Patients’ knowledge and practices on the drug regimens prescribed at the National Traditional Medicine Hospital: a call for a systematic approach to drug information services

2018 ◽  
Vol 4 (2) ◽  
pp. 30-34
Author(s):  
Kinga Jamphel ◽  
Dorji Gyeltshen ◽  
Sherab Tenzin ◽  
Thinley Dorji

Introduction: The World Health Organisation estimates that only half of all medicines dispensed are used appropriately. The Bhutanese Traditional Medicine (BTM) system is no exception. Objectives: We studied the patients’ knowledge on the usage of traditional medicine regimens prescribed to them, their medication adherence and possible adverse events. Methods: This was a cross-sectional study conducted using an interviewer-administered questionnaire at the National Traditional Medicine Hospital, Thimphu in 2017. A simple random sampling was used. Ethical approval was sought from Research Ethics Board of Health, Thimphu. Results: A sample of 402 patients were studied. The mean age of the respondents was 45 years (±15 years) and 333 (82.8%) were old cases presenting to the hospital. The knowledge on the correct timing of the medicine, how to take the medicine and what to avoid while on those medicines were understood only by 62.7%, 34.6% and 22.9% respectively. Only 351 (87.3%) patients received verbal information on the usage of drugs from the dispensers, of which 119 (29.6%) said the information was not clear or not adequate. Failure to take medicines on time was reported by 224 (67.3%) among old cases. Undesirable events reported while using BTM were giddiness, vomiting, skin irritation, diarrhoea and fainting episodes. Conclusions: The drug information system and monitoring of medication adherence and adverse drug events require adoption of more effective toolsand methods.

2012 ◽  
Vol 10 (1) ◽  
pp. 40-43 ◽  
Author(s):  
S Aryal ◽  
A Badhu ◽  
S Pandey ◽  
A Bhandari ◽  
P Khatiwoda ◽  
...  

Background The patients suffering from tuberculosis are receiving shame and unfair treatment from the people living around them within their own society attending DOTS clinic of Dharan municipality. Objective To assess the stigma experienced by tuberculosis patients and to find out the association between stigma experienced by Tuberculosis patient and the selected variables (socio-demographic characteristics, clinical profile and illness experience). Methods Descriptive Cross Sectional study was done among sixty tuberculosis patients. Stratified random sampling was used to select the main center and sub center of Tuberculosis treatment and population proportionate simple random sampling using lottery method was done. Data was collected using predesigned, pretested performa from Explanatory Model Interview Catalogue developed by World Health Organization. Results The study revealed that 63.3% of the subjects were stigmatized. There was association between stigma and variables such as occupation, monthly family income and past history of Tuberculosis. There was also association of stigma with treatment phase, category of the patient and past outcome of illness. Conclusion Due to lack of knowledge and awareness about Tuberculosis, many patients were stigmatized. Efforts should be made to educate the public about Tuberculosis to reduce stigma experienced by Tuberculosis patients and improve the compliance of the patient. KATHMANDU UNIVERSITY MEDICAL JOURNAL  VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 48-52 DOI: http://dx.doi.org/10.3126/kumj.v10i1.6914


Author(s):  
Claire Sunyach ◽  
Barbara Antonelli ◽  
Sophie Tardieu ◽  
Michele Marcot ◽  
Jeanne Perrin ◽  
...  

The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations. Quantitative and qualitative information was collected via auto-questionnaire. Questionnaires were completed by 962 participants, mainly midwives (41.1%), physicians (25.6%) and nursery nurses (11%). Indoor/outdoor air quality and endocrine disruptors were the best-mastered topics, whereas electromagnetic fields and diet gave rise to unsure responses. Overall, perinatal HPs were ill-trained and -informed about the reproductive risks linked to daily environmental exposure. HPs reported scarce knowledge, fear of patient reaction and lack of solutions as the main barriers to providing information regarding EH to the public. Our findings highlight the need to set up EH training programmes focused on scientific knowledge and to provide simple messages and tips to help perinatal HPs deliver advice to populations to mitigate exposure to environmental toxicants.


Author(s):  
Bambang Irawan ◽  
Erizal

Badan kesehatan dunia yaitu World Health Organisation (WHO) berupaya agar pelayanan kesehatan di dunia ini dapat memberikan suatu sistem pelayanan yang baik untuk meningkatkan derajat kesehatan masyarakat diberbagai belahan dunia. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi terapeutik perawat dan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019. Penelitian ini bersifat analitik dengan desain penelitian cross sectional study. Sampel dalam penelitian ini sebanyak 84 responden yang merupakan pasien rawat inap. Data dianalisa secara univarat dan bivariat menggunakan uji Chi square. Hasil penelitian diperoleh ada hubungan komunikasi terapeutik perawat dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,007) dan ada hubungan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,030).


