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PSYCHO-SOCIAL SUPPORTS AND FAMILY INTEGRATION AS DETERMINANTS OF PALLIATIVE CARE OF TERMINALLY-ILL PATIENTS IN UNIVERSITY COLLEGE HOSPITAL, IBADAN NIGERIA
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PSYCHO-SOCIAL SUPPORTS AND FAMILY INTEGRATION AS DETERMINANTS OF PALLIATIVE CARE OF TERMINALLY-ILL PATIENTS IN UNIVERSITY COLLEGE HOSPITAL, IBADAN NIGERIA
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Page will reload when a filter is selected or excluded.- Medical & Health Sciences 6 results 6
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- Psychosocial supports 3 results 3
- Terminally ill patients 3 results 3
- Health care workers 2 results 2
- Knowledge 2 results 2
- Stroke 2 results 2
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- Adolescent behaviour 1 results 1
- Adolescent friendly health services 1 results 1
- Adolescent health 1 results 1
- Ambulatory cleft lip surgery. 1 results 1
- As most health care systems around the world are undergoing major restructuring, nurses in Nigeria are moving at a slow pace. However, a giant stride was taken and history was made when the first set of nurse consultants were appointed in University College Hospital, Nigeria. The establishment of this groundbreaking post will help develop our health services and provide clear development opportunities for nurses at a time when the success of modernization of our services and implementation of new ways of working relies so heavily on nursing staff. This paper provides an overview of the consultant nurse specialist in clinical practice. Recommendations for successful implementation in Nigeria were provided. 1 results 1
- Attitude Cervical cancer. Educational intervention 1 results 1
- Awareness 1 results 1
- BACKGROUND: Early mobilisation of acute stroke survivors has been associated with fewer deaths and better clinical outcomes. Yet, there are conflicting reports about the knowledge, attitude and practice of early mobilisation among clinicians. We investigated the knowledge, attitude and practice of early mobilization among health care professionals in South-West, Nigeria. MATERIALS AND METHODS: All the 159 health care professionals comprised 68(42.8%) nurses, 45(28.3%) physicians and 46(28.9%) physiotherapists involved in acute stroke care were surveyed using a content-validated questionnaire. Pearson’s Product Moment correlation and ANOVA were used to analyse data at p < 0.05. RESULTS: Most (n=147; 92.5%) of the participants agreed that early mobilization reduces complications of immobility. Majority of the HCPs were knowledgeable and had positive attitude towards early mobilisation (n=139; 87.4%). Attitude differed significantly across different healthcare professions (p=0.02). Most health care professionals (n=149; 93.7%) reported practicing early mobilization of acute stroke patients. There was a significant relationship between years of work experience and each of knowledge and attitude (p<0.05) CONCLUSIONS: Although, many health care professionals expressed concerns about the risks of early mobilization, including possibility of death, they reported practicing early mobilisation. It may be necessary to conduct a risk-benefit analysis of early mobilisation and provide appropriate practice guidelines to promote implementation. This could further enhance the health care professionals’ confidence in practicing early mobilisation and improve stroke care. 1 results 1
- Background: Ambulatory cleft lip surgery has been practiced extensively in many developed countries, however cleft lip repair in most developing countries involve patient hospitalization of varying duration. Driven bythe recent acute shortage of pediatric bed space in our hospital, an increasing number of cleft lip surgeries are being performed on out-patient basis. The aim of this study was to report our experience with ambulatory cleft lip surgery at the University College Hospital, Ibadan. Methods: A retrospective review of Cleft lip Surgeries performed between February 2007 and January 2010 was done. Data of patients who had cleft lip surgery was retrieved from our Smile Train data base, the operating room surgery records and the Nurses' admission/discharge records on ail the wards on which the patients were either received or admitted. Information obtained included the demographic characteristics of the patients, complications reported, length of stay (LOS) for in-patients and the need for re-admission before the first follow-up clinic appointment among the two groups. Results: Eighty three patients were identified but complete data was obtained for forty patients. (Retrieval rate of 48%) The ambulatory group comprised of 15 patients while- the in-patient group had 25 patients. The mean patient age was 5.7years in the ambulatory and 9.7 years in the in-patient group. Both groups were homogenous for other parameters. None of the patients in the ambulatory group was re-admitted for any post-operative complication while only one patient in the in-patient group had a post-operative complication necessitating prolonged hospitalization. Conclusion: Ambulatory cleft lip surgery was found to be safe in our practice with comparable patient outcome to the in-patient group. It is anticipated that this may assume increasing prominence in the scope of cleft lip management in many more centers in the developing world. 1 results 1
