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HEALTH PROMOTION PRACTICES AND ITS RELATED FACTORS AMONG PREGNANT WOMEN IN SOUTH-WEST NIGERIA

Healthy lifestyle is a set of behavioural patterns that maintains a strong relationship with a person’s optimal health. Some of the risk factors associated with poor pregnancy outcome are modifiable. This study assesses health promotion
practices and its related factors among pregnant women attending antenatal clinics in Government Health Institution of
Ile-Ife, Osun State. A cross-sectional study through stratified sampling technique was used to select 380 pregnant women
from six Government Healthcare Institutions in Ile-Ife, Osun State. Participants who consented to participate completed a 69-item structured questionnaire on health-promoting lifestyle profile. Data were analysed using descriptive and inferential statistics. The mean age of the respondents was 29.54 ± 7.22. The overall score of the health promotion practices of respondents is high with a mean score of 147.72 out of 172. The health-promoting lifestyle frequently
practiced by pregnant women is spiritual value/belief with the mean of 27.29 ± 1.96 while the least practiced is physical
activity with the mean of 6.74 ± 3.53. Health responsibility and physical activity subscale are not adequately practiced
despite their roles in the prevention and early detection of non-communicable diseases. A statistical relationship (p<0.05)
is found between lifestyle practice and socio-economic variables. Therefore, it is imperative to integrate comprehensive
health-promoting lifestyle activities in antenatal care services for positive pregnancy outcomes

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WORKPLACE BULLYING AND MENTAL HEALTH OF CLINICAL NURSES IN A FEDERAL MEDICAL HOSPITAL IN SOUTHWEST, NIGERIA

Healthcare professionals’, especially nurses, are prone to workplace bullying than professionals in other service sectors and this has implication on their mental health. This study explores the level of workplace bullying, mental health of nurses in a Federal Medical Center in South West Nigeria. Cross-sectional descriptive approach was used for this study.
A balloting sampling technique was used to select 186 nurses in Federal Medical Centre, Owo. Two standardized instruments were used: General Health Questionnaire (GHQ-12) and 22-items Negative Acts Questionnaire (NAQ-R). The study employs the Statistical Package for the Social Sciences (SPSS), both descriptive and inferential statistics were carried out. The result of this study shows that majority of respondents are exposed to workplace bullying and experienced poor mental health. Further findings observe that majority of respondents experience person related bullying in the sub sections of their workplace. The study reports that religion is the only statistically significant factor relative to the workplace bullying. Findings also reveals that age of nurses and their wards are also statistically associated with the mental health status and lastly only work-related subsection of workplace bullying is strongly related to mental health (p=0.005). In conclusion, further studies should be conducted on the causes, perpetrators of workplace bullying among nurses and reasons for poor mental health status.

  • OLABISI | Oluwaseyi | Isaiah | seyiolabisi55@gmail.com | +23407069640496, AJIBOYE | Taiwo | Aderemi | phdajiboye@gmail.com | +2348128819821, AZEEZ | Fatimah | Omobolanle | faithfulfaith2912@gmail.com | +2347030786237, EJIDOKUN | Adeolu | . | ejidokun79@gmail.com | +2348034737948, YUSUFF | Jaleelah | . | joyfunmy@gmail.com | +2347038649093
  • : workplace bullying, nurses, mental health, hospital
  • OLABISI Oluwaseyi Isaiah Vol 8(1)
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NURSES PERCEPTION, ATTITUDE OF FAMILY INVOLVEMENT IN PATIENTS CARE AND IN-PATIENT RECOVERY

Family involvement in in-patient care is the focus of care in the hospital and at home. Improved hospital performance,
increasing staff satisfaction, decreasing costs, and improving in-patient outcomes can be achieved by family involvement in patient’s care. The study assesses nurses’ perception and attitude to family involvement in the care of in-patient in Lagos, Nigeria. A descriptive design was adopted for this study and a multistage sampling technique was used in selecting 290 respondents who participated in the study. The instrument used for this study is a self-developed questionnaire with four sections. Reliability of the instrument was r = 0.75. Data were analyzed with Statistical Package for Social Sciences (SPSS), version 22. Descriptive statistics was presented in tables and charts while chi-square was used for inferential statistics at a significant level of p = 0.05. The demographic characteristics showed that the mean age of participants was 33.55±1.74 years, 51.5% are BN. Sc certified nurses. The result of this study shows that the
respondents have negative perception and attitude toward family involvement in the care of in-patient. Lastly the findings of this study reveal that there is a statistically significant association between perception and the attitude towards family involvement of in-patient care with p = 0.029. There is no statistically significant association between gender and attitude towards family involvement with p = 0.336. Nurses should be more sensitive towards the need for family involvement in the care of in-patients. This will ensure family satisfaction with the care of loved ones and preparing them for continuing with care of the patients at home following discharge.

