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KNOWLEDGE OF PSYCHOLOGICAL DISTRESS AND POST PARTUM BLUES AMONG PREGNANT WOMEN IN WESLEY GUILD HOSPITAL, ILESA, OSUN STATE, NIGERIA

Post-partum women experience changes in their mental health while trying to adapt to the role of parenting. These changes have caused disruption in the women’s mental wellbeing and if not well examined can lead to psychological distress and post-partum blues during the post-natal period. Hence, this study aims at assessing the knowledge of psychological distress and post-partum blues among pregnant women. A cross sectional descriptive study design was employed with a random sampling technique to select 150 women attending antenatal clinic in Wesley Guild Hospital, Ilesa. The instrument for hthis study is a structured questionnaire with a reliability co-efficient score of 0.76. Data were analyzed using descriptive statistics of mean, frequencies and percentages. Findings from the study shows that the socio-demographic characteristics of the respondents are between 2029years and 30-39years. Findings further showed that majority of respondents are mostly Christian and all of them are married. Majority of the respondents are Yoruba and the family setting are monogamy and the level of education attained by respondents are tertiary institution. Majority of the respondents are either civil servant or business class. majority of the respondents have either one or two children are at present are in their second or third trimester of pregnancy. Lastly, majority of the respondents earn below N500,000 per annum. The study observed that respondents are knowledgeable about the risk factors and symptoms of psychological distress and post-partum blue. respondents are knowledgeable about the management and prevention of psychological distress and the level of Findings also revealed that
psychological distress among respondents is very low, 12% using the Kessler-10 distress level scale. There is need to assess psychological distress among post-partum women and to provide psychological support by health care workers and family members, thereby further reducing its occurrence among them. An intervention package should be designed to facilitate prevention of psychological distress.

  • Beatrice | M. | Ohaeri | bmkohaeri@yahoo.co.uk | 09098124097, Beatrice | O. | Owolabi | owolabibeatrice@yahoo.com | 08038585963, Chiemerigo | A. | Onyeneho | chiemerigoanne@gmail.com | 08067242852
  • : Knowledge; psychological distress; post-partum blues; pregnant women
  • Lautech New Edition April 2020 Article 16
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KNOWLEDGE OF NURSING PROCESS AND ATTITUDE AMONG UNDERGRADUATE NURSING STUDENTS TOWARDS ITS UTILIZATION IN A TERTIARY HEALTH INSTITUTION, EDO-STATE, NIGERIA

Nursing process is the scientific protocol that guides quality nursing care globally. To the best of our knowledge very little has been done in this direction in health literature thus motivating this study. The study therefore sets out to examine the knowledge and attitude among undergraduate nursing students towards the utilization of the nursing process in the provision of nursing care in tertiary teaching hospitals in Edo-State, Nigeria. The study design is descriptive crosssectional approach. Simple random sampling technique was employed to select 147 undergraduate nursing students. The instrument of this study is a semi-structured questionnaire which was designed to elicit information on respondents’ Knowledge of nursing process using a 10 point knowledge scale and assessment of attitude towards the utilization of the nursing process using 8 variables measured on a five point Likert scale. The reliability coeffiecient score of the instrument is 0.8. Data was analyzed using descriptive statistics. the socio-demographic characteristics of the respondents revealed
Findings show that the respondents’ knowledge about nursing process is average and their attitude is positive (mean=2.93). Further findings reveal that
and it was observed that there is no significant relationship between the attitude of nursing
This
findings of
that majority are within the 21-25years of ages. Majority of the respondents are in 200 and 400 level and are single. Lastly, the respondents are mostly Christians.
the stages of nursing process where students had difficulties are assessment and planning. Hypothesis was tested
student and nursing process base on gender. It is recommended that nursing process should be used by undergraduate nurses at every level of undergraduate nursing education to enable students equip themselves with better skills and knowledge for practice.

