{"title":"Family caregivers' burden and coping strategies with clients living with schizophrenia in neuropsychiatry specialist hospital in Akure, Ondo state, Nigeria","authors":"O. Bolarinwa, F. Kehinde","doi":"10.4314/rejhs.v10i4.8","DOIUrl":"https://doi.org/10.4314/rejhs.v10i4.8","url":null,"abstract":"Objective: Caring for schizophrenic clients has an enduring effect and leads to a substantial level of burden for the caregivers. This study assessed the caregivers' burden and coping strategies with patients living with schizophrenia. \u0000Methods: A descriptive cross-sectional research design was used to assess the family caregivers' burden and coping strategies with clients living with schizophrenia in Neuropsychiatry Specialist Hospital. The Zarit Burden Interview Scale was used to assess the participants' level of burden while the Brief CopeScale was utilized for the assessment of their coping strategies. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 23. \u0000Results: 63.5% of the family caregivers were married.53%had a mild to moderate burden, 38% had a moderate to a severe burden, 1% had severe, and only 8% had little or no burden. The family caregivers utilized a mix of coping strategies. The coping strategy most commonly used among the respondents was 'Religion' mean being 2.9270±0.86466 SD. \u0000Conclusion: A significant number of family caregivers experience a burden related to the care of their loved ones. Therefore, healthcare providers must offer psychological support to and teach family caregivers effective coping strategies necessary for reducing their burden of care.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":"61 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41247695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Aworanti, O. Adeoye, S. P. Ogundeji, I.D. Nwanji, C. Anyanwu-Yeiya, F. Fasola, J. Olaniyi
{"title":"Risk factors for venous thromboembolism at the University College Hospital, Ibadan.","authors":"O. Aworanti, O. Adeoye, S. P. Ogundeji, I.D. Nwanji, C. Anyanwu-Yeiya, F. Fasola, J. Olaniyi","doi":"10.4314/rejhs.v10i3.3","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.3","url":null,"abstract":"Background: Venous thromboembolism (VTE) possesses a significant public health challenge as it is responsible for high morbidity and mortality rates worldwide. Risk factors play a major role in its pathogenesis. VTE risk factors identification and thromboprophylaxis will reduce the burden of disease and its treatment cost. The study aimed to review the pattern of presentation, and identify risk factors in VTE patients at the University College Hospital (UCH), Ibadan.Methods: This is a retrospective study of the hospital records of 98 confirmed VTE patients managed at UCH, Ibadan over 18 months. Demographic data and risk factors documented in the case-note were retrieved. Microsoft excel version 2013 and SPSS version 23 were employed for the statistical analysis.Results: Ninety-eight patients were studied with M: F of 1:1.6. The age range was between 15 and 87 years with a mean age of 52±17years. Seventy-one patients (72%) had DVT. Immobilization was the most frequently identified risk factor, followed by a prior diagnosis of malignancy (15.4%).Conclusion: This study further confirms immobilization as the most identifiable risk. Others include malignancies and iatrogenic causes by femoral canulation. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43971336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of dietary energy and protein intake in chronic kidney disease patients: A single centre study.","authors":"M. Mamven, O. Amira","doi":"10.4314/rejhs.v10i3.5","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.5","url":null,"abstract":"Objectives: Nutrition is often neglected as an important management strategy in Chronic Kidney Disease patients and malnutrition is an important determinant of morbidity and mortality. We investigated the energy and protein intake of Nigerian CKD patients and determined the association of energy intake with malnutrition.Methods: A cross-sectional analysis of dietary intake was conducted using 24hour dietary recall and three-day diary records. For malnutrition, anthropometric and biochemistry tests were performed.Results: Mean energy intake was 32.08±4.44 kcalkg-1 d-1 and 38.63±4.01 kcalkg-1 d-1 in CKD patients vs controls respectively (P<.001). The mean protein intake was lower in patients with CKD patients (0.6±0.12 g kg-1 d-1) vs the controls (0.77±0.08 g kg-1 d-1) (P <.001). The energy intake was inadequate in 69% of CKD patients. Inadequate protein intake was observed in 60% of pre-dialysis patients and in 100% of the Haemodialysis patients. Patients with inadequate energy intake were 1.7 times more likely to be malnourished compared to those on an adequate intake (95% CI:1.156- 2.594).Conclusion: We identified low energy and protein intake in our CKD population. Attention should be paid to the nutrition of CKD patients. