ISSN 2756-3332
Review
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 378-385, September, 2015. © International Scholars Journals
Review
A study on the awareness and perception of Bahraini adult sickle cell patients towards the preventive measures of sickle cell crisis
*Nabeel A'ala Mushaiama, Mohammed B. Ebrahim and Sayeed Haddad
Department of Midwifery, Faculty of Health Sciences, Arabian Gulf University, Manama, Bahrain.
*Corresponding author. Email: [email protected]
Accepted 17 August, 2015
Abstract
Sickle cell crisis is preventable most of the times. However, in Bahrain sickling crisis is the most complained and cause of hospital admission. No data is available regarding the extent of knowledge and attitudes towards the sickling crisis’s preventive measures the adult Bahraini sickle cell patients have. The purpose of this paper is to explore the extent of knowledge and attitude of Bahraini adult sickle cell patients towards the preventive measures of sickle cell crisis. The objective is to establish baseline data and to utilize the findings in designing awareness programs that would assist the sickle cell patients to prevent the sickling crisis. A convenient sample of 84 Bahraini adult sickle cell patients achieved. Structured interview approach was used to assess the subjects©knowledge and attitudes toward the preventives measures of sickle cell crisis. The results indicated that the sample was moderately knowledgeable about the sickling preventive measures (Mean of Knowledge score = 55%) and moderately compliant (Mean of Attitudes score = 63%). The subjects© knowledge (about the preventive measures) was found to be moderately and positively correlated (r = 0.57, r2 = 0.32, p = 0.000) with their attitudes toward crisis prevention. Designing awareness programs regarding the preventive measures of sickle cell crisis is an evident need for these patients.
Key words: Sickle cell disease (SCD), sickle cell trait (SCT), sickle cell disease crisis, sickling crisis, Vaso-occlusion crisis (VOC), knowledge, attitude, preventive measures of crisis.
*Nabeel A'ala Mushaiama, Mohammed B. Ebrahim and Sayeed Haddad
Page: 378 - 385
https://doi.org/10.46882/AJNM/1033Review
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 357-362, September, 2015. © International Scholars Journals
Review
Redefining the healthcare system, the clinical nurse specialist and implementation challenges in Nigeria
*Obijorfor Clearance, Tarigona Clever and Omojuwa Desmond
Department of Nursing Science, Faculty of Medical Sciences, Olabisi Onabanjo University, Ago Iwoye, Nigeria.
*Correspondent author E-mail: [email protected]
Accepted 1 August 2015
Abstract
Clinical nurse specialist (CNS) is an advanced practice whose care focuses on a specific patient population. They specialize in certain type of disease such as diabetes; cardiovascular disease e.t.c. can work in many different medical environments such as operating room, emergency room or critical care and focus on a variety of procedures such as surgical or clinical. CNS daily routine includes: clinical practice, teaching, research, consulting and management. They faces many challenges in practice such as implementing scientific findings to ambiguity of roles, reimbursement and billing problems as well as barriers to title protection. Clinical nurse specialist starts from North America within the acute care setting but subsequently expanded to other areas. In Nigeria clinical nurse specialist practice is yet to be adopted, no single University is offering the programme that lead to becoming clinical nurse specialist as at the moment in the country. The challenges of implementing CNS in the country include, lack of policies that will back the programmed, monopoly of the health system by Doctors who are at the helm of affairs in the system and decide what goes to who and when. The CNS will augment Doctors especially in rural communities where there are no Doctors and helps reduce cost and patient waiting time in the hospital if implemented in the country.
Key words: Clinical, nurse, specialist, implementation, challenges, Nigeria.
*Obijorfor Clearance, Tarigona Clever and Omojuwa Desmond
Page: 357 - 362
https://doi.org/10.46882/AJNM/1060Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (6), pp. 290-294, August, 2015. © International Scholars Journals
Full Length Research Paper
Assessment of the medical history of sickle-cell patients treated in the University of Nigeria Teaching Hospital, Enugu, Nigeria
*E. J kolawole, Emeka B. Anny, Egbo E. Benson and Ugochukwu G. N
Department of Medical Rehabilitation, Faculty of Health Sciences, Benson Idahosa University, Benin City, Nigeria.