  • ABAZIE | OGECHI | HELEN | abazie@unilag.edu.ng | +2348034568662, GBAHABO | DOOSHIMA | DOROTHY | ogenaban@yahoo.com | +2348034568662., OLAJIDE | PRECIOUS | . | ayokaaaa2014@gmail.com | +2348166748230
  • : Nurses, Perception, Attitude, Family Involvement
  • ABAZIE Ogechi Vol 8(1)
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WORK-RELATED BACK PAINS FACTORS AND IT’S PERCEIVED EFFECTS ON NURSES IN FEDERAL MEDICAL CENTRE OWO, ONDO STATE, NIGERIA

Nurses are the leading workforce that experiences low back pains among health professional. This study assessed the
factors contributing to work-related low back pains and its perceived effects among nurses in Federal Medical Centre
Owo, Ondo state, using a descriptive research design. A convenient sampling technique was used to select a total of 97
nurses. Data were collected using a self-designed structured questionnaire with reliability index of 0.69. Data collected
were analyzed with SPSS using descriptive statistics and results were presented in tables and figure. The prevalence of
low back pains is found to be high. The following factors are identified to cause work-related low back pain among
nurses: standing for a long period of time without break, lifting and moving heavy patients or heavy medical equipments,
Organization of work, working conditions, staff shortage, working hour, that is, overtime, stress at work, on job training
on lifting of patients and improper work design. While the perceived impact of low back pain includes losses in number
of works, decreased work output and occupational disability. It is therefore recommended that Nurses should plan their
work and make proper organizational to prevent the occupational hazard of low back pain.

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KNOWLEDGE OF HYPERTENSION AND MANAGEMENT STRATEGIES AMONG HYPERTENSIVE PATIENTS ATTENDING MEDICAL CLINIC IN A TERTIARY HOSPITAL IN BENIN CITY, EDO STATE, NIGERIA

Hypertension has been acknowledged as a world health challenge, a leading cause of death in adults and a risk factor for other diseases such as cardiovascular diseases, diabetes, strokes. Hypertension is related to some risky health
behaviours such as smoking, overweight, alcohol consumption, sedentary lifestyle, physical inactivity. It is labelled a
‘silent killer’ because it progressively and permanently damages organs before occurrence of any diagnosable external
presentation, hence, this study investigates the level of knowledge of hypertension and its management strategies among
hypertensive patients and compliance to their medication and treatment regimen. A cross sectional descriptive survey
design was used. A sample size of 148 was determined from a total population of 225 attending medical clinic in the
outpatient department in University of Benin Teaching Hospital. A convenient sampling technique was used to select
148 respondents. A self-structured questionnaire with reliability coefficient of 0.89 was the instrument used for data
collection. The result of the socio-demographic characteristic of the respondents shows that majority of the respondents
are females within the age group of 51 to 70yeasrs, have diploma/degree and they are married. Lastly, majority are
civil servants. Findings reveal that the respondents are highly knowledgeable about hypertension but the knowledge
about management strategy of hypertension is average. Finally, the level of compliance with management strategies is
low. The result of the hypothesis tested shows that age and educational level of respondents are significant factor
associated with level of knowledge of hypertension among respondents. Therefore, it is important for patients to be
thoroughly educated on the importance and benefits of proper management of hypertension.

  • OKO-OSE | JOSEPHINE | NGOZI | joechiazor@yahoo.com | 08034078785, OSUNDE | ROSEMARY | NGOZI | ngosunde23@gmail.com | +2348035788478
  • : Knowledge: Hypertension: Management strategies
  • OKO-OSE, JOSEPHINE Vol 8(1)
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EVALUATION OF DISASTER PREPAREDNESS OF TERTIARY HOSPITAL IN ZARIA, NIGERIA

Motivated by the increasing global incidences of disaster and the global recognition of the pivotal role played by tertiary
hospitals (TH) in disaster management (DM), this article seeks to assess the preparedness of TH to assume such a role.
The research objectives are; to scrutinize international best practices templates as benchmarks for evaluating the level of
disaster preparedness of Nigerian tertiary hospitals, determine how the tertiary hospital, managed disasters in the past
and how prepared it is for future disasters, and identify factors affecting the capacities of THs for DM. An explanatory
sequential mixed method research design was used, questionnaires were administered to the respondents, there after indepth
interviews were conducted with key informants who are highly placed. The data was analysed using SPSS version
24 while the qualitative data was analysed thematically. It is found that TH is not prepared for disaster, there are no
adequate resources both human and equipment to deal with casualty above 50 patients and also lack of funds. In
conclusion, TH has a major role to play in DM, their Emergency Preparedness (EP) should be upgraded in line with
global best practices to better position them for that role. As such, TH should adopt any of the global Emergency Management Plan (EMP) templates to guide them in preparing a manual for EP, which staff must be familiar with through wide circulation and regular disaster drills and exercises based on the manual.

