scholarly journals Knowledge and Practices of Post Cesarean Section Mothers Towards Self-Care After Delivery at Mbarara Regional Referral Hospital.

2021 ◽  
Author(s):  
◽  
Solomon Atuhaire
Keyword(s):  
Cesarean Section ◽  
Self Care ◽  
Cross Sectional Study ◽  
Study Data ◽  
Referral Hospital ◽  
Postpartum Woman ◽  
Postpartum Women ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Regional Referral Hospital

ABSTRACT Background: It is recommended to all mothers to undergo post-cesarean section self-care after delivery up to six weeks. However, many mothers return to Mbarara Regional Referral Hospital as a result of getting some complications related to cesarean section. The reasons why these mothers develop these complications are not clear and possible other practices performed by delivered mothers to solve their post-delivery challenges are not yet documented. Methods: The design of this study was a descriptive cross-sectional study design and a semi-structured questionnaire was used to collect quantitative data from the participants. Data were collected from 150 mothers admitted to the Maternity ward of Mbarara Regional Referral Hospital who formed the inclusion criteria and accepted to participate in the study. Data was captured using Microsoft excel and analyzed using Statistical Package for social sciences (SPSS). Results: The response rate in this study was 100%. The knowledge of post-cesarean section self-care among postpartum women at MRRH in Mbarara was poor as the majority of the participants 90(60%) reported to have never heard about Post Cesarean self-care while only 60 (40%) reported having ever heard about Post Cesarean self-care and no postpartum woman was fully aware of all the aspects of PCS and only 26% could talk of more than 2 aspects of the PCS. The findings of the study also revealed that 22% (33) of the postpartum women don't perform PCS at all. This shows a low practice of PCS among postpartum women. Conclusion and recommendations: Generally, in this study, the knowledge of post-cesarean section self-care among postpartum women at MRRH in Mbarara was poor, suggesting that these postpartum women are unaware of the value of this personal health promotion tool.

scholarly journals Knowledge about self-care and associated factors among heart-failure patients in Ayder Referral Hospital, Ethiopia, 2018: A cross-sectional study

2020 ◽  
pp. 201010582096214
Author(s):  
Tsegu Hailu Gebru ◽  
Haftea Hagos Mekonen ◽  
Kbrom Gemechu Kiros
Keyword(s):  
Heart Failure ◽  
New York ◽  
Logistic Regression ◽  
Self Care ◽  
Heart Association ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge Age

Background: Good knowledge of self-care related to heart failure (HF) is key to improve patient outcomes. However, information regarding how much patients know about self-care is lacking in developing countries, particularly in the study setting. Objective: The objectives of this study were to assess HF patients’ knowledge about self-care and to explore predictors among HF patients in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. Methods: This hospital-based cross-sectional study design was undertaken in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. A total of 408 HF patients participated, and the study was done between February and April 2018. An interviewer-assisted structured questionnaire was used to collect data. Bivariate logistic regression and multivariable logistic regression were conducted to identify the predictors associated with knowledge about self-care. Results: The mean age of the participants was 45.4 years (standard deviation=19 years). Around 255 (62.5%) of the participants had poor self-care knowledge. Age, New York Heart Association classes, duration of the disease and previous hospitalisation were the factors associated with knowledge about self-care. Conclusion: More than half of all participants had poor knowledge about self-care. Improving existing prevention strategies and strengthening patients’ knowledge are recommended to address this knowledge deficit.

scholarly journals Early Malaria Diagnosis and Treatment Seeking Behavior Among Clients Attending Outpatient Department Sekou-Toure Regional Referral Hospital in Mwanza, Tanzania; A Cross-Sectional Study

2021 ◽  
Author(s):  
Samson Mvandal ◽  
Godfrida Marandu
Keyword(s):  
Health Facility ◽  
Early Treatment ◽  
Malaria Diagnosis ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Seeking Behavior

