scholarly journals Therapy Options Received and Impact of Pharmacist-Led Interventions on Self-Care Management of Adverse Events among Cervical Cancer Patients in a Nigerian Tertiary Hospital

2021 ◽  
Vol 71 (1) ◽  
Author(s):  
Aliyu Samaila ◽  
Abdulmuminu Isah ◽  
Ubaka C. Michael ◽  
Aminu A. Biambo ◽  
Nuruddeen Usman ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Care Management ◽  
Formal Education ◽  
Longitudinal Design ◽  
Self Care ◽  
University Teaching ◽  
Post Intervention ◽  
Therapy Options ◽  
Knowledge And Practice ◽  
Prospective Longitudinal

The available services for the treatment of premalignant and malignant cervical cancer (CC) lesions are grossly inadequate in Nigeria. Drug-oriented self-care education programmes are lacking in our healthcare facilities. Pharmacist interventions as an expert in drug therapy management are needed. This study assessed the therapy options received and impact of pharmacist-led interventions on self-care management of AEs among CC patients in Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, North-Western Nigeria. The study used a prospective longitudinal design with a 12-week patient follow-up. Instrument used was an intervieweradministered questionnaire, which was developed and pre-tested for reliability. Fifty-six eligible CC patients completed the pre- and post-interventions survey conducted over a period of eight months (From October, 2019 to May, 2020). Data analysis was done with appropriate descriptive (frequencies, percentages, means, and standard deviations) and inferential statistics (Paired sample t-test, Pearson’s Chi-square and Correlation) using SPSS Inc., Chicago, IL, USA V. 20 for windows. P< 0.05 was considered statistically significant. The mean age of the patients was 53.8±7.7years and 22(39.2%) have no formal education. Chemoradiation (CRT) and chemotherapy (CT) were the major therapy options received by the 25(44.6%) and 16 (28.6%) of the patients respectively. Before the interventions, the patients scored 57.7±18.7% and 50.8±7.1% overall mean knowledge and practice scores respectively. After the interventions, there was significant increase in the patients’ overall mean knowledge and practice, 17.6% and 6.7%, (p<0.05) scores respectively. There were significant association between patients’ age and total post-intervention knowledge (r=-0.614, p<0.001), and practice, (r=-0.424, p=0.001) scores. There were significant association between the patients’ level of education and total preand post-intervention knowledge (r=0.952, p<0.001 and

scholarly journals The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

2015 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
M Mukeshimana ◽  
G Hakizimana ◽  
C Mwali ◽  
C Umuhoza ◽  
J Uwambajimana ◽  
...  
Keyword(s):  
Care Management ◽  
Self Care ◽  
Diabetes Clinic ◽  
Knowledge And Practice

scholarly journals The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

2015 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
M Mukeshimana ◽  
G Hakizimana ◽  
C Mwali ◽  
C Umuhoza ◽  
J Uwambajimana ◽  
...  
Keyword(s):  
Care Management ◽  
Self Care ◽  
Diabetes Clinic ◽  
Knowledge And Practice

scholarly journals Self-Care Monitoring of Heart Failure Symptoms and Lung Impedance at Home Following Hospital Discharge: Longitudinal Study

10.2196/15445 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e15445 ◽  
Author(s):  
Ina Thon Aamodt ◽  
Edita Lycholip ◽  
Jelena Celutkiene ◽  
Thomas von Lueder ◽  
Dan Atar ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pulmonary Edema ◽  
Hospital Discharge ◽  
Longitudinal Design ◽  
Self Care ◽  
Impedance Measurements ◽  
Prospective Longitudinal ◽  
Symptom Diary ◽  
Care Behavior ◽  
At Home

Background Self-care is key to the daily management of chronic heart failure (HF). After discharge from hospital, patients may struggle to recognize and respond to worsening HF symptoms. Failure to monitor and respond to HF symptoms may lead to unnecessary hospitalizations. Objective This study aimed to (1) determine the feasibility of lung impedance measurements and a symptom diary to monitor HF symptoms daily at home for 30 days following hospital discharge and (2) determine daily changes in HF symptoms of pulmonary edema, lung impedance measurements, and if self-care behavior improves over time when patients use these self-care monitoring tools. Methods This study used a prospective longitudinal design including patients from cardiology wards in 2 university hospitals—one in Norway and one in Lithuania. Data on HF symptoms and pulmonary edema were collected from 10 participants (mean age 64.5 years; 90% (9/10) male) with severe HF (New York Heart Association classes III and IV) who were discharged home after being hospitalized for an HF condition. HF symptoms were self-reported using the Memorial Symptom Assessment Scale for Heart Failure. Pulmonary edema was measured by participants using a noninvasive lung impedance monitor, the CardioSet Edema Guard Monitor. Informal caregivers aided the participants with the noninvasive measurements. Results The prevalence and burden of shortness of breath varied from participants experiencing them daily to never, whereas lung impedance measurements varied for individual participants and the group participants, as a whole. Self-care behavior score improved significantly (P=.007) from a median of 56 (IQR range 22-75) at discharge to a median of 81 (IQR range 72-98) 30 days later. Conclusions Noninvasive measurement of lung impedance daily and the use of a symptom diary were feasible at home for 30 days in HF patients. Self-care behavior significantly improved after 30 days of using a symptom diary and measuring lung impedance at home. Further research is needed to determine if daily self-care monitoring of HF signs and symptoms, combined with daily lung impedance measurements, may reduce hospital readmissions.