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Justine Parnis ◽  
Neville Calleja ◽  
Petra Jones

AbstractThe World Health Organisation (2016) recommends exclusive breastfeeding up to 6 months of age and the introduction of complementary foods at around 6 months. International literature suggests that although knowledge of the guidelines is high, only a minority of parents wait until 6 months to wean and sub-optimal weaning practices are common. The aim of this study was to assess breastfeeding and weaning practices and to evaluate the effect of socio-economic determinants on such behaviours in a Mediterranean setting.A cross-sectional study design was used. One-time short interviews with 250 consenting mothers having 8 month old infants were conducted using a structured questionnaire. Mothers attending all the well baby clinics in the primary health care centres of the Maltese Islands for a period of two months were included in the study. The questionnaire included socio-economic and demographic data, details on the initiation and duration of breastfeeding, weaning practices and a short assessment of the infant's usual diet at 8 months.Mothers between 25–34 years old (26%) and mothers with a high level of education (25%) were more likely to breastfeed only during the first 8 months of life without using any other type of milk, compared to younger (6.5%) or older (21%) mothers, and to mothers with a lower level of education (16%). The level of education was also positively associated with the continuation of breastfeeding, with the mean duration of breastfeeding for higher educated mothers being 4 months compared to 2.6 months in less educated mothers. Mothers with a lower level of education and mothers who are house-wives are more likely to give their infants only ready-made foods however associations were in this case borderline significant. On the other hand, appropriateness of weaning age was not associated with any socio-economic factors.The length of breastfeeding and the introduction of complementary foods varied widely between mothers. Compliance with infant feeding guidelines was poor. The mother's age, level of education and employment status all have an impact on breastfeeding and weaning practices. The provision of professional advice and a supportive environment for mothers, together with interventions for increasing awareness may promote maternal adherence to WHO guideline.


Author(s):  
George Koshy ◽  
Vandana Gangadharan ◽  
Anullekha Naidu

Background: Cervical cancer is one of the most common cancers in women with an average of 468,000 new cases per year. Out of these 80% occur in developing and underdeveloped countries. World Health Organisation statistics show that Indian carries one fifths of world burden of the disease with 72,600 deaths annually. Key to the success of cervical cancer screening and prevention is the knowledge and awareness possessed by women in general. This requires the honing of knowledge at an impressionable and younger age group.Methods: It is a questionnaire based cross sectional study and was conducted amongst 4 study groups comprising Medical students, engineering students, nursing students and general graduate students between the age group 18 and 25 years.Results: According to present study, 93% of medical, 75% of nursing and only 29% of engineering students and 9 % of other students were actually even aware of the term cervical cancer. Assessment of knowledge regarding the risk factors of cervical cancer revealed that 13 medical, 9 nursing, 75 of engineering and 85 of Other Graduates weren’t aware of any risk factor that causes cervical cancer. As regards to attitude of the students towards cancer, present study revealed 4 medical, 23 nursing, 10 engineering and 9 general public women think that it is incurable and leads to death.Conclusions: This study highlights unawareness of various aspects of cervical cancer among young women and the burning need for continuing educational intervention at institute level to emphasise the importance and increase the awareness regarding cervical cancer.


2019 ◽  
Vol 3 (3S) ◽  
pp. 110-115
Author(s):  
Mutmainnah Sari ◽  
Arbianingsih Arbianingsih ◽  
A. Adriana Amal

The data from the World Health Organization in 2017, suicidal behavior of teenagers Indonesia of 13-17 years old, as many 5.6% teens had made plans related to the way they committed suicide. The aim of this research is  to find out the analysis of the incidence of depression and risk of suicide using Buddy App on teenagers in Makassar. This research was an analytic quantitative with cross-sectional study approach. As many 285 teenagers involved in this research recruited by simple random sampling. Data collected by using a of depression namely KADS that are provided through online form and questionnaire of risk of suicide, namely CSSRS using buddy apps. It is called Buddy App because of its function as an application that can be a close friend to users. The incidence of depression and risk of suicide is higher in the late adolescents. Mean of depression in early adolescent (4.78) and late adolescent (6.31). The statistical test results showed the significant differences between the incidence of depression (p-value 0,000) and the level of risk of suicide (p-value 0,022) in early adolescence and late adolescents. The next researcher is expected to examine the level of depression in each level of suicide risk by developing the questionnaire of depression.


2020 ◽  
Vol 79 (5) ◽  
pp. 594-606
Author(s):  
Stephane Frayon

Objective: Vaccine hesitancy is increasing worldwide and the World Health Organisation has declared it to be one of the 10 threats for global health in 2019. Lack of confidence in vaccines and fear of side effects seem to be the key reasons. Education may help restore confidence, and middle and high school biology teachers may have a particularly powerful role in countering vaccine hesitancy. The aim of this study was to compare biology teachers’ opinions about vaccination with those of other teachers. Design: Cross-sectional study. Method: An electronic survey was sent to middle and high school teachers in New Caledonia. A total of 280 participants were recruited: 110 biology teachers and 170 teachers of other subjects. Attitudes about three common vaccine controversies were measured using Likert-type scales. Results were analysed using multiple logistic regression. Results: Biology teachers showed greater confidence in their knowledge about vaccines than other teachers. In general, their opinions agreed more with scientific knowledge than those of the other teachers, despite some disparities depending on their specific sub-specialty. Highest university qualification obtained was not correlated with the opinions expressed about vaccines. Conclusion: Biology teachers may be better able to restore confidence about vaccines than other teachers. Additional training and information are needed however to allow them to transmit accurate information about vaccines to adolescents.


