BackgroundSickle cell disease (SCD) is of major public health concern globally, with majority of patients living in Africa. Despite its relevance, there is a dearth of research to determine the socio-demographic distribution and psychosocial impact of SCD in Ghana. The objective of this study was to examine the socio-demographic distribution and psychosocial consequences of SCD among patients in Ghana and to assess their quality of life and coping mechanisms.MethodsA cross-sectional research design was used that involved the completion of questionnaires on socio-demographic characteristics, quality of life, coping mechanisms, anxiety and depression. Participants were 387 male and female patients attending a sickle cell clinic in a public hospital.ResultsResults showed that majority of the patients were single, female, less than 39 years old and had attained secondary school level of education or less. Also, patients were more satisfied by the presence of love, friends and relatives as well as home, community and neighbourhood environment. While pains of varied nature and severity were the major reasons for attending hospital in SCD condition, going to the hospital as well as having faith in God was the most frequently reported mechanisms for coping with an unbearable SCD attacks. Results of multiple regression analysis showed that some socio-demographic and quality of life indicators had strong associations with anxiety and/or depression.ConclusionsIt is recommended that a holistic intervention strategy incorporating psychosocial dimensions should be considered in the treatment and management of SCD.
health, behavioral health, health policy, health service, health education, health economics, medical ethics, health protection, environmental health, and equity in health. As the journal is Open Access, it ensures high visibility and the increase of citations for all research articles published. The Journal of Health and Medical Sciences aims to facilitate scholarly work on recent theoretical and practical aspects of Health and Medical Sciences.
Background/aims HIV/AIDS is a disease that is taking many lives in Ghana and other countries in Africa. It is a disease that has infected people in Sweden, though not as many as Africa has reported. The present investigation concerns how HIV/AIDS patients in Ghana, a cultural tropic climate, and patients in Sweden, the Nordic region, experience their pain. Methods With empirical data from both countries, the research will unveil how these patients cope or adapt to their illness with all the attention they receive from the environments and their native resources. Apart from the theoretical considerations where literature/secondary sources on the subject will be analysed, the investigation will administer Coping Experience Questionnaires (CEQ) and The Medical Outcomes Study Short Form 36 (SF36) to reach a deeper analysis on how they adapt to their illness and wellbeing. The study will also utilise both the Structured Interviewed (SI) and In-depth Interview (IDI) to muster relevant data about their experience with hospital environments, native resources, and human relations. Results and conclusion It is estimated that the results of the investigation will firstly, help doctoral students to comprehend coping strategies and differences in conditions with HIV/AID patients in diverse cultures, and secondly, help to understand psychiatry care of patients from different cultural climates.
Background and Objectives The need exists for researchers to study the backgrounds of neurological disorders patients and how they cope with their symptoms. Patients often go unnoticed in present-day technological Ghana because of wrong knowledge and attributions. There exists a lack of knowledge, so people wrongly interpret their activities as the workings of some spiritual powers. The study's objective is to investigate the neurological disorders of Ataxia and Epilepsy in Ghana and to focus on the hereditary transmission of the diseases rather than spiritual causes. Method The study employed the convenient sampling technique and the snow bowling effect to gather the sample. In this case, we did not use the probability sampling methods in this significant research to muster the sample. The study used the clinical interview method, open-ended and structured interviews, naturalistic observation, and biographical data to accomplish its aims. These interviews took place in the hospital environments, home settings, and public/street settings of various patients. Results Patients are aware of people's attributions of these disorders to spiritual beings. There are spirits, witches, alcoholic behaviors, wizards, distant relatives, and other relationships that cause these disorders. Some of these patients agree with the genetic-biological and physical-injuries hypotheses of origin. But, they do concur that this would not change their perception and handling of their disorders. Conclusion Appropriate knowledge concerning the sources of their disorders would pave way for meaningful handling and treatment of the disorders. Was this supported in our study? On the part of the patients, we did not see any available data supporting these assertions. Patients want their disorders to be carefully treated and given important focus. They care less about the causes of their disorders whether they are genetics, injuries, or the spiritual causes they mostly alluded to in the investigations. The results of this research are more beneficial to caregivers and practitioners than patients, the latter who suffer stigmatization and lack of self-esteem, and a host of other psychological problems. These prevent them from enjoying healthy and normal lives and, coupled with humiliation, disturb their self-esteem and human dignity.
Objectives: This study aims to investigate whether sexual intercourse before disputation could capacitate individuals to perform better. This might help us to dispel the view that a neurological disorder is not behind audience fear. Method: This investigation used the field experiment method (uncontrolled) to collect empirical data. It was to investigate if sexual experience before the defense could motivate graduates to perform better in their defense. The field experiment was not observational learning but experiential moments where graduates would account for their experiences. All told, 22 college graduates who had just completed their dissertations and were about to defend them gave their time to participate in the investigation. We assigned the sample in the experiment to 11 members in the experimental group (9 women and 2 men) and 11 members in the control group (10 women and 1 man). The mean age was 26.9. There was the need to have a third condition/group who were the three neurological disorder patients. The experimental group had sexual intercourse early in the morning (between 4.00 a. m. and 8.a. m.) before coming to face the crowd at 9.00 a. m. The control group, on the other hand, ate a nice favorite food before they came to meet the audience. The confidential aides' testimonies gave the third group (condition) experiences of sex since many adherents who were women had corroborated the numerous occasions they took place. Since the experimental and control groups did these acts right in their home environments before coming, we provided them some additional reminders of these sensual experiences by providing them bottles of wine, snacks, and coffee or tea to augment their emotions and feelings before the defense. Additionally, we lighted candles and played taperecorded music, which was romantic instrumental music. Results: Women in the experimental group felt relaxed with sex. It helped them to reduce their anxiety. Some of these persons experienced tension reduction and relaxation during the defense. Some control group members felt dizzy and calm with the wine which was given to them before the commencement of their defense. Though they did not have the manipulation with sex, the food eating did not make them hungry, as they could concentrate. For the third condition, sex was the symbol of relaxation and tension reduction even though many people attributed its use to juju or charms that helped these individuals to perform better in the podium and pulpits. For these individuals who had neurological symptoms, sex was a means to treat their secret chronic pain, which they were suffering. Their constant sex addiction gave us the impression that without these behaviors, they could have broken down early. Thus it was used to protect their unhealthy states which were plagued with pain, seizures, frustration, brain attack, which could release in public if they were to experience excessive tension while in the crowd. Conclusion: This field experiment revealed that there are tension reduction and relaxation when some individuals have sex. Yet with the neurological patients, it is the reduction from tension and chronic neuropathic pain that they sought. It was not crowded fear that motivated them to be obsessed with sex.
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