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EFFECT OF TRAINING ON FIRST-AID MANAGEMENT OF SELECTED OBSTETRIC EMERGENCIES BY TRADITIONAL BIRTH IN OGBOMOSO: AN INTERVENTION STUDY

Maternal mortality remained prevalent in developing countries despite adopted measures to reduce its occurrence. The W.H.O (2015) recorded a maternal mortality ratio of 239 per 100,000 live births in developing countries as against 12 per 100,000 live births in developed countries. Studies attributed this anomaly to inadequate First-Aid knowledge and skills of Traditional Birth Attendants (TBAs) in managing obstetrics complications. This study examines the effectiveness of a training program on knowledge of first-aid management and skills on TBAs selected labour emergencies. One group pre-post experimental design was used and the sample size was calculated using Cochran formula to select 111 TBAs. These were randomly selected out of 150 total numbers. Test paper on knowledge on first-aid management (TP-KFM) and self-developed rating scale (SRS) on selected labour emergencies was used to collect data on the cognitive and psychomotor domains. Data collected were analysed using tables, percentages, means, and standard deviation while inferential statistics of paired t-test. Pre-intervention mean score of TBAs knowledge was 6.86 ±2.47 while post means score of 17.66 ±2.37 (mean gain 10.8). Pre-intervention means score of TBAs on first-aid  management skills was 4.92 ±1.93 while post-intervention means score of 11.46 ±1.36. There were significant differences between pre-post intervention knowledge of first aid management (t= 46.91, p = 0.00), and first-aid management skills (t=39.571, p =000), of TBAs at 0.05 level of significant. The findings of this study show that the application of a training program on knowledge of first-aid management and skills of TBAs selected labour emergencies was effective. Hence, TBAs should be given regular training together with prompt supervision to be done by stakeholders for the TBAs

  • SOWUNMI | Christiana | O. | olaolorunfemi@yahoo.com | +2348034694675, OLAJIDE | Adetunmise | O. | @ | +234, OLORUNFEMI | Olaolorunpo, | . | olaolorunfemi@yahoo.com | +2348034694675, IWAOLA | Mercy | O. | @ | +234, ADEYEMO | Oluyemisi | F. | doctoradeyemo@yahoo.com | 08033579737
  • : Maternal mortality, labour emergencies, Traditional Birth Attendants
  • SOWUNMI Christiana Vol 9
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FACTORS CONTRIBUTING TO RELAPSE AMONG PSYCHIATRIC PATIENTS IN JOS UNIVERSITY TEACHING HOSPITAL

The aim of this study was to examine the factors contributing to relapse among psychiatric patients in Jos University
Teaching Hospital (JUTH). This study employed across sectional survey design and total number of nurses working in
psychiatric units were used. Questionnaires were used to obtain information; data were analysed using descriptive
statistics of frequency count and percentages while hypotheses were tested using inferential statistics of chi-square (on
SPSS). P-value of less than 0.05 was considered statistically significant. The demographic characteristics of respondents
indicated that majority are females, married and registered psychiatric nurses. The findings of this study observed that
poor antipsychotic drug adherence, non- compliance with medication regime, stressful life, emotional over
involvement/ depressed mood, substance abuse and peer pressure are factors contributing to relapse among psychiatric
patients. Further findings showed that Schizophrenia, mood disorder, dementia, anxiety disorder, depression and eating
disorder are types psychiatric illness that relapse commonly among psychiatric patients, lastly, this study observed that
Life style change approach, Cognitive behavioural approach (CBT), Effective coping with unavoidable high risk situation
managing relapse, Avoidance of known high risk situation and Support from family and friends were a strategies adopted
by nurses in the prevention of relapse among psychiatric patients. Based on these findings, it was recommended that
mental health nurses should strengthen their therapeutic relationship with patients’ family members. Two hypotheses
were tested and the findings revealed that: There is a significant relationship between strategies adopted by nurses and
prevention of relapse in psychiatric patients and there is a significant relationship between the types of psychiatric
illnesses and factors associated with relapse in psychiatric patients in Jos University Teaching Hospital Psychiatric nurse
experts should embark on regular individual psycho-education sessions and community-based intervention which will
help reduce relapse and improve mental health care service. In conclusion, Patients with psychiatric disorders stand to
benefit greatly from the strategies adopted by nurses in relapse prevention when the relationship is prioritized.

