South west, Ethiopia, 2019.MethodA cross-sectional study design employed involving 422 caregivers of schizophrenic patients using consecutive sampling technique. Data was collected using structured interviewer administrated questionnaires (Family Questioners) which assess the level of expressed emotion, entered into Epidata 4.4 and analyzed by Statistical package for social science (SPSS) version 25. Descripitive statistics used to summerize data, bivariate logistic regression was done to identify candidate variables for multivariable logistic regressions and the association between expressed emotion and predictor variables was identified by using multiple logistic regression model.ResultsHigh expressed emotion was observed in 43.6% of respondents. Caring for schizophrenic patients for about 6-8 years, having 3-4 episodes of the illness was significantly associated with high expressed emotion.ConclusionsThis study revealed that there is high status of care givers expressed emotion compared to other studies. It also showed that number of episode of illnesses had significant association with high caregivers expressed emotion. Health care systems, which provide interventions for patients with schizophrenia, need to design proper strategy to address caregivers need as well.

scholarly journals Proportion and Associated Factors of Maternal Near Misses in Selected Public Health Institutions of Keffa, Bench-Maji and Sheka Zones of South Nations Nationalities and Peoples Regional State, South West Ethiopia, 2017.A Crossectional Study

2018 ◽  
Author(s):  
Yayehyirad Yemaneh ◽  
Firew Tiruneh
Keyword(s):  
Public Health ◽  
Associated Factors ◽  
Near Miss ◽  
P Value ◽  
Near Misses ◽  
Live Births ◽  
South West ◽  
Public Health Institutions ◽  
Health Institutions ◽  
South West Ethiopia

Background: Maternal near-miss refers to a situation where a woman who nearly died but survived from severe life-threatening obstetric complications that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. It has been estimated that up to 9 million women survive obstetric complications every year. According to studies done around the world most mothers suffer from Near Miss due to the factors which includes, low socioeconomic status, patient related, health provider related, and health related and health institution related issues. Objectives: The objective of the study was to determine the proportion of maternal near misses and its associated factors in Selected Public Health Institutions of Keffa, Bench-Maji and Sheka Zones of South Nations Nationalities and Peoples Regional state, South West Ethiopia, 2017. Methodology: Hospital based cross-sectional study design was employed and simple random sampling techniques (Lottery Method) was used to select the study institution and Systematic sampling technique was used to select 845 study participants every 5th interval. Information was collected by using pre-tested and structured interviewer administered questioner. Using SPSS version 21 software, descriptive statistics and bivariate logistic regression analysis was done and variables with p-value &lt;0.2 were transferred to multivariate analysis and during Multivariate logistic regression analysis Variables with P-value &lt; 0.05 were considered as statistically significant and AOR with 95% CI were used to control for possible confounders and to interpret the result. The results were summarized by tables, graphs and charts. Result: There were 5530 Live Births, 227 Sever Acute Maternal Morbidity cases of this 210 were Maternal Near-Misses cases and 17 were maternal deaths, 364 Maternal Near-Misses Events. The overall Maternal Near-Misses Proportion is 24.85%. The maternal Near-Misses outcome ratio was 41 cases/1,000 live births (LB); mortality ratio was 12.35cases/1 maternal death and 74.8/1000LB of mortality index. Parity, residence, distance of living place from hospital, ANC Follow up, duration of labor, and administrative related problems were found to have statistically significant associations. Conclusion: The proportion of Maternal Near-Misses is relatively high when compared to other regional studies and efforts should be done to lower the near-misses.

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