  • Omor ogbe | C. | E. | omorogbechrisite@yahoo.com | 08062304948, Okafor | F. | U. | uchendifidelis2001@yahoo.com | 08037442403 , Ekrakene | T. | . | tekrakene@biu.edu.ng | 08037756878 , Omorogbe | F. | . | fomorogbe@biu.edu.ng | 08059661705, Ibidokun | C. | J. | @ | +234
  • : Nursing Process; Knowledge; Attitude; Tertiary health institution; Undergraduate nursing students
  • Lautech New Edition April 2020 Article 15
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DESIGNING A TRAINING PROGRAMME FOR SCHOOL HEALTH NURSES ON GUIDING ADOLESCENTS IN THEIR DECISION-MAKING ABOUT REPRODUCTIVE HEALTH IN IJEBU ODE LOCAL GOVERNMENT AREA OF NIGERIA

This study describes the design of a training programme for school health nurses on guiding adolescents about their reproductive health in Ijebu Ode Local Government Area of Nigeria. Intervention Design and Development model of Rothmans and Thomas (2013) was the research design used for the study. The model has six phases. The design is in phase three of the model. The findings from the situational analysis and that of integrative review of intervention programmes developed for school health nurses were merged to inform the design of the training programme. Design phase has two operations as these include designing an observational system and specifying procedural elements. In this article, attention is focused on how to achieve the observational system of the design phase. The second part of the work would address specifying procedural elements of the design phase. Designing observational system entailed measures needed to assess the training programmes during and after the implementation, that is, they are directed toward creating measures to assess the process and outcome of a training programme during implementation.

  • Oluwatoyin | A. | Ogunyewo | vicyommie@gmail.com | 08076872596, Savasthian | Arunachallam | . | sarunachallam@uwc.ac.za | +27822023206
  • : Designing; Training; School Health Nurses; Adolescents
  • Lautech New Edition April 2020 Article 15 (1)
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CERVICAL CANCER SCREENING AMONG WOMEN: A TOOL FOR PREVENTION OF CANCER

Cervical cancer is a type of cancer arising from the cervix due to the abnormal growth of cells that have the ability to invade other parts of the body. It is one of the greatest threats to women’s lives worldwide. It has been described as the second most prevalent cancer affecting women after breast cancer. An ideal screening test is one that is minimally invasive, easy to perform, acceptable to the women, cost-effective and efficacious in diagnosing the disease process in its pre-invasive state when the disease process is more easily treatable and curable .A variety of screening tests have therefore been developed in an attempt to overcome the innate limitations of conventional cytology. Currently, cervical cytology is widely regarded as the gold standard for cervical cancer screening in all developed countries. It is however not feasible to implement a systematic cytology based screening programme in a country like Nigeria. This is mainly due to severe restrictions on the availability of infrastructure, resources and funding. There is a need to develop low cost screening strategies for cervical cancer. Visual inspection with acetic acid (VIA) or Lugol’s iodine (VILI) which is comparatively cost-effective while retaining adequate sensitivity and specificity is advocated. Many studies conducted across Nigeria have revealed low utilization of cervical cancer screening services among various categories of women in spite of the reported high level of awareness. Well planned and organized screening programs with high coverage of the “at risk” group could significantly reduce the number of new cases with cervical cancer and the mortality rate associated with it. The burden of this disease
can only be reduced and controlled by the implementation of evidence based preventive measures, early detection and proper case management

  • Elusoji | Christiana | Irolo | celusoji@gmail.com | 08181448735, Eze | Clementina | N. | mama4noble@gmail.com | 08036004816 , Obi | Ihuoma | . | ladyihuomaobi@gmail.com | 08035980988, Mary | Iniomor | A | @ | 08033744274
  • : Cervical cancer; Screening; Women; Prevention
  • Lautech New Edition April 2020 Article 13
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APPLICATION OF TRANS-THEORETICAL MODEL AND APPROACHES TO HEALTH PROMOTION IN TACKLING ALCOHOL ABUSE

Globally, alcohol abuse continues to constitute a global social and public mental health problem, with increasing morbidity and mortality indices. As a stage by stage behavioral problem, alcoholism could be tackled using a behavioral change model. Requiring multidimensional and multidisciplinary approach to curb the current health, social and economic challenges associated with it, nurses must work within the context of scientifically sound evidences (evidence-based care), using appropriate theories and models in managing alcohol abuse or misuse syndromes. This paper explores the Prochaska and DiClemente’s (1984) Multistage Trans-Theoretical Model (TTM) to propose transforming the addictive behavior of victims of alcohol abuse from one level to another. In adopting this model, the paper also aims to incorporate educational and empowerment approaches with TTM as a synergized model to achieve the desired change in behavior of the people that misuse alcohol. TTM model establishes itself as a suitable analytic and care model for integrating the process of behavior change and promoting health among alcohol abuse victims, since people will be educated and empowered at various stages using this model. This synchronized model should offer nurses, especially those in addiction care a multi-stage, client-centered approach to manage alcohol related addiction.