Early diagnosis of malaria and treatment seeking behavior play key role in controlling and preventing further complication related to malaria disease. Aim of this study was to determine the responses on early malaria diagnosis and treatment seeking behavior among outpatient clients attending at Sekou toure regional referral hospital in Mwanza, Tanzania. Methods: A cross-sectional study was conducted among outpatient client at Sekou-Touré regional referral hospital, convenient simple random sampling used and self-administered questionnaire were used to collect data and data was entered into Microsoft excel and then exported to SPSS version 25.0 for further analysis and presented on the percentages and table. The analysis of strength of relationships between categorical variables was conducted using the Chi-square test. A p-value of ≤ 0.05 was considered to be statistically significant. Results: A total of 192 respondents completed the study with a response rate of 97.6%. The study revealed that Most of the respondents about 90.6% stated they would seek treatment from health facility when symptoms appear. However, only 6.3% seek treatment within 24 hours of onset of illness (p= 0.017). Half of respondents (50.5%) experienced malaria symptoms in the past six months and only 30% seek for treatment at health facility. Preference of health facility, (51%) respondents were going direct to pharmacy to buy medicine for self-treatment. Overall, cost of service, time consumed and distance of health facility especially health center shows significant with such delay. Conclusion: A low proportion of malaria-suspected patients sought treatment within 24 h of fever onset compared to the national target. Distance from the health facility, cost of service and time consumed were found to be predictors of early treatment-seeking behavior for malaria. Strengthening strategies tailored to increasing awareness for communities about malaria, importance of going hospital and early treatment-seeking behavior is essential.

scholarly journals Women’s Quality of Life at 6 Weeks Postpartum: Influence of the Discomfort Present in the Puerperium

2019 ◽  
Vol 16 (2) ◽  
pp. 253 ◽  
Author(s):  
Juan Martínez-Galiano ◽  
Antonio Hernández-Martínez ◽  
Julián Rodríguez-Almagro ◽  
Miguel Delgado-Rodríguez ◽  
Ana Rubio-Alvarez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ad Hoc ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Study Data ◽  
Mean Difference ◽  
Postpartum Woman ◽  
Online Questionnaire ◽  
Cross Sectional

Background: Discomfort during the puerperium period is very frequent in the lives of women but the influence of this discomfort on the women’s quality of life has been little studied. The objective of this study is to establish the association between discomfort and frequent problems of women in the puerperium and their quality of life score. Methods: A cross-sectional study on postpartum Spanish women was performed. Women older than 18 years and who had had a live birth were included. Less than 1% of women refused to participate in the study. Data were collected on socio-demographic, obstetric and newborn variables, on maternal problems/ discomfort in the postnatal period and on parameters that are quality of life indicators. An ad hoc online questionnaire which included the SF-36 Health Survey was used. Crude mean difference (cMD) and adjusted mean difference (aMD) were calculated through multiple linear regression. Results: 2990 women participated in the study. The greater problems causing quality of life loss were depressive symptoms (aMD = −12.40, CI 95%: −10.79, −14.01), lactation problems (aMD = −4.30, CI 95%: −2.97, −5.63), problems for sexual intercourse after childbirth (aMD = −6.34, CI 95%: −5.07, −7.60) and urinary incontinence (aMD = −4.97, CI 95%: −6.30, −3.65), among others. These have been detected as risk factors that affect the quality of life of the postpartum woman. Conclusions: The discomfort and problems manifested in the 6 weeks after childbirth have an influence that deeply affects the quality of life of postpartum women.

scholarly journals Post Caesarean Wound sepsis and associated factors among patients attending a rural regional referral hospital in Western Uganda: A cross-sectional study

2020 ◽  
Author(s):  
Ismael Muhumuza ◽  
Abdulrahman Zeinul Lavingia ◽  
Bekson Tayebwa ◽  
Ahmed Abdulhussein Ahmed ◽  
Farhiya Mohammed Koriow ◽  
...  
Keyword(s):  
Health Workers ◽  
Bacterial Pathogens ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Vaginal Examination ◽  
Sectional Study ◽  
Wound Sepsis ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Antibacterial Susceptibility

