scholarly journals Outlook Regarding Mental Illness In Patients And Caregivers In Eastern Nepal

2021 ◽  
Vol 10 (1) ◽  
pp. 62-71
Author(s):  
S. Adhikari ◽  
A. Jha

Introduction: Mental health is an integral component of overall health. Various factors along with stigma affect knowledge, perspectives and behavior of the people ultimately affecting help seeking and treatment. The patient and their caregivers are directly involved in overall management and outcome. Hence ascertaining those aspects among them is important and so are aims of this study. Material And Method: A cross sectional comparative study was carried out among 160 participants (80 patients and 80 caregivers) visiting neuropsychiatry outpatient department of a tertiary care hospital. Data was collected through semi-structured proforma and Attitude towards mental illness questionnaire (modified). Data were analysed by using SPSS version 25 and Microsoft excel. Results: The socio-demographic profiles between both groups were similar. About 75% from both the groups had good knowledge about mental illness. Almost 60% from both groups had positive perception/attitude regarding mentally ill and mental illness with an only significant difference in relation to rights to mentally ill. More than 70% from both groups had positive attitude regarding help-seeking with only significant difference in view about people with mental illness seeking help from psychiatrist. About 50% from both groups had positive attitude regarding care and treatment. Conclusion: With good knowledge and positive attitude/perception regarding mental illness, self-stigma persisted regarding some domains. Despite positive attitudes for help-seeking, ambivalent views regarding care and treatment into both groups necessitate easy accessibility and upgrading of mental health services.

2021 ◽  
Vol 3 (1) ◽  
pp. 65-73
Author(s):  
Akmal Shehzad ◽  
Kausar Parveen ◽  
Muhammad Afzal

Purpose: Nurses are personalities who stand with patients at all times to listen and solve their problems. Excellent knowledge, good practices and positive attitude of nurses proves very effective for improving patients with urinary incontinence in a mannered way. The study objective was, (a) evaluate the knowledge, attitudes and practices among nurses of urinary incontinence, (b) reveal the relationship between knowledge, attitudes and demographic characteristics and (c) evaluate obstacles faced by nurses during urinary incontinence care. Methodology: A cross-sectional study was accompanied in a government tertiary care hospital in Lahore, Pakistan. To analysis the variables statistical packages for social sciences version 25 was used. Pearson correlation test was used to correlate the knowledge, attitude and practices regarding urinary incontinence. Less than P>0.05 is significant. Findings: 164 nurses contributed in the studies and 157 completed and return the survey questioner, with return rate of 95.7%. Of those, 117(74.5%) were female nurses and 40(25.5%) were male nurses. There is a significant correlation found between knowledge with attitude items 0.046 and knowledge with practice items 0.039. The study respondents have good knowledge, positive attitude but wrong practices regarding urinary incontinence. Unique contribution to theory, practice and policy: It is concluded that Nurses have good knowledge, positive attitude but wrong practices that require special training or workshops to managing and treating incontinence more efficiently. This helps to bring significant improvement in urinary incontinence care and helps to lower the heath care cost. Such clinical guidelines need to be made within the organizations to manage a significant proportion of patients with urinary incontinence. Keywords: Knowledge, Attitude, Practices, Obstacles, Urinary incontinence, Nurses


2020 ◽  
Vol 11 (02) ◽  
pp. 237-244
Author(s):  
Sandeep Grover ◽  
Neha Sharma ◽  
Aseem Mehra

Abstract Objective This study aimed to evaluate the prevalence of stigma for mental disorders among nursing staff in a tertiary care hospital, and the secondary objective of the study was to assess the correlation of stigma with the socio-demographic profile and previous experience with mentally ill patients. Methods This cross-sectional study was performed among the 210 nurses working in a tertiary care multispecialty teaching public sector hospital in north India. They were evaluated on community attitudes toward the mentally ill (CAMI) scale. Results About two-thirds of the participants (67.1%) were females and had done graduation (64.2%) in nursing. Nearly 50% of the study participants had an experience of working with mentally ill patients. Female had a more significant positive attitude on the domain of social restrictiveness. Authoritarianism had a significant positive correlation with benevolence and social restrictiveness domains. The benevolence domain had a significant correlation with all other domains. Social restrictiveness domain also had a significant correlation with other domains. Conclusion Nurses have a positive attitude toward mentally ill patients.


