scholarly journals Magico-Religious beliefs among primary care takers of manic patients

2013 ◽  
Vol 2 (1) ◽  
pp. 7-13 ◽  
Author(s):  
N Sapkota ◽  
AK Pandey ◽  
BR Adhikari ◽  
PM Shyangwa ◽  
R Shakya

Introduction: Mania is one of the commonest psychiatric disorders that require immediate interventions. There is a wide held belief that co-occurrence of mental disorders and underlying religious or spiritual problems is found. Local and community belief in such phenomena appeared to be a factor in influencing the decision to seek Magico-Religious treatment. The study was done with the objective to determine the attitudes of the primary care taker with respect to Magico-Religious beliefs which can have impact on treatment seeking behavior and timely consultation to the psychiatrist for underlying condition. Materials and Method: Consecutive fifty primary care takers who accompanied the patient and gave consent were included in the study. The supernatural Attitude questionnaire developed to study the magico religious beliefs was applied to the primary care taker. Both parametric and non parametric statistical tools were applied to analyze the variables. Results: About 48% believed that performing magico-religious rituals could improve the behavior of the patients and 76% of the primary caretakers visited faith healer for this purpose. Association between Magico-religious treatment group and non-magico-religious treatment group with different variables like Age, Sex, Religion, Socio-Economic Status, Education and Occupation, were compared, which shows that, all the variables were comparable and the P-value was not significant. Conclusion: There is a common belief among the primary care takers about the relationship between supernatural’s influences and mental illness. The study concluded that there exists no significant relationship between socio demographic characteristics of a primary care takers and traditional practices and beliefs and hence are independent of each other. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8568 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 7-13

2017 ◽  
Vol 12 (4) ◽  
pp. 150-159
Author(s):  
Nidesh Sapkota ◽  
Dhana Ratna Shakya ◽  
Baikuntha Raj Adhikari ◽  
Arun Kumar Pandey ◽  
Pramod Mohan Shyangwa

Background & Objectives: Schizophrenia is one of the commonest psychiatric disorders which require immediate interventions. Magico-Religious beliefs may affect the expression of psychopathology as beliefs are entrenched into human psyche. Local and community beliefs in such phenomena appeared to be a factor in influencing the decision to seek magico-religious treatment. This study aimed (1) to determine attitude of patients and relatives with respect to magico-religious beliefs and its influence on psychopathology, and (2) to examine the relationship between psychopathology and major sociodemographic variables.Materials & Methods: All 50 consecutive cases of schizophrenia attending psychiatric services during study period were thoroughly evaluated. All the cases were diagnosed as per ICD 10 DCR criteria. The supernatural attitude questionnaire was applied.Results: Fifty cases were studied. Among them, 48% belonged to the age-group of 25 to 34 years, the majority of them were male (62%), 82% were Hindus, and 64% married. Majority of the patients had undergone magico-religious treatment (n = 35). Among the sample, 68% consulted faith healer and 42% performed religious treatment during the illness period; 60% acknowledged personal belief in sorcery, 58% in ghosts, and 52% in spirit intrusion. Among them, 20% believed there was a link between sorcery and mental illness, and 20% believe spirit could cause mental illness. Among the samples, 38% found the link between sorcery and abnormal behaviour, 38% with evil spirit, and 22% due to planetary influences. Statistically significant association was noted in the belief that rituals can improve patient behaviour and local belief in supernatural influences.Conclusion: There is a common belief in the relationship between supernatural influences and mental illness among the relatives of the patients. Such beliefs and magicoreligious treatment do occur during the course of the illness.