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ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PERCEPTION ON BREAST SELF-EXAMINATION PRACTICE AMONG FEMALES ATTENDING OUT-PATIENT CLINIC IN BABCOCK UNIVERSITY TEACHING HOSPITAL, ILISHAN-REMO, OGUN STATE, NIGERIA

The study assessed knowledge, attitude and perception on breast self-examination practice among females attending out-patient clinic in Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria. Descriptive research design was adopted. Three hundred females were used as sample. The instrument used for data collection was a self-developed,
validated and reliable questionnaire with Cronbach alpha reliability coefficient of 0.85. Data were processed using Statistical Package for Social Science version 23. Using descriptive statistics of percentage while three hypotheses were tested using inferential statistics of Chi-square at 0.05 level of significance. Results revealed that this study revealed that majority of participants had moderate knowledge on self-examination practice, positive attitude practice and positive perception of breast self-examination practice. Furthermore, results also showed that there is a significant relationship between knowledge and breast self-examination practice (p=0.000); significant relationship between attitude and breast
self-examination practice (p=0.000) and significant relationship between perception and breast self-examination practice (p=0.000). On the basis of the findings, it was recommended that more awareness and health education programme be carried out by healthcare professionals to improve breast self-examination practice.

  • Olajide, | Tayo | Emmanuel | olajidet@babcock.edu.ng | +2348035342335, Amiewalam, | Divine | . | olajidet@babcock.edu.ng | +2348090835680, Ojo, | Eunice | Abimbola; | ojoe@babcock.edu.ng | +2348023027428 , Wennie | Jummai | Sa’a | wenniej@babcock.edu.ng | +2348147456903 , Leslie | Tabitha | Amere | lesliet@babcock.edu.ng | +2348068064965
  • : Breast self-examination: Females: Out-Patients: Babcock University Teaching Hospital
  • Olajide, Tayo Emmanuel Vol 9 (1)
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ASSESSMENT OF SELF-EFFICACY AND INFLUENCE OF SOCIO-DEMOGRAPHIC VARIABLES ON SELFEFFICACY OF INDIVIDUALS WITH TYPE 2 DIABETES MELLITUS IN SOUTH-EAST, NIGERIA

Diabetes Mellitus (DM) is a chronic non-communicable disease often associated with chronic complications which affects the quality of life of sufferers. As such, individuals with diabetes are expected to exhibit a level of confidence in the
management of their condition to help delay development of complications. A cross sectional study was carried out on 382 individuals with type 2 diabetes mellitus that accessed care from Out Patient Diabetic Clinic of Tertiary Health Institutions in South East, Nigeria. A standardized instrument; the Stanford Chronic Disease Self-Efficacy Scale was adapted and used for data collection. Data collected was analysed with SPSS (20) and presented in tables. Data on self-efficacy was ranked and rated as low, moderate or high self-efficacy. Hypotheses were tested using Chi square and spearman rank correlation test statistics. P-value less 0.05 alpha level was considered significant. Findings revealed low self-efficacy in exercise domain 133(34.8%), the doing chores domain 119(31.2%), social recreation 109(28.5%) control/manage depression domain 106(27.7%). On the other hand, 115(30.1%) study participants had high self-efficacy in their ability to obtain help from friends/family 124(32.4%) had high self-efficacy in ability to communicate with physician. Age has an inverse correlation with some domains of self-efficacy (p < 0.05); as age increases, participants’ self-efficacy decreases in those domains. Likewise, level of education and occupation significantly influenced
self-efficacy (p < 0.05). However, no significant association was found between gender, marital status and the self-efficacy domains (p > 0.05). Diabetic population in this study had poor self-efficacy which invariably may influence their  self-care behaviour. As a result, health care professionals (Nurses and doctors) should develop strategies such as educational programme to improve self-efficacy in individuals with type 2 diabetes mellitus.