2020 ◽  
pp. 1-3
Author(s):  
K. Jesindha Beyatricks ◽  
Deepa shruthi G ◽  
Fizia Mohammadi ◽  
Feba Thomas ◽  
Omid Reza

A prospective cross sectional study on the awareness, knowledge and risk factors of CKD among Diabetic and Hypertensive patients was conducted in the outpatient and inpatient wards of a tertiary care hospital in Bengaluru. A total number of 100 patients were included in the study. The results indicated that, out of 100 patients, 38% was having knowledge and 62% were without knowledge. 43% were having positive attitude and 57% with a negative attitude. It was found that majority of the people were without knowledge, that is 62% and negative attitude 57%. The study revealed that among educated people, 55.55% was having poor knowledge and 44.44% was having good knowledge. Among uneducated people, 64.86 % was having poor knowledge and 35.13 % was having good knowledge. Among 100 participants, 43% has positive attitude and 57% has negative attitude.


Author(s):  
Yumna Minty ◽  
Mahomed Y.H. Moosa ◽  
Fatima Y. Jeenah

Background: An increasing number of South Africans utilise primary healthcare services (either in the state or private sector) for mental health concerns; hence, there is a need to objectively assess these doctors’ attitudes and knowledge of mental illness.Aim: To investigate aspects of knowledge and attitudes towards mental illness of a group of private and state-employed non-specialist medical doctors.Method: Doctors in the state sector who were working at a primary healthcare level and who were not working towards, or did not hold, a specialist qualification were considered eligible for the study. Doctors in the private sector who were working as general practitioners and who did not hold a specialist qualification were considered eligible for the study. Data were collected by means of a self-administered questionnaire. A link to the study questionnaire, information about the study, details of the researcher and matters pertaining to informed consent were emailed to potential participants.Results: Of the 140 practitioners who responded to the survey, 51.4% (n = 72) worked in the state sector, 41.4% (n = 58) worked in the private sector and 7.1% (n = 10) worked in both the state and private sectors (χ21 = 45.31, p 0.010). The majority ( 50%) of participants in all three groups had a positive attitude towards mental illness (χ22 = 1.52, p = 0.468). Although there were no significant associations between attitude and socio-demographic characteristics (p 0.05), male SS doctors reported feeling less comfortable when dealing with mentally ill patients (p = 0.015); SS doctors who did not have family contact with mental illness were less likely to feel that mentally ill patients did not pose a risk to others (p = 0.007), and PS doctors under the age of 35 years were more likely to feel adequately trained to treat mental illness (p = 0.026). The majority ( 50%) of participants in all three groups had an adequate level of knowledge of mental illness (modal scores = 10). There were no significant associations between knowledge and socio-demographic characteristics (p 0.05).Conclusion: Despite the findings of a positive attitude and adequate knowledge of mental illness amongst the participants of this study, it is recommended that more targeted interventions are established to further improve mental health awareness and knowledge of doctors at both undergraduate and postgraduate levels of study.


2019 ◽  
Vol 2 (02) ◽  
pp. 23-28
Author(s):  
Nishad P. M. A. ◽  
Dilshana N. B. ◽  
Anil Kakunje ◽  
Ravichandra K. ◽  
Kamran Chisty

BACKGROUND Mental and behavioral disorders are major health problems. Stigma can prevent the care and treatment of the mentally ill. There is a gross underestimation of psychiatric comorbidities among patients by non-mental health professionals. A positive attitude of these health professionals has a crucial role in the treatment of patients suffering from psychiatric illness. The primary objective of the study is to study the attitude of various nonmental health professionals towards mental illness. METHODS It is a crosssectional descriptive study, conducted in a private medical college in Mangalore, Karnataka in India. The study had 76 participants consisting of doctors and nurses. Instruments used were a semi-structured demographic proforma and Mental illness: Clinicians Attitude Scale - Version 4 (MICA-4). MICA-4 is a 16- item scale used for assessing attitude towards mental illness. RESULTS The total number of subjects included was 76 among which doctors constituted 57 and nurses 19. As the experience and age of the participants increased, a shift to the positive attitude towards psychiatric illness was noted. Specialist doctors had a higher positive attitude compared to non-specialist medical graduates and nurses. CONCLUSIONS It is essential to have structured training in psychiatry for all health care professionals.


