Satisfaction and Associated Factors among Mothers Delivered at Asrade Zewude Memorial Primary Hospital, Bure, West Gojjam, Amhara, Ethiopia: A Cross Sectional Study

Introduction: Maternal satisfaction is a means of evaluating quality of maternal health care given in health facilities. The objective was to assess the level of maternal Satisfaction and associated factors at Asrade Zewude Memorial Primary Hospital. Method: Cross-sectional study was conducted on 420 clients by systematic sampling method from February 8, 2017 to September 25, 2017. Structured questionnaire that was prepared by Ethiopian Federal Ministry of Health was used. Pre-testing was done prior to the actual data collection process on a sample of 20 respondents and modified accordingly. The study was approved by Asrade Zewude Memorial Primary Hospital Senior Management Committee. The collected data were checked for completeness and consistency before being coded, entered and analyzed using SPSS version 16. Logistic regression was used to assess the presence of association between dependent and independent variables using SPSS at 95% CI and 5% margin of error. Result: The study revealed that level of satisfaction among delivering mothers was 88%. Educational level (AOR = 2.15, 95% CI = [1.02-3.71], access to ambulance service (AOR=3.15, 95% CI=[1.02-3.78], respect full delivery service (AOR=6.85, 95%CI=[4.35-6.95], welcoming hospital environment (AOR=3.09, 95% CI = [2.30-2.69], proper labor pain management (AOR=4.51, (95% CI=(3.12-5.01) and listening to their questions [AOR=3.95, 95%CI [2.35-4.36] were independent predictors for maternal satisfaction.Conclusion and Recommendation: Even though most of the participants were satisfied, they still had unmet needs and expectations in the delivery service provider. The identified main determinants were level of education, access to ambulance service, welcoming hospital environment, proper pain management and listening to their questions. Therefore, there is a need to improve the care given to maternity and appropriate strategy should be designed to address the unmet needs of mothers delivered in the hospital.

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Practice of Labour Pain Management Methods and Associated Factors among Skilled Attendants Working at General Hospitals in Tigray Region, North Ethiopia: Hospital Based Cross-Sectional Study Design

Health Science Journal ◽

10.21767/1791-809x.1000516 ◽

2017 ◽

Vol 11 (4) ◽

Cited By ~ 5

Author(s):

Ermias Sahile ◽

Yayehyirad Yemaneh ◽

Addisu Alehegn ◽

Wendessen Nigussie ◽

Mohammed Salahuddin ◽

...

Keyword(s):

Pain Management ◽

Study Design ◽

Associated Factors ◽

Labour Pain ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

General Hospitals ◽

Tigray Region ◽

Skilled Attendants

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Satisfaction and Associated Factors among Mothers Delivered at Asrade Zewude Memorial Primary Hospital, Bure, West Gojjam, Amhara, Ethiopia: A Cross Sectional Study

Primary Health Care Open Access ◽

10.4172/2167-1079.1000293 ◽

2018 ◽

Vol 08 (02) ◽

Cited By ~ 2

Author(s):

Gizew Dessie Asres

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

West Gojjam ◽

Primary Hospital

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The unmet needs for family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka: a community based cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181721 ◽

2018 ◽

Vol 5 (5) ◽

pp. 2048 ◽

Cited By ~ 1

Author(s):

Neethu George ◽

Sulekha T. ◽

Adithya Ramachandran ◽

Andrean Peters ◽

Pretesh Rohan Kiran

Keyword(s):

Family Planning ◽

Associated Factors ◽

Unmet Needs ◽

Unmet Need ◽

Structured Interview ◽

Cross Sectional Study ◽

Married Women ◽

Economic Life ◽

Sectional Study ◽

Cross Sectional

Background: According to the United Nations, India will become the most populated country by 2050.This will lead to further strain in social and economic life. Family planning plays a major role in bridging this rapid population growth. But unmet needs for family planning prevent women from availing this benefit. Aims of the study were to determine the prevalence of unmet needs for family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka.Methods: This was a cross sectional study conducted during a period of two months among ever married women in selected villages of Anekal. A structured interview schedule consisting of questions about unmet needs for family planning and its determinants was administered to 133 ever married women.Results: Of the 133 study participants 127 (95.5%) were aware of at least one contraceptive method. The prevalence of unmet needs for family planning was 11.3%. Younger age (18-24 years), <5 years active years of married life, women having a single live child and who were a sole decision maker had higher unmet needs for family planning. Among the women who had unmet needs for family planning, the major reason reported was family and cultural problems.Conclusions: The unmet need for family planning was found to be 11.3% which is more than the state value of 8.8% (rural Karnataka NFHS 4). So there is a need to create increased awareness among the women in the study area regarding the importance of contraceptive measures in the family and the society.

