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Author(s):
Oladimeji Olanrewaju Adedipupo, Lasisi Taiwo Abideen, Adeniregun Kehinde Adesoji.
Page No : 1-14
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The Role of Health Information Managers in Minimizing the Rate of Maternal Mortality among the Women of Childbearing Age in Obafemi Awolowo University Complex, Ile Ife, Nigeria
Abstract
This study focused on the roles of health information professionals in minimizing the rate of maternal mortality among the women of childbearing age. The study assessed the rate of maternal mortality, identified the causes of maternal mortality among the women of childbearing age and assessed the roles of health information management professionals in minimizing the rate of maternal mortality at the Obafemi Awolowo University Teaching Hospital Complex, lle-lfe. Descriptive cross-sectional research design was adopted for this study and a close-ended questionnaire was used to gather information which was administered to 165 respondents and 155 were retrieved for data analysis, giving 93% response rate, cutting across health information managers, nurses and doctors. A proforma was designed to generate data on maternal mortality rate. The data obtained from the respondents were analyzed with the use of descriptive statistics through the aid of IBM SPSS version 21. The findings of this study showed the overall rate of maternal death of 9 maternal deaths per 1000 live births for the period of 2017 to 2021; the study also revealed that sepsis (2.1161), lack of education (1.7806), teenage marriage (1.7548), preeclampsia and eclampsia (1.7355), inadequate facilities and equipment to provide adequate care for pregnant women (1.6645), lack of adequate antenatal care (1.6581) and obstetric hemorrhage are the major causes of maternal mortality among women of childbearing age. The study further revealed that the major roles of health information manager in minimizing maternal mortality rate are provision of data on the rate of maternal mortality in the hospital (1.5677) and providing data on management of maternal health and childbirth (1.4839). The study concluded that lack of adequate facilities and equipment to provide adequate care for pregnant women, poverty, lack of education, lack of family planning, teenage marriage, sepsis, hypertensive diseases are some of the major causes of maternal mortality among women of childbearing age.
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Author(s):
Opeoluwa Oluwatoyin Olabode, Dr. Olayinka Abolore Onasoga.
Page No : 15-25
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Knowledge and Perception Towards the Predisposing Factors to Eclampsia among Pregnant Women Attending the Antenatal Clinic at the University of Ilorin Teaching Hospital, Ilorin Kwara State
Abstract
Introduction: Eclampsia, one of the leading causes of maternal and perinatal morbidity and mortality globally, is one of the most dreaded causes of unfavourable pregnancy outcomes. Pre-eclampsia and eclampsia are thought to be the cause of nearly 63,000 maternal fatalities each year globally. Objective: This study aimed to assess the level of knowledge and perception towards predisposing factors to eclampsia among pregnant women. Materials and methods: This research assessed the level of awareness and perception of eclampsia risk factors among pregnant patients at the University of Ilorin Teaching Hospital and identified factors affecting those perceptions. 110 expectant women were chosen randomly from the research population for this descriptive cross-sectional survey, and the research participants responded to a self-structured questionnaire after informed consent was sought. Results: Data collected were analysed using descriptive and inferential statistics with the level of significance set at 0.05. The majority of the respondents (41.8%) were 21-30 years old, and the majority (88.2%) were married. The study revealed that the majority of pregnant had good knowledge (89.1%) about predisposing factors to eclampsia, but their perception was poor. The findings showed no significant relationship between knowledge and perception towards the predisposing factors towards eclampsia among pregnant women with a p-value (0.319) > 0.05. Conclusion: Although pregnant women attending the antenatal clinic at the University of Ilorin Teaching Hospital have good knowledge towards predisposing factors to eclampsia, their perception is poor.
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Author(s):
Judith Njideka Esievo, Ruth Eseoghene Lawrence.
Page No : 26-34
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Nutritional Assessments of Children Under Five Based on Anthropometric Measurements in Sapele Central Hospital, Delta
Abstract
Child malnutrition Reduction is another SDG related to an improvement in child welfare. National data on underweight provided under NFHS-3 (National Family Health Survey) (2005-06) revealed an underweight prevalence rate of around 40%. This cross-sectional study was conducted in Central Hospital Sapele during the month of December 2022 among children under five years of age. WHO guidelines for anthropometric measurement and nutritional status categorisation among children were used. A total of 52 children participated in the study. About 80.8% of study participants were found not to show muscle wasting as their nutritional status while taking the Composite Index of Anthropometric Failure for nutritional status into consideration. Nearly 71.2% of the participants were well nourished. The composite anthropometric index determines the prevalence or percentage of well-nourished children who receive vaccinations at Central Hospital Sapele. So, nurses are to encourage mothers whose children are within the border lines and below normal to top up their games to ensure that their children are well-fed through health talks, food demonstrations, and awareness programs.
