scholarly journals Knowledge and self-care of nurses at the emergency and intensive care wards of Shohada-ye Ashayer Hospital, Khorramabad, Iran, in prevention from coronavirus disease 2019, 2020

Background: The pandemic of coronavirus disease 2019 (COVID-19) has endangered the health of all people. Healthcare workers, especially nurses working in emergency and intensive care wards, are always at the forefront of the fight against such infectious diseases. This study aimed to determine the level of awareness and self-care of staff working in emergency and intensive care wards in prevention from COVID-19 in Shohada-ye Ashayer Hospital, Khorramabad, Iran. Materials and Methods: This cross-sectional descriptive study was conducted on 162 nurses in Shohada-ye Ashayer Hospital. The samples were selected the census sampling method and completed a designed online questionnaire. The collected data were analyzed and interpreted in SPSS software (version 23). Results: The mean age of participants was obtained at 32.28±5.12 years, and 87% of the subjects were women. The mean scores of knowledge and self-care among the subjects were estimated at 21.5±2.6 and 36.1±4.1, respectively. It was also revealed that 87.9% of the participants had good knowledge regarding the prevention from COVID-19 and 85.2% of the cases had good performance in self-care of COVID-19. Conclusion: The findings of this study indicated that the staff working at the emergency and intensive care wards of Shohada-ye Ashayer Hospital had a good level of awareness and self-care in prevention from COVID-19. However, in some cases, more training is needed to better perform COVID-19 prevention.

2019 ◽  
Author(s):  
Fang-Yu Kuo ◽  
Kuan-Lin Chen ◽  
Po-Hung Chen

Abstract Background To evaluate the prevalence and associated risk factors of work-related musculoskeletal disorders (WMSDs) in nurses working in hospital intensive care units (ICUs) and respiratory care centres (RCCs) and to provide additional information and recommendations.Methods This pilot cross-sectional descriptive study was conducted in a tertiary medical centre, involving hospital staff working in the ICUs between June 2015 and March 2016. We assessed their Neck Disability Index (NDI) and Oswestry Disability Index (ODI) score grouping by age, care unit types and job tenure.Results In all, 139 staff members completed the questionnaire. The mean age was 30.2 ± 6.0 years, and the mean body mass index was 22.5 ± 3.9 kg/m 2 . The mean job tenure in the ICU was 6.5 ± 5.2 years, and the mean total job tenure was 8.1 ± 6.3 years. The mean working day per week was 5.1 ± 0.5. The mean working hours using computer per day was 4.8 ± 2.8. The mean NDI score was 7.6 ± 4.8, and the mean ODI score was 3.4 ± 5.1.Conclusion Neck and low-back disabilities are prevalent among staff members in the ICUs and RCCs. Staff members may benefit by undergoing rehabilitation programmes, such as therapeutic exercises and postural training. More attention should be paid to the neck and back disability status of staff members in the ICUs and RCCs to improve the working environment and ergonomics. Further research is warranted to evaluate whether WMSDs improve among ICU and RCC staff after performing exercise and receiving physical therapy.


Author(s):  
Hamid Reza Jafarie ◽  
Elahe Zare ◽  
Mohammad Shafiee

Background: Heart failure has the highest rate of Rehospitalization with 20-33% readmissions within 1 to 3 months of discharge from the hospital. we decided to find out the frequency of different causes of hospitalization in patients with heart failure during 2017 to 2019. Methods: This study was a cross-sectional descriptive study. A total of 120 patients with heart failure who were referred to Afshar Hospital of Yazd during 2017 to 2019 were enrolled. The random sampling method was used.The required information was collected from heart failure patients’ registry project. datum were collected and were analyzed by statistical tests and SPSS version 18. Results: The mean age of patients was 53.53±12.36 years. Of the 120 patients under study,41.7% were women and 58.3% were male. The results showed that, 14.2% did not follow the recommended diet,14.2% had not regular use of drugs,14.2% had renal dysfunction,9.2% had miscellaneous causes,8.3% had pulmonary disease and 40% had idiopathic cause(where the cause of the condition is not known). There was no significant difference among the distribution of various causes of hospitalization in terms of the variables in the study. Conclusions: It can be concluded that the most common reason for hospitalization of patients with heart failure is idiopathic cause.