Author(s):  
Pinar Döner ◽  
Kadriye Şahin

Abstract Purpose: Reproductive health includes the capability to reproduce and the freedom to decide. In this context, both women and men have rights. In this study, it is aimed to reveal the obstacles in using these rights and to describe perceptions on marriage and family planning (FP) of Syrian women and men and to increase awareness for developing new policies on the Primary Health Care. Methods: The study was conducted using qualitative method, consisting of in-depth interviews with 54 participants; 43 women and 11 men who had to emigrate from varied regions of Syria at different times since 2011. Syrian women living in Hatay, in the south of Turkey were identified from Primary Health Care Center. Most of the Syrian women had given birth to the first two children before the age of 20 years. The interviewees were selected by purposive and snowball sampling. Results: The result was examined under seven headings: knowledge about FP and contraceptive methods, hesitation about contraceptive methods, emotional pressure of family and fear of maintaining marriage, embarrassing of talking about sexuality and contraception, the effects of belief and culture on contraception, psychological reflections of war, and changes in the perception of health during the process of immigration. The most significant factors affecting the approaches to FP and contraceptive methods of the women in this study were determined to be education, traditions, economic status, and religious beliefs. The most important factors affecting participants’ FP and contraceptive method approaches are education, cultural beliefs, economic status, and religious beliefs. Conclusions: The primary healthcare centers are at a very strategical point for offering FP services to help address patients’ unmet contraceptive needs and improve pregnancy outcomes. More attention should be paid to social determinants that influence the access to reproductive health. Moreover, efforts can be done to address gender inequality that intercept FP. The most important strategy for primary health systems to follow the gender barriers that hinder access to FP services and men are empowered to share responsibility for FP.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046638
Author(s):  
Sk Masum Billah ◽  
Abdullah Nurus Salam Khan ◽  
S M Rokonuzzaman ◽  
Nafisa Lira Huq ◽  
Marufa Aziz Khan ◽  
...  

Study objectiveTo evaluate the competency of trained health workers in detecting and managing hypertensive disorders of pregnancy during routine antenatal check-ups (ANCs) at primary care facilities in Bangladesh.Study design and settingsCross-sectional study; conducted in 26 primary care facilities.Outcome measuresAccurate diagnosis of the hypertensive disorders of pregnancy.MethodIn total 1560 ANC consultations provided by primary health workers, known as Family Welfare Visitors (FWVs), were observed using a structured checklist between October 2017 and February 2018. All consultations were reassessed by study physicians for validation.ResultOf the ‘true’ cases of gestational hypertension (n=32), pre-eclampsia (n=29) and severe pre-eclampsia (n=16), only 3%, 7% and 25%, respectively, were correctly diagnosed by FWVs. Per cent agreement for the diagnosed cases of any hypertensive disorders of pregnancy was 9% and kappa statistics was 0.50 (p value 0.0125). For identification of any hypertensive disorders by FWVs, sensitivity and positive predictive values were 14% and 50%, respectively. There was a moderate positive correlation between the blood pressure measurements taken by FWVs and study physicians. Only 27% of those who had ‘some protein’ in urine were correctly identified by FWVs. Women diagnosed with any of the hypertensive disorders of pregnancy by FWVs were more likely to be counselled on at least one danger sign of pre-eclampsia (severe headache, blurring of vision and upper abdominal pain) than those without any such diagnosis (41% vs 19%, p value 0.008). All four cases of severe pre-eclampsia diagnosed by FWVs were given a loading dose of intramuscular magnesium sulphate and three among them were referred to a higher facility.ConclusionThe FWVs should be appropriately trained on risk assessment of pregnant women with particular emphasis on accurately assessing the diagnostic criteria of hypertensive disorders of pregnancy and its management.


Author(s):  
Ismi Puji Astuti

Background: The first labor anxiety is an unpleasant psychological condition due to physiological changes that cause psychological instability. The condition of excessive anxiety, worry, fear without cause, and stress, causes the muscles of the body to tense up, especially the muscles in the birth path to become stiff and hard, making it difficult to expand. This study analyzed the effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth. Methods: Quasi experimental design with nonrandomized pretest-postest control group. The sampling technique used was purposive sampling with 34 research subjects. 17 people for the treatment group were given pregnancy exercise 8 times, and 17 people for the control group were given health education about preparation for childbirth. Results: The results of data analysis using the Wilcoxon signed rank test showed that the average reduction in the treatment group was 8.00 and the control group was 3.00. The effect of pregnancy exercise on third trimester primigravida anxiety in the treatment group with a p-value (0.000) <(0.05), while the control group with a p-value (0.180)> (0.05). Conclusion: There is an effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth in the Wuryantoro Health Center work area. 


Author(s):  
Muhammad Kashif ◽  
Nosheen Manzoor ◽  
Rimsha Safdar ◽  
Hafsa Khan ◽  
Maryam Farooq ◽  
...  