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Author(s):
Abwalaba Roselyne, Okoth John, Esamai Fabian.
Page No : 35-45
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Exploring the Association of Sociodemographic Factors with Musculoskeletal Pain among Children with Sickle Cell Disease
Abstract
Musculoskeletal pain is the most common manifestation among children with Sickle Cell Disease. Objective: This study aimed at evaluating the relationship between sociodemographic characteristics and musculoskeletal pain among children with sickle cell disease. Methodology: This was a cross-sectional analytical design. Results: Majority of participants were 9 years and above (55.1%) and females (55.7%). Most participants belonged to the upper class (64.8%), identified as Christians (80.7%), and resided in rural areas (75.6%). Descriptive analysis revealed that musculoskeletal pain was present in both mild and moderate forms. Inferential analysis showed no significant associations between sociodemographic characteristics (age groups, gender, class, religion, residence, parental marital status, parental socioeconomic status, number of family members and musculoskeletal pain severity among children with sickle cell disease (p > 0.05). Conclusion: Sociodemographic characteristics may not significantly influence musculoskeletal pain severity among children with sickle cell disease.
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Author(s):
Rachel Omolara Aina, Christiana Adetoun Owopetu, Iyabo Yewande Ademuyiwa.
Page No : 46-55
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Psychological Distress of Infertility and Assisted Reproductive Technology: Psychosocial Management Modalities of Clients
Abstract
Infertility is the inability of couples to achieve pregnancy within one year of regular unprotected sexual intercourse. It affects around 8 to 12% of reproductive-aged couples globally, with one-third of cases caused by male issues, one-third by female issues, and one-third by a combination of both or unknown factors. Several treatment options abound and the couple may need to be managed through Assisted Reproductive Technology (ART). Infertile couples often experience psychological distress in the form of stress, anxiety and depression with a diagnosis and treatment with ART. It is therefore important to provide psychosocial support and appropriate coping strategies during infertility treatment, as couples may lack information and strategies to deal with the psychological impact. These are actions that address both the psychological and social needs of the couple. Though very important, there is limited research on the efficacy of psychological interventions for couples undergoing assisted reproductive technology (ART) treatment, particularly in Africa.
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Author(s):
Grace Daniel, Eunice Ari, Cletus Okpe, Emmanuel Oyedele, Abraham Ajayi, Grace Onyejekwe.
Page No : 56-73
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Developing the Promotion of Respectful Maternity Care Strategies for Midwives in Jos, an Intervention Mapping Approach
Abstract
This study aimed to describe the development of strategies to promote respectful maternity care strategies for midwives in Jos, Nigeria. An Intervention Mapping approach was used to develop intervention strategies specifically tailored to midwives. This approach entailed conducting semi-structured interviews with 10 midwives and 13 women. Interviews were transcribed and analyzed using NVIVO software version 10. A logic model of the problem of disrespectful maternity care was developed from the needs assessment carried out in step one. Step two was to formulate health-enhancing outcomes and performance objectives for the intervention, while in step three theory-based methods and practical strategies for the intervention were identified. This study demonstrates that promoting respectful maternity care among midwives needs addressing from different angles. There is a need for individual behavioural changes as well as organizational, attitudinal, and management changes.
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Author(s):
Felicia Oluwafisayomi Olowu, Patience Ofuoma Amoo, Rahmat Aderayo Oyekale, Damilola Rhoda Okunola, Victoria Agboola, Oluwadamilare Akingbade, Okikiola Possible Popoola.
Page No : 74-85
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Awareness and Perceived Benefit of Sexuality Education among Adolescents in Selected Secondary Schools in Ile-Ife
Abstract
Little is known about the perception of adolescents on sexuality education and its benefits in Nigeria. This study aimed at assessing the adolescents’ awareness and perceived benefit of sexuality education. A descriptive research design and multistage sampling technique were used to select 200 adolescents across selected secondary schools. Hypothesis testing was conducted using Chi-Square at a 0.05 level of significance. High awareness of sexuality education was found among 87.1% of the respondents. The majority of the respondents had a good perception of sexuality education and its benefits. More studies are needed to test the effectiveness of such interventions among this population.
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Author(s):
Ayanleke Biliaminu, Dr. Anokwuru Rafiat.