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FAMILY HEALTH A “SINE QUA NON” TO EFFECTIVE MATERNAL AND CHILD HEALTH CARE

This article discusses the family health as a “sine qua non” to effective maternal and child health care. Family is defined as a group of people living together united by blood, marriage, birth or adoption with a common goal. There are different types of families and these include but not limited to Nuclear family, Extended family, Single-parent family and Blended family. The concept of family care entails that individual is entitled to receive his/her own care according to the demand of his/her body and state of health. In the expectant family every pregnant mother is expected to receive antenatal, intranatal and postnatal care. A pregnant mother maybe faced with series of health challenges such as financial and social problems which may cause stress, depression and eventually lead to hypertension. She should not be allowed to carry the burden alone, but supported by the husband and other significant family members to ensure that this woman is not weighed down by these challenges. The expectant family care is regarded as “sine qua non” to effective maternal and child health care because the family members and the skilled health care providers as roles to play during the whole period of a woman’s pregnancy, labour and puerperium. The nurse/midwife should inculcate the values of empathy and compassionate care, communication skill, Critical thinking, psychomotor skill, applied therapeutics etc to meet patients physical, social, emotional and spiritual needs. In conclusion, it should be noted that shared parenting is an important factor that enhances survival of family members and the society at large.

  • Obi | Ihuoma | A. | ladyihuomaobi@gmail.com | 08035980988, Chinweuba | A | . | anthonia.chinweuba@gmail.com | 08032162180, EZE | C. | N. | mama4noble@gmail.com | 08036004816
  • : Family Health; Sine Qua Non”; Maternal and Child Health Care.
  • Lautech New Edition April 2020 Article 11
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DIRECT OBSERVATION AS A METHOD OF ASSESSMENT AND INSTANT FACE TO FACE FEEDBACK FROM GENERATED AND PRINTED COPY OF BASIC LIFE SUPPORT (BLS) DEVICES FOR UNDERGRADUATE PHYSIOTHERAPIST STUDENTS OF CARDIFF UNIVERSITY, UNITED KINGDOM

For ensuring effective teaching and facilitating learning during students-patient interaction, a valid assessment needs to be adopted. Many assessment mechanisms exist to evaluate students’ knowledge and skills of medical students, including two-way mirrors, closecircuit audio-video and observation. Providing students with instant feedback is a key to successful learning. Level one undergraduate students of Cardiff University, United Kingdom are assigned to carryout basic life support (BLS) procedure using manikin whilst the student-teacher employed direct observation method (DOM) as a tool to evaluating students’ learning competencies. The supervisor monitored the student-teacher who organized the one-hour task to assess the students. Professional driver’s guidelines of Quality Assurance Agency, Nursing & Midwifery Council and National Institute for health Care Excellence, together with learning theories including constructivist, behaviouristic and humanistic are considered. The assignment is aimed at examining students’ competencies using one-hour assessment and BLS generated and printed copy of feedback. The assignment was analysed in three phases viz: direct observation, accuracy and effectiveness of the BLS devices and instant feedback stage. The outcome indicated that DOM is a good assessment tool used in evaluating varying degrees of students’ Knowledge, Attitude, Motor skills, Structure (logical skills), Novice, Advanced Beginner, Competency, proficiency, and expertise at different stage of learning.

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PERCEPTION TOWARDS THE INTRODUCTION OF SEX EDUCATION TO SECONDARY SCHOOL STUDENTS AMONG SELECTED WOMEN ATTENDING UCH IBADAN FAMILY CLINIC

The concept of sex education and its introduction in secondary schools has witnessed much controversies and misconception by many teachers, parents, the society and students. Sex education which is sometimes called sexuality education or sex and relationships education is the process of acquiring information and forming attitudes and beliefs about sex, sexual identity, relationships and intimacy. Sex education is the information and skills acquired by an individual to help the individual to deal with human sexuality. The objective of this study is to assess the perception of women attending University College Hospital (UCH) family clinic towards teaching of sexuality education in secondary schools. A descriptive cross-sectional study design was adopted; and a cluster sampling technique was used in selection of 100 women for the study. A self-structured and interviewer-administered questionnaire was used to obtain information from respondents within 4 weeks. The data collected were coded and entered into SPSS windows, version 20.0. It was further analyzed using descriptive statistics 2a nd Chi-square (÷) test with level of significance at 5%. Findings show that the mean age of the respondents is 37.63 ± 7.71 years. Further findings reveal that majority of respondents are married, majority are Christians and majority have tertiary education as the highest educational qualification. This study also shows that the respondents have positive perception and perceived positive attitude towards introduction of sexual education in secondary school. Further findings observe that the perceived knowledge of women on role of sex education in adolescent sexual issues is poor. Hypothesis tested show that there is no significant influence on gender, education, religion and age of parents on perception of sexuality education in secondary schools. It is therefore recommended that parents and teachers should jointly have the responsibility to provide correct and factual information on sexual health to students since they spend most of the time with parents at home and teachers at schools.

