scholarly journals Perceived Fear and Preventive Behaviors of Pregnant Women during COVID-19 Pandemic in Western Nepal

2021 ◽  
Vol 9 (02) ◽  
pp. 77-81
Author(s):  
Shristi Bajracharya ◽  
Saraj Gurung ◽  
Binita Khatri

INTRODUCTION: The perceived fear of COVID-19 is expected to have a significant positive impact on preventive behaviors as it triggers people to prevent themselves against threats. People take necessary actions to engage in preventive behaviors if they perceive high fear of transmission of disease. MATERIAL AND METHODS: Cross-sectional analytical study was conducted to find out the perceived fear and preventive behaviors of pregnant women during COVID-19 pandemic. One hundred and fifty normal pregnant women attending Antenatal Checkup (ANC) out-patient department and ward of Universal College of Medical Sciences Teaching Hospital (UCMSTH), Rupandehi were selected by using purposive sampling technique. Structured interview schedule was used for data collection. Descriptive statistics and inferential statistics were used for analysis with Statistical Package for Social Science (SPSS) software version 16. RESULTS: The study findings revealed that more than half of the respondents had high level of fear regarding COVID-19. Although participants were largely engaged in all preventive behaviors like wearing facemask, hand washing, covering nose and mouth, cleaning and disinfecting and maintaining healthy diet, while maintaining social distance, avoiding public transport, avoiding crowd, exercising regularly and quitting tobacco and alcohol were the least. There was positive correlation between perceived fear and preventive behaviors although it was not proved significantly. CONCLUSION: The study findings concluded that more than half of the respondents had high level of fear regarding COVID-19. Adequate counseling and reassurance of these pregnant women in the current scenario might reduce their fears and increase the probability of adapting preventive measures against the spread of COVID-19.

2020 ◽  
Vol 8 (02) ◽  
pp. 68-72
Author(s):  
Pragya Shrestha ◽  
Neelam Shrestha ◽  
Ikshaya Rana

INTRODUCTION Chronic kidney disease (CKD) is a major public health problem in Nepal. Adherence is the crucial factor in determining the morbidity and mortality of hemodialysis patients. MATERIAL AND METHODS A cross-sectional study was conducted to find out the hemodialysis adherence among 125 hemodialysis patients of Universal College of Medical Sciences-Teaching Hospital and Crimson Hospital, Rupandehi. The data was collected by enumerative sampling using semi-structured interview schedule. The duration of the study was from June 16, 2019 to August 2, 2019. The data was analyzed by using descriptive and inferential statistics with SPSS software version 16.0. RESULTS The study revealed 56.8% were adherent to haemodialysis in general. Likewise 62.7%, 77.1%, 74.6% and 48.3% were adherent to haemodialysis schedule, diet restriction, fluid restriction and medication respectively. There was statistically significant association between level of adherence to haemodialysis and education level (p=0.020), adequacy of family monthly income for haemodialysis (p=0.007), presence of care taker to haemodialysis centre (p=0.057) and haemodialysis hours in a session (p=0.002). CONCLUSION It is concluded that the haemodialysis adherence among patients is good in general but poor adherence to medicine. The adherence is influenced by education, family monthly income, presence of care taker and haemodialysis hours in a session. Hence it emphasizes on need for educating patients to enhance adherence to haemodialysis.  