Page No : 86-96
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Quality of Life of Psychoactive Substance Abusers: An Integrated Review and Bibliometric Analysis (2018–2021)
Abstract
Quality of life is related to one of the basic human desires, which is to live well and feel good. The scope of this study was to evaluate the quality of life of psychoactive substance users. Eleven (11) databases were searched for information sources published between 2018 and 2021 that are prospectively linked to quality of life and psychoactive substance users, using longitudinal data and predictive models. The searches yielded 102 sources, out of which seven (7) sources were retained after a thorough review of titles and abstracts for their conceptual and methodological relevance to the full-text review. Overall, this review illustrates the evidence exploring the direct effect of psychoactive substance users on quality of life and identifies seven (7) studies whose outcomes were the same effect of psychoactive substance use and quality of life, of which six studies found a significant relationship between quality of life and psychoactive substance use. One study suggested that there is worse quality of life among psychoactive substance users with low scores in SF-36 (Item Short-Form Health Survey) and poor health status considered. Remarkable evidence was available; hence, evidence is sufficient to draw the conclusion that there is no good quality of life for psychoactive substance users. In conclusion, factors that were found to be associated with use of psychoactive substances among the users were parents not living together and fathers' use of psychoactive substances, educational status, occupation, environmental factor, physical factor, psychological factor, emotional factor and socio economic status. Current research provides a true understanding of the relationship between quality of life and psychoactive substance users but a research study is needed to provide treatment and rehabilitation management of such diagnosed psychoactive substance users.
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Author(s):
Olanrewaju Augustine Idowu, Awosemo Oluwabusayo Aanuoluwapo, Oluwaseun Modupe Idowu-Olutola, Adetoun Oyekunle.
Page No : 97-107
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Prevalence, Knowledge, and Preventive Practices of Surgical Site Infection among Nurses in Selected Hospitals in Owo, Ondo State, Nigeria
Abstract
Surgical site infection (SSI) is a burden to the patient and family as it extends the number of days spent in the ward post-surgery. This study assessed the perception of factors associated with surgical site infection among nurses in selected hospitals in Ondo State, Nigeria. A cross-sectional design was utilized for the study. A simple random sampling technique was used to select 100 respondents for the study. Data was collected using a self-constructed questionnaire. Data obtained were analyzed with descriptive and inferential statistics using SPSS version 22. Results were summarized using frequency tables and charts. Results showed that the prevalence of surgical site infection among postoperative patients was 47%, with approximately 20% mortality rate. Also, the study showed that 88% of the respondents have high knowledge of SSI. Preventive practices adopted against SSI among respondents were: skin preparation using alcohol (76%), hand washing before wound care (92%), aseptic technique (80%), assessment of surgical site (89%), antibiotics usage (89%) and use of surgical mask (98%); overall, 97% of the respondents showed good level of preventive practice. The study showed a significant relationship between knowledge and preventive practice of SSI among respondents (X2= 20.20, df=4, p < 0.05). Also, there was a significant relationship between the duration of surgery and SSI among postoperative patients (X2 = 18.21, df=3, p < 0.05). The study concludes that SSI is well known among the respondents. However, the identified factors seem to contribute to the increase in SSI among the patients the respondents cared for.
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Author(s):
Abigail Konadu Aboagye, Ernest Kay Bakpa, Joyce Debrah-Amofah.
Page No : 108-131
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Amidst Covid-19 Scare: How About Addressing Effective Risk Communication, Social Media Usage, and Nursing Performance?
Abstract
The study assessed the effect of effective risk communication on nursing performance while evaluating the moderating role of social media usage on the risk communication-performance relationship. The study was cross-sectional. Three purposefully selected public hospitals' 371 nurses in Ghana were surveyed online. The findings revealed that effective risk communication positively influenced nursing performance. An analysis of social media usage as a moderator revealed that the use of social media positively moderated the risk communication-performance relationship. The study adds to the literature on nursing performance modeling by introducing novel antecedents to improve nursing performance. It offers nursing managers knowledge on alternative ways to improve nurses’ performance. It provides nurses and nursing managers with insight into the positive effects of incorporating social media usage into their daily routine to improve the dissemination of risk information, as well as nursing performance.
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Author(s):
Adebiyi Joseph Adekunle, Ugbodume Anthonia Domero.