Thorax ◽  
2020 ◽  
Vol 75 (12) ◽  
pp. 1089-1094 ◽  
Author(s):  
Adrian Shields ◽  
Sian E Faustini ◽  
Marisol Perez-Toledo ◽  
Sian Jossi ◽  
Erin Aldera ◽  
...  

ObjectiveTo determine the rates of asymptomatic viral carriage and seroprevalence of SARS-CoV-2 antibodies in healthcare workers.DesignA cross-sectional study of asymptomatic healthcare workers undertaken on 24/25 April 2020.SettingUniversity Hospitals Birmingham NHS Foundation Trust (UHBFT), UK.Participants545 asymptomatic healthcare workers were recruited while at work. Participants were invited to participate via the UHBFT social media. Exclusion criteria included current symptoms consistent with COVID-19. No potential participants were excluded.InterventionParticipants volunteered a nasopharyngeal swab and a venous blood sample that were tested for SARS-CoV-2 RNA and anti-SARS-CoV-2 spike glycoprotein antibodies, respectively. Results were interpreted in the context of prior illnesses and the hospital departments in which participants worked.Main outcome measureProportion of participants demonstrating infection and positive SARS-CoV-2 serology.ResultsThe point prevalence of SARS-CoV-2 viral carriage was 2.4% (n=13/545). The overall seroprevalence of SARS-CoV-2 antibodies was 24.4% (n=126/516). Participants who reported prior symptomatic illness had higher seroprevalence (37.5% vs 17.1%, χ2=21.1034, p<0.0001) and quantitatively greater antibody responses than those who had remained asymptomatic. Seroprevalence was greatest among those working in housekeeping (34.5%), acute medicine (33.3%) and general internal medicine (30.3%), with lower rates observed in participants working in intensive care (14.8%). BAME (Black, Asian and minority ethnic) ethnicity was associated with a significantly increased risk of seropositivity (OR: 1.92, 95% CI 1.14 to 3.23, p=0.01). Working on the intensive care unit was associated with a significantly lower risk of seropositivity compared with working in other areas of the hospital (OR: 0.28, 95% CI 0.09 to 0.78, p=0.02).Conclusions and relevanceWe identify differences in the occupational risk of exposure to SARS-CoV-2 between hospital departments and confirm asymptomatic seroconversion occurs in healthcare workers. Further investigation of these observations is required to inform future infection control and occupational health practices.


2021 ◽  
pp. 263183182110274
Author(s):  
Deblina Roy ◽  
Sujita Kumar Kar ◽  
SM Yasir Arafat ◽  
Pawan Sharma ◽  
Russell Kabir

Background: The COVID-19 pandemic and lockdown measures have affected the sexuality and emotional bonding among the couple across the world. Objectives: We aimed to assess the effects of the COVID-19 pandemic and lockdown on the married people’s emotional bonding and sexual relationships in 3 south Asian counties (Bangladesh, India, and Nepal). Methods: A cross-sectional online survey was conducted among Bangladesh, India, and Nepal residents from April 3 to April 15, 2020. The survey was designed in English. The participants were selected through convenience sampling technique, the link of the online questionnaire was shared with the participants. Only participants older than 18 years and above, married, and living with their spouses were included in the study. Results: A total number of 120 respondents were included finally for analysis from the participating countries (India, Nepal, and Bangladesh). The mean age of the participants was 35.42 (±5.73) years; the majority were males under the age of 40 years and had completed postgraduation as their qualification. Among the study participants, more than half (53.8%) of the women reported being sexually active during the lockdown, whereas 41% of the men reported being sexually active. Among the sexually active participants, most women (57.7%) reported that they perceived positive emotional bonding with their partners. Nevertheless, there was no significant difference observed when compared with men. There are variations in responses. However, no significant association was identified. Conclusion: There are a few insights from the study, that is, there was no significant difference found in almost 3 countries in emotional intimacy. There had been a trend that there is improved emotional bonding with their partners, although no significant difference was observed.


Author(s):  
Gopal Teli ◽  
B. G. Ponnappa

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.