2020 ◽  
Vol 9 (1) ◽  
pp. 221-230
Author(s):  
Shrijana Baral

Violence against women is a very complex and widespread issue in different societies. This study was done to identify the experience and causes of domestic violence in Nepalese context. The main objective of this study was to assess domestic violence among reproductive aged women of 15-49 years in Pokhara Sub Metropolitan city of Kaski, Nepal. A cross-sectional descriptive research design was used for this study. Samples were selected from multistage sampling technique. Semi-structured interview schedule was used. After analyzing data, it was found that (41%) of the respondents belong to the age group 35-44 years of age. Most of the females (89.5%) faced different kind of violence in their life from their family members. Women are suffering from psychological violence 84.2%, physical violence 83.2%, sexual violence 86.3% and cultural violence 87.4%. The causes of the violence are disobeying the husband 96.8% and alcoholism. Most of women’s husband 82.10% had habit of drinking alcohol. Women are being violated by their husband as well as their family members. There is a high prevalence of violence among female who are involved in labor work. Despite of high level of violence, women are not working against it in order to maintain their confidentiality and fear of losing their social prestige. Domestic violence is the most thoughtful social condition that threatens women’s physical and mental health. It is also legal and health challenges on women’s health and happiness. It is one of the most important issues so awareness is necessary for social justice.


2021 ◽  
Vol 18 (4) ◽  
Author(s):  
Majid  Zare Bidaki ◽  
Hamed Aramjoo ◽  
Malihe Ram ◽  
Hadis Enayati ◽  
Azadeh  Ebrahimzadeh

Background: With the onset of the coronavirus disease 2019 (COVID-19) pandemic in December 2019, healthcare systems faced an unprecedented challenge. Medical and paramedical students are the front-line warriors in this combat. Objectives: This study aimed to assess COVID-19 knowledge, attitudes, and practice among the students of Birjand University of Medical Sciences, Iran, in 2020. Methods: This cross-sectional analytical study was carried out on 329 students who passed the microbiology course from October 2020 to March 2021. The data collection tool was a researcher-made questionnaire consisting of four sections: demographic data, COVID-19-related knowledge, attitudes towards COVID-19, and participants’ practice. Finally, statistical analysis was performed in SPSS software version 19, and a significance level of 0.05 was considered in all tests. Results: A total of 329 medical, dentistry, pharmacy, and laboratory sciences students participated in this study. The mean score of COVID-19 knowledge was 10.26 ± 1.21 (out of 12). Among the participants, 103 (31.3%) individuals expressed being in crowded places in recent days, and 324 (98.5%) of them confirmed wearing masks. More than half of the students had positive attitudes towards COVID-19 control. The average knowledge was higher in females and medical and laboratory sciences students (P = 0.008). Also, the students' knowledge was inversely related to their practice of wearing a mask (P = 0.015). Conclusions: While students had a high level of COVID-19 knowledge, they had some misconceptions that should be included in educational programs. Students of medical sciences should be responsible for preventive behaviors and strive to be good role models for others.


2020 ◽  
Vol 40 (2) ◽  
pp. 72-77
Author(s):  
Nita Sharma ◽  
Pratima Sharma ◽  
Tulashi Adhikari Mishra

Introduction: Congenital Heart Disease (CHD) is a problem with structure and function of the heart that is present at birth.  Children with CHD require special care, treatment and follow up for a number of common conditions which may be quite straining to the care givers. The objective of the study was to find out the burden of care among mothers having children with CHD. Methods: This descriptive cross-sectional study was carried out in a cardiac centre of Nepal. A total of 95 mothers having children with CHD attending outpatient department of our institute were selected as the sample for the study using non-probability purposive sampling technique. A semi structured interview questionnaire consisting of the Modified Caregiver Strain Index was used to assess the burden of care among mothers having children with CHD. Frequency and percent were used to describe the variables and chi- square test at 0.05 significance level was used to analyse associations. Results: Most (77.9%) of the mothers were regularly strained to find that their children’s health condition was deteriorating due to CHD. Nearly half (44.2%) of the mothers always had financial constrain while giving care to the child, nearly half (40%) of the mothers had done emotional adjustments to take care of their children with CHD, another two-fifths (28.4%) of the mothers sometimes had disturbed sleep and almost half (46.3%) of the mothers were always upset due to some behaviour of their child with CHD. Half (50.5%) of the mothers had high level of burden of care. Statistically significant association were found between age of the mother and level of burden of care (p value = 0.05). Similarly, the type of family (p value = 0.005), age of the children (p value = 0.000) and type of CHD (p value = 0.002) were significantly associated with the level of burden of care among the mothers. Conclusion: The study concluded that mothers tend to feel less burden of care as the child grows older, mothers having children with cyanotic heart disease tend to experience more burden of care. Mothers of less than thirty years of age and living in a joint family also experience more burden of care.  