BACKGROUND: Cervicogenic headache (CGH) is a common condition that results in significant disability. To treat this dysfunction, Mulligan described sustained natural apophyseal gliders (SNAGs) as a manual therapy approach. However, only inconclusive short-term evidence exists for treating CGH with SNAGs. OBJECTIVE: The present study aims to investigate the effect of SNAGs in the treatment of CGH. METHODS: Fourty female patients ranging from 20 to 40 years with CGH were randomly assigned to two groups: 20 in a treatment group and 20 in a control group. SNAGs were applied to the treatment group while the control group received placebo treatment. Both groups received their respective treatment for 20 minutes, alternately three times per week, for a total of 12 times in four weeks. The outcome measures were the Neck Disability Index (NDI) and the Visual Analogue Scale (VAS). Participants were assessed at baseline and at the end of each week. The data was analyzed using SPSS version 20. Independent t-testing was used to reveal changes between groups. One-way ANOVA was used to determine changes within groups. The level of significance was P< 0.05. RESULTS: Twenty participants (100%) in the treatment group and 17 (85%) in the control group had a history of headache aggravation with active movements or passive head positioning. There was no significant difference at baseline (p> 0.05), indicating that both groups were homogeneous at the time of recruitment. The p value (p< 0.05) showed a significant difference in pain and level of disability at three and four weeks (p< 0.05) in patients treated with SNAGs. However, the cervical range of motion (ROM) showed a statistically significant improvement in flexion and extension in the treatment group (p< 0.05) while there was no significant improvement in side flexion and rotation ROM in both groups (p> 0.05). CONCLUSION: This study found that SNAGs were effective in reducing pain and neck disability and improved ROM in females with CGH.


Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Alexander J Senetar ◽  
Daniel A Bonnin ◽  
Hannah E Branstetter ◽  
Alexis N Simpkins ◽  

Introduction: Primary care plays an essential role in stroke prevention. Yet still, for many stroke patients, a relationship with a primary care provider (PCP) is not established until after stroke. Our goal was to determine if lack of PCP and the consequential differences in management affects stroke severity. Methods: Data was obtained from our Institutional Review Board approved stroke admission database from 2017 to November 2019 of all stroke subtypes (ischemic stroke, transient ischemic attack, subarachnoid and intracerebral hemorrhages). Non-parametric Mann Whitney t-test and regression analysis was used to identify significant differences in medications, stroke risk factors and stroke severity. Results: A total of 559 patients were included, median age 67 (interquartile range (IQR) 58-76), 49% woman, 32% established care with a PCP, 36% on medications for diabetes mellitus (DM), 42% hyperlipidemia, 66% anti-hypertensives, 39% anti-platelet agents, and 10% anticoagulation. More patients with PCP were taking anti-hypertensive medications (80% versus (vs) 60%, p value < 0.0001), DM medications (56% vs 30%, p value < 0.0001), anti-platelet agents (46% vs 35%, p value = 0.0149), and medications for hyperlipidemia (49% vs 39%, p value = 0.0426). Admission NIHSS was lower in patients with a PCP median 6 (IQR 3-11) vs median 9 (IQR 4 -15), p value= 0.0016, and median hemoglobin A1c was higher in patients with a PCP 8 (IQR 5.7- 9.3) vs patients without a PCP prior to their stroke 6 (IQR 5.4 - 8.5), p value= 0.0002. Admitting systolic blood pressure was similar 155 (137-177) vs 152 (134-171). After correcting for age and gender, regression analysis demonstrated a significant association between whether a patient had PCP and antihypertensive medication use (odds ratio (OR) 2.413, 95% confidence interval 1.511 - 3.914) and hemoglobin A1c (OR 1.122, 95% CI 1.037 - 1.215). Also, patients with a PCP were more likely to have a lower NIHSS on admission (OR 0.9679, 95% CI 0.9423 - 0.9930). Conclusions: These result show that patients not followed by a PCP prior to stroke are less likely to be on medications for primary prevention of stroke, contributing to an increased stroke severity on admission. More research is needed to identify barriers to patients establishing care with PCP.


