Background: Wound infection is caused by pathogenic organisms invading viable tissue surrounding a localized defect or excavation in the skin or underlying soft tissue. Nurses have a critical role in wound care and dressing selection, and they should strive to stay current in this ever-changing field. To prevent wound infection, it is essential to improve wound-care knowledge and practice. Objective: To assess knowledge and practice of wound care and associated factors among nurses working in government hospitals of South Wollo Zone, Ethiopia. Methods: A hospital-based cross-sectional study design was used among 422 randomly selected nurses in government hospitals in South Wollo. A pretested structured self-administered questionnaire was used to collect data. Data were entered in EpiData 4.4.2 and exported to SPSS 25.0 for analysis. Descriptive statistics and bivariate and multivariate logistic regression were applied. Variables with P value <0.05 were considered statistically significant for knowledge and good practice of wound care. Results: According to the findings, 40.3% and 51.0% had good knowledge and practice of wound care, respectively. Holding a bachelor's degree or above (AOR 3.27, and training (AOR 3.71, 95% CI 2.37-5.81) were significantly associated with knowledge of wound care. More than 10 years of experience (AOR 3.15, training (AOR 3.75, 95% CI,, and not having a patient load (AOR 3.15, 95% CI 1.96-5.04) were significantly associated with wound-care practices. Conclusion: Nurses' wound-care knowledge and practice were low. Knowledge and practice on wound care were determined by educatio, training, patient load, and experience. Nurses should get training and share experience.
Introduction: Pain results from real or potential tissue damage that involves a disagreement sensory and emotional experience. Poor practice in post-operative pain management results in negative clinical outcomes, chronic pain, financial burden, and a reduction in patient functionality and productivity. The study was used for the hospitals administrations, health professionals, committee that develop the pain management guideline, researcher, and governmental health institutions regarding the practice of postoperative pain management. Objective: To assess postoperative pain management practices and associated factors towards healthcare professionals working in governmental hospitals in South Wollo Zone, Northeast Ethiopia, 2020. Method and Materials:-Cross-sectional study design was conducted from 20/02/2020 to 25/03/2020. The study population was selected from south Wollo zone governmental hospitals and 386 samples were collected using a selfadministered tool and verified, coded, and entered to Epi-data software version 3.1 and exported to SPSS software version 23 for analysis. To summarize descriptive statistics frequencies, percentages, and mean were used and presented with tables, charts, and figures. Result: The response rate of the study participants were 95.8%. Among the participants 57.5%, of the study respondents had good practice and 42.5% had poor practice of postoperative pain management. The variable, working intensive care unit (AOR (95%CI)=14.5 (1.503-139.93)), using assessment tool (AOR (95%CI)=10.622 (4.776-23.621)), using Pain scale (AOR (95%CI)=10. 614 (4.803-23.456)), Do documentation (AOR (95%CI)=6.748 (2.977-15.294)), take training (AOR (95%CI)=4.126 (1.707-9.977)), had past pain experience (AOR (95%CI)=4.174 (1.821-9.564)), favorable attitude (AOR (95%CI) =2.592 (1.191-5.643)); such independent variables were significantly association with the postoperative pain management practice. Conclusion: The overall level of poor postoperative pain management practice among health professionals in the study area was low.
Background: Uncontrolled hypertension results in hypertension crisis, and it is an important public health concern around the world. The incidence of complicating hospitalizations with hypertension continues to grow and is associated with increased mortality and adverse discharge. Hypertension crisis and stroke are caused by numerous factors; however, there is a paucity of studies to identify determinants of hypertension crisis and stroke in Ethiopia, particularly the study area. Objective: To identify determinants of hypertension crisis and stroke among hypertensive patients in South Wollo zone and Oromia special zone public hospitals, 2022. Methods: An institution based cross-sectional study was conducted among 416 participants in South Wollo and Oromia special zones public hospitals. Systematic random sampling technique was used to select study participants. Data were entered into Epidata version 3.1 and analyzed using Statistical package for social sciences version 23. Variables having P<0.25 in binary logistic regression was retained in the multivariable analysis to control the effect of confounding. Finally, determinants were identified based on adjusted odds ratio along with 95% confidence level at p-value less than 0.05. Model fitness was checked using Hosmer-Lemshow test. Results: In this study, the magnitude of hypertensive crisis was 35.6%(95%CI:31.1,40.4). Age(41-60years)(AOR=0.76,95%CI:0.42,0.98), Social support(AOR=0.82,95%CI:0.41,0.93), living in urban(AOR=0.56,95%CI:0.24,0.86) and good medication adherence(AOR=0.48,95%CI:0.29,0.83) were determinants of hypertensive crisis. Another, the magnitude of stroke was 5.0%(95%CI:3.1,7.8). Rural residence (AOR=3.4,95%CI:1.23,9.44), Systolic blood pressure (AOR=9.6,95%CI:2.71,34.06), family history of stroke (AOR=0.26,95%CI:0.07,0.79) were determinants of stroke. Conclusion and recommendation: The magnitude of hypertensive crisis was high, whereas the magnitude of stroke was relatively low. Age 41-60 years, urban residence, having social support and good medication adherence were determinants of hypertensive crisis, while rural residence, systolic blood pressure and family history of stroke were determinants of stroke. Thus, health care providers should screen aged patients and patients with family history of stoke.
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