Objective: To investigate the effects of children factors, family factors, and access to healthcare services on children’s quality of life as perceived by caregivers and nutritional status of 0 to 2 years old children.Materials and Methods: This study employed predictive design. The sample group consisted of 106 caregivers with children aged 0 to 2 years old from five subdistricts in one province in Central region in Thailand. The research instruments included the Demographic Data of Parents and Children Questionnaire; the Access to Healthcare Services Questionnaire; the Child-Rearing Practices Questionnaire; the Quality of Life of 0-2-year-old Children Questionnaire. The data were analyzed by using the Chi-square, Fisher’s exact test, and multivariate logistic regression.Results: Logistic regression model accounted for 34 % of variance in children’s quality of life (Nagelkerke R2= 0.34) and 35.3% of variance in their nutritional status (Nagelkerke R2=.35). Factors predicting the QoL of children were the maternal age (OR=4.75; 95%CI = 1.16, 19.45, p < .05), and the child-rearing practices (OR=5.68; 95%CI = 1.97, 16.40, p < .05). Factors predicting nutritional status were maternal age (OR=0.088; 95%CI = 0.01, 0.79; OR=0.225; 95%CI=0.02, 2.34, p < .05), and child-rearing practices (OR=7.84; 95%CI = 1.93, 31.84, p < .05). Finally, access to healthcare services had a significant association with QoL of children (χ2 = 9.632, p < .05).Conclusion: Healthcare personnel should improve children’s quality of life and nutritional status by organizing programs to promote child-rearing practices and facilitating parents for accessibility to healthcare services.
Chronic malnutrition (i.e., stunting) is one of the significant health problems among children under five years old in Myanmar. The government has been trying to accelerate the reduction of malnutrition by collaborating and coordinating with other government and non-government organizations. However, the prevalence of chronic malnutrition remains high. This study examines the factors that could predict chronic malnutrition among young children using the Myanmar Demographic and Health Survey 2015–2016. Data record forms were used to collect the required information from the original data source. Descriptive statistics, the chi-square test, and logistic regression analysis were applied to analyze the data analysis and to determine the predictive power of independent variables. It was found that breastfeeding, birth weight, and family wealth index were significant predictors of childhood stunting. This study recommends emphasizing low-birth-weight infants to prevent chronic malnutrition and promote breastfeeding for all infants and children in Myanmar. Furthermore, policymakers should try poverty reduction and establish healthcare services that are easily accessible to the public, especially to the poor. Based on the findings of this study, more efforts to set up readily available public health services providing care for pregnant women and promoting breastfeeding would be some better precautions against chronic malnutrition for every child, particularly from developing countries.
Objetivos: examinar cómo el uso de una aplicación para tableta como ayuda en la comunicación con pacientes pediátricos con respirador artificial afecta el nivel de satisfacción con la comunicación por parte del personal de enfermería y en las díadas cuidador–paciente. Materiales y método: se utilizó el diseño pretest-postest de un solo grupo para analizar el nivel de satisfacción del personal de enfermería con la comunicación y se utilizó un diseño de grupo de control pretest-postest no equivalente para los cuidadores. La muestra estaba conformada por 44 miembros del personal de enfermería y 18 díadas de cuidadores y pacientes pediátricos con ventilación de dos hospitales en Tailandia. Se utilizó una prueba de T pareada para comparar al personal de enfermería, la prueba U de Mann-Whitney para comparar los cuidadores y una estadística descriptiva para describir la satisfacción de los niños. Resultados: el personal de enfermería se sintió más satisfecho con la comunicación al usar la aplicación de la tableta que los métodos de comunicación regulares (t = -9,13, df = 43, p < ,001). Los cuidadores que usaron la aplicación para tableta también reportaron una mayor satisfacción con la comunicación respecto a aquellos que usaron los métodos de comunicación regulares (U = -3,41, p < ,001). Casi el 90 % de los pacientes pediátricos reportaron sentirse completamente satisfechos con el uso de la aplicación. Conclusiones: la aplicación para tableta diseñada para facilitar la comunicación con pacientes pediátricos con respirador artificial mejoró los niveles de satisfacción con la comunicación y debe promoverse como uno de los dispositivos de comunicación de asistencia para uso amplio.
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