- Background: Exclusive breastfeeding (EBF) is known to have wide range of health benefits for mothers and children alike. The sustenance of lactation is found to be problematic for some women resulting in low achievement of EBF. Objective: To determine the perceived factors that influence lactation and breastfeeding duration amongst women in Ibadan. Methods: This study was a cross-sectional survey. Consecutive sampling method was used to select 160 respondents from selected infant welfare clinics. Data was collected using self- administered questionnaires after due approvals. Data was analysed using both descriptive and inferential statistics. (50.6% and 49.4% Results: Most (78.1%) of the respondents believe that breast milk is sufficient for the first six months of life and majority of the respondents (98.1%) intended to breastfeed. Perception on lactation and breastfeeding were on the average respectively). There was no significant association between decision to breastfeed and exclusive breastfeeding (p= 0.514). association between fluid intake and lactation (p=0.410). Exclusive breastfeeding was mainly influenced by perceived breast milk insufficiency (OR=0.174, CI=0.071-0.429, P=0.001). No Conclusion: Most women are interested in breastfeeding exclusively for six months but some are unable to, because of their perceived breast milk insufficiency. More information on process of lactation should be provided in Antenatal clinics. 1 results 1
- Background: Given the paucity of neurologists in Sub-Saharan Africa (SSA), task-shifting post-stroke care to nurses could be a viable avenue for enhancing post-stroke outcomes. This pilot study assessed the feasibility and short-term impact of a nurse-led intervention to manage blood pressure (BP) control in recent stroke survivors in Nigeria. Methods: A randomized pilot trial allocated patients within one month of an index stroke from two participating hospitals in Nigeria to either nurse-led group clinic or standard care for 14 days. Key study endpoints were successful execution of the protocol, subject retention, and short-term BP effects. Results: There were no significant differences between the intervention (n = 17) and control (n = 18) groups at baseline. At the post-intervention clinic, patient retention rate was 100%. In the intervention group, both the systolic and diastolic BPs measured at home were lower than the clinic BPs post-interven tion (127 ± 12.88/78.13 ± 19.26 mmHg versus 137.50 ± 23.05/84.06 ± 9.67 mmHg; p = 0.05). However, there was no significant change in clinic blood pressure (BP) recordings in both the intervention and control groups. Conclusion: It is possible to initiate a nurse-led group clinic intervention to address BP management among stroke survivors in SSA with good early retention of participants. A larger and longer-term trial is being planned. 1 results 1
- Background: Maternal mortality has been an issue of concern in developing countries of which Nigeria is one. These deaths are preventable if the health facilities are utilized, births are attended by skilled health providers and complications attended to promptly. Statistics have shown that, though over fifty percent of women attend ANC but less than forty percent are delivered by a skilled birth attendant. Objective or Aims: This study ascertains the factors influencing the choice of health care provider by women during childbirth in Ibadan, Oyo state Nigeria. Methodology: A descriptive design was used to elicit information from mothers attending postnatal and immunization clinics of selected hospitals. All the women attending the clinics were selected. Self-administered questionnaire was used to obtain information and the data collected were analyzed using percentage, frequency and chi square test. Results: The results of the study revealed that 76.9% of the women identified midwives as the most skilled for delivery but only 43.6% are being delivered by midwives. Over, 60% had poor perception and negative attitude towards the midwives. Some of the factors identified to influence delivery from a TBA are ignorance, lack of alternative, accessibility, lesser time consumption and availability. Income of women and satisfaction with services provided does not have significant association with the choice of health care provider (p= 0.180) but age was significantly associated with choice of Provider (p=0.017). Conclusions: Community based awareness, education and counselling, alongside improving midwives’ interpersonal skill with effective collaboration, monitoring and supervision of both TBAs and midwives will enhance good choices. 1 results 1