Author(s):  
Nishad P. M. A. ◽  
Dilshana N. B. ◽  
Anil Kakunje ◽  
Ravichandra K. ◽  
Kamran Chisty

BACKGROUND Mental and behavioral disorders are major health problems. Stigma can prevent the care and treatment of the mentally ill. There is a gross underestimation of psychiatric comorbidities among patients by non-mental health professionals. A positive attitude of these health professionals has a crucial role in the treatment of patients suffering from psychiatric illness. The primary objective of the study is to study the attitude of various nonmental health professionals towards mental illness. METHODS It is a crosssectional descriptive study, conducted in a private medical college in Mangalore, Karnataka in India. The study had 76 participants consisting of doctors and nurses. Instruments used were a semi-structured demographic proforma and Mental illness: Clinicians Attitude Scale - Version 4 (MICA-4). MICA-4 is a 16- item scale used for assessing attitude towards mental illness. RESULTS The total number of subjects included was 76 among which doctors constituted 57 and nurses 19. As the experience and age of the participants increased, a shift to the positive attitude towards psychiatric illness was noted. Specialist doctors had a higher positive attitude compared to non-specialist medical graduates and nurses. CONCLUSIONS It is essential to have structured training in psychiatry for all health care professionals.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Riti Das Dhankar ◽  
Dr Asha Hingar

Mental health is an integral and essential component of health. The WHO constitution states: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Today, it is recognized that good mental health is not just the absence of mental illness. Nor is it absolute – some people are more mentally healthy than others, whether you are mentally ill or not. In order to determine the mental health of adolescent school going children, government and private schools from the domain of Jaipur city were taken. A sample of total of 300 adolescents consisting of 150 government school adolescents and 150 private school adolescents were taken. The test used was Mental Health Battery (MHI) (Verma, J. and Srivastava, A.K. 1996). It was found that in all the dimensions of mental health, no significant difference was found for government and private school children. It is a matter of concern for all the parents, teachers and society as a whole that both the groups are poor on a mental health scale.


1982 ◽  
Vol 10 (3) ◽  
pp. 363-371
Author(s):  
Mona Wasow

On June 10, 1982, a forum was presented in Milwaukee that dealt with the mental health commitment laws. There are terrible confusions among professionals today about what mental illness is, what competency means, what constitutes “dangerousness,” and how to apply civil rights in a truly meaningful way to those in desperate need of help. We are in need of some modifications of our mental health commitment laws, which are presently confounded with ideologies and ignorances about mental illness and “due process,” and often stand in the way of providing help for acutely mentally ill people. That these issues are complex is obvious, but if more energy were put into problem solving, and less into winning highly value-laden debates, we might come up with some solutions toward getting better care and treatment for the mentally ill.


2021 ◽  
Vol 17 (2) ◽  
pp. 136-144
Author(s):  
Radha Paudel ◽  
Sarita Shrestha ◽  
Laxmi Gurung

Background: COVID-19 has become a global health threat and the disease burden is expected to increase more. Nurses are the front lines of COVID management. Because this work requires close personal exposure to patients with COVID-19, nurses are at high risk of infection, contributing to further spread. Nurses’ knowledge, attitudes, and practices can influence the prevention and control of pandemic. Thus, the aim of the study was to assess knowledge, attitude, and practice regarding the prevention and control of COVID-19 among nurses.   Methods: Descriptive cross-sectional study design was carried out among 141 nurses from the central hospital, Kathmandu. A purposive sampling technique was used and the data collection date was June 5 to July 20, 2020. A self-administered semi-structured questionnaire was used. The data were analyzed using descriptive statistics.   Results: The study showed that 60.3% of the participants had good knowledge, 53.2% of them had acceptable practice and a cent percent (100%) of them had a positive attitude on the preventive and control measures against COVID-19. More than 3/4th (75.8%) of them were agreed to handle the COVID-19 outbreak confidently in their healthcare setup. Although, 85.8% of participants were worried that they and their family members will probably get infected with COVID-19 while working in the hospital. However, 39% of them were feeling isolated by their community, and relatives due to their profession.   Conclusions: Nurses have good knowledge, a positive attitude, and acceptable practice about prevention and control of COVID-19. However, the level of some knowledge and practice was still lower than that expected.      Keywords: Attitude; COVID; Knowledge; nurses; prevention and control; practice    


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