scholarly journals Correlates and Pattern of Psychiatric Morbidity among Patients attending the Dermatological Clinic of a Tertiary Hospital in South-South Region of Nigeria

2021 ◽  
pp. 61-65
Author(s):  
Bolaji Otike-Odibi ◽  
Chukwuma U. Okeafor ◽  
Dasetima D. Altraide
Keyword(s):  
Teaching Hospital ◽  
Statistical Significance ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Tertiary Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Significance Level ◽  
Dermatology Clinic ◽  
Port Harcourt

Introduction: Higher rates of psychiatric disorders have been reported among patients with dermatological lesions. These problems could negatively impact the quality of life of these patients. Objectives: The study aimed to assess the psychiatric morbidity among patients attending the dermatology clinic of University Port Harcourt Teaching Hospital (UPTH).  It also sought to assess the relationship between socio-demographic factors and presence of psychiatric morbidity. Methodology: The study employed a cross-sectional design, involving ninety patients consecutively recruited from the dermatology clinic of University of Port Harcourt Teaching Hospital (UPTH). Consenting patients filled the study questionnaire which was inclusive of a socio-demographic questionnaire and general health questionnaire (GHQ-12). A GHQ score of ≥3 was considered as having psychiatric morbidity. Statistical analysis was performed at a statistical significance level of 0.05. Results: The mean age (±Standard deviation) of the patients was 32.3(±13.2) years. The study had a male to female ratio of 1:2.2. Psychiatric morbidity was noticed in 34 patients giving a prevalence rate of 37.8%. The prevalence of psychiatric morbidity was higher among females (40.3%) in comparison to males (32.1%), but this difference was not statistically significant (P=0.459). Age (P=0.840) and duration of dermatological disorder (P=0.211) showed no significant relationship with psychiatric morbidity. Conclusion: This study has shown that psychiatric conditions are common among patients with dermatological lesions. Hence it is necessary that mental health care is considered in the routine management of these patients.

scholarly journals Prevalence and risk factors for psychiatric morbidity among tertiary hospital consultants in Nigeria

2006 ◽  
Vol 12 (2) ◽  
pp. 11
Author(s):  
A D Yussuf ◽  
O R Balogun ◽  
S A Kuranga
Keyword(s):  
Teaching Hospital ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related ◽  
Chi Square Analysis

<p><strong>Objective.</strong> To determine the prevalence of psychiatric morbidity among consultants in a tertiary health care institution in Ilorin, Nigeria, and the sociodemographic and work characteristics that may be associated with poor mental health.</p><p><strong>Method.</strong> This was a cross-sectional study involving use of the 30-item general health questionnaire (GHQ-30) and a questionnaire on sociodemographic/work-related factors. <strong></strong></p><p><strong>Data Source.</strong> Consultants in the employ of the University of Ilorin Teaching Hospital. <strong></strong></p><p><strong>Data analysis</strong>. Data were analysed using the Statistical Package for Social Sciences version 11.0 (SPSS 11.0). Frequency distribution, cross tabulation, and chi-square analysis were obtained, with level of significance set at 5%.</p><p><strong>Result.</strong> Fifty-four consultants responded satisfactorily to the questionnaires (response rate 69.2%); 10 (18.5%) scored 4 and above on the GHQ-30 (i.e GHQ-positive) and were therefore considered to have psychiatric morbidity. No socio demographic or work-related factors had any significant association with morbidity. <strong></strong></p><p><strong>Conclusion.</strong> Teaching hospital consultants are as likely as any other occupational group to develop psychological morbidity, possibly owing to the role of inherently dominant factors. Regular organisation of stress management workshops/seminars and hospital management-consultant interactive forums is advocated.</p>

scholarly journals Prevalence and Types of Skin Diseases Seen among Children Attending the Children’s Outpatient Clinic in a Tertiary Care Hospital in Southern Nigeria- A Descriptive Study

2021 ◽  
pp. 39-46
Author(s):  
Uju S. Azubogu ◽  
Inumanye Ojule
Keyword(s):  
Study Design ◽  
Teaching Hospital ◽  
Outpatient Clinic ◽  
Skin Diseases ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Port Harcourt ◽  
The University