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Assessment of Patient Satisfaction and Associated Factors in Postoperative Pain Management at University of Gondar Compressive Specialized Hospital, Northwest Ethiopia, A Cross Sectional study.

10.21203/rs.3.rs-60113/v1 ◽

2020 ◽

Author(s):

YOSEF BELAY BELAY ◽

Girmay Fitwi Lema ◽

Demeke Yilkal Fentie ◽

Yophtahe Woldegerima Berhe ◽

Henos Enyew Ashagrie

Keyword(s):

Patient Satisfaction ◽

Pain Management ◽

Nerve Block ◽

Associated Factors ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Level Of Satisfaction ◽

Post Operative Pain

Abstract Background: The main aim of this study was to assess the level of patient’s satisfaction and associated factors in post-operative pain management. Methods: An institutional based cross sectional study was conducted from April, 11-May 15, 2018. Data were collected by structured, pre-tested patient interview questionnaire and chart review. Level of patient satisfaction was measured by using five-point Likert scale and checklist. The coded data were entered to Epi-info software version 7 and analyzed using statistical package for social sciences software version 23.The strength of the association was presented using adjusted odd ratio with 95% confidence interval and p-value<0.05 was considered as statistically significant.Results: A total of 418 patients were included in this study with a response rate of 98.58 %. The overall proportion of patients who were satisfied with pain management services was 72.2 % [95%CI:67.7-76.6].ASA1[AOR=3.55:95%CI=1.20-10.55]&ASA2 patients[AOR=3.72:95%CI=1.04-13.28],Patients with no post-operative pain [AOR=1.86:95%CI=1.02-3.39],post-operative nerve block [AOR=9.14:95%CI=3.93-20.86],analgesic before request[AOR=6.90:95%CI=3.72-12.83] and receiving postoperative analgesics [AOR=6.10:95%CI=1.17-33.91)] were significantly associated with level of satisfaction. Conclusion: Pain assessment during immediate postoperative period, providing regular based analgesia before patient request and to promote the practice of post-operative nerve block are important to increase the level of satisfaction.

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Antimicrobial Resistance Profiles and associated factors of Acinetobacter and Pseudomonas aeruginosa nosocomial infection among patients admitted at Dessie comprehensive specialized Hospital, North-East Ethiopia. A cross sectional study

10.21203/rs.3.rs-360841/v1 ◽

2021 ◽

Author(s):

Habtamu Mekonnen ◽

Abdurahaman Seid ◽

Genet Molla ◽

Teklay Gebrecherkos

Keyword(s):