  • OKAFOR | Christiana | Nkiru | christyokafor30@gmail.com | +2348035486853, EZENDUKA | Pauline | Ojinaka | ezendukap@gmail.com | +234, ONYENEKWE | C. | C. | charleschinedum@yahoo.com | +234, OKPALA | PAT | UZO | favouredpat4@yahoo.com | +234
  • : Type 2 Diabetes Mellitus, Self-efficacy, Non-communicable Disease, Sociodemographic
  • OKAFOR Christiana Vol 9 (1)
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OUTREACH CLINIC SERVICES IN RURAL AREAS: AN IMPORTANT MEANS OF IMPROVING MATERNAL AND CHILD HEALTH SERVICES IN DEVELOPING COUNTRIES

Outreach Services is a planned and regular visit by health professionals with the objective of bringing health services closer to the people who have no regular access to health care especially obstetric, infant and children cares. This is because access to healthcare in rural areas of developing countries of the world remains challenging especially among the vulnerable groups such as women of child-bearing age and their children, as well as other vulnerable groups that live
in hard-to-reach regions. This paper discussed outreach clinic services and the importance in maternal and child health (MCH). The paper looked into the concept of outreach clinics, nature of MCH services in Nigeria and other developing
countries and finally the importance of outreach clinic to MCH. Outreach clinic services are well planned and organized health care services rendered to the rural and underserved population who have no regular access to health care. It is seen as a key strategy for the provision of MCH care to the hard-to-reach and vulnerable group in the rural areas.
Pregnant women in the rural areas are more in number than their urban counterparts and most of these women do not receive adequate antenatal and postnatal care, hence higher rates of maternal and infant morbidity and mortality are recorded. In Nigeria as an example, there is lack of skilled healthcare workers in rural areas and this is linked with poor
maternal and infant health status. Outreach clinic services help in the provision of obstetric care services to mothers and children in the rural areas as well as vitamin A supplementation, family planning education, growth monitoring and immunization. It also helps to reduce costs and travelling inconveniences encountered by these women. If well organized and regularly carried out, outreach clinic programmes will be cost effective, provide active surveillance, and help to reduce maternal and infant morbidity and mortality rates in Nigeria and other developing countries.

  • OBI | Ihuoma | Anthonia | ladyihuomaobi@gmail.com | +2348035980988
  • : Outreach Clinic Services, Rural Areas, Maternal and Child Health
  • OBI Ihuoma Vol 9 (1)
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KNOWLEDGE, ATTITUDE AND PREVENTION OF CORONAVIRUS DISEASE AMONG NURSING STUDENTS IN SOUTHWEST NIGERIA

The ravaging coronavirus has brought a huge burden to the health sector, and the nurses, as part of front-line workers, bear part of this burden. Even with this burden, much is yet to be known about the novel coronavirus. This study assessed the knowledge, prevention, and attitude towards coronavirus disease among nursing students in southwest Nigeria. It is
a descriptive quantitative study and a cluster sampling technique was used to select three hundred respondents. The data was collected through an online self-structured q questionnaire with a reliability index of 0.72. The data were analyzed using SPSS 22.0 using descriptive statistics presented as tables and charts while inferential statistics were tested with
Chi-square. The hypotheses of the study were tested at a p=0.05 level of significance. The findings of this study revealed that the mean age of the respondents was 22.16 ± 3.11 years. The respondents are  knowledgeable about coronavirus, with the mean score of above 16.16 ±1.840; The level of prevention of the coronavirus disease is high. Also, the respondents had a positive attitude towards coronavirus disease. Findings also observed that there was no association
between knowledge of coronavirus and the attitude towards it with p=0.401. Also, there was no association between knowledge of coronavirus and prevention of coronavirus disease with p=0.375. It is therefore recommended that nursing students should be encouraged to maintain their level of knowledge, attitude and prevention on corona virus and all other infectious diseases. Nursing students should be given adequate consideration by their institutions and
provided with materials and information for caring in a pandemic situation.