Aims: To determine the prevalence and types of skin diseases seen among children attending the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital (UPTH). Study Design:  A descriptive Cross sectional study design was used. Place and Duration of Study: The study was conducted in the Children’s Outpatient Clinic of the University of Port Harcourt Teaching Hospital from June to August 2020 (3 months). Method: It involved 370 children aged less than 18 years.  A semi structured interviewer-administered questionnaire was used to obtain all relevant data. This was followed by dermatological examination of the children to make diagnosis of skin diseases. Laboratory confirmation was carried out where necessary. Results: The study participants consisted of 370 children aged 1 month to 17 years with a mean age of 8.4±5.9 years. The male to female ratio was 0.9:1 and the overall prevalence of skin diseases among the children studied was 23.7%. The three most common aetiologic categories of skin diseases seen were:  Infective (13.5%), Inflammatory (5.7%) and infestations (3.5%). The five most common skin diseases identified included: Impetigo (4.1%), Scabies (3.5%), Atopic dermatitis (3.0%), Tinea capitis (2.7%) and Pityriasis versicolor (2.4%). Conclusion: Skin diseases are common among children attending the children’s outpatient clinic in our hospital with Infective skin diseases predominating. Greater efforts need to be put into the treatment, prevention and control of these skin diseases in order to limit morbidity and mortality.

Teenage Pregnancy: Prevalence, Pattern and Predisposing Factors in a Tertiary Hospital, Southern Nigeria

2020 ◽  
pp. 1-5
Author(s):  
Michael Ifeanyi Onwubuariri ◽  
Terhemen Kasso
Keyword(s):  
Sex Education ◽  
Teaching Hospital ◽  
Teenage Pregnancy ◽  
Tertiary Hospital ◽  
Predisposing Factors ◽  
Early Marriage ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Contraceptive Usage ◽  
Port Harcourt

Background: Any pregnancy occurring in a young woman who has not reached her 20th birthday is considered as a teenage pregnancy. Globally, approximately a tenth of all births are to women younger than 20 years old and more than 90% of such births occur in developing countries. Socioeconomic deprivation, low contraceptive usage and early marriage are common contributing factors. Objective: This study aimed to determine the prevalence, pattern and predisposing factors to teenage pregnancy at University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria. Methodology: This was a retrospective cross-sectional study of 198 cases of teenage pregnancies managed at University of Port-Harcourt Teaching Hospital (UPTH), from 1st January 2008 to 31st December 2015. Results: The teenage pregnancy prevalence rate was 15 per 1,000 deliveries (1.5%). Low level of education (below secondary) was seen in 81.3% of the women. A socio-cultural factor like early marriage was noted in 56.1% of the women and only 26.8% of the teenage mothers had ever used any form of contraception. Conclusion: The teenage pregnancy rate in Port-Harcourt showed a downward trend. Contraceptive awareness creation for teenagers, implementation of teenage-friendly policies, education of the girl child coupled with promotion of moral and sex education will further reduce the trend.

scholarly journals Risk factors for psychiatric morbidity among bank workers in a northern city of Nigeria

2005 ◽  
Vol 11 (2) ◽  
pp. 6
Author(s):  
A D Yussuf
Keyword(s):  
Statistical Significance ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Analysis Data ◽  
International Classification Of Diseases ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Number Of Children ◽  
Work Related

Objective. To determine the prevalence of psychiatric morbidi- ty in bank workers in Ilorin, Nigeria, and the sociodemo- graphic and work-related factors that may be associated with poor psychological health.Method. This cross-sectional two-staged study conducted between March and July 1999 involved screening using the 30-item General Health Questionnaire (GHQ-30), a socio- demographic questionnaire, the Present State Examination (PSE) schedule and diagnostic criteria from the 10th edition of the International Classification of Diseases (ICD-10).Data source. Bank workers in the three local government areas (west, east, and south) of Ilorin, a city in the middle belt of Nigeria.Data analysis. Data were analysed using EpiInfo version 6.0. Frequency distribution, cross tabulation, and chi-square analy- ses were obtained. The level of statistical significance was set at 5%.Result. Four hundred and thirty workers responded satisfactori- ly to the questionnaires (response rate 76%); 77 respondents (18%) were GHQ-positive and therefore had psychiatric mor- bidity. There was a significant association between psychiatric morbidity and age, gender, number of children, belonging to a social club, workload, promotion, and job status.Conclusion. The implications of these findings are discussed and possible medical and administrative interventions advo- cated.