Abstract Background : Post-caesarean wound sepsis is among the most common problem for patients who undergo caesarean section. It remains a common and widespread problem contributing to morbidity and mortality; this could be due to an increase in antimicrobial resistance. Determining the burden of wound sepsis and common bacterial pathogens can provide solution to prevent incidence and establish microbiological mapping. Aim: To determine prevalence, identify factors, common bacterial pathogens from post-caesarean wounds and antibacterial susceptibility pattern at Hoima Regional Referral Hospital. Methods : A cross-sectional study was conducted among post-caesarean mothers attending Hoima Regional Referral Hospital. Consecutive enrolment of 303 participants who consented to participate was done. Structured questionnaires were used to collect data on associated factors and wound swabs were done prior to bacterial culture. Antibacterial susceptibility pattern of isolated bacterial pathogens was determined by Kirby Bauer disc diffusion method. Data was analyzed using Stata 14.2. Results : The wound sepsis rate was 16.8%. Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity were all significantly and positively associated with post-caesarean wound sepsis (p<0.05). The most implicated bacteria was Staphylococcus aureus and was most susceptible to ciprofloxacin. Resistance was most exhibited against ciprofloxacin, gentamycin, ceftriaxone and cotrimoxazole especially by coliforms. Conclusions. The rate of caesarean wound sepsis is high at Hoima Regional Referral Hospital . Being educated, multiple vaginal examination, hygiene, previous caesarean sections and HIV seropositivity are possible risk factors for the condition. Staphylococcus aureus is the commonest organism isolated from exudates of septic wounds after caesarean section. Awareness amongst health workers and patients about these major factors is necessary so that management can be directed. Rational use of antibiotics by health workers is paramount to combat resistance in this setting.

scholarly journals Perfil de usuários e motivos da consulta de enfermagem em estomaterapia

2020 ◽  
Vol 14 ◽  
Author(s):  
Rosaura Soares Paczek ◽  
Andreia Inês Engelmann ◽  
Giulia Pedroso Perini ◽  
Glória Pinto Soares de Aguiar ◽  
Erica Rosalba Mallmann Duarte
Keyword(s):  
Medical Records ◽  
Self Care ◽  
Cross Sectional Study ◽  
Study Data ◽  
Neoplastic Disease ◽  
Age Group ◽  
Cross Sectional ◽  
Significant Difference ◽  
Quantitative Descriptive ◽  
Care Nursing

