African Journal of Nursing and Midwifery

ISSN 2756-3332

Table of Contents 2019

Research Article

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 7 (1), pp. 001-004, January, 2019. © International Scholars Journals

Full Length Research Paper

The health and well-being of people with a previous diagnosis of cancer: A record-linkage study in Scotland

Josie M. M. Evans1*, Iain A. Atherton2, Chris Dibben3 and Gill Hubbard4

1School of Nursing, Midwifery and Health, University of Stirling, Stirling, FK9 4LA, United Kingdom.

2School of Nursing, Midwifery and Health, University of Stirling (Highland Campus), Inverness  IV2 3JH, United Kingdom.

3School of Geography and Geosciences, University of St. Andrews, Irvine Building, North Street, St Andrews, KY16 9AL, United Kingdom.

4Cancer Care Research Centre, School of Nursing, Midwifery and Health, University of Stirling, Stirling, FK9 4LA, United Kingdom.

Accepted 24 October, 2018

Abstract

Routinely collected health care data (the Scottish Cancer Registry) were record-linked to representative survey data on health and health behaviours (the Government-funded Scottish Health Survey) to compare the health and well-being of cancer survivors in Scotland with people who had never had cancer; a methodological approach which has been under-utilised. After adjusting for age, sex and occupational classification, people with a previous diagnosis of cancer (even > 6 years previously) (n = were more likely to have poorer self-assessed health, reduced activity and psychological morbidity than people who had never had cancer (n = 25,631).

Key words: Cancer survivors, record-linkage, routine datasets, health and well-being.

Chris Dibben and Gill Hubbard, Iain A. Atherton, Josie M. M. Evans*

Page: 1 - 4

https://doi.org/10.46882/AJNM/1120

Table of Contents 2018

Research Article

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 6 (4), pp. 772-780, April, 2018. © International Scholars Journals

Full Length Research Paper

Assessment of the nutritional status among under-five children in Evbuotubu community Egor Local Government Area, Edo State

*Ehwarieme T.A1, Ogbogu C.J2, Mbadugha Chisom2 and Obiekwu Adaobi L2

1Department of Nursing Science, School of Basic Medical Sciences, University of Benin, Benin city, Edo state, Nigeria.

2Department of Nursing sciences, Faculty of Health Science and Technology, University of Nigeria, Enugu Campus.

*corresponding author: E-mail: [email protected] Tel. 08060696870

Accepted 09 April, 2018

Abstract

Malnutrition is among the leading cause of deaths in children below age five in the developing countries. For MDG goal to be met, under-five malnutrition is to be reduced to the barest minimum if not eradicated. This is aim at assessing the nutritional status among under -five children in Evbuotubu Community Egor Local Government Area, Edo State. A descriptive cross sectional survey design was used in a sample size of 272 mothers with 544 under-five children. Questionnaire, observational checklist and instrument for anthropometric measurement were used to collect data using convenient sampling technique. Data collected were analyse using descriptive statistics, hypothesis were tested using chi-square at 0.05 significant level. Result show that 196(36.1%) of the children were underweight with 250(46.0%) of them been stunted and 138(25.4%) wasted, out of 36.1% underweight children, 112(20.6%) were boys and 84(15.4%) girls. In addition, of the 25.4% wasted 72 (13.2%) boys and 66(12.1%) were girls. Also mother’s level of education was a significant predictor for weight-for-age (p=0.042 AOR: 2.300, 95% CI: 1.032 – 5.127), and mother’s age for being a strong predictor for child wasting with p= 0.012 AOR: 3.462, 95% CI: 1.313 – 9.131). To improve nutritional status of under-five children, education of the mothers/care givers should be made compulsory. Information on good nutritional practices should be provided by health worker at all level of health care. Government should provide at least one square meal which is fortified with adequate nutrient for all under-five children.

Keywords: Maternal knowledge, nutritional status, underweight, under five children. 

*Ehwarieme T.A, Mbadugha Chisom and Obiekwu Adaobi L, Ogbogu C.J

Page: 772 - 780

https://doi.org/10.46882/AJNM/1119

Research Article

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 6 (3), pp. 762-767, March, 2018. © International Scholars Journals

Full Length Research Paper

Assessment of vulvovaginal candidiasis during pregnancy in Enugu State, Nigeria

Chinwe Onuora1, Ojike Ndibe1 and Obi Nzeribe2

1Department of Nursing, College of Medicine and Health Sciences, Abia State University, Uturu, Abia, Nigeria.