scholarly journals Caregivers/Patients Perception and Satisfaction with Outpatient HIV Services at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria

2020 ◽  
pp. 1-9
Author(s):  
Nsirimobu Ichendu Paul ◽  
Rosemary Ogochukwu Ugwu
Keyword(s):  
Teaching Hospital ◽  
Statistical Significance ◽  
Chi Square ◽  
Cross Sectional ◽  
Hiv Services ◽  
Patient’S Satisfaction ◽  
Level Of Satisfaction ◽  
Port Harcourt ◽  
Chi Square Test ◽  
The University

Background: Patient perception and satisfaction is an indicator used to evaluate the quality of healthcare. This study aimed to assess patients’/caregivers’ perception and satisfaction with outpatient HIV services. Methodology: This was a cross sectional study carried out at the Paediatric HIV clinic of the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. Purposive and convenient sampling methods were used to recruit 152 out patients just before they exit the outpatient department (OPD). Exit interviews were conducted with a three-point Likert scale using a Pretested self-administered questionnaire. Participation was voluntary and consent was obtained from all participants. Obtained data was analysed using epi info version 7, Chi-square test was used to test the association between the overall satisfaction level and sociodemographic characteristics of the patients. Statistical significance for the chi-square test was set at p< 0 .05. Results: A total of 152 caregivers/patients participated in the study, only 31 (20.4%) were patients, aged 15-18years, 77 (50.7%) were aged from 26 and 41 years, 111(73%) were females, 99 (65.1%) were married and 76(50.0% had secondary level of education. Majority of the patients (130, 85.53%) were satisfied with the provider interpersonal skills followed by the physical environment at the OPD (118, 77.63%). However, only 53.29% were satisfied with the waiting and consulting time. The overall satisfaction rate was 73. 68% based on the three domains measured. The results showed a statistically significant association between the overall level of satisfaction and the female gender (X2= 4.67, p = 0.0306) and those with tertiary educational level (X2= 14.48, p= 0.0001) of the patients/caregivers. Conclusion: The level of satisfaction with outpatient HIV services at the UPTH is high. Program managers review of patients’ appointment time and use of electronic consultation tool will reduce the consulting and waiting time and further improve patient’s satisfaction.

scholarly journals COVID-19 Disease in the Paediatric Population: A Cross Sectional Study at the University Teaching Hospital in Port Harcourt, Southern Nigeria

2021 ◽  
pp. 15-20
Author(s):  
L. E. Yaguo-Ide ◽  
G. K. Eke
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Causative Organism ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Corona Virus ◽  
Port Harcourt ◽  
The University

Background: Globally, there has been a destruction of human lives, economies and health systems by the novel corona virus pandemic. Presently there is no known certain cure, although a number of vaccines have been proposed to prevent the corona virus disease 2019 (COVID-19) which was first seen as increasing number of pneumonia cases in Wuhan, China, with severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) as the causative organism. Objectives: To screen paediatric patients for COVID-19 at the University of Port Harcourt Teaching Hospital and to know their pattern of presentation. Materials and Methods: Descriptive cross-sectional study, not controlled, over a period of six weeks, using interviewer administered structured questionnaire which was adapted and used at the Accident and Emergency Department for patients triaging as a COVID-19 Risk assessment tool. No action was required for a score of 0-7, while admission into COVID-19 holding area following review by IDU was recommended for a score 8 ≥17. All children brought into the department, requiring treatment were screened. Results: There were 131 patients, 74 (56.5%) males and 56 (42.7%) females, with a mean age 7.2 ± 5.41 years. Male: Female ratio was 1.3:1. Four children (3%) had a total score of ≥ 8, while half of them (n=2; 50%) tested positive for COVID-19, giving a disease prevalence of 1.5%. Both cases were females; fever and difficulty in breathing were the commonest symptoms. No mortality was recorded. Conclusions: COVID-19 prevalence is low in children, and they have a good outcome. A community-based study is recommended.