2018 ◽  
Vol 41 (2) ◽  
Author(s):  
Tri Niswati Utami

<p><strong>Abstrak: </strong>Kecenderungan pencarian pengobatan untuk mengatasi gangguan kesehatan dipengaruhi oleh cara pandang individu terhadap penyakit yang diderita. Penelitian ini berupaya mengidentifikasi faktor yang berpengaruh terhadap perilaku pencarian pengobatan transfer energi zikir, dengan desain penelitian <em>cross sectional</em> dan dianalisis dengan metode <em>binary logistic analysis. </em>Hasil penelitian ini menemukan bahwa perilaku pencarian pengobatan transfer energi zikir, mayoritas kategori penyakit sedang (41,9%), responden yang sembuh (71%). Perilaku pencarian pengobatan transfer energi zikir tanpa pengobatan medis sebesar (67,7%). Hasil analisis multivariant variabel <em>percieved suseptibility</em> (kerentanan) nilai p <em>value</em> 0,010&lt;0,05 artinya mempunyai pengaruh secara signifikan (bermakna) terhadap perilaku pencarian pengobatan. Nilai <em>Exp</em>. (B) sebesar 14,799 bahwa responden yang mempunyai persepsi rentan atau berisiko terhadap penyakit mempunyai peluang 14 kali mencari pengobatan dengan transfer energi zikir, dibandingkan variabel lainnya yang secara  statistik memberikan kesembuhan lebih tinggi. Penulis mengimplikasikan hal ini sebagai bukti kesempurnaan agama Islam dalam mengatur kehidupan manusia secara lengkap melalui keteladanan Rasulullah menganjurkan pengobatan berdasarkan petunjuk al-Qur’an sebagai penawar dan rahmat bagi orang mukmin. <br /><strong> </strong><br /><strong>Abstract</strong>: <strong>Identification of Behavior of Zikir Energy Transfer Treatment: Integration of Health and Islamic Science</strong>. Abstract: The tendency of searching treatment to overcome health problems is influenced by the individual's perspective on the illness being sufferred. This research seeks to identify factors that influence the behavior of the search for zikir energy transfer treatment, with cross sectional research design and analyzed by binary logistic analysis method. The results of this study found that the search behavior of zikir energy transfer treatment, the majority of moderate disease category (41.9%), respondents who recover (71%). Behavior seeking treatment of zikir energy transfer without medical treatment amounted to (67,7%). The result of multivariant analysis of percieved suseptibility variable (p value) 0,010 &lt;0,05 means that it has significant (significant) effect on treatment seeking behavior. Value Exp. (B) of 14.799 that respondents who have a vulnerable or risky perception of the disease have 14 times the chance to seek treatment with the transfer of zikir energy, compared to other variables that statistically resulted in higher number of healing. The author implies that this prooves the perfection of Islam in regulating the complete human life through the the Prophet who advocated treatment based on the guidance of the Qur'an as a healing and grace for the believers.</p><p><br /><strong>Kata Kunci: </strong>pengobatan Islami, energi zikir, kesehatan, integrasi</p>


2018 ◽  
Vol 18 (1) ◽  
pp. 215
Author(s):  
Nia Nurzia

Abnormal cervical is still  in high levels of  which marked by the outbreak of the Human Papilloma Virus, It is not offset by the use of vaccination (HPV) Human Papilloma Virus which as the primary prevention of the spread of Human Papilloma Virus . recorded in Dara Jingga clinic in  2015, there were 226 people in the state of the cervix abnormal while those who making vaccination extremely low at only 40 people. Likewise, in 2016 there were 301 people in a state of abnormal cervical and vaccinated only 16 people . Based on it, this research is the research which aimed to determine the relationship between knowledge, economic status, family role and the role of health personnel  against the Human Papilloma Virus vaccination in Dara Jingga Clinic  Jambi City. This research is descriptive analytic with cross sectional design, the data collected through questionnaires, with a population was 321 people. using  acidental sampling technique with  sample was 32 people, research has been conducted on 22 to 24 August 2016 using univariate  and bivariate analysis assisted by a computer program. The results of the univariate analysis of vaccination picture were 10 respondents (31.3%) take advantage of HPV vaccination and 22 respondents (68,8%) did not take advantage of the HPV vaccination, an overview of knowledge were five respondents (15,6%) have sufficient knowledge, 15 respondents (46,9%) had a good knowledge,12 respondents (37,5%) had poor knowledge, an overview of economic status,  13 respondents (40,6%) had high economic status and  19 respondents (59,4% ) have lower economic status, description of the role of health workers13 respondents (40,6%) have a good role of health personnel and  19 respondents (59,4%) has the role of health personnel is not good. Overview of the role of the family, 11 respondents (34,4%) has the role of a good family and  21 respondents (65,6%) had a family roles goodles. the result of these studies show a relationship between the mother's knowledge by vaccination with HPV (Human Papilloma Virus ) with a p value of 0,035, the relationship between economic status with vaccination HPV (Human Papilloma Virus with p value 0,002, their relationship with the role of HPV vaccination of health workers with p value 0,002, their relationship with the family role of HPV vaccination with a p value of 0,004.Keywords: Knowledge, Economic Status, Role of health personnel, Role of Family,HPV Vaccination (Human Papilloma Virus)