Antimicrobial Resistance ◽

Nosocomial Infection ◽

Associated Factors ◽

Cross Sectional Study ◽

Hospital Environment ◽

Diffusion Method ◽

Sectional Study ◽

Cross Sectional ◽

North East ◽

Specialized Hospital

Abstract Background:- Hospital admitted patients are at increased risk of nosocomial infections (NIs) with multi-drug resistant (MDR) pathogens which are prevalent in the hospital environment. P. aeruginosa and A. baumannii are common causes of NIs worldwide. The objective of this study is to determine the magnitude, antimicrobial resistance profiles, and associated factors of Acinetobacter and P. aeruginosa NIs among patients hospitalized at Dessie Comprehensive Specialized Hospital (DCSH), North-East Ethiopia.Methods:- A cross-sectional study was conducted at DCSH from February 1 to April 30, 2020. A total of 254 patients who were suspected of either bloodstream, urinary tract, or surgical site nosocomial infection were enrolled consecutively. Sociodemographic and other variables of interest were collected using a structured questionnaire. The specimens were collected and processed following standard microbiological procedures. Antibacterial susceptibility was determined by the Kirby-Bauer disk diffusion method following Clinical and Laboratory Standards Institute guidelines. Data were analyzed with SPSS version 23 and p-value < 0.05 was considered to be statistically significant.Results: Overall, 13% of patients had nosocomial Acinetobacter and/or P. aeruginosa infections. The culture positivity rate was 16(6.3%) for Acinetobacter spp and 18(7.1%) for P. aeruginosa. All isolates of Acinetobacter spp. were from patients with intravenous catheterization. Patients admitted in the surgical ward (Adjusted odds ratio (AOR): 10.66; 95% confidence interval (CI): 1.22-93.23), pediatric ward (AOR: 14.37; 95% CI: 1.4-148.5), intensive care unit (AOR: 41.93; 95% CI:4.7-374.7) and orthopedics (AOR: 52.21;95%CI:7.5-365) were significantly at risk to develop NIs compared to patients admitted in the medical ward. Patients who took more than two antimicrobial types were 94% (AOR: 0.06; 95% CI: 0.004-0.84) times more protected from NIs compared to those who did not take any antimicrobial. About 81% of Acinetobacter spp. and 83% of P. aeruginosa isolates were MDR. Amikacin and meropenem showed promising activity against Acinetobacter and P. aeruginosa isolates.Conclusion: The high prevalence of MDR Acinetobacter and P. aeruginosa nosocomial isolates highlighted the need of improving and implementing infection control programs in the hospitals. Treatment of NIs should be guided by antimicrobial susceptibility testing.

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Unmet needs of symptom management and associated factors among the HIV-positive population in Shanghai, China: A cross-sectional study

Applied Nursing Research ◽

10.1016/j.apnr.2020.151283 ◽

2020 ◽

Vol 54 ◽

pp. 151283

Author(s):

Ning Dong ◽

Wei-Ti Chen ◽

Hongzhou Lu ◽

Zheng Zhu ◽

Yan Hu ◽

...

Keyword(s):

Symptom Management ◽

Associated Factors ◽

Unmet Needs ◽

Cross Sectional Study ◽

Hiv Positive ◽

Sectional Study ◽

Cross Sectional ◽

Positive Population

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Predictors of effective management of acute pain in children within a UK ambulance service: a cross-sectional study

British Paramedic Journal ◽

10.29045/14784726.2019.12.4.3.58 ◽

2019 ◽

Vol 4 (3) ◽

pp. 58-59

Author(s):

Gregory Adam Whitley ◽

Pippa Hemingway ◽

Graham Richard Law ◽

Caitlin Wilson ◽

A. Niroshan Siriwardena

Keyword(s):

Pain Management ◽

Acute Pain ◽

Rating Scale ◽

Cross Sectional Study ◽

Ambulance Service ◽

Effective Management ◽

Sectional Study ◽

Cross Sectional ◽

Second Pain ◽

Clinical Records

Introduction: Pre-hospital pain management in children is poor, with very few children in pain receiving analgesia. Without effective pain treatment, children may suffer long-term changes in stress hormone responses and pain perception and are at risk of developing posttraumatic stress disorder. We aimed to identify predictors of effective management of acute pain in children in the pre-hospital setting.Methods: A retrospective cross-sectional study using electronic clinical records from one large UK ambulance service between 1 October 2017 and 30 September 2018 was performed using multi-variable logistic regression. We included all children < 18 years suffering acute pain. Children with a Glasgow Coma Scale of < 15, no documented pain or without a second pain score were excluded. The outcome measure was effective pain management (abolition or reduction of pain by ≥ 2 out of 10 using the numeric pain rating scale, Wong and Baker FACES® scale or Face, Legs, Activity, Crying and Consolability (FLACC) scale).Results: A total of 2312 patients were included for analysis. Median (IQR) age was 13 (9‐16), 54% were male and the cause of pain was trauma in 66% of cases. Predictors of effective pain management include children who were younger (0‐5 years) compared to older (12‐17 years) (adjusted odds ratio (AOR) 1.57; 95% confidence interval (CI) 1.21‐2.03), administered analgesia (AOR 2.35; CI 1.94‐2.84), attended by a paramedic (AOR 1.39; CI 1.13‐1.70) or living in an area of medium deprivation (index of multiple deprivation (IMD) 4‐7) compared to children in an area of high deprivation (IMD 1‐3) (AOR 1.41; CI 1.10‐1.79). Child gender, type of pain, transport time and clinician experience were not significant.Conclusion: These predictors highlight disparity in effective pre-hospital management of acute pain in children. Qualitative research is needed to help explain these findings.

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