*Corresponding Author. E-mail: [email protected]
Accepted 15 July, 2015
Abstract
Sickle cell anemia is a progressive hemoglobinopathy producing chronic hemolytic anemia, microvascular thrombosis, ischemic pain, tissue infarction, decreased quality of life, shortened life expectancy. The study evaluated health profiles of sickle-cell anaemia (SCA) patients. This simple random cross-sectional survey sampled 68 subjects undertaking treatment at the Sickle-Cell Clinic, University of Nigeria Teaching Hospital, Ituku-Ozalla between January to December, 2010; using an adapted and modified questionnaire which also used Visual Analogue scale to assess the pain levels. After which, data collected were analysed decriptively. 30(44%) and 38(56%) subjects were males and females respectively. 13(19.0%) SCD patients within <1-5years were most frequently treated and 2(2.9%) of 31-35 & >45years-the least. Prevalence of pain occurred among the entire 68 SCA patients. Pain provocative factors include Stress 53 (77.9%), Sitting 4(5.9%), and cold 2 (2.9%). 62 (91.2%) respondents reported direct proportional relationship between pain and Activities of Daily Living; with complications in all patients. Experts’ management involved 68(100%) haematologist and 9 (13.2%) physiotherapists. Patients’ percception of pain relief recorded 61(89.7%) temporal; anger and depression respectively recorded 1 (1.5%) post-treatment; and non in 5 (7.4%). Conclusively, pain perception was an important psychologic and therapeutics factor for the patients wellbeing post-treatment. However, SCA patients’ pain management required qualitative and clinical evidence-based multiagency healthcare services approach especially physiotherapy.
Keywords: Profiles, pain perceptions, management, sickle-cell patients, multiagency healthcare approach, Southeast and Nigeria.
*E. J kolawole, Egbo E. Benson and Ugochukwu G. N, Emeka B. Anny
Page: 290 - 294
https://doi.org/10.46882/AJNM/1066Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (5), pp. 149-155, May, 2015. © International Scholars Journals
Full Length Research Paper
An exploratory study of mental health service of families and persons with psychological health issues in the Niger Delta region, Nigeria
*Habu B. Duara, Diepreye G. Sylva and Timipre C. Binabo
Department of Mental Health/Psychiatric Nursing, Faculty of Nursing, University of Ibadan, Ibadan, Nigeria.
Accepted 20 April, 2015
Abstract
Despite having appropriate mental health policies, mental health services are excluded from Nigeria’s primary health care approach. This study explored the pathways to mental health service of families and persons with mental health issues in the Niger Delta region, to enable effective planning of programs to reduce the gap experienced in accessing care and support. Participants were 50 service users (30 family caregivers, 20 persons living with mental health issues) attending the outpatient clinic at the neuropsychiatric Rumuigbo Hospital, Port Harcourt, Rivers State. Semi-structured interviews obtained demographic details and information about three domains: first place visited for treatment, reasons for that choice, and factors that influenced decision to visit the Rumuigbo clinic. 20% had poor knowledge of mental health services, 64% were advised by friends and close relatives to visit the clinic, 20% were referred by a religious healer and 16% by general physicians. People who consulted general practitioners made use of mental health service earlier than those who consulted religious and traditional healers. Policies are needed to support collaborations with religious/traditional healers to educate them about benefits of prompt mental health care, their role in being referral point to appropriate services, as well as a rehabilitative and support network.
Keywords: Help-seeking, mental health services, mental disorders, care pathway, spiritual/traditional healers.