  • Makinde | Olufemi | Yinyinola | omakinde3@gmail.com | 08060053753 , Olawale | Olufunke | Rhoda | @ | +234, Adeniran | Dorcas | Adekemi | kadeniran99 @gmail.com | 08055851092
  • : Perception; women; sexuality education; secondary schools, students
  • Lautech New Edition April 2020 Article 9
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SCHOOL HEALTH: AN ANALYSIS OF BOARDING SCHOOL CLINIC FACILITIES IN KANO STATE, NIGERIA

Health facilities within the school premises enhances healthful school environment by ensuring that safety measures are available within the school environment such as; presence of proper water supply, refuse disposal, sewage disposal, quality of school buildings, health inspection, nutrition, rest, recreation, absence of harmful objects and vectors of disease agents. Unsafe school environment such as lack of adequate and safe water supply, poor sanitation facilities, dilapidated school structures, overcrowded and unconducive classrooms have a high negative impact on the health of school students. This study therefore analyses the school clinic facilities in boarding schools in Kano State in Nigeria. A cross sectional descriptive survey design was used for the study. The instrument used for this study was an adapted checklist from School Health Index (SHI) for middle high school.  A sample size of 28 boarding secondary schools was used out of a total of 56 boarding secondary schools in Kano state. Multi stage sampling technique was used to select the 28 boarding secondary schools from the various senatorial districts in Kano state.  The findings from the study revealed that 17 (80.9%) of public boarding secondary schools were rated poor in terms of health facilities (scores < 20) while 4 (80.0%) of private boarding secondary schools had fairly functional health facilities (scores 20-29). The findings of this study showed that the public boarding have more health facilities than the private schools. The study also revealed that physical infrastructures in the secondary health facilities are partially in place (54%) and the equipment in the health facilities in boarding secondary school are partially in place. The study concludes that health facilities in boarding secondary schools in Kano state are poorly equipped with material resources with little improvement in private than in public boarding secondary schools. In this respect, they need to improve on their method of sterilization, waste disposal system and electricity supply to the health facilities. 

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UTILISATION OF POSTNATAL CARE SERVICES AMONG WOMEN OF CHILDBEARING AGE IN PRIMARY HEALTH CARE CENTRES IN NIGER STATE, NIGERIA

The postnatal period is critical to the health and survival of a mother and her new-born. This study sets out to assess the utilization of postnatal care services in Primary Health Care (PHC) facilities in Niger State, Nigeria. With the objectives of identifying the availability of postnatal care services in the Primary Health Care facilities, determining the women’s utilization of the services, and to identify the factors influencing the utilization of postnatal care services in the PHC facilities in Niger State. The study Utilizes the cross-sectional survey design and the instrument adopted was a questionnaire. The multistage sampling technique was used to select 902 women of childbearing age. Data was analysed using tables, frequencies and percentages. The result of this study showed the socio-demographic characteristics of the female respondents. It was observed that majority of the respondents are within the age of 18-25years. Majority of the respondents are Muslims who cut across the four major ethnic groups of Gwari, Hausa, Kambari and Nupe in the State. Further findings observed that majority are married with tertiary education. Lastly, majority of the female respondents are either housewives or civil servants and their children are less than five (5). The socio-demographic findings of the respondents husband revealed that they had tertiary education, majority are either farmer or civil servants and majority have extended families while majority had one wife and majorities wife’s position is first. This study also revealed that PHC clinics are available in majority of the communities and the estimated duration of trekking time to the nearest facilities in the community is 15-34minutes. this study revealed that the utilization of postnatal services in the communities is poor and the reason for non-utilization of post-natal services are lack of drugs in the facilities and l This study observe that women with higher level of formal education utilize the postnatal services more than those without or with lower levels of formal education and similarly, the respondents husband’s level of education was found to have influenced the women’s utilization of postnatal services. It is recommended that health education programmes should be intensified to encourage

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