scholarly journals Knowledge and practice of preventive measures against COVID-19 infection among pregnant women in a low-resource African setting

2020 ◽  
Author(s):  
Johnbosco Ifunanya Nwafor ◽  
Joseph Kenechi Aniukwu ◽  
Bonaventure Okechukwu Anozie ◽  
Arinze Chidiebere Ikeotuonye
Keyword(s):  
Pregnant Women ◽  
Formal Education ◽  
Preventive Measures ◽  
Antenatal Clinic ◽  
University Teaching ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Validated Questionnaire ◽  
Knowledge And Practice

AbstractBackgroundCoronavirus disease pandemic has resulted in death of thousands of people across several countries. Several preventive measures have been recommended to halt the spread of the disease and its associated mortality. However, the level knowledge and practice of these preventive measures against COVID-19 infection among pregnant women, which constitute vulnerable groups, are yet to be evaluated.AimTo determine the knowledge and practice of preventive measures against COVID-19 infection among pregnant women in Abakaliki.Materials and MethodsThis was a self-administered questionnaire-based cross-sectional study conducted from February 1, 2020 to March 31, 2020 among 284 antenatal clinic attendees at Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State. A pretested and validated questionnaire was used to collect the data. Data analysis was done using SPSS version 22.ResultsOf 284 participants, 60.9% (n=173) had adequate knowledge of the preventive measures against COVID-19 infection. However, the overall practice of these preventive measures among the participants were poor as 69.7% of the participants were not practicing the preventive measures against the coronavirus. The determinants of poor practice of the preventive measures among the participants were being in age group 31-40 years (AOR=2.04, 95%CI: 1.26 - 5.37, p=0.022), married (AOR=2.99, 95%CI: 1.40 - 6.33, p=0.035) grandmultiparous (AOR=3.11, 95%CI: 1.32 - 6.56, p=0.021), residing in rural area (AOR=2.08, 95%CI: 1.32 - 4.05, p=0.031), and having no formal education (AOR=6.73, 95%CI: 2.66 - 18.34, p=0.002).ConclusionThe study showed that most of the participants had adequate knowledge of preventive measures against COVID-19 infection but the practice of these preventive measures were poor among the participants.

Knowledge and Practice of Cervical Cancer Screening among Women in Orlu Local Government Area, Imo State, Nigeria.

2019 ◽  
Vol 1 (1) ◽  
pp. 55-65
Author(s):  
Jude Egwurugwu ◽  
S.D. Ejikunle ◽  
E.I. Dike ◽  
M.C. Ohamaeme ◽  
Jude Egwurugwu ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Local Government ◽  
Cervical Cancer Screening ◽  
Cervical Screening ◽  
Local Government Area ◽  
Care Providers ◽  
Imo State ◽  
Study Results ◽  
Knowledge And Practice

Background: Cervical cancer is the 2nd commonest cancer among women worldwide and the most common cancer among women in developing countries like Nigeria. Though preventable by screening for premalignant and early cervical lesions, this is predicated on the knowledge and practice of a cervical screening. Objective: To assess the knowledge and practice of cervical cancer screening among women in Orlu, Local Government Area(LGA) Imo State, Nigeria. Materials & Methods: A community based cross-sectional study with the use of 502 interviewer – administered questionnaires was conducted among women in Orlu LGA of Imo State. All the women in the communities attending the annual August Meeting who consented were recruited for this study. Results: The study showed that the mean age of the respondents was 42±2.8years. Furthermore, 82.3% of respondents attained postsecondary school educational level, 61.8% & 21.1% were multiparous and grand multiparous respectively. Also, 80.5% of respondents have heard about cervical cancer screening. Majority (67.5%) of these respondents heard it from health care providers. There was a positive statistically significant relationship between educational status and the likelihood of having knowledge of cervical cancer screening, (p< 0.01). The level of practice of cervical cancer screening was very low among the respondents(13.5%).Though majority of the respondents have high level of educational attainment this did not reflect their practice of cervical cancer screening. Conclusion: There was high knowledge of cervical cancer and cervical screening modalities among women in Orlu but their practice of cervical cancer screening was very low. There is an urgent need to educate and encourage women on the benefits of cervical cancer screening. Key words: cervical cancer, knowledge, Practice, Orlu women, Screening.