  • NWEKE | Chigozie | I. | celewor@unilag.edu.ng | +2347038147433, OKWUIKPO | Margaret | I. | okwuikpom@babcock .edu.ng | +234, ABAZIE | Ogechi | H. | habazie@unilag.edu.ng | +234, ADETUNJI | Aderonke | J. | ronkeadetunji56@gmail.com | +234
  • : Attitude, Knowledge, Prevention, Coronavirus Disease, Nursing Students
  • NWEKE Chigozie Vol 9 (1)
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ASSESSMENT OF STRESS AND PHYSIO-PSYCHOSOCIAL RESPONSE AMONG STUDENT NURSES IN NORTHERN NIGERIA

This empirical study determined level of stress and physio-psycho-social response among student nurses in Northern Nigeria. The research utilized descriptive cross-sectional and correlational designs. Multi-Stage sampling technique was
used to select 237 student nurses from three geo-political zones covering 19 states in Nigeria. The instrument for data
collection were the self-report questionnaire, the Perceived Stress Scale (PSS) and Physio-psychosocial response Scale
(PPSRS). The tool was made up of 50 items. The instrument for internal consistency reliability was computed via
Cronbach alpha and produced .896 and .933 respectively. The gathered data was analysed using both descriptive and
inferential statistics. This research observed that the level of stress among respondents is moderate. Further findings
revealed that the common sources of stress are Stressors from assignments and workload ranking 1st, Stressors from
teachers and nursing staff ranking 2nd and Stressors from peers and daily life ranking 3rd. The result of this study also
showed that the total ranking on the Physio-Psycho-social response of the students’ Physio-Psycho-social health and
well-being in general manifested Good Health Status. Four hypotheses were tested and the first revealed that there was
no statistically significant difference in stress levels of nurses based on their ages. Secondly, there was a significant
difference in the stress levels based on the respondent’s states they came from, thirdly, there was no significant difference
in the student nurses stress levels and lastly, there is a statistically significant and positive relationship between the total
stress and overall physio-psycho-social health among the student nurses. Based on these findings, recommendations
were made among which nurse educators and stakeholders should be aware of the existence of stress, the sources of
the stress, the stressors and should strengthen student coping skills and strategies to deal with them. There should also
be a periodic revisiting and review of the training curriculum, emphasizing on the related learning experiences so as to
be in tandem with the 21st century nursing profession.

  • MURTALA | Aliyu | Sakwa | tafidansakwa1@gmail.com | +2348036025974, MUHAMMAD | Abdullahi | Sabo | likitasabo@gmail.com | +2348035665734
  • : Physio-Psycho-Social Health Response: Student Nurses
  • MURTALA Aliyu Vol 9 (1)
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RENAL HEALTH INDICES OF RESIDENTS OF OJA OBA COMMUNITY, OSOGBO LOCAL GOVERNMENT AREA, OSUN STATE, NIGERIA

Health indicators are summary measures that can, in a simple way, reveal a situation that is not very apparent when considered by itself. This health indicators include raised blood pressure, glycosuria and proteinuria which can give rough estimate of how well a community is doing as regarding renal health. This study assesses the renal health indices of
residents of Oja Oba community in Osogbo local Government Area of Osun State. The target population consists of
one hundred and fifty-two people. Participants consist of residents of Ataoja’s palace, workers at the local government’s
office within the palace, civil servants and traders at the palace market. The instruments used for this study include
Stadiometer and weight scale, mercury sphygmomanometer, universal bottles, recording sheets, biro pencil and urine
multi-test strips and proforma for data entry. Data were entered into statistical package for social sciences version SPSS
18.0 with which descriptive analysis was done yielding frequency tables, mean, median, modes and standard deviation
for continuous variables. The result of this study shows that majority (65.8%) of the participants have abnormal weight
but 76% of participants had no sugar in their urine. This study also indicated that majority of the participants had
proteinuria and are hypertensive. The result revealed that BMI is positively correlated to mean arterial blood pressure.
We concluded that the renal health status of Oja-oba community in Osogbo, Osun State is poor. It is therefore
recommended that Health indices evaluation done in this year’s World Kidney Day should be made available to every
individual above 40 years to detect any abnormality early and treat promptly.