2018 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Ni Wayan Noviani ◽  
Ni Komang Sari Suindani

<p><strong><em>Abstract: Knowledge of Pregnant Women About Sexual Relations Position During Pregnancy</em></strong><em>. The purpose of this study was to determine the knowledge of pregnant women about the position of sexual relations during pregnancy in BPM Wahidah, S.ST Year 2017. This research type is descriptive research with cross sectional approach by using accidental sampling technique. The population of this study were pregnant women who did the examination in BPM Wahidah, S.ST. The number of samples is 50 respondents who meet the inclusion criteria. This research started from 6-21 february 2017. The result showed that pregnant woman's knowledge about the position of sexual relationship during pregnancy was mostly (54%) knowledgeable enough. A small percentage of respondents aged 20-35 years ie 11 people (22%) have enough knowledge, from the work showed that almost half of respondents ie 23 people (46%) who do not work have enough knowledge, from education showed that almost half of respondents or 16 people (32%) who have medium education have enough knowledge, and from parity shows that almost half of respondents are 14 people (28%) who are multiparous have enough knowledge.</em></p><p><strong> </strong></p><p><strong>Abstrak : Pengetahuan Ibu Hamil Tentang Posisi Hubungan Seksual Pada Masa Kehamilan. </strong>Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan di BPM Wahidah, S.ST Tahun 2017. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan <em>cross sectional </em>dengan menggunakan teknik <em>accidental sampling. </em>Populasi penelitian ini adalah ibu hamil yang melakukan pemeriksaan di BPM Wahidah, S.ST.Jumlah sampel sebanyak 50 responden yang memenuhi criteria inklusi.Penelitian ini dimulai dari tanggal 6-21 februari 2017. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan sebagian besar (54%) berpengetahuan cukup. sebagian kecil responden umur 20-35 tahun yaitu 11 orang (22%) memiliki pengetahuan cukup, dari pekerjaan menunjukkan bahwa hampir setengahnya responden yaitu 23 orang (46%) yang tidak bekerja memiliki pengetahuan cukup, dari pendidikan menunjukkan bahwa hampir setengahnya responden atau 16 orang (32%) yang berpendidikan menengah mempunyai pengetahuan cukup, dan dari paritas menunjukkan bahwa hampir setengahnya responden yaitu 14 orang (28%) yang multipara memiliki pengetahuan cukup.</p>


