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

Author(s):  
Nsirimobu Ichendu Paul ◽  
Rosemary Ogochukwu Ugwu

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.

2017 ◽  
Vol 19 (2) ◽  
pp. 119-125
Author(s):  
Bernadeth Dwi Wahyunani ◽  
Joko Susilo ◽  
Lastmi Wayansari

  Background: The success of food service at hospitals could be viewed from patient’s satisfaction. Assessing patient’s satisfaction is one effective, less costly and easy way in maintaining the quality of hospital services. Another indicator of hospital food service quality is the plate waste. The large amount of the plate wasteshows patient’s inadequate nutrient intake and economically speaking it shows waste of resources. Objective: The objective of the research was to gain insight into patient’s level of satisfaction, patient’s plate wasteand the correlation betweenpatient’s level of satisfaction toward food service with the plate waste at the VIP ward at PantiRapih Hospital, Yogyakarta. Method: The research was ananalytical cross-sectional one whose respondents were hospitalized patients in VIP ward and were administered a regular diet (n=50). The data of the plate waste was obtained using visual estimation method by a-6 point scale as developed by Comstock. Patient’s satisfaction toward the food services included taste of food, menu variation, cleanliness and perfection on cutlery, tardiness, staff’s appearance and nutrient education. The data was analyzed using chi-square test. Results: 62% of the respondents were female with the average age of 35. 65% of the respondents had good average ofplate waste. The average plate waste was 24.62%. Breakfast had the highest average of plate waste. It was 31.42%. The type of food with the highest average of plate waste was staple food. It was 35.62%. Patient’s level of satisfaction toward food service was 56%. Conclusion: The statistical analysis using chi-square test did not show any correlation between patient’s level of satisfaction toward food service with patient’splate waste at the VIP ward of PantiRapih Hospital, Yogyakarta.   Keywords: plate waste, patient’s satisfaction, Comstock’s visual estimation method, regular diet  


2017 ◽  
Vol 19 (2) ◽  
pp. 119
Author(s):  
Bernadeth Dwi Wahyunani ◽  
Joko Susilo ◽  
Latsmi Wayansari

Background: The success of food service at hospitals could be viewed from patient’s satisfaction. Assessing patient’s satisfaction is one effective, less costly and easy way in maintaining the quality of hospital services. Another indicator of hospital food service quality is the plate waste. The large amount of the plate wasteshows patient’s inadequate nutrient intake and economically speaking it shows waste of resources. Objective: The objective of the research was to gain insight into patient’s level of satisfaction, patient’s plate wasteand the correlation betweenpatient’s level of satisfaction toward food service with the plate waste at the VIP ward at PantiRapih Hospital, Yogyakarta. Method: The research was ananalytical cross-sectional one whose respondents were hospitalized patients in VIP ward and were administered a regular diet (n=50). The data of the plate waste was obtained using visual estimation method by a-6 point scale as developed by Comstock. Patient’s satisfaction toward the food services included taste of food, menu variation, cleanliness and perfection on cutlery, tardiness, staff’s appearance and nutrient education. The data was analyzed using chi-square test. Results: 62% of the respondents were female with the average age of 35. 65% of the respondents had good average ofplate waste. The average plate waste was 24.62%. Breakfast had the highest average of plate waste. It was 31.42%. The type of food with the highest average of plate waste was staple food. It was 35.62%. Patient’s level of satisfaction toward food service was 56%. Conclusion: The statistical analysis using chi-square test did not show any correlation between patient’s level of satisfaction toward food service with patient’splate waste at the VIP ward of PantiRapih Hospital, Yogyakarta.