2019 ◽  
Vol 2 (2) ◽  
pp. 126-132
Author(s):  
Elisha Rijal ◽  
Suvekshya Silwal ◽  
Sheela Thapa ◽  
Saraswati Basnet ◽  
Subhadra Bhagat

Introduction: Spinal Anaesthesia (SA) is a form of regional anaesthesia involving injection of a local anaesthetic into the subarachnoid space. SA is directly related to nervous system, so its mismanagement may cause various complications hence, prevention and management of complication is a vital and complex aspect of critical nursing care. Therefore, the objective of this study was to assess the nurse’s knowledge on the management of patient receiving spinal anaesthesia. Methodology: A cross-sectional descriptive study was conducted among nurses of Koshi Zonal Hospital of Province no. 1, Biratnagar, Nepal from May to June 2017. Non-probability purposive sampling method was used where self-administered questionnaire was administered among 67 working nurses in the hospital. Results: The majority of the respondents (77.6%) belonged to 20-30 years of age group, nearly half (44.8%) of the respondents had completed PCL nursing. Only 67.2% explained the meaning of anaesthesia, and 58.2% had knowledge on physiological changes after SA. Regarding ambulation and cause of backache, 29.9% had knowledge whereas only 20.9% had knowledge about management of post spinal backache. Respondents facing problem to manage the complication after SA was 13.4%. This study also found that the overall knowledge regarding SA was adequate among 80.6% respondents. Conclusion: Nurses as the key personnel in management and prevention of complication, the obtained result was below the desired competence level among working nurses as it is the vital aspect of critical nursing care.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ireine S. Waworuntu ◽  
John . Porotu'o ◽  
Olivia A. Waworuntu

Abstract: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis (M. tuberculosis). In Indonesia, there are about 430.000 new cases, of which 61.000 cases ended in death. This disease has many clinical varieties, therefore, a gold standard for the right and exact diagnosis is needed. The examination of sputum by using Ziehl-Neelsen staining must be more improved for public health service. This study aimed to determine the profile of Mycobacterium tuberculosis (acid-fast bacteria) among patients with coughing ≥2 weeks at Ranotana, Wenang and Sario Primary Health Cares (PHCs) by using Ziehl-Neelsen staining. This was a descriptive study with a cross sectional design. Samples were obtained by using total sampling method during the period of September 2015 - December 2015. The results showed that there were 38 cases of coughing ≥2 weeks as follows: 15 cases at Wenang PHC, 13 cases at Ranotana PHC, and 10 cases at Sario PHC. The examination of acid-fast bacteria from the 38 cases of three PHCs showed that 1 case (2.7%) had acid-fast bacteria (++). Conclusion: In this study, there was only one case (2,7%) with positive Mycobacterium tuberculosis. Keywords: cough more than two weeks, tuberculosis, BTA Abstrak: Tuberkulosis adalah suatu penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis (M. tuberculosis). Indonesia memiliki sekitar 430.000 kasus baru dimana 61.000 kasus berakhir dengan kematian. Penyakit ini memiliki gejala klinis yang bervariasi sehingga perlu ditetapkan standar baku untuk menegakkan diagnosis lebih cepat dan akurat. Pemeriksaan sputum dengan pewarnaan Ziehl-Neelsen harus lebih ditingkatkan pada pelayanan kesehatan masyarakat. Penelitian ini bertujuan untuk mendapatkan gambaran Mycobacterium tuberculosis (basil tahan asam, BTA) dengan pewarnaan Ziehl-Neelsen pada pasien batuk ≥2 minggu di Puskesmas Wenang, Puskesmas Ranotana, dan Puskesmas Sario Kota Manado. Jenis penelitian ini deskriptif dengan desain potong lintang. Pengambilan sampel menggunakan cara total sampling pada kurun waktu September 2015 - Desember 2015. Hasil penelitian mendapatkan 38 kasus batuk ≥2 minggu yaitu 15 kasus di Puskesmas Wenang, 13 kasus di Puskesmas Ranotana dan 10 kasus di Puskesmas Sario. Pada pemeriksaan (BTA) di Puskesmas Wenang, Puskesmas Ranotana dan Puskesmas Sario didapatkan BTA (++) 2,7% sedangkan BTA (-) 97,3%.Simpulan: Pada penelitian ini didapatkan 1 kasus (2,7%) Mycobacterium tuberculosis positif


