Background: Healthcare workers have a potential risk of COVID-19 as they are at the front line of the COVID-19 outbreak response. This study aimed to assess the potential risk of COVID-19 infection among healthcare workers at COVID -19 treatment center. Methods: A hospital based cross-sectional study design was undertaken to conduct this study. A snowball networking sampling method was used to select the participants. Total 387 health care workers participated in the study from July 18, 2020 to September 22, 2020. The WHO COVID-19 risk assessment tool was used to collect data from study participants. Descriptive statistics and inferential statistics binary logistic regression were done through SPSS 16 version. Results: There was a high level of occupational exposure (88.9%) to the COVID-19 virus and a higher potential risk of COVID-19 infection (75%) among exposed healthcare workers. Among those who had occupational exposure 7% and 21 % did not use personal protective equipment during healthcare interaction and performing aerosol generating procedures respectively. Male healthcare workers, registered nurses, medical doctors, and auxiliary nurse midwives were found the potential risk of COVID-19 infection. Healthcare workers with less supply of PPE had three times higher potential risk of COVID-19 infection. Conclusions: Healthcare workers had a higher occupational exposure and higher potential risk of COVID 19 infection. Healthcare workers had poor adherence to infection prevention and control measures. Healthcare workers should ensure proper use of personal protective equipment and adherence to infection control measures and adequate supply of PPE must be there to protect the healthcare workers from COVID-19 infection.
Background: Chronic Kidney Disease (CKD) is a progressive irreversible loss of renal function over a period of months or years. When kidney disease progresses, it may eventually lead to kidney failure, which requires dialysis or a kidney transplant to maintains life. Hemodialysis is used for patients who require short term dialysis (days to weeks) and for patients with advanced CKD and End Stage renal Disease (ESRD) who require long term or permanent renal replacement therapy. Hemodialysis significantly and adversely affects the lives of patients, both physically and psychologically. Depression is the most common psychological condition among patients with ESRD. Depression in dialysis patients not only effect mortality, but increased rate of hospitalizations and dialysis withdrawal is also very common. Methods: A descriptive cross sectional research design was carried out to identify the depression level of chronic kidney disease patients receiving Hemodialysis in Western Regional Hospital, Pokhara using Beck Depression Inventory among forty six patients. Results: The study findings revealed that majority of the patients (84.8%) has various degree of depression i.e. mild (21.7%), moderate (30.8%) and severe (32.6%). Only fifteen percent of patient has no depression. There was no statistical association between the level of depression and socio-demographic variables. It can be concluded that the prevalence of depression is high among patients receiving Hemodialysis. Conclusion: The prevalence of depression is high among patients receiving Hemodialysis. It is effective to provide mental health services to the CKD patients receiving Hemodialysis which help them better psychologically adaptation to their disease and improve their quality of life.
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