- Background: Over the years awareness and uptake of cervical cancer screening services has remained poor in developing countries. Problems associated with cervical cancer incidence include late reporting, ignorance and cultural issues relating to cervical cancer screening. This study sought to explore the awareness, perception and utilization of cervical cancer screening among women in Ibadan as well as factors that influence utilization. Method: This is a qualitative study that utilized Eight Focus Group Discussions to collect information from women in selected health facilities in Ibadan, South West, Nigeria. The 82 participants were purposely recruited from women attending Antenatal clinics in 4 secondary and 4 primary health care facilities after approval was received from the Institutional Review Board in charge of the facilities. The focus group discussions were tape recorded and transcribed verbatim. The transcripts were analyzed into themes. Findings: The study provided qualitative information on the awareness, perception of the utilization of cervical cancer screening services among women in Ibadan. Participants were mainly married women (92.7%), mean age =27.6, SD =4.5, mainly traders (39%) and from Yoruba ethnic backgrounds (87.8%) and had secondary education (39%). The respondents reported not being aware of cervical cancer and were not utilizing the services. Though they did not know what cervical cancer screening entailed or the screening methods, they still believed that it is important since like for other diseases will help in early detection and treatment. The participants were eager to get more information from nurses on cervical cancer about cervical cancer screening. The major factors identified by the women that influence screening utilization were ignorance, Illiteracy, belief in not being at risk, having many contending issues, nonchalant attitude to their health, financial constraint and fear of having a positive result. Conclusion: There is an urgent need for more enlightenment about cervical cancer especially by health workers. Also, cervical cancer services should be made available at very affordable cost so that women can easily access the services in order to reduce incidence of invasive cancer. 1 results 1
- Background: Telemedicine is employed in patient care when direct physical contact is not possible or discouraged, as was seen during the COVID-19 pandemic. The use of smartphone technology could make telemedicine affordable and available in low and medium-income countries (LMICs). However, the evolution of telemedicine care depends on multiple factors. Aim: To explore the practice of telemedicine by Nigerian health care workers (HCWs) during the COVID-19 pandemic Methods: A cross-sectional study of the Nigerian HCWs on telemedicine practice in patient care during the COVID-19 pandemic period. Recruitment of respondents was done through dedicated WhatsApp and Telegram social media platforms for HCWs over a period of 40 days (May 1st and June 10th, 2020).Results: A total of 481 HCWs participated in the study consisting of 153(31.8%) doctors, 150(31.2%) nurses and 178(37%) other HCWs. Though 89.2% of the HCWs agreed that telemedicine is important, it was only 266 (55.3%) that practiced telemedicine, phone consultation was the form of telemedicine used in all the health institutions. Telemedicine was practiced more by doctors 91(18.9%), nurses 79(16.4%) and pharmacists 35(7.3%) than other groups of health care workers. Inadequate COVID-19 screening test and lack of personal protective equipment were strong motivators for the attending HCWs to practice telemedicine. Conclusion: There was widespread use of phone consultation by all cadres of health care workers during the pandemic. Hence there should be a health policy that will encourage greater use and acceptance of telemedicine in clinical practice and in the patients care beyond the pandemic period 1 results 1
- Best Practices 1 results 1
- Breast awareness 1 results 1
- Breast examination 1 results 1
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- Health Science Reports 2 results 2
- International Journal of Health Sciences Education 2 results 2
- Journal of Multidisciplinary Healthcare 1 results 1
- Local and Regional Anesthesia 1 results 1
- PLOS ONE 1 results 1
- Project Management Research and Practice 1 results 1
- Smart Learning Environments 1 results 1
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