  • Musa-Maliki | A. | U. | aishaudu@yahoo.com | +2347038159582, Ibrahim | A. | H. | ahibrahim02@gmail.com | +2348035570017
  • : Disaster Management, Emergency Preparedness, Emergency Management Plan
  • Musa-Maliki Vol 8(1)
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AWARENESS, KNOWLEDGE AND ATTITUDE OF HYPERTENSION AMONG FEMALE PATIENTS RECEIVING HEALTHCARE IN A TERTIARY HEALTH INSTITUTION IN SOUTH-EAST, NIGERIA

Cardiovascular diseases (CVD) such as hypertension are well established as a leading contributor to the burden of disease in low income and middle-income countries. An estimated 16.7 million, or 29.2% of total global deaths, result from the various forms of cardiovascular disease, many of which are preventable by action on the major primary risk factors:
unhealthy diet, physical inactivity and smoking. Awareness, knowledge and attitude about hypertension have been
indicated to influence practice of healthy lifestyle which has implications for hypertension prevention and control. This
study aims at examining the female patients in Nnamdi Azikiwe University Teaching Hospital on their awareness,
knowledge and attitude towards Hypertension prevention and control. The research design adopted was descriptive
survey and balloting sampling technique was used to select 86 respondents. The instrument for data collection was a
self- structured, validated questionnaire that contains 12 items. One hundred and thirty (130) questionnaires were
administered. Tables and graphs were used for presentation of data. This study revealed that most of the respondents
were within the age of 56-65 years. Also, most of the respondents were complete house wife and went to secondary
school. Majority of the respondents were Christians. Findings also showed that respondents were highly aware of
hypertension. Also, our study observed that respondents are highly knowledgeable about the meaning, causes,
complications, the possible risk factors of hypertension and ways in which hypertension can be prevented. Lastly, this
study revealed that the respondents’ attitude towards preventing hypertension, regular check of blood pressure and
regular exercises as a means of hypertension prevention are positive. In conclusion, it was recommended that there is
need for more encouragement to prevent relentlessness of respondents on hypertension prevention and control.

  • OSUALA | EUNICE | O. | euniceosuala@yahoo.com | +2348061146538, NWOSU | VIVIAN | CHIKAMSO | chikaumeson@gmail.com | +2347031909118, EZEAMA | MARTINA | . | ezeamas@yahoo.com | +2348037249849
  • : Hypertension, Prevention, female patients, attitude
  • Osuala Eunice Vol 8(1)
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ASSESSMENT OF VESICO VAGINAL FISTULA AMONG WOMEN ACCESSING HEALTHCARE IN FAMILY LIFE CENTRE ITAM, AKWA-IBOM STATE, NIGERIA FROM 2014-2017

Vesico vaginal fistula has become a societal burden and health problem that affects women’s health. The aim of the
study is to determine the prevalence of vesico vaginal fistula among women accessing Family Life Centre, Itam, Uyo
from 2014-2017. A retrospective descriptive research design was used with a checklist to obtain data from the case files
and medical records of the patients between the period of study. Analysis and interpretation of data was done with the
aid of IBM SPSS version 24.0. Data analysis was presented with descriptive statistics using tables and means to represent
information. Findings revealed a rising and falling trend of prevalence over the study period thus, a prevalence rate of
103 (7.7%) in 2014, 160 (8.4%) in 2015, 125 (7.4%) in 2016, 145 (9.6%) in 2017 respectively. The age group with
highest prevalence of VVF is 24-34 years. Primiparous woman had the highest prevalence outcome of management
which was successful and dry with 88 (85.4%) in 2014, 128(80.0%) in 2015, 102(81.6%) in 2016, 133(91.7%) in
2017, unsuccessful and wet 12 (11.7%) in 2014, 6 (3.8%) in 2015, 7(5.6%) in 2016, 7(4.8%) in 2017 respectively. In
conclusion, the study revealed an unstable rise and fall prevalence of VVF with low prevalence in 2014 and high in 2017
at the centre. It affects age group 24-34 years. Primiparous women exhibited higher cases of VVF and a majority of the
women had successful outcome of repair. It was recommended that sensitization and some measure of prevention,
improvement in status of women and access to prompt medical services be emphasized.