Author(s):  
Sonia Almas ◽  
Ayesha Babar Kawish ◽  
Tahir Mehmood Butt ◽  
Subhana Akber Khan

Abstract Objective: To assess knowledge and practices regarding hand-washing among mothers of children aged ?5 years. Methods: The cross-sectional study was conducted from March to July 2015 in rural areas of Union Council Charwa, Tehsil Pasrur in District Sialkot, Pakistan, and comprised mothers of children aged ?5 years. Data was collected using a pre-tested and validated structured questionnaire developed in line with World health Organisation guidelines on hand-washing technique. Data was analysed using SPSS 17. Results: Of the 422 subjects, 319 (75.4%) had sufficient knowledge and 104 (24.6%) showed good practices regarding hand-washing. However, only 59 (14%) mothers were found adherent to the appropriate technique of hand-washing. Conclusion: Health education and behaviour-changing communication approaches must be implemented to educate the masses about proper hand-washing technique. Key Words: Knowledge, Practices, Hand-washing, Mothers, Health education, Pakistan.


Author(s):  
Krishnamoorthy Yuvaraj ◽  
Giriyappa Dinesh Kumar ◽  
Shanthosh Priyan ◽  
Marimuthu Yamini ◽  
Saya Ganesh Kumar ◽  
...  

Abstract Background The World Health Organisation has reported that mental disorders are one of the leading causes of disability worldwide. Social phobia is one such mental disorder that can have significant impact on the livelihood of adults if not detected at an early stage. There have been very few studies done on social phobia among adolescents in South India. Hence, this study was done to determine the prevalence of social phobia and factors associated with it among the school-going adolescents in rural Puducherry. Methodology A community-based cross-sectional study was conducted among 1018 school going adolescents from December 2017 to January 2018 in rural Puducherry. Information on socio-demographic characteristics was collected by a pre-tested semi-structured questionnaire and social phobia was assessed using the validated Social Phobia Inventory (SPIN) questionnaire. Results Among 1018 participants, 738 (72.5%) belonged to early adolescence (10–13 years); 520 (51.1%) were boys; 557 (54.7%) were studying in a middle class; 931 (91.5%) were Hindus; 978 (96.1%) had siblings. The prevalence of social phobia among adolescents was found to be 22.9% (95% CI: 20.4–25.5%). The prevalence of mild social phobia was 18% [95% confidence interval (CI): 15.7–20.4%], moderate social phobia was 4% (95% CI: 2.9–5.4%), severe social phobia was 0.7% (95% CI: 0.3–1.3%) and very severe social phobia was 0.2% (95% CI: 0.03–0.64%). Higher age, female gender, lack of counselling services and specialist visits at school were found to be determinants of social phobia. Conclusion The current study showed that one in every five adolescents was at risk of developing social phobia. Health education for students, teachers and family members needs to be given to make them aware of the importance of social phobia.


2018 ◽  
Vol 15 (3) ◽  
pp. 235-241 ◽  
Author(s):  
Manisha Pandey ◽  
Tulsi Ram Bhandari ◽  
Ganesh Dangal

Background: Workplace violence among nurses is prevalent worldwide. If nurses become aware of the workplace violence and its risk factors then only they can protect themselves. This study assessed the prevalence of workplace violence and its associated factors among nurses in Pokhara, Nepal. Methods: A hospital-based descriptive cross-sectional study was conducted in Pokhara. The required sample size of the study was 200 nurses. We adopted self-administered questionnaire developed by International Labor Office, International Council of Nurses, World Health Organization (WHO), and Public Services International. Out of 21 hospitals of Pokhara, we selected five hospitals using simple random sampling method. The number of nurses in each hospital was fixed proportionately considering the total number of employed nurses. Individual nurses were selected on the first meet first basis to gain the required number. Results: Two-thirds (64.5%) nurses experienced some type of violence in the last six months at their workplace. The proportion of verbal violence was higher (61.5%) compared to the physical (15.5%) and sexual violence (9%). Most perpetrators of the violence were the relatives of patients and hospital employees. Age of nurses and working stations had statistically significant association with workplace violence (p-value < 0.05). Conclusions: Workplace violence among nurses is a noteworthy problem in Pokhara whereas nearly two-thirds of nurses faced some type of violence in last six months. It is an urge to widen awareness level of nurses on the violence thus, they can take precaution themselves and ask hospital administration and other stakeholders to address the workplace violence.


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