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45912914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Adeleke, A. Oyewopo, Benedict A. Falana, B.R. Akinyemi, B. Dare, A. A. Adegoke, V. Ibiam, B.S. Adeyemi, D.O. Ilesanmi
{"title":"Immunohistochemical Expression of Ki-67, cytokeratin-18 and BCL-2 in Wistar rats testes treated with Rauwolfia vomitoria, Chlorpromazine and Co-administration of Reserpine, Ascorbate and Zinc","authors":"O. Adeleke, A. Oyewopo, Benedict A. Falana, B.R. Akinyemi, B. Dare, A. A. Adegoke, V. Ibiam, B.S. Adeyemi, D.O. Ilesanmi","doi":"10.4314/rejhs.v10i3.2","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.2","url":null,"abstract":"Aim: The expression of Ki-67, cytokeratin-18, and BCL-2 proteins in Wistar rats testes was studied using Rauwolfia vomitoria RV extract, Chlorpromazine (CPZ), and combination of Reserpine, Ascorbate, and Zinc (RAZ).Methods: Forty-five eight weeks old male Wistar rats (170-190 g) were selected into nine groups of five rats each. Group A was the control group, animals in groups B and C received 10 and 20 mg/kg of chlorpromazine respectively, animals in groups D and E received 2.5 and 5 mg/kg of reserpine respectively, animals in groups F and G received 150 and 300 mg/kg of RV leaf extract respectively while groups H and I animals received (2.5:5:100) mg/kg and (5:10:200) mg/kg of combination of RAZ respectively. All compounds were administered orally for 56 days.Results: Chlorpromazine and reserpine treated rats showed weak immunoreactivity to ki-67 and strong positive immunoreactivity to cytokeratin and BCL-2 proteins while RVand combination of RAZ treated rats showed weak positive immunoreactivity to cytokeratin and BCL-2 and strong immunoreactivity to ki-67. Furthermore, slight significant increase in germ cell proliferation index was seen in RV and RAZ treated groups when compared with CPZ and RES treated groups while significant decrease in germ cell apoptotic index and immature sertoli cell index were seen in RV and RAZ treated groups when compared with CPZ and RES treated groups.Conclusion: This research revealed the reproductive toxicity of synthetic antipsychotic drugs (CPZ and RES) and also unveiled the fertility potential of antipsychotic herb (RV) extract alongside RAZ by reducing the reproductive toxicity that is commonly associated with antipsychotic drugs.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42812772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Opakunle, I. Oloniniyi, O. Aloba, O. Opakunle, A. Akinsulore, O. Ibigbami, C. Nwozo
{"title":"Psychological correlates of stress among Nigerian high school adolescents during the third wave of COVID-19 Pandemic","authors":"T. Opakunle, I. Oloniniyi, O. Aloba, O. Opakunle, A. Akinsulore, O. Ibigbami, C. Nwozo","doi":"10.4314/rejhs.v10i3.8","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.8","url":null,"abstract":"Objective: The COVID-19 pandemic has significantly affected the mental health of adolescents. This study is aimed at determining the prevalence and psychological correlates of stress due to the COVID-19 pandemic among high school adolescents in Nigeria.Methods: This is a cross-sectional descriptive online study involving 1008 Nigerian adolescents. Respondents completed study-specific sociodemographic questionnaire, Depression, Anxiety and Stress Scale– 21, Connor–Davidson Resilience Scale-10, Paediatric Quality of Life Enjoyment and Satisfaction, Insomnia Severity Index-7, Suicidal Behaviors Questionnaire-Revised, Drug Abuse Screening Test -10.Results: The mean age of the respondents was 15.60 (SD 1.24) years. The prevalence of stress was 61.6%, while the prevalence of anxiety and depression was 57.4% and 50.8%, respectively. There were statistically significant positive correlations between stress and anxiety (r = 0.669, P = <0.001), p depression (r = 0.612, P = <0.001), insomnia (r =0.355, P =<0.001), suicidal tendencies (r = 0.257, P = p p p <0.001), drug abuse (r = 0.251, P =<0.001) as well as between stress and age (r = 0.129, P = <0.001). p p There was a statistically significant negative correlation between stress and quality of life (r = -0.375, P = p <0.001). The adolescents undergoing abnormal stress had higher odds of experiencing higher anxiety levels and depression.Conclusion: Stress is associated with anxiety, depression, insomnia, substance abuse, suicidal behaviours, and reduced quality of life among Nigerian adolescents. Hence, there is a need to plan adolescent-centered mental health services during the COVID-19 pandemic. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41355259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of diagnostic utility and performance of rapid SARS-CoV- 2 antigen detection assay in comparison with Real-Time RT-PCR in Kolkata, India","authors":"A. Saha, S. Ghosh, S. Sen, T. Sur","doi":"10.4314/rejhs.v10i3.1","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.1","url":null,"abstract":"Background: COVID-19 has so far affected millions of people in India. The present study was undertaken to find out the performance and reliability of rapid antigen test (RAT) in compared to reverse transcription polymerase chain reaction (RT-PCR).Methods: The pre and existing medical conditions and clinical signs and symptoms were noted. The nasopharyngeal swab samples were taken for RAT, while both nasopharyngeal and oropharyngeal swab samples were mixed in a sterile viral transported medium (VTM) for RT-PCR. All patients were examined by RAT, while symptomatic negative in RAT were re-examined by RT-PCR.Results: Total 18,965 samples were examined by RAT and 3,998 samples by RT-PCR. Among them, only 5,753 patients (30.3%) were symptomatic and 1,757 patients (9.2%) were symptomatic positive. RAT showed overall 15.2% positive cases. Only 3.7% samples exhibited false negative results in RAT, which were found positive in RT-PCR. Interestingly, Ct (cycle threshold) values were >30 in all these samples.Conclusion: Hence, specific antigen-based rapid diagnostic test (RDT) will be most useful and reliable among any other qualitative tests for screening purpose.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41645883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychiatric morbidity among adult patients at the medical and surgical emergency departments of a Nigerian teaching hospital","authors":"T. Mohammed, O. Abiodun, A. D. Yussuf, D. Sulyman","doi":"10.4314/rejhs.v10i3.11","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.11","url":null,"abstract":"Objective: The study was conducted to determine the prevalence and pattern of psychiatric morbidity in patients seen at a Nigerian Tertiary Hospital's medical and surgical emergency department.Method: A two-stage cross-sectional descriptive study used a systematic sampling of all consenting patients admitted into the medical and surgical emergency. Six hundred and three patients who met the inclusion criteria and completed a socio-demographic questionnaire and the General Health Questionnaire 12 (GHQ-12) were analyzed. Patients who met the cut-off score of 3 or more on the GHQ-12 and a 20% random sample with GHQ-12 score <3 were further subjected to a definite diagnostic assessment using the Mini International Neuropsychiatry Interview and were diagnosed according to the 10th version of the International Classification of Diseases (ICD-10) criteria.Result: The mean age of respondents was 45±19 years, 63.3% were males, and 71.8% were married. Patients at the medical emergency constituted 53.2%. The weighted prevalence of psychiatric morbidity among medical emergency patients was 21.5% and 17.4% for patients at the surgical emergency. Depressive disorder was the commonest in both wards.Conclusion: Some patients presenting to medical and surgical emergencies have co-existing psychiatric disorders. Conscious efforts should be made to recognize psychiatric disorders among patients with physical illnesses, improving their quality of care and contributing to better outcomes.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48456753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Omotoso, J. Abdulmalik, K. Adediran, O. Omigbodun