Identification of hard tick species and their hosts are essential for the development of control and prevention programs for tick-borne diseases. In this descriptive cross-sectional study, ticks were collected from the sheep, goat, and camel in different regions of South Khorasan province, Iran in 2018 through cluster sampling method. Fauna and frequency of ticks were recorded and analyzed in SPSS software (version?). In total, 977 ticks were collected, such as: Hyalomma spp, including Hy. dromedarii (40.5%), Hy. anatulicum (30.7%), Hy. marginatum (12.5%), Hy. asciaticum (6.8%), Hy. schulzei (4.4%), Hy. detritum (3.2%), and Hy. scupense (1.1%); Rhipicephalus spp, including Rh. bursa (0.3%), Rh. sanguineus (0.2%); and Haemaphysalis spp, including Ha. concina (0.2%), and Ha. punctate (0.1%). The ticks have a high frequency in the region and the identified species in this study were vectors of Crimean Congo Hemorrhagic Fever (CCHF). Moreover, the Hyalomma species is dominant and prevalent throughout the studied region in spring and summer. Therefore the health system of the province has to put into consideration the essential care, education and informing about the CCHF disease.


2021 ◽  
Author(s):  
Amina M. Al Marzouqi ◽  
Michael E. Otim ◽  
Heba H. Hijazi ◽  
Leena S. Kehail ◽  
Ramsha A. Kamal

Abstract Objectives: The coronavirus disease-2019 (COVID-19) outbreak is a global health pandemic that continues to have an impact on many aspects of everyday life. This study investigates the Knowledge, Attitudes, and Practices (KAP) related to COVID-19 among healthcare workers in the United Arab Emirates (UAE). Methods: This study uses a cross-sectional study design. The original data were collected using an online questionnaire distributed via a Google Forms link. Participants were healthcare workers currently working in the UAE healthcare facilities and recruited using snowball sampling. The questionnaire collected information on demographic variables and COVID-19-related knowledge, attitudes, and practice.Results: In total, the sample of 107 healthcare workers completed the survey. About 92% of the participants worked in public institutions, 87% were from Dubai, and 673% were female. The majority were aged 31–40 years (34.6%), and 43% were radiographers. 66.4% held bachelor’s degrees and Indian nationalities were (28%) and the Philippinos were (28%). Most (90.7%) participants knew the absence of fever did not mean that the virus could not transmit from an infected person, and 84.1% agreed that wearing general medical masks prevented one from contracting COVID-19. However, only 36.4% strongly believed that wearing a well-fitting face mask was effective. In addition, only 15.9% reported confidently managing patients with symptoms of COVID-19, and 54.2% reported that they were afraid of contracting the virus from patients. Almost half of the participants avoided patients who had symptoms of COVID-19. Conclusion: Overall, healthcare workers’ COVID-19-related knowledge, attitudes, and practices for healthcare workers in UAE healthcare facilities was very high. However, we found gaps in awareness regarding the spread of the pandemic. Our study recommends that providing healthcare workers with education programs and counseling services would help increase their confidence in treating patients with COVID-19.


2020 ◽  
Author(s):  
Osaid Alser ◽  
Heba Alghoul ◽  
Zahra Alkhateeb ◽  
Ayah Hamdan ◽  
Loai Albarqouni ◽  
...  

Abstract Background: The coronavirus disease 19 (COVID-19) pandemic threatens to overwhelm the capacity of a vulnerable healthcare system in the occupied Palestinian territory (oPt). Sufficient training of healthcare workers (HCWs) in managing COVID-19 and the provision of personal protective equipment (PPE) are essential in allowing oPt to mount a credible response to the crisis.Methods: A cross-sectional study was conducted using a validated online questionnaire between March 30, 2020 and April 12, 2020. Primary outcomes were availability of PPE and HCWs preparedness in oPt for COVID-19 pandemic. Secondary outcome was regional and hospital differences in oPt in terms of availability of PPE and HCWs preparedness.Results: Of 138 respondents, only 38 HCWs (27.5%) always had access to facemasks and 15 (10.9%) for isolation gowns. Most HCWs did not find eye protection (n=128, 92.8%), N95 respirators (n=132, 95.7%), and face shields (n=127, 92%) always available. Compared to HCWs in West Bank, those in the Gaza Strip were significantly less likely to have access to alcohol sanitizers (p=0.03) and gloves (p <0.001). On average, governmental hospitals were significantly less likely to have all appropriate PPE than non-governmental institutions (p = 0.001). Only 16 (11.6%) surveyed felt confident in dealing with a potential COVID-19 case, 57 (41.3%) having received any COVID-19-related training, and 57 (41.3%) not having a local hospital protocol. Conclusion: HCWs in oPt are underprepared and severely lacking adequate PPE provision. The lack of PPE provision will exacerbate spread of COVID-19 and deepen the crisis, whilst putting HCWs at risk.


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