  • ENUKU | C. | A. | akpoigho@yahoo.com | +2348169823907, MAKATA | N. | E. | ne.makata@unizik.edu.ng | +2348028205942, ADEWOLE | A | . | tessicaessence@yahoo.com | +2348138530702
  • : Vesico Vaginal Fistula, Prevalence, Women
  • Enuku, C. A Vol 8(1)
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FACTORS INFLUENCING FEMALE UNDERGRADUATE STUDENTS’ ACCEPTANCE OF CERVICAL CANCER SCREENING IN SOUTH-WEST NIGERIA

There is a general recognition of lack of practice, knowledge and acceptance of importance of cervical cancer screening
among young women. This has resulted in late diagnosis of cervical cancer and a resultant poor prognosis. The aim of
this study is to assess the level of acceptance and determine the factors influencing the acceptance of cervical cancer
screening among female undergraduate students in a selected University in Lagos, Nigeria. This study adopted a
descriptive design and a multistage sampling technique. A self-administered questionnaire was used to elicit information
from 228 students with a response rate of 99.13%, data was analysed using the SPSS statistic version 20. This study
observed that more than half (70.2%, n=228) of the respondents were between ages 20-24yrs. A good number (31.6%,
n=228) were in 300 level. Almost all (93%, n=228) were single and well above half (63.2%, n=228) were Yorubas.
More than three-quatre (89.9%, n=228) were Christians and well above half (57.0%, n=228) began menarche from
age 9-12 years. The study reveals that the level of acceptability of cervical cancer screening among the respondents is
average. Further findings shows that accessibility of Screening Center, affordability of vaccines and screening services,
lack of funds, health workers attitude, worry about privacy and feeling of embarrassment about the procedure were the
major factors influencing the acceptance of cervical cancer screening and the major risk factors of cervical cancer are
Human Papilloma virus infection, multiple sexual partners, early onset of sexual activity and family history and smoking.
The tested hypothesis shows that the age and level of study have significant association with acceptance of cervical
cancer screening with P = 0.000 and 0.014 respectively. It is therefore recommended that the nurses should, in
conjunction with the government and the ministry of health and ministry of education, create awareness programmes
on the importance of cervical cancer screening among undergraduate students at all levels.

  • Mobolaji-Olajide | O. | M. | funmilolabolaji2010@gmail.com | +2348039241620, Akintaju, | F. | A. | fakintaju@gmail.com | +2348037141887, NWEKE | C. | I. | cutechigo2009@gmail.com | +2347038147433
  • : Factors, Acceptance, Cervical Cancer Screening
  • Mobolaji-Olajide Vol 8(1)
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KNOWLEDGE, AWARENESS AND PRACTICE OF LACTATIONAL AMENORROHEA AMONG WOMEN OF CHILDBEARING AGE IN AKOKO SOUTH-WEST AREA, ONDO STATE, NIGERIA

Little is known about lactational amenorrhea as a contraceptive method among women of childbearing age. Our study
aims at examining the level of awareness, knowledge, and practice of LAM by women especially nursing mothers visiting
the Primary Health Care Clinics around Akoko South West Local Government Area of Ondo State, Nigeria. A cross sectional
design was used for this study. Random sampling technique was used to select 130 women of childbearing
age. Data were collected with a self-developed validated questionnaire; the collected data were analyzed. The result
reveals that majority of the respondents are within 26 to 35years, Christians and their educational status is secondary school leaving certificate. Lastly majority of the respondents are public servants. The result further shows that the perception level of women on Lactational Amenorrhea Method as a form of contraceptive method is low (39.82%), the
knowledge level is poor (32%), and lastly, the barriers to the adoption and practice of Lactational Amenorrhea Method as a form of contraceptive method are that LAM is for a short time, lack of knowledge and lack of motivation. It is therefore recommended that radio and television jingles, the use of community health educators and other personnel with individual decision to adhere strictly to its adoption and practice are the most cited possible intervention methods
for promotion of lactational amenorrhea adoption and practice among women of childbearing age.

  • FATILE | O. | ADEBIMPE | bimpeolufat@yahoo.co.uk | +2348034017063, OLABISI | Olanike | C. | olamike.enlade@aaua.edu.ng | +2348029068310, MAKANJUOLA | Osuolale | J. | moi750@gmail.com | +234, FATILE | ELIJAH | O. | eloufat@yahoo.com | +234
  • : Breastfeeding: Childbearing: Women: lactational amenorrhea, contraceptive
  • FATILE O. Adebimpe Vol 8
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