{"title":"Sleep quality and its correlates among adolescents schooling in northcentral Nigeria","authors":"A. Omotoso, J. Abdulmalik, K. Adediran, O. Omigbodun","doi":"10.4314/rejhs.v10i3.6","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.6","url":null,"abstract":"Objective: Sleep disturbance is common among adolescents around the world. Our study aimed to determine the prevalence of sleeping disorders among in-school adolescents in Ilorin, Nigeria.Methods: With a cross-sectional design, sleep quality was assessed among 512 in-school adolescents using the Pittsburgh Sleep Quality Index (PSQI). A cut-off score of 5 was used. Data analysis was done with the Statistical Package for Social Sciences version 22.Results: Three out of every five adolescents were poor sleepers (PSQI global score > 5). Only a few respondents (19%) had optimal sleep (≥ 9 hours), and more than half had inadequate sleep (< 7 hours). Poor sleep was associated with male gender, being the first born and residence at home. Logistic regression analysis showed that living at home, as against hostel living, was predictive of poor sleep.Conclusion: Most respondents had inadequate sleep. Support from parents and other stakeholders could improve sleep among adolescents, as poor sleep is quite common in this age group. These concerted efforts would promote adolescent mental health in north-central Nigeria.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47027081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression among women with infertility versus pregnant women at General Hospital Ilorin: A comparative analytical study.","authors":"D. Sulyman, A. Kuranga","doi":"10.4314/rejhs.v10i3.9","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.9","url":null,"abstract":"Objectives: Infertility is associated with emotional distress because of the pressure placed on the couples, especially women, in sub-Saharan Africa. The study found the prevalence of depression and associated factors among women attending infertility clinics and compared them with pregnant women at antenatal clinics.Methods: The study was a comparative analytical study consisting of 199 respondents with infertility and a control group of 200 pregnant women. General Health Questionnaire 12 was administered to both groups, and respondents that scored 3 points and above were administered the Mini International Neuropsychiatric Interview questionnaire (MINI) to make the diagnosis of depression and data were analysed.Results: The prevalence of depression among the case group was 52.0%, while the control was 9.5%. Factors associated with depression were longer duration of the marriage and women with utero-tubal infertility.Conclusion: Depression is common among women with infertility when compared with pregnant women.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45823053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Adeyemo, S. Olawale, N.O. Adeniyi, O. Popoola, T. Bello
{"title":"Spiritual nursing care knowledge, perception, and practice among nurses in secondary health care facilities in Osun State, Nigeria.","authors":"M. Adeyemo, S. Olawale, N.O. Adeniyi, O. Popoola, T. Bello","doi":"10.4314/rejhs.v10i3.10","DOIUrl":"https://doi.org/10.4314/rejhs.v10i3.10","url":null,"abstract":"Objective: Spiritual care is an integral part of the nursing profession, but it is not typically considered a nursing task. This study examined the Nurses' knowledge, perceptions, and practices regarding spiritual care in Osun State's secondary health care facilities.Methods: It involved descriptive cross-sectional design. Using stratified random sampling techniques, 178 respondents from secondary health care facilities in Osun State were selected at random. Utilizing a pre-tested questionnaire, data were collected and analysed using descriptive statistics. To test the hypotheses, Pearson Product Moment Correlation (PPMC) (p0.05) was utilised.Results: The majority of respondents (69.4%) had inadequate knowledge of spiritual care, while 51.8% have a positive perception. Few (18.8%) applied spiritual care during practice. A significant and positive relationship existed between spiritual care knowledge and practice (r=.498; df= 168; p = 0.01); a positive relationship was also observed between spiritual care perception and practice (r=.552; df= 168; p= 0.00).Conclusion: The respondents' inadequate understanding of spiritual care is reflected in their perceptions and practices. Recommendation: improve spiritual nursing care education and continuously update the spiritual care knowledge of practicing nurses.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41759179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}