2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Dina Dewi Anggraini

ABSTRAKPerdarahan merupakan prosentase tertinggi penyebab terjadinya kematian ibu. Dan anemia zat besi merupakan penyebab utama terjadinya perdarahan. Pencegahan anemia gizi besi dilakukan melalui pemberian tablet besi dengan dosis pemberian sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Pada kecamatan dan Puskesmas Kota Kediri 2014, cakupan Fe1 dan Fe3 yang terendah adalah pada Kecamatan Kota, yaitu Puskesmas Kota Wilayah Selatan, dengan Fe1 sebesar 69,81% dan Fe3 sebesar 66,29%. Penelitian dilakukan untuk menganalisis pengaruh umur ibu hamil dan dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi dan anemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri 2016. Metode pada penelitian ini dengan observasi analitik dan rancang bangun cross sectional. Populasi pada penelitian ini 63 orang ibu hamil trimester III dan sampelnya 34 orang ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe), dengan teknik simpel random sampling. Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data yang dilakukan dengan menggunakan regresi ordinal dan regresi logistik. Hasil uji didapatkan nilai p = 0,000 0,05 untuk variabel umur ibu hamil 20 tahun terhadap kepatuhan mengkonsumsi tablet besi (Fe), nilai p = 0,238 0,05 untuk variabel dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi (Fe), dan nilai p = 0,012 0,05 untuk variabel kepatuhan yang cukup dalam mengkonsumsi tablet besi (Fe) terhadap anemia pada ibu hamil. Semakin tinggi faktor risiko umur pada ibu hamil, maka semakin cenderung ibu hamil untuk patuh mengkonsumsi tablet besi (Fe) pada masa kehamilan. Semakin tinggi tingkat kepatuhan ibu hamil dalam mengkonsumsi tablet besi (Fe), maka semakin tinggi pula kecenderungan ibu hamil untuk tidak terkena anemia pada masa kehamilan. Kata kunci: Umur, Dukungan Keluarga, Kepatuhan, Anemia.   ABSTRACTBleeding is the highest percentage of the causes of maternal mortality. And iron anemia is a major cause of bleeding. Prevention of iron deficiency anemia is done through the provision of iron tablets with doses as much as 1 tablet in a row for a minimum of 90 days during pregnancy. In the town of Kediri district and health center in 2014, Fe1 and Fe3 coverage is lowest in the City District, the Southern Regional Health Center, with Fe1 amounted to 69,81% and amounted to 66,29% Fe3. The study was conducted to analyze the effect of maternal age and family support for adherence to consume iron tablets and anemia in pregnant women in the South Regional Health Center of Kediri, 2016. The method in this study with analytic observation and cross sectional design. The population in this study 63 third trimester pregnant women and the sample 34 third trimester pregnant women who have received 90 tablets of iron (Fe), with a simple random sampling technique. Data obtained from questionnaires, books Maternal and Child Health, and in-depth interviews. Data analysis was performed using ordinal regression and logistic regression. The test results obtained value of p = 0,000 0,05 for the variable maternal age 20 years of adherence to consume tablets of iron (Fe), p = 0,238 0,05 for the variable of family support for adherence to consume tablets of iron (Fe), and p = 0,012 0,05 for the variable adherence sufficient to consume iron tablet (Fe) against anemia in pregnant women. The higher the risk factors of age in pregnant women, pregnant women, the more it tends to stick to consume tablets of iron (Fe) during pregnancy. The higher the level of adherence of pregnant women consume iron tablet (Fe), the higher the tendency of pregnant women not exposed to anemia during pregnancy. Keywords: Age, Family Support, Adherence, Anemia.


Author(s):  
Jean-François Lemay ◽  
Shauna Langenberger ◽  
Scott McLeod

Abstract Background The Alberta Children’s Hospital-Autism Spectrum Disorder Diagnostic Clinic (ACH-ASDC) was restructured due to long wait times and unsustainable clinic workflow. Major changes included the initiation of pre- and post-ASD parent education sessions and distinct ASD screening appointments before the ASD diagnostic appointment. Methods We conducted a parental program evaluation in summer 2018 of the ACH-ASDC. We used a cross-sectional survey to evaluate key outcomes including parental satisfaction, and the percentage of families obtaining access to government supports and early intervention programs. Results For the 101 eligible patients diagnosed with ASD under 36 months of age 70 (69.3%) parents agreed to participate. The mean diagnostic age of the children diagnosed with ASD was 30.6 months (SD=4.1 months). There were no statistically significant age differences between biological sexes. Ninety-three per cent of parents felt that ASD educational sessions were useful, and 92% of parents were satisfied to very satisfied with the overall ASD diagnostic process. Ninety per cent of parents had access to at least one of the key resources available for ASD early intervention in our province following diagnosis. Parents reported a positive impact on intervention provided to their child in the areas of communication, social interaction, and behaviour. Conclusion Parents of children diagnosed with ASD expressed a high level of satisfaction with the restructured ACH-ASDC process. Implementing parent education sessions was well received and met parents’ needs. Parents were able to access intervention services following diagnosis and reported positive impacts for their child. Re-envisioning program approaches to incorporate novel strategies to support families should be encouraged.