Objetivo: analisar o perfil de usuários e os motivos da consulta de enfermagem em estomaterapia. Método: trata-se de um estudo quantitativo, descritivo, exploratório e transversal. Coletaram-se os dados em prontuários de 252 usuários nos quais foram consultados em 1116 consultas de enfermagem. Analisaram-se os dados pelo programa SPSS versão 20, empregando-se a estatística descritiva. Resultados: revela-se, quanto ao sexo, que não houve diferença significativa; quanto à faixa etária, 53,6% dos participantes tinham 65 anos ou mais de idade; a causa do estoma foi a doença neoplásica maligna em 65,5% da amostra; o motivo da consulta, em 56%, foi a troca de bolsa de ostomia e 50,4% dos pacientes realizaram somente uma consulta no período analisado. Conclusão: mostrou-se, que o enfermeiro estomaterapeuta precisa refletir no planejamento e nas estratégias de cuidados prestados, contemplando a educação do autocuidado do usuário e educação permanente da equipe, enfatizando a sensibilidade do acolhimento, visto que a maioria dos pacientes tem neoplasia maligna, situação de grande impacto na vida do usuário e de sua família. Descritores: Estomia; Consulta de Enfermagem; Educação Permanente; Estomaterapia; Autocuidado; Cuidados de Enfermagem.AbstractObjective: to analyze the profile of users and the reasons for the nursing consultation in stomatherapy. Method: this is a quantitative, descriptive, exploratory and cross-sectional study. Data was collected from medical records of 252 users, who were consulted in 1116 nursing consultations. Data was analyzed using the SPSS version 20 program, using descriptive statistics. Results: it is revealed, as for sex, that there was no significant difference; as for the age group, 53.6% of the participants were 65 years old or older; the cause of the stoma was malignant neoplastic disease in 65.5% of the sample; the reason for the consultation, in 56%, was to change the ostomy bag and 50.4% of the patients had only one consultation during the analyzed period. Conclusion: it was shown that the stoma nurse needs to reflect on the planning and care strategies provided, contemplating the education of the user's self-care and permanent education of the team, emphasizing the sensitivity of the welcoming, since the majority of patients have malignancy, situation of great impact on the life of the user and their family. Descriptors: Ostomy; Nursing Consultation; Education Continuing; Stomatherapy; Self Care; Nursing Care.ResumenObjetivo: analizar el perfil de los usuarios y los motivos de la consulta de enfermería en estomaterapia. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio y transversal. Se recopilaron datos de registros médicos de 252 usuarios, que fueron consultados en 1116 consultas de enfermería. Los datos se analizaron utilizando el programa SPSS versión 20, utilizando estadísticas descriptivas. Resultados: se revela, en cuanto al sexo, que no hubo diferencia significativa; en cuanto al grupo de edad, el 53,6% de los participantes tenían 65 años o más; la causa del estoma fue la enfermedad neoplásica maligna en el 65.5% de la muestra; el motivo de la consulta, en el 56%, fue cambiar la bolsa de ostomía y el 50,4% de los pacientes tuvieron una sola consulta durante el período analizado. Conclusión: se demostró que el enfermero de estomas necesita reflexionar sobre la planificación y las estrategias de atención provistas, contemplando la educación del autocuidado del usuario y la educación permanente del equipo, enfatizando la sensibilidad de la recepción, ya que la mayoría de los pacientes tienen neoplasia maligna, situación de gran impacto en la vida del usuario y su familia. Descriptores: Estomia; Consulta de Enfermería; Educación Permanente; Estomaterapia; Autocuidado; Cuidados de Enfermería.

scholarly journals Nutritional Knowledge and Practice among Patients with Non-communicable Diseases Attending Mbale Regional Referral Hospital in Eastern Uganda: A Cross Sectional Study

2019 ◽  
pp. 1-11
Author(s):  
Esther Nambala ◽  
Jayne Byakika-Tusiime ◽  
Yahaya Gavamukulya
Keyword(s):  
Cross Sectional Study ◽  
Nutrition Knowledge ◽  
Referral Hospital ◽  
P Value ◽  
Nutritional Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Adequate Knowledge ◽  
Eastern Uganda

Aim: To determine nutritional knowledge and practices among patients with Non-Communicable Diseases (NCD) attending Mbale Regional Referral hospital, in Eastern Uganda. Study Design: A mixed methods cross sectional study design was used. Place and Duration of Study: Mbale Regional Referral Hospital among patients attending the NCD clinic from May to July 2017. Methodology: Two hundred sixty clients were recruited for the study. Quantitative data was collected through structured administered questionnaires. Quantitative data was analyzed at univariate, bivariate and multivariate levels. Chi square test and logistic regression were used to determine the association between nutrition knowledge and utilization. Qualitative data was coded first and summarized according to the themes. Results: The mean age of the respondents was 55 years (SD= 14) and hospital was the main source of nutrition information (n=156, 60%). Most respondents (n=156, 60%) had a high level of nutrition knowledge, however only 48.8% (n=127) were utilizing the knowledge. Those who had attained secondary level of education were 2.308 more likely to utilize the nutrition knowledge than those who had never studied P value of .028, 95CI (1.093-4.874). Those with tertiary education were even 9.261 times more likely to utilize the knowledge P value <.001 95CI (2.721-31.522). Those with adequate knowledge were about 1.6 times most likely to utilize the nutrition knowledge compared to those with inadequate knowledge level, however, with the adjusted odd ratio of 1.573 at 95% CI (0.923- 2.868) the results were not statistically significant (P value .098). Conclusion: NCD patients had adequate knowledge, with a few of them utilizing the knowledge. High education level was associated with better nutrition practices.

