scholarly journals FACTORS INFLUENCING CONTROL OF BLOOD PRESSURE LEVELS AMONG HYPERTENSIVE ADULT PATIENTS IN SELECTED HOSPITALS, KAKAMEGA COUNTY, KENYA

2021 ◽  
Vol 6 (2) ◽  
pp. 42-71
Author(s):  
Thomas Ong'ondo Ng'ambwa ◽  
Prof. Lt Col (Rtd) John Martin Okoth ◽  
Dr. Tecla Psusma Sum
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Health Care Providers ◽  
Blood Pressure Level ◽  
Adult Patients ◽  
P Value ◽  
Unique Contribution ◽  
Care Providers ◽  
Cross Sectional ◽  
Factors Influencing

Purpose: The study aimed to investigate the factors influencing blood pressure levels in hypertensive adult patients in Kenya's Kakamega County. The specific objectives were as follows: to assess patient factors that influence blood pressure levels among hypertensive adult patients in Kakamega County, examine health-care provider factors that influence blood pressure levels in hypertensive adult patients; determine institutional factors that influence blood pressure levels in hypertensive adult patients in Kakamega County based on the clinical recommendations for cardiovascular disease management from 2018. Methodology: The researcher used a cross-sectional analytical study design. Patients and health care providers were requested to sign a written consent before data was collected using a questionnaire and an observation checklist. Quantitative data were evaluated using descriptive and inferential statistics, statistical package for social sciences version 22, with a statistically significant p-value of 0.05. The strength of the relationship between the variables and the patient's blood pressure level was tested using multiple regression. Findings: The findings showed that the number of years a patient was told he or she had hypertension patient sensitization about the disease (p = 0.04), the patient's BMI (p = 0.01), BP stability at the time of admission (0.0001), having a treatment supporter to advise the patient when to take medications (0.04). The health care provider's age group and knowledge about the disease (p = 0.02) was all separately correlated with blood pressure control. According to the current analysis, in Kakamega County, being a male without adequate patient sensitization about the hypertension disease made patients to be more likely to have uncontrolled blood pressure levels. Unique contribution to theory, practice and policy: The study recommends a model that combines patient and health-care system variables emphasizing on patient sensitization about the hypertension disease, modifiable and modifiable risk factors should be created in attempt to have blood pressure controlled.

scholarly journals FACTORS INFLUENCING CLINICAL MANAGEMENT OF CRYPTOCOCCAL MENINGITIS AMONG HEALTH CARE PROVIDERS AT TWO REFERRAL HOSPITALS IN KISUMU COUNTY, KENYA

2021 ◽  
Vol 7 (1) ◽  
pp. 74-84
Author(s):  
Robina Ogendo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cryptococcal Meningitis ◽  
Clinical Management ◽  
Scale Up ◽  
World Health ◽  
Unique Contribution ◽  
Care Providers ◽  
Factors Influencing ◽  
Referral Hospitals

Purpose: Cryptococcal meningitis is one of the most common and lethal opportunistic infections among human immune virus infected clients/patients before initiation of antiretroviral therapy. It is majorly associated to morbidity and early mortality among human immunodeficiency virus infected patients in resource limited countries. The main objective of this study was to investigate the factors influencing clinical management of cryptococcal meningitis in adults among health care providers at two referral hospitals in Kisumu County, Kenya. Methodology: A cross-sectional study using quantitative approach was used targeting 119 health care providers. Collection of data was through pretested self- administered questionnaires to examine factors influencing clinical management of cryptococcal meningitis. Data obtained was analyzed using the statistical package for social science version 25. Descriptive analysis was done using frequencies, percentages and means. Inferential analysis was conducted using bivariate logistic regression to determine relationships among the variables, p-values of at or below 0.05 were considered statistically significant. Results: The major factor associated positively with clinical management of cryptococcal meningitis was the acknowledgement by the health care providers that the world health organization guidelines lead to a better patient outcome (97%, n=113) and inadequate supplies and resources to facilitate management (78%, n=90) was the major factor associated negatively. Health care providers with an experience of five years or less were 40% more likely to agree that the factors were influencing clinical management of cryptococcal meningitis in contrast to those with an experience of six years or more (OR: 0.6; 95%CI: 0.1 – 0.74; p=0.04). Unique contribution to theory, practice and policy:  The clinical management of cryptococcal meningitis in adults in the study area is majorly negatively influenced by inadequate supplies and resources to facilitate the process of management. The study recommends that the policy makers in the County government of Kisumu and the two hospital management teams need to scale up a timely and constant provision of adequate resources, facilities and supplies, which will promote effective clinical management of cryptococcal meningitis in the study area

scholarly journals A questionnaire based study on knowledge, awareness, and willingness towards corneal donation among the paramedical staff, public and students from Southern district of Tamil Nadu, India

