Introductions: Inability to use effective coping strategies to minimize stress due to high academic and clinical expectations may affect nursing students’ health, academic and clinical performance. The aim of this study was to assess the level of stress, stress responses and use of coping strategies among bachelor nursing students. Methods: This-cross-sectional study included bachelor nursing program students selected by stratified random sampling technique from four nursing colleges affiliated to Tribhuvan University in Kathmandu Valley, Nepal, during August 18th to September 15th 2017. Data were collected using structured self-administered questionnaire. Perceived stress scale, physio-psycho-social responses scale and coping check lists were used to assess stress, stress responses and coping strategies of bachelor nursing students. Results: There were total 284 participating nursing students, 240 (84.5%) had moderate level of stress and 20 (7%) high level of stress. The common source of stress were assignments and workload (2.37±0.63), and clinical environment (2.16±0.74). Students’ physio-psycho-social responses during stress, 109 (38.4%) reported best emotional health, 125 (44%) best social behavioral and 189 (66.7%) best physical health. Coping strategies were, problem focused 175 (61.6%), social support coping 173 (60.9%), and avoidance coping 165 (58.1%). There was a positive correlation between stress and coping (r=0.138). Conclusions: More than 3/4th of bachelor nursing studentsreported moderate level of stress, problem focused coping strategies was commonly used and half of the students maintained good level of physio-psychosocial health during stress.
Introduction: Severe Anaemia during pregnancy is an important contributor to maternal mortality, as well as to the low birth weight which is in turn an important risk factor for infant mortality. We aim to determine the prevalence of anaemia in the region amongst pregnant women and identify their problems and to easily provide them with the clinical services. Methods: A community based cross sectional study done in PHCRC Chapagaun, Lalitpur from July 17, 2011 to Sep.17, 2011. Date from pregnant women presenting at PHCRC, , were filled and analysed using standard guidelines from WHO and Indian council of Medical research..Results: Out of 192 pregnant women, the average age of pregnancy was 21-25 years (46.55), mean haemoglobin (Hb) in pregnancy was 11g/dl. Majority pregnant women are Newar (35.4%) ethnicity, 67.7% of them housewives and 31.5% have primary level education. Only 24% was found to have their haemoglobin level in anaemic range. Among the pregnant women (n) =192; 48 (25%) had worm infestation, 119 (62%) had negative stool report and 25 (13%) had other than worms were found. Only about one third of the sample has actually taken albendazole.Conclusions: Aanaemia is prevalent in pregnant women of PHCRC, chapagaun and there was a significant correlation between anaemia and worm infestation. However, the relation among the haemoglobin level, iron, folic acid and albendazole was not significant. Keywords: anaemia; infestation; pregnant women; worm. | PubMed
Introduction: Evidence based practice (EBP) is the use of current best evidence in making decisions about the care of individual patients. The aim of this study was to explore the practices, attitudes, knowledge and perceived barriers in relation to EBP among faculty members at Patan Academy of Health Sciences (PAHS), Nepal. Methods: This was a cross-sectional survey study. Participants were faculty members (both clinical and non-clinical) at PAHS. The main outcomes were attitude towards the usefulness of EBP, the frequency of use of EBP in practice, and the barriers to carrying out EBP. Results: One hundred and seventy-two faculty members participated in this survey. Ninety five percent knew it was used for clinical decision making and the majority used it for teaching. Senior faculty spent more time on searching for evidence and reading compared to junior faculty. There was no difference between clinical and non-clinical departments. The main barriers to EBP were inadequate teaching learning support by 49% (85/172) followed by inadequate time 30% (52/172). Conclusions: The study showed that faculty at PAHS had a generally positive attitude towards EBP. EBP could be better facilitated by proper teaching and allocation of dedicated time.
Introduction: Spontaneous abortion (SA) is one of the adverse outcomes during pregnancy, which is a challenge for maternal well-being. The present study aimed to analyze the predictors of SA among reproductive age women. Method: A hospital-based case-control study was conducted at Patan hospital, Nepal. The consecutive sampling technique was used to select the cases (84) and a purposive sampling technique was used for controls (168) in a 1:2 ratio. Ethical approval was obtained. Data were collected through face to face interviews using a structured questionnaire. Descriptive and inferential statistics (Chi-square, Fisher exact test, and logistic regression) were used for analyzing the data. Result: We found that previous history of abortion (OR=3.80, 95% CI=1.8-7.70), heavy lifting (OR=20.45, 95% CI =4.48-93.38), emotional disturbance (OR=10.06, 95% CI=1.06-96.96), health problems (fever of unknown cause and urinary tract infection) during pregnancy (OR=16.53, 95% CI=1.90-143.41), coffee intake (OR=0.36, 95% CI=0.20-0.63), unplanned pregnancy (OR=0.10,95% CI=0.04-0.22), preconception counseling/care not received (OR=6.48, 95% CI=2.18-19.21) were the significant predictors of SA among reproductive age women. Conclusion: Our findings show that the previous history of abortion, heavy lifting, emotional disturbances, health problems, and coffee intake during pregnancy are the significant cause of SA; and preconception counseling and planned pregnancy are protective factors.
Abstract:Introduction: Men not only act decision-makers for women's access to health services, but also through abuse or neglect, men's actions can have a direct bearing on the health of their female partner. Objectives:The overall objective of the study was to find out the involvement of male in maternal and infant health care in Kohalpur Municipality of Banke District Nepal. Methods and Materials:A cross sectional descriptive design was used. Semi structured questionnaire was developed by adopting standardized tools which were developed by the Maternal Neonatal Program of JHPIEGO, an affiliate of John Hopkins University. Semi-structured interview was conducted among purposively selected 151 male respondents who had less than one year child in Kohalpur Municipality of Banke district of Nepal. Data was entered and analyzed through SPSS 20 version for descriptive as well as Inferential analysis. All ethical aspects were followed.Results: Only 41.1% respondents were involved in maternal and infant health care. Among the different components of the maternal and infant health care maximum involvement found in antenatal care (57.6%) and minimum involvement found in immunization (5.3%). Involvement of the male is significantly associated with respondent age (0.009), Ethnicity (0.004) Illiteracy (0.011), level of education (0.0001), occupation (0.0001) and income (0.000 1). Conclusion:This study concluded that involvement is higher among the higher educated and Service holder men. Therefore these factors should be considered during maternal and infant health policy development. It is therefore necessary to assess the male participation and their contribution for improving the maternal and infant health. The purpose of the study is to assess the male involvement in maternal and infant health care in a municipality of Banke District, Nepal. The study is also to assess the relationship between variables and male involvement regarding maternal and infant health care. Conceptual Framework Figure 1: Conceptual Framework MethodologyA descriptive, cross sectional study was conducted in Kohalpur municipality of Banke district. The municipality contains 12 wards among them 6 wards were selected purposively. The study population comprised of men who were married and had less than one year child. The 151 sample was drawn by using non probability purposive sampling. Semi The scoring criteria for involvement:For each involvement related questions 1 score is given for involvement and 0 score for not involvement. In multiple response questions 1 score is given for one response. Involved =Obtained score above 50% Not involved =Obtained score up to 50% Result Type of Support regarding exclusive breast feeding*(n=69)Encouraged wife for nutritious diet 39 56.5Encouraged demand feeding 40 58Gave sufficient time to wife for feeding 30 43.5Discussed about the appropriate method of family planning which enhance the breast feeding Table 4 shows that 47% of the respondents had made joint couple decision regarding breast feeding. 45.7...
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