scholarly journals Intervention to Improve Timing of Preoperative Antibiotic Prophylaxis in Major Elective Surgery

2013 ◽  
Vol 7 (1) ◽  
pp. 15-18
Author(s):  
Jay N Shah ◽  
SB Maharjan ◽  
K Manandhar ◽  
A Shrestha ◽  
R Piya ◽  
...  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Elective Surgery ◽  
Cross Sectional Study ◽  
Study Data ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Improve Compliance ◽  
Feasible Option ◽  
Preoperative Antibiotic Prophylaxis ◽  
Taking Charge

Aims: Timely administration of antibiotic before incision ensures effective concentration in blood and tissues. Compliance with established guidelines is problematic due to logistics. Aim of this study was to improve timing of antibiotic prophylaxis (AP) with appropriate intervention in existing practices. Methods: Cross sectional study was conducted from May-June 2011 with target of enrolling at least 100 elective major cases (excluding obstetrics) who received AP before surgery. Anesthetists took responsibility of AP administration (Cefazoline 1 g as per our protocol unless indicated otherwise) instead of floor nurse as our earlier practice. Institutional ethical committee approved the study. Data collected in a pre-designed proforma was analyzed using Microsoft Excel. Results: Out of 120 patients, 64% were female. Average age was 43 years (4 to 87). General surgery cases were 51%, urosurgery 20%, gynecology and orthopaedic each 13% and others 6%. One hundred nineteen (99%) received AP before incision, 58(48%) within 60 to 30 minutes before incision and 1 (1%) after the incision. Conclusions: Anesthetist taking charge of the team for AP administration is a feasible option to improve compliance. Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 15-18 DOI: http://dx.doi.org/10.3126/njog.v7i1.8827

scholarly journals Delays in diagnosis and treatment of pulmonary tuberculosis in patients seeking care at a regional referral hospital, Uganda: a cross sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Winters Muttamba ◽  
Samuel Kyobe ◽  
Alimah Komuhangi ◽  
James Lakony ◽  
Esther Buregyeya ◽  
...  
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Patient Delay ◽  
Referral Hospital ◽  
Cross Sectional Survey ◽  
Total Delay ◽  
Cross Sectional ◽  
Treatment Unit ◽  
Regional Referral Hospital ◽  
Tb Treatment

Abstract Objective A cross-sectional survey involving 134 pulmonary TB patients started on TB treatment at the TB Treatment Unit of the regional referral hospital was conducted to ascertain the prevalence of individual and health facility delays and associated factors. Prolonged health facility delay was taken as delay of more than 1 week and prolonged patient delay as delay of more than 3 weeks. A logistic regression model was done using STATA version 12 to determine the delays. Results There was a median total delay of 13 weeks and 110 (82.1%) of the respondents had delay of more than 4 weeks. Patient delay was the most frequent and greatest contributor of total delay and exceeded 3 weeks in 95 (71.6%) respondents. At multivariate analysis, factors that influenced delay included poor patient knowledge on TB (adjOR 6.904, 95% CI 1.648–28.921; p = 0.04) and being unemployed (adjOR 3.947, 95% CI 1.382–11.274; p = 0.010) while being female was found protective of delay; adjOR 0.231, 95% CI 0.08–0.67; p = 0.007). Patient delay was the most significant, frequent and greatest contributor to total delay, and factors associated with delay included being unemployed, low knowledge on TB while being female was found protective of delay.

scholarly journals PREVALENCE AND FACTORS ASSOCIATED WITH ROUTINE MEDICAL CHECKUP AMONG PATIENTS ATTENDING MASAKA REGIONAL REFERRAL HOSPITAL, UGANDA