2021 ◽  
Vol 8 (5) ◽  
pp. 2497
Author(s):  
Venugopal Anitha ◽  
Aditya Ghorpade ◽  
R. Meenakshi ◽  
Ramalakshmi Raman
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tamil Nadu ◽  
P Value ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Southern District ◽  
Corneal Donation ◽  
Eye Donation

Background: To determine the knowledge, awareness, and willingness towards eye donation among paramedical health care providers, public and students from schools and colleges around Tirunelveli district, Tamil Nadu, Southern India.Methods: It was a cross-sectional, observational study conducted from November 2019 to January 2020. A structured questionnaire regarding knowledge (K), awareness (A), willingness (W) for eye donation was used to elicit responses in the age group of more than 16 years. Participants were paramedical health care providers working in tertiary eye care hospital, school and college students, and attenders accompanying patients (addressed as public). Responses were collected from 1803 participants and analyzed statistically.Results: Most of the participants had knowledge about the facts of eye donation, such as 96.8% knew that it could be donated after death, and 55% knew that eyes were enucleated within 6 hours after death. 56.2% admitted that lack of awareness is the reason for not donating eyes; 23.8% said that the family members are objecting to eye donation. Social media was proposed as the best source of information about eye donation. Subjects with an age of fewer than 30 years were willing to donate (the odds ratio was 1.90). However, they had less knowledge (p value=0.105) and awareness (p value=0.02) about eye donation than more than 30 years.Conclusions: Even though awareness and knowledge about eye donation and willingness to pledge eyes are there, self-conscience regarding the need for donor corneas to meet the requirement of corneal blindness plays a pivotal role.

Frequency of Burnout Syndrome among Health Care Providers and its Association with Gender and Work setup

2021 ◽  
Vol 15 (5) ◽  
pp. 1211-1213
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Gender And Work ◽  
High Level

Objective: To find out the frequency of burnout syndrome among health care providers and its association with gender and work setup Methodology: It was a cross sectional studyinvolving 272 health care providersby convenient sampling, working in government hospitals and private hospitals. Level of Burnout was assessed by Maslach Burnout inventory (MBI). Data was analyzed by SPSS v.25. p-value ≤ 0.05 was considered as significant Results: The mean score of emotional exhaustion, cynicism and professional proficiency were 17.85±7.2, 19.32± 9.3 and 28.39±9.8 respectively. Males had more emotional exhaustion and cynicism burnout as compared to females but the results were insignificant. Professional proficiency burnout was significantly higher in females. In type of work setup, results were statistically significant for emotional exhaustion and professional proficiency. There was more burnout among health care providers working in private work setup. Conclusion: According to levels of burnout high level of cynicism and professional proficiency, and moderate level emotional exhaustion burnout were present among health care providers. Professional proficiency was significantly associated with gender and work setup while emotional exhaustion was significantly associated with work setup. Key words: Mental health, Occupational Health, Professional burnout, Stress

scholarly journals Driver’s Knowledge About the Use of Drug and Traffic Accident in Riau Indonesia

2018 ◽  
Vol 10 (10) ◽  
pp. 113
Author(s):  
Syamza Madya Jannati ◽  
Agung Endro Nugroho ◽  
Probosuseno Probosuseno ◽  
Susi Ari Kristina
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Traffic Accident ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Driving Under The Influence ◽  
P Value ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Our study aimed to investigate the influence of socio-demographic, knowledge, attitude, toward the change in driving behavior. This research was conducted with cross-sectional study design, during the period of December 2016 until April 2017. The research instrument used was a questionnaire from Driving Under the Influence of Drugs, Alcohol, and Medicines (DRUID) project with modification. The descriptive statistics and logistic regression analysis was used. Our research revealed that from 100 respondents, about 10% male was available to change to reported behavior in frequency driving than female. About 11% of respondents aged 35–67 years old decided to change in frequency driving. Approximately 14% of respondents with higher education level were changing in reported behavior of frequency driving. Reported behavior in frequency driving was influenced by information received from health care providers and attitude about the consequences of driving under the influence of impairing medicines factors (p-value 0.006 and 0.028). Changing reported behavior in frequency driving can be predicted by information received from health care providers and attitudes. In the future, we need to build effective communication and ensuring patients receive information about driving-impairing medicines.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN MEMBUANG SAMPAH DI LINGKUNGAN IV KELURAHAN HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2017