Page No : 132-148
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Knowledge and Practice of Prevention of Anaemia in Pregnancy Among Women Attending Antenatal Clinic at Olabisi Onabanjo University Teaching Hospital, Ogun State
Abstract
Anaemia in pregnancy is a significant public health concern and is common among pregnant women and children. The study examined the knowledge of anaemia in pregnancy and preventive practices among pregnant women attending antenatal clinic at Olabisi Onabanjo University Teaching Hospital Sagamu. This study adopted descriptive survey design and 150, sample size was calculated. The same number of questionnaire was distributed following an informed consent. The data for the study were analyzed using descriptive statistics such as frequency/percentages and inferential statistics such as correlation analysis. The findings revealed that there is a significant relationship between the level of knowledge and practice of prevention of anaemia in pregnancy by the pregnant women at p-value of 0.000 which is significant at 5%. Also, the study revealed that there is a significant relationship between the perceived causes of anaemia in pregnancy and its preventive practices among the pregnant women attending antenatal clinic at Olabisi Onabanjo University Teaching Hospital Sagamu at p-value of 0.000 which is significant at 5% level. The implication of this is that the level of knowledge and practice of prevention of anaemia in pregnancy by pregnant women has influence on pregnant women attending antenatal clinic at Olabisi Onabanjo University Teaching Hospital Sagamu especially those affected by the menace. In conclusion, it was clear that anaemia in pregnancy is prevalent in Nigeria contemporary society whose quick prevention should be taken into prompt consideration. It is however recommended that the government should employ more public health nurses in order to ensure at least a visit to help increase the knowledge of pregnant women on anaemia in pregnancy and lay more emphasis on the preventive practices.
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Author(s):
Adebiyi Joseph Adekunle, Oamen Grace Eboseremen.
Page No : 149-171
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Knowledge, Attitude and Practice of Testicular Self-Examination Among Male Undergraduate Students of Computing and Engineering Sciences in Babcock University, Ilishan-Remo, Ogun State
Abstract
Testicular cancer is the most common cancer among young men and early detection improves its prognosis. Meanwhile, testicular self-examination (TSE) is a secondary prevention measure that is easy to perform and helps in the early detection of testicular cancer. There are limited studies to report the level of knowledge and practice of testicular self-examination. Therefore, this study is aimed to assess the knowledge, attitude and practice of testicular self-examination among male undergraduate students of Computing and Engineering Sciences in Babcock University, Ilishan Remo, Ogun State. A descriptive cross-sectional research with a sample of 290 undergraduate students was used for the study. The students offering a course in Computer school were purposively selected from the School of Computing and Engineering Sciences, a multistage sampling technique was used and they were stratified based on their educational levels. A simple random sampling technique was used to select the respondents. A self-structured online questionnaire was used for data collection. Ethical clearance to conduct the study was obtained from Babcock University Ethical Review Committee. Permission to conduct the study was sought from the School of Computing and Engineering Sciences in Babcock University and an informed consent form was attached to the questionnaire. Data were analysed using descriptive statistics. Results show that most of the participants (88.3%) were within the ages of 15-20. The majority (54.1%) had good knowledge of TSE, 41.0% had a positive attitude, but only 14.8% had ever practiced TSE and only 11.4 % had ever had their testicles examined by medical personnel. Despite good knowledge of TSE in this study, the findings revealed that knowledge is not commensurate to attitude and practice. This underscores the need to increase the awareness of TC and TSE among young men. Clinical testicular examination and education needs to be incorporated into routine examinations of young males.
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Author(s):
Okoye Chidimma Maria, Ilo Clementine Ifeyinwa.
Page No : 172-184
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Nurses Job Satisfaction, Patients Satisfaction, and Quality of Care in Nnamdi Azikiwe Teaching Hospital Nnewi, Anambra State, Nigeria
Abstract
Nurses are the largest workforce in healthcare facilities, providing 50% - 80% of healthcare services. They play important role in providing quality care to patients, which is important in healthcare. This study determined job satisfaction, patient satisfaction and quality of care of nurses in Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State. A descriptive cross-sectional survey was used. A self-administered questionnaire was used to obtain information from 208 nurses, 138 patients and 36 head nurses using simple randomization technique. A pilot testing was carried out with a reliability index of 0.81. Data analysis was performed using Statistical Software for Social Sciences (SPSS) database version 25. Chi square was used to test the significance hypotheses of p < 0.05.The majority of nurses 82 (39.42%) were between ages 41-50 while most of them, 48 (23.08%) had between 11-15 years of experience. Most of the recruited patients (43.48%) were between the ages of 31-46 years and most respondents were female (52.17%). The results also show that the majority of nurses (55.3%) were dissatisfied with their jobs. 84.8% of the patients were satisfied with the quality of nursing care. According to head nurses reports, nurses provided quality care to patients. Communication and team building, training, leadership and management, salary, work itself, work environment, interpersonal relationship were significantly positively associated with overall job satisfaction. Job satisfaction of nurses in this research area was slightly low. On the other hand, patients are quite satisfied with the level of care. Despite nurses’ job satisfaction, they still provide quality care to patients. It recommended that hospital management and government should consider all components of job satisfaction.