Author(s):  
A. S. Amaechi ◽  
B. Ordinioha

Background: Floods are a type of natural phenomena, identified as the world most common natural disaster with a major ravaging impact claiming lives, causing property damage, destruction of environment and infrastructure, and increasing health impacts. Port Harcourt Metropolis, the capital of Rivers State was greatly affected by the 2017 flood. Hence this study aims to determine the morbidities experienced during and after the 2017 flood. Materials and Methods: The study was a combination of quantitative and qualitative research for effective triangulation. A cross-sectional study was carried out. Data were collected through self-administered semi-structured questionnaires and key informant interviews. Data was analysed using Microsoft excel for editing, SPSS version 20 for quantitative analysis and Nvivo version 12.0 was used for qualitative analysis. Results: A total of 210 respondents were administered questionnaires but had response rate of 96.67% and a total of 3 key informants were interviewed with a 100% response rate. Amongst these respondents were 44.8% male and 55.2% female, with respondents’ mean age of 35.96±11.15. The frequencies of occurrence of morbidities of the residents and the 2017 flood were analyzed using percentage and chi-square test and the result showed a statistical significance (p < 0.05) between both variables. Conclusion: The findings showed that the morbidities experienced during the flood had higher prevalence than post flood morbidities, but an exception was dark urine. These flood risks and morbidity outcomes can however be controlled through adequate preventive measures and recommendable interventions.


Author(s):  
Elizabeth A. Awoyesuku ◽  
Ireju O. Chukwuka

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


Author(s):  
Briseida Mayel Perez-Avelino ◽  
Nicolás Padilla-Raygoza ◽  
Verónica Benitez-Guerrero ◽  
María Luisa Sánchez Padilla ◽  
Vicente Beltrán-Campos ◽  
...  

Objective: To determine the relationship of the perception of lifestyle with the level of physical activity in people with type 2 diabetes and without type 2 diabetes. Study Design: Analytical cross-sectional observational study in Celaya, Guanajuato, Mexico. Methodology: Sample composed of 100 people with type 2 diabetes and 100 people without type 2 diabetes, the lifestyle questionnaire and IPAQ questionnaire were used. Descriptive statistics were calculated for sociodemographic variables; it was calculated Chi-square test and Odds Ratio.  To demonstrate the statistical significance of results, the value of P was set at .05. Statistical analysis was performed in STATA 13.0 ®. Results: In patients with Type 2 Diabetes predominated females, married, who never went school and elementary and BMI ≥ 25 kg/m2; among patients without Type 2 Diabetes, predominant males, singles, went school or university, BMI ≥25 kg/m2; no relationship was found between lifestyle perception and level of physical activity in adults with type 2 diabetes (X² = 0.0022 gl 1 P = .96) neither it was found a significant relationship between lifestyle perception and level of physical activity in adults without type 2 diabetes (X² = 5.23 gl 1 P = .02 RM = 2.85 95% CI = 0.80 to 10.4). Conclusion: The results show that self-perception of lifestyle and physical activity is different in people with less age, more schooling, males.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yuan Qu ◽  
Jianfeng Yu ◽  
Wei Xia ◽  
Huijuan Cai

Purpose. To analyse the correlation of myopia with physical exercise and sleep habits to explore the possible risk or protective factors of juvenile myopia. Methods. This study was a retrospective cross-sectional study. A total of 1831 students aged 11–18 years from five schools in Qingpu completed questionnaires from 2018 to 2019; the students were divided into the nonmyopia group and the myopia group, with students in the myopia group having myopia in at least one eye. Based on the chi-square test, the variables with statistical significance were selected for the logistic regression analysis. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were determined. Results. Myopia was positively associated with older age (OR = 2.216, 95% CI: 1.720–2.855), having a parent with myopia (father: OR = 2.463, 95% CI: 1.900–3.193; mother: OR = 2.853, 95% CI: 2.232–3.646), and a late bedtime during holidays (before 10 pm: p = 0.002; 10 pm-11 pm: OR = 1.516, 95% CI: 1.095–2.100; 11 pm-12 am: OR = 1.966, 95% CI: 1.383–2.795), but negatively correlated with male gender (OR = 0.693, 95% CI: 0.549–0.876), a late daily wake time (OR = 0.782, 95% CI: 0.621–0.985), and having more days per week of outdoor activities during the semester (OR = 0.764, 95% CI: 0.597–0.978). After adjustment for demographic characteristics, myopia was positively associated with a late bedtime during holidays (before 10 pm: p = 0.003; 10 pm-11 pm: OR = 1.570, 95% CI: 1.076–2.289; 11 pm-12 am: OR = 2.173, 95% CI: 1.451–3.253; after 12 am: OR = 1.786, 95% CI: 1.093–2.919), but negatively correlated with a late daily wake time during the semester (OR = 0.761, 95% CI: 0.581–0.997). Conclusion. The association of outdoor exercise with myopia among Chinese suburban adolescents does not seem to be as strong as that of sleep habits. Future research could seek to provide consistent evidence for a potential association between myopia and sleep habits.