2021 ◽  
Vol 9 (07) ◽  
pp. 97-105
Author(s):  
Aremu A.B. ◽  
◽  
Afolabi I.B ◽  
Salaam M. Awunor N.S ◽  
Sulayman A.A ◽  
...  
Keyword(s):  
Early Death ◽  
Well Being ◽  
Cross Sectional Study ◽  
Health Check ◽  
Referral Hospital ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Mortality And Morbidity ◽  
Medical Checkup ◽  
Early Health

Globally, Routine Medical checkup is known to be a preventive medicine that opens doors for assessment of well-being status of all individual and decreases the mortality and morbidity of different ailments in communities. attending health checkups may be one of the key reasons of controlling the predisposition and cause of much of the illness, suffering and early death related to chronic illnesses and condition. Its on this ground that this current study sought to elucidate further on factors determining the adherence of people to medical checkups. A descriptive cross-sectional study was carried out among 385 adult respondents attending Masaka regional referral hospital, in Uganda. A structured questionnaire involving open-ended and close-ended questionnaire was used and data was analyzed using SPSS version 26. Overall, 61.3% of study participants have ever heard of routine health check-ups citing hospitals (25.7%) as the most used source of the information. A prevalence of 43.4% represents the percentage of those who do routine health check-up and of which majority engage in only a general examination (14.5%). Overall, more than half of the respondents (56.6%) have never participated in routine health check-ups with their reported reasons of not feeling sick (25.97%). Factors like level of education, Employment, Occupational, exercise practices and level of awareness was statistically significant to uptake of routine heath checkup among the respondent at P< (0.005). Low health check-up rates may translate into inability to detect and intervene with early health challenges among respondents, and this is whereeffort is needed in ensuring that routine health check-up is encouraged especially during times when patients are healthy. There is need to strengthen government efforts and other concerned NGOs to put across specific sensitization programs about routine health check-ups on different media platforms and also utilize other social public means.

scholarly journals Early Malaria diagnosis and treatment seeking Behavior among clients attending outpatient department Sekou-Toure regional referral Hospital in Mwanza, Tanzania; A Cross-Sectional Study

2022 ◽  
Author(s):  
Samson Peter Mvandal ◽  
Gotfrida Marandu
Keyword(s):  
Health Facility ◽  
Early Treatment ◽  
Malaria Diagnosis ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Treatment Seeking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Seeking Behavior

Abstract Background Early diagnosis of malaria and treatment seeking behavior play key role in controlling and preventing further complication related to malaria disease. Aim of this study was to determine the responses on early malaria diagnosis and treatment seeking behavior among outpatient clients attending at Sekou toure regional referral hospital in Mwanza, Tanzania. Methods A cross-sectional study was conducted among outpatient client at Sekou-Touré regional referral hospital, convenient simple random sampling used and self-administered questionnaire were used to collect data and data was entered into Microsoft excel and then exported to SPSS version 25.0 for further analysis and presented on the percentages and table. The analysis of strength of relationships between categorical variables was conducted using the Chi-square test. A p-value of ≤ 0.05 was considered to be statistically significant. Results A total of 192 respondents completed the study with a response rate of 97.6%. The study revealed that Most of the respondents about 90.6% stated they would seek treatment from health facility when symptoms appear. However, only 6.3% seek treatment within 24 hours of onset of illness (p= 0.017). Half of respondents (50.5%) experienced malaria symptoms in the past six months and only 30% seek for treatment at health facility. Preference of health facility, (51%) respondents were going direct to pharmacy to buy medicine for self-treatment. Overall, cost of service, time consumed and distance of health facility especially health center shows significant with such delay. Conclusion A low proportion of malaria-suspected patients sought treatment within 24 h of fever onset compared to the national target. Distance from the health facility, cost of service and time consumed were found to be predictors of early treatment-seeking behavior for malaria. Strengthening strategies tailored to increasing awareness for communities about malaria, importance of going hospital and early treatment-seeking behavior is essential.

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