*Habu B. Duara, Diepreye G. Sylva and Timipre C. Binabo
Page: 149 - 155
https://doi.org/10.46882/AJNM/1058Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (6), pp. 282-289, August, 2015. © International Scholars Journals
Full Length Research Paper
Mothers' awareness of their children's needs during illness at Al-Mosheir hospital in Sakaka city, Saudi Arabia
*1Mohamoud E. Alexandria, Yasser M. Idris2, Mohammed Arafat2 and Zaki J. Fathy1
1Department of Tropical Hygiene and Public Health, Sinai University, Cairo, Egypt.
2Department of Pediatric Nursing, Al-Azhar University, Cairo, Egypt.
*Corresponding Author. E-mail: [email protected]
Accepted 23 July, 2015
Abstract
A large number of children suffering from pneumonia fail to reach health facilities well in the appropriate time because their mothers fail to recognize seriousness of their illness. Early recognition of symptoms of pneumonia by mothers and their participation in effective case management of pneumonia may reduce childhood mortality. This study assesses mothers' learning needs regarding pneumonia among children less than five years. A descriptive study were conducted on 160 mothers with their children under five years of age attending Al-Mosheir hospital in Sakaka city, Saudi Arabia. Data was collected using interview questionnaire covering Sociodemographic criteria of the mothers and multiple questions that cover mothers knowledge and perception about pneumonia. It was found that more than half (51.1%) of mothers who had children suffer from pneumonia their age were between 20-29 years. 75% of mothers have good level of knowledge and (94.1%) of their children have got pneumonia, as well as (64.3%) of mothers have fair level of perception and (97.1%) of their children have got pneumonia. There was a significant association between level of mothers' knowledge, perception and occurrence of pneumonia among their children this study concluded that mothers have good knowledge and fair perception regarding pneumonia among their children attending hospital. In spite of this, the recurrence of pneumonia among children was noticeable especially with young age mothers.
Keywords: Pneumonia, mother's learning needs, Saudi Arabia.
*Mohamoud E. Alexandria, Yasser M. Idris, Mohammed Arafat and Zaki J. Fathy
Page: 282 - 289
https://doi.org/10.46882/AJNM/1049Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (6), pp. 187-193, June, 2015. © International Scholars Journals
Full Length Research Paper
The prevalence of pregnancy-specific anxiety across the three trimesters of pregnancy, postnatal period and its relationship with labour outcomes
*1Rakesh Madhuri, Nita Jinnah2, Muhammed Abdullah and Mukesh Mistry2
1Department of Maternal and Child Health Nursing, School of Nursing, University of Mumbai, Mumbai, India.
2Department of Maternal and Child Health Nursing College of Nursing, University of Delhi, New Delhi, India.
E-mail: [email protected]
Accepted 18 May, 2015
Abstract
Pregnancy-specific anxiety is a key predictor of unfavorable labour outcomes; very few studies have explored pregnancy-specific anxiety as opposed to general anxiety. To determine the prevalence of pregnancy-specific anxiety across the three trimesters of pregnancy and postnatal period and to relate anxiety with labour outcomes. With ethical approval, a prospective cohort study was conducted among 500 low risk pregnant women of 18-35 years, in Kerala-India from 2004 - 2005. Anxiety measured using State Trait Anxiety Inventory and Pregnancy-Specific Anxiety Inventory and labour outcomes noted. A U-pattern display of pregnancy specific anxiety was reported across trimesters of pregnancy with highest anxiety among nulliparous childbearing women (M=134.40). Unfavorable labour outcomes such as prolonged labour, preterm labour, low birth weight and unplanned caesarean sections were associated with high pregnancy - specific anxiety. The findings suggest that pregnancy anxiety is a core predictor of many adverse labour outcomes. A routine screening of pregnancy anxiety needs to be integrated into prenatal care. Specific interventions to minimize adverse labour outcomes could be a future research area.
Keywords: Prenatal care; anxiety; depression; pregnancy outcome; pregnancy anxiety
*Rakesh Madhuri, Nita Jinnah, Muhammed Abdullah and Mukesh Mistry
Page: 187 - 193
https://doi.org/10.46882/AJNM/1037