2019 ◽  
Vol 4 (2) ◽  
pp. 89-101
Author(s):  
Samfriati S ◽  
Lilis N ◽  
Mercy N G

Academic procrastination is one of the postponement behaviors in lecture activities that are often found in students, in this study respondents experiencees a high level of procrastination that could hamper academic activities. One of the causes of procrastination is the use of gadgets that are too long to play games, music, entertainment and so on. Goals : The purpose of this study is to find out the relationship between the use of gadgets and academic procrastination onNursing Students level II Saint Elisabeth Medan 2019. Method : The study design is Cross Sectional. Total sampling technique sample are112 students. The measuring instrument used is a questionnaire. Result : The results shows that the majority of use of positive gadgets (92.9%) and moderate academic procrastination (63.4%). Based on the Fisher's Exact Test, it obtained p-value 0.026 (p <0.05), thus indicating a relationship between the use of gadgets and academic procrastination on nursing students level II STIKes Saint Elisabeth Medan. Conculsion: It is expected that respondents will be able to manage time well and not use gadgets for a long time for things that are not useful. Respondent s are expected to use gadgets for things that can support learning activities.


2021 ◽  
Author(s):  
Ayman Al-Dahshan ◽  
Mohamad Chehab ◽  
Nagah Selim

Abstract Background: Although the internet can be a source of reassurance and clarification for expectant women, it ‎could cause concerns or feelings of worry when reading about pregnancy-related ‎information. The current research sought to assess the feelings of worry and perceived reliability towards online pregnancy-related information and the associated factors among expectant women attending antenatal clinics at primary healthcare centers in Qatar.Methods: A cross-sectional study design was employed. The participants were recruited through a systematic random sampling technique. ‎A self-administered questionnaire was used to collect data from the participants. Descriptive and analytic statistics were used when appropriate‎.Results: A total of 327 expecting women completed the questionnaire. Most participants were aged between 26-34 years (74.1%), held a college/university degree (76.4%), and multigravidas (73.1%). About one-third of the women ‎(31.2‎%) reported feeling worried due to something they read online. The participants coped with these feelings by consulting their antenatal care provider at the next appointment (51.0%) or by talking with relatives and friends (47.0%). Furthermore, most women (79.2%) considered online pregnancy-related information to be reliable or highly reliable. Holding a college/university degree, primigravidae, and having no children were factors significantly associated with a high perception of reliability of online health information.Conclusion: Although online pregnancy information caused feelings of worry for some pregnant ‎women, most women perceived such information to be reliable. Thus, antenatal care providers should be equipped to guide pregnant women on how to access high-quality web-based information.


Author(s):  
Marta Makara-Studzińska ◽  
Kornelia Zaręba ◽  
Natalia Kawa ◽  
Dorota Matuszyk

SARS-CoV-2 coronavirus emerged in the world at the end of 2019. The introduction of a number of restrictions had a significant effect on numerous aspects of human life with particular influence being exerted on pregnant women and their sense of security. The study aimed to assess the level of anxiety and its main determinants in women in the third trimester of pregnancy during the coronavirus pandemic. The study technique included the present purposely designed questionnaire, Labor Anxiety Questionnaire (KLPII), and the State-Trait Anxiety Inventory (STAI). The study was conducted in a group of 315 women in the third trimester of pregnancy. A total of 258 women (81.9%) completed the questionnaire in May 2020, and 57 of them (18.1%) completed it in October 2020. The overall analysis of the Labor Anxiety Questionnaire and the STAI inventory revealed a high level of anxiety, particularly situational anxiety, in pregnant women during the SARS-CoV-2 pandemic. The age and financial status of the women were the factors which contributed to the intensification of tokophobia. Women interviewed in October 2020 were characterized by higher tokophobia levels compared to the respondents included in May 2020. It seems justified to in-crease the vigilance in the diagnostics of possible mental disorders in the perinatal period during pandemic.


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