 2Department of Nursing Science, Faculty of Health Science, Imo State University, Owerri, Nigeria.

Corresponding author's E-mail: [email protected]

 Accepted  22 July, 2013

Abstract

Vulvovaginal candidiasis (VVC) is a common condition, and an estimated 75 % of all women experience an infection with CANDIDA yeast during their lifetime. The study involved 901 pregnant women presenting to a rural hospital for ante-natal care within a period of ten months. Those with abnormal vaginal discharge or pruritus were screened for VVC. Those with symptomatic diagnosis of VVC were recruited for the cohort study after appropriate counseling and obtaining informed consent. Culture of high vaginal swab (HVS) and urinalysis were performed. Treatment of significant cases involved the use of nystatin and clotrimazole vaginal inserts. A total of four treatment groups (n = 157) were employed. Groups 1 and 2 received differently daily normal doses of the agents for 7 days respectively. Groups 3 and 4 received twice daily dosing of both agents for 7 days. In each case, the symptomatic response and re-culture of the HVS were repeated after treatment. Pharmacoeconomics of the two drugs was evaluated for the ten months period of the study and the prevalence of the VVC finally deduced. The result showed that the pregnant women had non-complicated VVC. Treatment outcome was generally the same with both nystatin and clotrimazole which invariably showed the same efficacy. In the first two groups, 72 % of those treated with once daily dosing of nystatin had their symptoms resolved within one week and 75 % achieved symptom resolution with clotrimazole during the same period. Some 96 % and 97 % of repeat culture of HVS for those that received twice daily dosing of the nystatin and clotrimazole had negative cultures respectively. The pharmacoeconomics of both agents reveal a remarkable difference in that a week treatment (once daily dosing) of nystatin costs ninety-one naira (N91. 00) which is less than $1 and clotrimazole for the same duration costs one hundred and sixty-eight naira (N168.00) which is $1.5. Going by cost minimization since both agents have similar outcomes, nystatin will naturally be selected. In the face of scarce resources, the costs and outcome analyses are valuable in therapeutic decisions.

Keywords: Vulvovaginal candidiasis; Prevalence; Pregnant women; Ante-natal; Nigeria.

Ojike Ndibe and Obi Nzeribe, Chinwe Onuora

Page: 762 - 767

https://doi.org/10.46882/AJNM/1115

Review

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 6 (2), pp. 748-755, February, 2018. © International Scholars Journals

Review

Combating the menace of childhood immunization noncompliance among nursing mothers in Nigeria

*Duro Adebayo1, Lola Afolabi2 and Kemi Rotimi2

1Department of Nursing and Midwifery, Faculty of Medicine, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.

2Department of Nursing, Faculty of Basic Medical Sciences, Olabisi Onabanjo University, Ijebu ode, Ogun, Nigeria

*Corresponding Author. Email: [email protected]

Accepted 13 January, 2016

Abstract

Vaccine preventable diseases constitute the burden of morbidity and mortality, particularly for children under 5-years in developing countries of the world such as Nigeria. Immunization is one of the most cost-effective public health interventions to date, saving millions of lives and protecting countless children from illness and disability. Numerous researches affirmed that vaccine preventable diseases account for 22% of under-five deaths in Nigeria. And poor knowledge and negative attitude on the part of parents especially the nursing mothers have been responsible for non-vaccination of children. This paper seeks to establish the fact that positive attitude and knowledge of childhood immunization is a major solution in combating the menace of childhood immunization noncompliance among the nursing mothers in Nigeria. Furthermore, the paper is aimed at recommending achievable ways of bridging the gap of health education. And emphasize the need to promotion positive attitude towards childhood immunization among parents especially the nursing mothers. Based on the findings of this study, the knowledge of childhood immunization is not adequate among nursing mothers in Nigeria. This explains the downward trend of childhood immunization compliance since 1990 and leading to skyrocketing death rate of under five children in Nigeria. To promote childhood immunization compliance, good rewards system should be in place to encourage parents whose child/children complete the childhood immunization. Usage of bulk SMS by the health care givers and stake holders as a reminder and medium of information dissemination on childhood immunization should be encouraged and also, collaborative efforts with the community and religious leaders in the area of information dissemination.