scholarly journals Prevalence and Predictors of Use of Herbal Medication for Dermatological Conditions in South-South Nigeria

2021 ◽  
pp. 12-21
Author(s):  
Bolaji I. Otike-Odibi ◽  
Enu Timipre ◽  
Dasetima Altraide
Keyword(s):  
Skin Lesions ◽  
The Body ◽  
Cross Sectional ◽  
Female Ratio ◽  
Dermatology Clinic ◽  
Port Harcourt ◽  
High Prevalence ◽  
The Face ◽  
Cross Sectional Design ◽  
Age Range

Aims:  To assess the prevalence of herbal use and factors that predispose (predictors). dermatology patients to the use of herbal preparations and medications at the Dermatology clinic of University of Port-Harcourt Teaching Hospital (UPTH), Port-Harcourt, Nigeria. Study Design: A descriptive cross sectional design was used. Place and Duration of Study: The Dermatology clinic in UPTH over a four-month period. (September 2020- December 2020). Methodology: Data was collected using an interviewer administered questionnaire designed by the study researchers. It consisted of demographic characteristics, dermatologic history and participant’s awareness, use, duration of use, outcome, side-effects and cost of remedy to herbal medications as well as overall satisfaction. Results: One hundred and seventy patients were recruited for the study over the four-month period. The age range was 1 to 75 years with mean age of 30.8years ±14.9   with a male to female ratio of 1:1.7. There were females 63.5%, with participants being mostly in their third decade 28.2%, single 65.3% with tertiary level of education 64.1%.  Most dermatologic lesions started as rashes 50.6%, itching 48.8% with the hands (48.2%) and the legs (47.6%) being the most affected parts of the body. 85% of participants were aware of herbal use and 37.6% had used them to treat dermatological lesions. Some herbs used include “gbogbonise”, ginger, garlic, paw-paw leaf, lemon, lime moringa and turmeric. Predictors for herbal use were lesions on the face and duration of skin lesions for (1-5 years).    Conclusion: There is a high prevalence of herbal use for dermatologic conditions in this locality with a female preponderance. Healing of dermatological lesions with the herbs was not recorded.  Duration of skin lesion and lesion location on the face were identified predictors of herbal use for dermatologic conditions in this locality. This study is important because it shows that people are interested in herbal treatments and8 are looking for suitable alternatives to medicinal oral and topical therapies.   

scholarly journals Demographics and Referral Pattern of Patients with Glaucoma at a Tertiary Eye Hospital in Port Harcourt, Nigeria

2019 ◽  
pp. 1-7
Author(s):  
Elizabeth A. Awoyesuku ◽  
Ireju O. Chukwuka
Keyword(s):  
Teaching Hospital ◽  
Open Angle Glaucoma ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Referral Pattern ◽  
Chi Square ◽  
Cross Sectional ◽  
Port Harcourt ◽  
Advanced Glaucoma ◽  
The Difference

Aims:  To assess the demographic characteristics and referral pattern of patients with glaucoma presenting at the University of Port Harcourt Teaching Hospital. Study Design: A hospital-based cross- sectional study. Place and Duration of Study: The Ophthalmology department, University of Port Harcourt Teaching Hospital between November 2018 and January 2019. Methodology: Ninety-four (94) consenting consecutive Primary open angle glaucoma (POAG) patients above 18 years attending the glaucoma clinic of the Ophthalmology department of the hospital were recruited. All patients had a comprehensive eye examination and were diagnosed as POAG patients and were receiving treatment. Patients with secondary glaucoma were excluded from the study. A questionnaire was used to retrieve information on sources of referral, and distance travelled to assess care. Data analysis employed the Epi Info Version 7.1.4. Significant differences in the comparison of means were determined by independent t-test while the difference in proportions was determined using Chi square statistics. Statistical significance was set at p=.05 Results: A total of 94 glaucoma patients on treatment at our facility were involved in the study. Mean age was 48.49±11.46years. Age range was 25-78years with M: F ratio =1.6:1. 36.2% had secondary education. Majority of referrals (36.3%) were by fellow patients, and most patients (42.6%) travelled less than an hour to access care. 68.1% had prior awareness of glaucoma before visit to clinic. Majority of patients had advanced glaucoma (45.7%) at presentation. Conclusion: A large proportion of POAG patients presenting in our facility had advanced glaucoma and most referrals were from patients already accessing care and media. Advocacy to improve awareness and prompt referral of affected patients will help to reduce the problems associated with glaucoma in our environment