Promoting Key Family Practices of Common Childhood Illnesses among Mothers with Under-Five Children in Selected Military Communities

2019 ◽  
Vol 31 (2) ◽  
pp. 153-158
Keyword(s):  
Health Promotion ◽  
Health Promotion Program ◽  
Control Group ◽  
Study Group ◽  
Post Intervention ◽  
Under Five ◽  
Under Five Children ◽  
Eta Squared ◽  
Family Practices ◽  
Knowledge And Practice

Mothers are fundamental caregivers for under-five children and thus, family participation in child health services is very important. Therefore, a quasi-experimental study for promoting key family practices of mothers with under-five children was conducted among 278 respondents from Oaktwin Cantonment and Inndaing Cantonment in 2014. Data were collected by face-to-face interview with pretested structured questionnaire. Health promotion program including health education and advocacy for unit supports was implemented in study group. Before intervention, baseline data of respondents and pre-intervention knowledge and practices levels were identified. In the three-month and six-month after interventions, post-intervention data collection was done in both groups and data were analyzed. Findings show that there was a statistically significant difference of knowledge and practice scores between study group and control group after three-month interventions (t=10.827, p<0.0001, eta squared=0.297 and t=8.2, p<0.0001, eta squared=0.195, respectively), and six-month post-intervention (t=10.035, p<0.0001, eta squared=0.267 and t=8.773, p<0.0001, eta squared=0.304, respectively). Moreover, knowledge and practice level within study groups have a significant effect for time (F=160.45, p<0.0001 and F=113.06, p<0.0001, respectively) and the magnitude of this effect was also large (eta squared=0.699 for knowledge and 0.621 for practice). At the same time, knowledge and practice of control group have a significant effect for time (F=3.648, p=0.029 and F=19.564, p<0.0001, respectively) but this effect was very small. It can be asserted that health promotion program can improve the knowledge and practice of mothers regarding key family practices. The findings of current study might be a cornerstone for improvement of maternal knowledge and practice on caring for children in the military community.

15 Development of a digital self-care management application for children with nephrotic syndrome: my nephrotic notebook

2019 ◽  
Author(s):  
Thomas Archer ◽  
Hugh Gray ◽  
Wing Ping Tsang ◽  
Daiana Bassi ◽  
Sue Conner ◽  
...  
Keyword(s):  
Nephrotic Syndrome ◽  
Care Management ◽  
Self Care ◽  
Management Application

scholarly journals Self-care, resilience, and caregiver burden in relatives of patients with advanced cancer: results from the eQuiPe study

2021 ◽  
Author(s):  
Janneke van Roij ◽  
Linda Brom ◽  
Dirkje Sommeijer ◽  
Lonneke van de Poll-Franse ◽  
Natasja Raijmakers ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Caregiver Burden ◽  
Informal Caregiver ◽  
Causal Relation ◽  
Self Care ◽  
Multivariable Logistic Regression Analysis ◽  
Multicenter Observational Study ◽  
Highly Educated ◽  
Resilience Scale ◽  
Prospective Longitudinal

Abstract Purpose Relatives are often involved in caregiving for patients with advanced cancer and carry a heavy burden. Self-care and resilience might be beneficial to enhance their wellbeing and burden-bearing capacity. This study assessed the engagement in self-care and resilience in relatives of patients with advanced cancer and its association with their caregiver burden. Methods This study analyzed baseline data of the eQuiPe study, a prospective longitudinal, multicenter, observational study on quality of care and life of patients with advanced cancer and their relatives in which self-care (Self-care Practices Scale), resilience (Connor-Davidson Resilience Scale), and caregiver burden (Zarit Burden Interview (ZBI)) of relatives were included. Their scores were compared with a gender- and age-matched normative population. Multivariable logistic regression analysis was performed to assess the association between self-care and resilience with caregiver burden. Results Most of the 746 relatives were the patient’s partner (78%) and 54% reported to be an informal caregiver of the patient. The median hours of caregiving a week for all relatives was 15 and 11% experienced high caregiver burden (ZBI > 20). Relatives who reported a high caregiver burden engaged less often in self-care (OR = .87) and were less resilient (OR = .76) compared to relatives with low/medium caregiver burden. Relatives with high caregiver burden were younger (OR = .96), highly educated (OR = 2.08), often reported to be an informal caregiver of the patient (OR = 2.24), and were less well informed about the importance of self-care (OR = .39). Conclusion A significant number of relatives of patients with advanced cancer experienced high caregiver burden. As more self-care and resilience were associated with lower experienced caregiver burden, creating awareness of the beneficial potential of self-care is important. Future studies should illuminate the causal relation. Trial registration number NTR6584 (date of registration: 30 June 2017)

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