Keywords: Nursing mothers, immunization, childhood immunization, positive attitude.

Lola Afolabi and Kemi Rotimi, *Duro Adebayo

Page: 748 - 755

https://doi.org/10.46882/AJNM/1117

Case Report

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 6 (4), pp. 768-771, April, 2018. © International Scholars Journals

Case Report

Diagnostic-therapeutic management of a chronic rheumatic heart disease in pregnancy

Girolamo Giro1, Castro Vito1 and Gava Aldo2

1Department of Obstetrics and Gynecology, Faculty of Medicine and Surgery, University of Bari, Bari, Italy,

2Department of Obstetrics, Faculty of Medicine, University of Palermo, Palermo, Italy.

*Corresponding author E-mail: [email protected]

Accepted 22 April, 2016

Abstract

A 37 year old Asian pregnant woman referred to our outpatients facility at the 31st gestational week with a few days history of asthenia, dyspnea by walking and tachycardia in the early morning by waking up. The objective examination revealed elevated heart rate (80beats/min), arrhythmia and abnormal respiratory rate (20 breaths/min).The urgent haemogram showed hypochromic anaemia (Hb 10.0 g/dL), erithrocytopenia (3.79 x 106/µL) and normal leukocytes (8.06 x 103/µL) . The cardiology evaluation with echocardiography found severe atrial fibrillation, mitral stenosis and pulmonary hypertension associated with severe bi-atrial dilatation. In relation to the patient conditions, an intensive heart monitoring was started. The patient was treated for respiratory distress syndrome prophylaxis (Betametasone 12 mg i.m. x2) and Low Molecular Weight Heparin prophylaxis (Seleparine 6000 UI tid). Initially, there was a successful pharmacological cardioversion, but after some days atrial fibrillation reappeared (150 bpm). At the 33 gestational week, after a multidisciplinary discussion, cesarean section was performed. Five days after delivery the patient developed anaemia, fever, leukocytosis and C-reactive protein increase. Active treatment included haemotransfusion, wide spectrum antibiotics and dicumarolic prophylaxis, and forty days after delivery the patient was successfully discharged with good health conditions.

Keywords: Chronic rheumatic heart disease, mitral stenosis, pulmonary hypertension, atrial fibrillation arrhythmia, pregnancy.

Girolamo Giro, Castro Vito and Gava Aldo

Page: 768 - 771

https://doi.org/10.46882/AJNM/1118

Research Article

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 6 (3), pp. 756-761, March, 2018. © International Scholars Journals

Review

complications caused by nursing care amidst patient’s underlying disease

*Moses Afolabi1, Abdul Oluyole2 and Tunde Alabi2

1Department of Nursing and Midwifery, Faculty of Medicine, Ekiti State University, Ekiti, Nigeria.

2Department of Nursing, School of Clinical Sciences, University of Lagos, Nigeria.

Corresponding author's E-mail: [email protected]

Accepted 09 September, 2016

Abstract

Patients are always at the receiving end of all medical/nursing care, their safety is a rising concern in health care today. People enter the healthcare system trusting that the system will not harm them. However, increasing evidence suggests that this may not always be true. There is an increase in the prevalence of adverse patients’ outcomes which is associated to several factors. Though the goal of every nursing care is to see that patients come out of the disease process without adverse effect but there are cases where this goal is not achieved due to factors ranging from nurses’ malpractices and negligence, lack of team work, long shifts, to understaffing or unfavorable working environment. Most of the causes have been found to be nursing based or health organization based. Attempt is made in this paper to review adverse patient’s outcomes sensitive to nursing care, the causes as well as the roles of nurses to prevent it. Nurses, as the only healthcare providers who are with patients 24 hours a day, 7 days a week, can play important roles in preventing adverse patient outcomes such as patient falls, pressure ulcers, nosocomial infections, and medication error. By being accountable for care provided, quality outcome can be enhanced.

Keywords: Adverse patients’ outcome, Nursing care, Nurses, Cross roads.

*Moses Afolabi, Abdul Oluyole and Tunde Alabi

Page: 756 - 761

https://doi.org/10.46882/AJNM/1116