2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Franco Cazembe Mufinda ◽  
Fernando Boinas ◽  
Carla Nunes

ABSTRACT OBJECTIVE The objective of this study is to estimate the seroprevalence of human brucellosis in livestock professionals and analyze the factors associated with brucellosis focusing on sociodemographic variables and the variables of knowledge and practices related to the characteristics of the activities carried out in livestock. METHODS This is a cross-sectional seroepidemiological study with a population of 131 workers of butchers, slaughter rooms, and slaughterhouse and 192 breeders sampled randomly in Namibe province, Angola. The data were obtained from the collection of blood and use of questionnaires. The laboratory tests used were rose bengal and slow agglutination. The questionnaire allowed us to collect sociodemographic information and, specifically on brucellosis, it incorporated questions about knowledge, attitudes, and behaviors of livestock professionals. In addition to the descriptive statistical approach, we used the Chi-square test of independence, Fisher’s test, and logistic regression models, using a significance level of 10%. RESULTS The general weighted prevalence of brucellosis was 15.6% (95%CI 13.61–17.50), being it 5.3% in workers and 16.7% (95%CI 11.39–21.93) in breeders. The statistical significance was observed between human seroprevalence and category (worker and breeder) (p < 0.001) and education level (p = 0.032), start of activity (p = 0079), and service location (p = 0.055). In a multivariate context, the positive factor associated with brucellosis in professionals was the professional category (OR = 3.54; 95%CI 1.57–8.30, related to breeders in relation to workers). CONCLUSIONS Human brucellosis in livestock professionals is prevalent in Namibe province (15.6%), where the professional category was the most important factor. The seroprevalence levels detected are high when compared with those found in similar studies.


2020 ◽  
Vol 44 (3) ◽  
pp. 133-138
Author(s):  
Zvonimir Užarević ◽  
Marko Matijević ◽  
Nikola Matijević ◽  
Vedrana Nikolašević ◽  
Vesnica Mlinarević ◽  
...  

The aim of this study was to evaluate knowledge on pre-hospital emergency management of tooth avulsion among Croatian kindergarten teachers. A cross-sectional study was conducted among 33 educators in kindergarten (average 43.9±9.7 years). The questionnaire contained 10 close-ended questions with two or eleven possible answers. Statistical significance was determined using chi-square test. Majority of participants had no experience with tooth injury among children in kindergarten. Questions about the familiarity with the terms of a knocked-out tooth and tooth replantation and whether the knocked-out tooth should be replanted were confirmatively answered by 90.9%, 57.6% and 63.6% of participants, respectively. Only 9.1% of participants provided the correct answer that replantation should be done within 30 minutes. 78.8% of participants would choose correct medium for cleaning if avulsed tooth got dirty. Tooth would be transported in appropriate medium by 48.5% of participants. Correct answers on both the transport medium and the cleaning of knocked-out tooth were provided by 45.5% participants. 57.6% participants would seek help for replantation by visiting the nearest dentist. None of the participants had ever received any kind of information on management of a knocked-out tooth. The kindergarten teachers have a lack of knowledge for immediate response to tooth avulsion. Every kindergarten teacher should be well informed what should be done if some type of dental injury happens. The official communication between dental professionals and kindergarten teachers should be improved at local and regional level.