2018 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Napis Alfikri ◽  
Wisnu Hidayat ◽  
Vierto Irennius Girsang
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Bivariate Analysis ◽  
P Value ◽  
Analytic Method ◽  
Care Providers ◽  
Cross Sectional ◽  
Public Figures ◽  
The Government ◽  
Cross Sectional Design

Garbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day.  which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action   Throwing Garbage  

scholarly journals Nutritional and blood pressure screening in school children in rural South India: a cross-sectional study

2021 ◽  
Author(s):  
Dhanya Roy ◽  
Sundar Singh ◽  
Lenikumar Joseph
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Health Care Providers ◽  
School Children ◽  
Large Scale ◽  
South India ◽  
Linear Trend ◽  
Care Providers ◽  
Cross Sectional ◽  
High Bmi

Background: Screening for diseases is not very popular in Indian populace in general, and receive little attention from heath care policy makers, administrators or even health care providers, who concentrate on curative services. Health and nutritional screening of school children and adolescents, remains virtually a neglected field. So we conceived this study to look at the feasibility of large scale health screening of adolescents at school by a simple and inexpensive way by looking into the nutritional status (survey of anthropometry) and blood pressure readings among adolescents.Methods: Students from 5 rural school in South India from age group of 10 to 18 years (fifth to twelfth standard) were assessed for their height, weight, BMI and blood pressure. Data was entered in WHO EpidataTM (version 3.0) and transferred to SPSS 12.0 version for analytical studies.Results: In current study of 2201 students, wasting (35.5%), stunting (24.5%), high BMI (7.6%) were found. Prevalence of wasting is 1.63 times higher in males (p<0.001). There is significant relationship with high BMI and severe stunting (p<0.001, OR 2.54; 1.58%, 4.1%; 95% CI). Prevalence of pre-hypertension is 14.1% and hypertension is 9.5%. There is a linear trend in the prevalence of hypertension and BMI (p<0.001). As the BMI increases, blood pressure also increases.Conclusions: Even with all advances in health care, undernutrition is highly prevalent. Obesity is on a rise in rural population and high proportions of overweight children are stunted also. High BMI is a risk factor for hypertension.

scholarly journals MATERNAL SATISFACTION WITH INTRAPARTUM CARE IN HEALTHCARE FACILITIES IN KERICHO COUNTY, KENYA

2021 ◽  
Vol 6 (2) ◽  
pp. 72-89
Author(s):  
Emily Chepkorir ◽  
Mary Kipmerewo ◽  
Mable Wanyonyi ◽  
Arudo John
Keyword(s):  
Health Care Providers ◽  
Public Hospitals ◽  
P Value ◽  
Unique Contribution ◽  
Maternal Satisfaction ◽  
Sampled Data ◽  
Care Providers ◽  
Intrapartum Care ◽  
Cross Sectional ◽  
Healthcare Facilities