2018 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Rapitos Sidiq

Kejadian Pneumonia pada balita masih menjadi permasalahan di dunia termasuk Indonesia. Banyak faktor yang melatarbelakangi kejadian penyakit ini, baik faktor lingkungan maupun perilaku manusia. Salah satu uapaya yang dilakukan untuk pencegahan penyakit ini adalah dengan peningkatan peran kader posyandu untuk kegiatan promotif dan preventif termasuk mempromosikan perilaku pencarian pertolongan kesehatan dan perawatan balita di rumah, sehingga setiap kader dituntut mengetahui tentang pencegahan pneumonia tersebut. Secara umu penelitian ini ingin melihat efektivitas penyuluhan kesehatan dalam meningkatkan pengetahuan kader posyandu tentang pencegahan penyakit pneumonia pada balita di wilayah kerja Puskesmas Darul Kamal Tahun 2017. Penelitian menggunakan metode quasi eksperimental dengan rancangan one group pretest-postest design. Jumlah sampel penelitian 30 orang. Uji statistic yang digunakan paired t-tes tingkat kemaknaan (α) 0,05 (5%). Penelitian ini menghasilkan nilai pengetahuan kader sebelum dan sesudah intervensi adalah 27,17:29,00 dengan p-value 0,003 (< 0,05). Penyuluhan kesehatan efektif dalam meningkatkan pengetahuan kader posyandu tentang pencegahan penyakit pneumoniaKata kunci:   Penyuluhan kesehatan, pengetahuan, kader posyandu, pneumonia, balita  ABSTRACTThe incidence of pneumonia in a toddler is still a problem in the world including Indonesia. Many factors caused the incidence of this disease, both environmental factors, and human behavior. One of the efforts undertaken for the prevention of this disease is by increasing the role of Health Post cadres for promotive and preventive activities including promoting health-seeking behavior and home toddler care so that each cadre is required to know about the prevention of pneumonia. In general, this research would like to see the effectiveness of health counseling in increasing the knowledge of health pos cadres on prevention of pneumonia disease in under-five children in the work area of Puskesmas Darul Kamal 2017. The study used quasi-experimental method with one group pretest-posttest design. The sample size is 30 people. Test statistic used paired t-test significance level (α) 0.05 (5%). This study yields cadre knowledge value before and after intervention is 27,17: 29,00 with p-value 0,003 (<0,05). Health counseling is effective in increasing knowledge of cadres about prevention of pneumonia disease.Keywords: Health counseling, knowledge, cadres, pneumonia, toddler


Author(s):  
Mohammad Shafie ◽  
Hamideh Davoodizadeh Jolgeh ◽  
Maryam Dabirifard ◽  
Sara Dabirifard ◽  
Milad Shafiee

Introduction: Failure in social support is one of the important factors in developing postpartum depression. Since mothers with premature or sick babies have higher levels of anxiety during postpartum period in comparison with other members, they need more social support. So, in this study we decided to evaluate the relation between postpartum depression and the level of social support in mothers who have premature newborns. Methods: This descriptive-correlative study was conducted on 100 mothers who had premature newborns and were  discharged from the Neonatal Intensive Care Unit of Shahid Sadoughi Hospital in 2016. The sampling was conducted using the available sampling method. Mothers were asked to complete the social support and postpartum depression questionnaire. . All collected data were entered to the SPSS v.17 and analyzed by the analytic and descriptive statistical indices. The significance level was set at p-value<0.05. Results: The final results revealed that social support had a significant association (p-value<0.05) with the number of mother’s child, her husband’s job,  and family economic status . Furthermore, the findings revealed that postpartum depression had a significant association with the father's job, the educational status of father, and the economic status of family. Conclusion: It can be concluded that the more social support leds to the less incidence of postpartum depression.


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