Author(s):  
I. N. Ojule ◽  
S. S. Dokubo ◽  
B. C. Ephraim- Emmanuel

Background: Improper work postures have been associated with many detrimental health outcomes including musculoskeletal disorders. Emerging evidence however suggests that some of these health concerns may be lessened by reducing sedentary behaviour at work. Musculoskeletal disorders have been ranked top among the most prevalent health problems relating directly to working conditions. Aim: This study was thus aimed at determining the prevalence of musculoskeletal disorder symptoms and their relationship with work posture among staff of the University of Port Harcourt in Rivers State, Nigeria. Materials and Methods: A descriptive, cross sectional design was used in conducting this study among academic and non-academic staff of the University of Port Harcourt. 256 study participants were involved in this study. They were selected using the multistage sampling technique. A self-administered semi-structured questionnaire was the study instrument. Collected data was transferred to the Microsoft Excel (2016) software for cleaning and coding. The Statistical Package for Social Science was used for analysis of the data. Descriptive and inferential statistics were computed and statistical significance was set at <0.05. Results: Majority 172 (54.3%) of the respondents had experienced musculoskeletal pain that involved the head, neck, back and other regions of their bodies. Also, a statistically significant association was found to exist between work posture and the occurrence of pelvic and perineal pain. Dynamic postures while working was found to offer a protective effect against the occurrence of thoracic and abdominal pain (O.R. = 0.88). Conclusion and Recommendations: Work-related musculoskeletal disorder symptoms were found to be prevalent in this study. The relationship between work postures and the identified symptoms among the staff was also established. It was recommended that health information on alternation between sitting and standing working postures be passed on to staff working in the study area as well as a redesigning of the work-stations of the staff to adopt ergonomic standards necessary for preventing the occurrence of work-related musculoskeletal disorders.


Author(s):  
Gustavo Antonio Raimondi ◽  
Yahn Rezende de Abreu ◽  
Isadora Meirelles Borges ◽  
Gabriel Benjamin Macedo da Silva ◽  
Wallisen Tadashi Hattori ◽  
...  

Abstract Introduction: The Brazilian National Curriculum Guidelines (NCG) for undergraduate courses in Medicine since 2014 have highlighted the need to include gender and sexuality in the medical school curricula, aiming at better care for people. Method: Thus, the objective is to identify and analyze the approach of gender and sexuality in the Curriculum Pedagogical Projects (CPP) of the medical courses of the Federal Institutions of Brazil. This is a cross-sectional study of descriptive and documentary analysis, carried out through the analysis of CPP, of the undergraduate medical courses of the Federal Universities of Brazil. Data were obtained from the website of the undergraduate medical course of each higher education institution. In addition, emails were sent to the coordinators of these courses to obtain the updated CPPs. For the quantitative analysis, an initial description of the sample was performed followed by a statistical analysis using the chi-square test to assess whether or not there was an association between the presence of gender and / or sexuality debate in CPP, with the publication of the 2014 NCG and with the Brazilian geographic region, as well as between the nature of the curricular unit (compulsory or complementary / optional) and the perspective of the approach. The documentary analysis was used for the qualitative analysis with the content analysis technique, through the thematic analysis method. Results: It was found that 48 (69.56%) of the 69 analyzed CPP discuss the topics gender and / or sexuality in one or more subjects offered by the course. There is a predominance of the sexuality topic, of compulsory curricular units (88.32% of 137 curricular units) and an approach beyond the exclusively biological perspective (63.5% of 48 CPPs and 62.04% of curricular units). No statistical significance was evidenced by the chi-square test. Regarding the documentary analysis, two categories were constructed: “gender and sexuality associated with a biological perspective”, “gender and sexuality associated with a predominantly broader perspective or social determinants in health”. It was observed that the first category predominates in curricular units associated with organs, systems or life cycles of the human being, while the second, to social and human sciences applied to health and Primary Health Care. Conclusions: We conclude there is a significant number of CPPs and, consequently, also of curricular units that have a perspective beyond the exclusively biological approach. Nevertheless, there is difficulty with comprehensive health care that may be related to a selective visibility to pathology and technical aspects of medical practice and a difficulty in effectively promoting an interdisciplinary dialogue between the biological, exact and human sciences as proposed by the NCG.


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