Purpose: The main objective was to determine maternal satisfaction with intrapartum care in healthcare facilities in the Kericho County and specifically to determine the association between mothers’ experience of intrapartum care and satisfaction with quality of nursing, analyze the influence of psychosocial aspects on satisfaction with intrapartum care and evaluate the relationship between hospital factors and maternal satisfaction on intrapartum care among women delivering in healthcare facilities in Kericho County Materials and Methods: This was a cross sectional analytical research design and data was collected using mixed method approach. The study targeted women who delivered in the facilities used for study and 441 mothers were sampled. Data was analyzed using (SPSS) version 24. Descriptive statistics was used to describe the findings on socio-demographic characteristics and inferential statistics employed Chi square and logistic regression to determine maternal satisfaction with intrapartum care. Odds ratio was used to test the strength of association, and a p-value of ≤ 0.05 considered as statistically significant. Findings: Several factors influence mothers’ satisfaction with intrapartum care. Employment (OR: 3.0; 95% CI: 1.2 – 7.4; p = 0.02) delivery through instrument/Caesarian section were 2.6 more likely to have been satisfied with the care unlike those who delivered through SVD (OR: 2.6; 95% CI: 1.1 – 6.0; p = 0.03). On the other hand, mothers who got encouragement and reassurance by midwives and doctors (OR: 0.2; 95% CI: 0.1 – 0.8; p = 0.02) were more likely to be satisfied with care. Mothers who were shown their babies immediately after delivery to identify sex of the baby (OR: 3.2; 95% CI: 1.5 – 7.0; p = 0.002) were 3 times more satisfied than their counterparts. Mothers who were asked for their opinion about unplanned procedure before it was performed (OR: 3.7; 95% CI: 1.1 – 12.6; p = 0.02) were four times more likely to be satisfied. In conclusion, determinants of intrapartum care satisfaction in public hospitals in the study area are: level of education, employment status and type of delivery, showing the baby to the mother immediately after delivery to identify sex, midwives and doctors asking clients their opinion about unplanned procedure before it is performed. Provision of linen and beds, provision of hot drinks and hot shower after delivery and provision of a locker are all associated with satisfaction. Unique Contribution to Theory, Practice and Policy: Therefore, the hospitals should allow mothers to stay with their birth companions and health care providers should be taught on importance of good relation and good communication skills.

A survey of Cambodian health-care providers' HIV knowledge, attitudes and intentions to take a sexual history

2009 ◽  
Vol 20 (5) ◽  
pp. 346-350 ◽  
Author(s):  
G Webber ◽  
N Edwards ◽  
I D Graham ◽  
C Amaratunga ◽  
I Gaboury ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Theory Of Planned Behaviour ◽  
Sexual History ◽  
People Living With Hiv ◽  
Care Providers ◽  
Hiv Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Planned Behaviour

Cambodia has one of the highest prevalence rates of HIV in Asia and is scaling up HIV testing. We conducted a cross-sectional survey with 358 health care providers in Phnom Penh, Cambodia to assess readiness for voluntary testing and counselling for HIV. We measured HIV knowledge and attitudes, and predictors of intentions to take a sexual history using the Theory of Planned Behaviour. Over 90% of health care providers correctly answered knowledge questions about HIV transmission, but their attitudes were often not positive towards people living with HIV. The Theory of Planned Behaviour constructs explained 56% of the variance in intention to take a sexual history: the control providers perceive they have over taking a sexual history was the strongest contributor (51%), while social pressure explained a further 3%. Attitudes about taking a sexual history did not contribute to intention. Interventions with Cambodian health care providers should focus on improving skills in sexual history-taking.

scholarly journals The Relationship Between Language Barrier in Non-Arabic Nurses and Anxiety in Cardiovascular Patients: A Cross-Sectional Descriptive Study

2021 ◽  
Vol 8 ◽  
pp. 237437352198924
Author(s):  
Jassem Almualem ◽  
Amal Darwish ◽  
Ahmed AlFaraj
Keyword(s):  
Health Care Providers ◽  
Care Delivery ◽  
Descriptive Study ◽  
Language Barrier ◽  
P Value ◽  
Care Providers ◽  
Cross Sectional ◽  
Related Information ◽  
Arabic Speakers ◽  
Arabic Speaking

Patients with cardiac conditions may suffer from anxiety related to prognosis and further rehabilitation. Anxiety could be exacerbated by different factors including miscommunication, which could be attributed to the linguistic barrier, that exists among health care providers. At Saud Al-Babtain Cardiac Center (SBCC), nurses who are non-native Arabic speakers could have difficulty communicating disease-related information at different stages of nursing care. Is it possible to identify the language barrier as a source of anxiety for admitted patients with cardiac diseases? In this cross-sectional, descriptive study, 50 patients were included following the diagnosis of cardiac disease and post-cardiac surgery. A questionnaire that measures anxiety level showed that patients who were handled by Arabic-speaking nurses reported less collective mean for the anxiety domain statements of (20.08) versus those who were handled by Non-Arabic-speaking nurses (28.55, P value = .041). Our finding indicates that anxiety levels increased when there was a language barrier between nurses and patients, which could affect the quality of care delivery at SBCC.

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