scholarly journals Patients and relatives as auditors of safe practices in oncology and hematology day hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Isabel Rodrigo Rincón ◽  
Isabel Irigoyen Aristorena ◽  
Belén Tirapu León ◽  
Nicolás Zaballos Barcala ◽  
Maite Sarobe Carricas ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Tertiary Hospital ◽  
Patient Identification ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Younger Age ◽  
Day Hospitals ◽  
Cross Sectional Design ◽  
Safe Practices

Abstract Background When there is a gap in professionals’ adherence to safe practices during cancer treatment, the consequences can be serious. Identifying these gaps in order to enable improvements in patient safety can be a challenge. This study aimed to assess if cancer patients and their relatives can be given the skills to audit reliably four safe practices, and to explore whether they are willing to play this new role. Methods We recruited 136 participants in 2018, from the oncology and haematology day hospital of a tertiary hospital in Spain. Patient identification, hand hygiene, blood or chemotherapy identification, and side effects related to transfusion and chemotherapy, were the safe practices selected for evaluation. The study comprised two parts: an interventional educational program and a cross-sectional design to collect data and assess to what degree participants are able and willing to be auditors depending on their characteristics using multivariate logistic regression models. A participant’s auditing skill were assessed pre and post the educational intervention. Results The model was seeking predictors of being a good auditor. 63 participants (46.3%) were classified as good auditors after the training. To have younger age, higher educational level and to have had an experience of an adverse event were associated with a higher probability of being a good auditor. Additionally, 106 (77.9%) participants said that they would like to audit anonymously the professionals’ compliance of at least three of four safe practices. The willingness to audit safe practices differed depending on the safe practice but these differences did not reach statistical significance. Conclusions The data gathered by patients and relatives acting as auditors can provide healthcare organizations with valuable information about safety and quality of care that is not accessible otherwise. This new role provides an innovative way to engage patients and their families’ in healthcare safety where other methods have not had success. The paper sets out the methods that healthcare organizations need to undertake to enrol and train patients and relatives in an auditor role.

Psychiatric and Social Outcome of Liver Transplantation

1995 ◽  
Vol 166 (4) ◽  
pp. 521-524 ◽  
Author(s):  
Ian Collis ◽  
Andrew Burroughs ◽  
Keith Rolles ◽  
Geoffrey Lloyd
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
Nottingham Health Profile ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Medical Patients ◽  
Post Transplantation ◽  
Tertiary Referral Centre ◽  
Cross Sectional

BackgroundThis study measures psychiatric morbidity, quality of life, and cognitive function after liver transplantation.MethodWe undertook a cross-sectional study, with a longitudinal subgroup. The setting was a tertiary referral centre for liver transplantation. The subjects were 30 post-liver-transplantation patients, including 11 also interviewed before the operation. The main outcome measures were the Clinical Interview Schedule (CIS), the General Health Questionnaire (GHQ), the Nottingham Health Profile (NHP), and the Mini-Mental State Examination (MMSE).ResultsOf the patients, 8/30 were CIS cases, and 7/30 were GHQ cases. NHP scores were higher than a previous postal study indicated, with less impairment after than before transplant. MMSE scores were 24–30. Median GHQ was 7.0 before operation and 1.0 after operation (P = 0.03), with no significant change in CIS score.ConclusionLiver transplantation improves quality of life, but not to the level of the general population; post-transplantation patients have a prevalence of psychiatric morbidity comparable with that of general medical patients.

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