  • Monisayo | Olayemi | Komolafe | monisayokomolafe@gmail.com | +2348037458603
  • : Health Indices, Body Mass Index, Blood Pressure, Obesity, Proteinuria
  • Monisayo Olayemi KOMOLAFE Vol 9 (1)
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DIABETES MELLITUS AND QUALITY OF LIFE OF PATIENTS ATTENDING A SECONDARY HEALTH FACILITY IN KANO, NIGERIA

Diabetes mellitus (DM) is a disease of global public health importance associated with high morbidity and mortality. It is seen as one of the most important chronic diseases in the world that pose threats to patient’s quality of life. This study aimed to assess the quality of life of patients with diabetes mellitus at a secondary health care setting in Kano State
Nigeria. Utilizing a descriptive cross-sectional design and a systematic sampling technique, data was collected from 144
eligible respondents using the World Health Organization’s quality of life questionnaire. The data was analysed using
SPSS version 20 software and presented using frequency tables and percentages. Scores were assigned to individual
responses of items of quality of life and were categorized based on the World Health Organization’s quality of life index.
Findings from the study revealed, that near half (48.3%) of the patients experience low quality of life in the physical
health domain and less than half (45.5%) were rated as high quality in social relationship domain. The study also identified
insufficient income, lack of accessibility to health insurance schemes, physical inactivity, co-morbidities and presence of
diabetic complications of neurological and ophthalmologic basis as factors contributing to poor quality of life of the
patients. The study concluded that diabetes mellitus has negatively affected all quality of life domains of patients and
therefore more efforts from government, client education from caregivers, social support and quality service delivery by
health institutions are strongly recommended.

  • IDRIS | ABDULRASHID | . | aidris.nur@buk.edu.ng | +2348063375818, DALHAT | KHALID | SANI | @ | +234, BILKISU | UMAR | BAYERO | @ | +234, SHUKURANA | BADAMASI | YAKUBU | @ | +234
  • : Diabetes Mellitus, patients, quality of life, Health
  • Idris Abdulrashid Vol 9 (2)
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EFFECTS OF JOB SATISFACTION AND JOB PERFORMANCE OF NURSES ON THE WELLBEING OF PATIENTS IN THE FEDERAL MEDICAL CENTRE, OWO

This study assesses factors that affect job satisfaction and job performance of Nurses on the wellbeing of general patients
in Federal Medical Centre, Owo, Ondo State. A descriptive research design was used, a random sampling technique
was used to select a sample size of one hundred and twenty (120) respondents. The instrument used for this study is a
structured Questionnaire in which one hundred and ten (110) were retrieved and ten (10) were not returned. The data
collected were analysed using both descriptive and inferential statistics with the aid of statistical product and service
solution (SPSS) version 20.0. Findings revealed that the level of job satisfaction and performance of nurses at Federal
Medical Centre Owo are high. And that factors which could constitute barrier to job satisfaction, such as: lack of
necessary equipment; work overload; shortage of staff; decreasing clients flow; low productivity; poor welfare scheme
and reduced turnover. The hypothesis tested observed that there is a significant relationship between the job satisfaction
and job performance of nurses on the wellbeing of general patients. It thereby recommends that management should
use those factors that impact job satisfaction and employee performance to make them happy, better their well-being
and their environment.

  • FATILE | O. | Adebimpe | @ | +234, FATILE | ELIJAH | O. | :@ | +234, EMUZE | JOY | PERPETUA | @ | +234
  • : Job satisfaction, Job performance, Nurses, Wellbeing
  • FATILE O Vol 9 (2)
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