Bhutan Health Journal最新文献_第7页

Stillbirth rate in Bhutan: a retrospective facility-based study 不丹的死产率:一项基于设施的回顾性研究

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.66

Pema Lethro, Kinga Jamphel, V. Joshi, Chandralal Mongar, Lobzang Tshering, T. Tshomo

引用次数: 3

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.63

N. Dorji, M. Dunne, Charrlotte Seib, Sibnath Dep

{"title":"Health-related quality of life and co-morbidities among older adults in Bhutan","authors":"N. Dorji, M. Dunne, Charrlotte Seib, Sibnath Dep","doi":"10.47811/bhj.63","DOIUrl":"https://doi.org/10.47811/bhj.63","url":null,"abstract":"Introduction: Health-related quality of life (HRQoL) is a multi-dimensional construct that assesses an individual’s and group’s perceived physical and mental health over time. Measurement of HRQoL is an important medical outcome study and its study among older adults in Bhutan is limited. \u0000Methods: This is a cross-sectional study aimed to assess HRQoL and its sociodemographic and health correlates, among older adults in Bhutan. Data for this study was collected from the four major towns of Thimphu, Phuntsholing, Gelephu, and Samdrupjongkhar, Bhutan, from November 2014 - February 2015, using structured questionnaire with face-to-face interview. A total of 337 Bhutanese older adults participated in this study. Statistical analysis was performed using statistical package for social science version 21.0. \u0000Results: The overall mean score for the HRQoL among older adults in this study was 0.67 (SD: 0.13) significantly different between the gender (p-value<0.001). A significantly low scores inthe areas of role limitations (p<0.05), pain (p<0.01), mental health (p<0.001), and vitality (p<0.05) of the HRQoL was observed for the female gender. Frequent back pain (67.1%), memory decline (60.5%), depression (46.0%) mobility impairment (45.4%), insomnia (42.1%), and problem affecting breathing (31.8%) were common health problems and were significantly higher among the female gender. Better health conditions was positively related with better HRQoL (p-value<0.001). \u0000Conclusions: Low HRQoL was reported higher among female gender and was linked to multiple and cumulative health morbidities. Members of the family, community and healthcare providers could incorporate holistic approach to foster positive health outcomes and HRQoL of the older adults.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132895969","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}

引用次数: 2

Situation of maternal health in Bhutan 2018 2018年不丹孕产妇健康状况

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.67

Phurb Dorji, Pema Lethro, Lobzang Tshering, T. Tshomo

引用次数: 7

Community action to reduce harmful use of alcohol: a pilot study in the remote villages of eastern Bhutan 减少有害使用酒精的社区行动:在不丹东部偏远村庄进行的试点研究

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.62

D. Subba, M. Gurung, D. Wangmo, Mindu Dorji, T. Tobgay

{"title":"Community action to reduce harmful use of alcohol: a pilot study in the remote villages of eastern Bhutan","authors":"D. Subba, M. Gurung, D. Wangmo, Mindu Dorji, T. Tobgay","doi":"10.47811/bhj.62","DOIUrl":"https://doi.org/10.47811/bhj.62","url":null,"abstract":"Introduction: As per the Annual Health Bulletin, 2017, alcohol related liver disease is the leading cause of death in Bhutan. There were 190 deaths due to harmful use of alcohol in 2016 and alcohol liver disease (ALD) incidence was 46 per 10,000 people. Community action to reduce harmful use of alcohol in the communities is one of the strategies being implemented in Bhutan. However, the impact of such community action is not assessed in the country. Therefore, this pilot study was conducted in two gewogs (sub-district) of Trashiyangtse dzongkhag to assess the short-term effects of this community action to reduce alcohol use. \u0000Methods: This pilot study involved one intervention and one control community. The interventions were developed and implemented in consultation with the community by empowering them for monitoring to ensure effectiveness of the intervention. The data were collected pre and post-intervention in both the gewogs through repeated cross-sectional surveys. \u0000 Results: The practice of offering tshogchang decreased from about 99% to about 50% after the intervention. Practice of children drinking alcohol decreased by 6.83%. The average monthly spending on alcohol reduced from about Nu. 418 to about Nu. 97, and the amount of grains used for brewing decreased from about 34 Kg to 18 Kg, after the intervention. \u0000Conclusion: This study found that the community action is effective in bringing positive impacts in reducing harmful use of alcohol in community. Therefore, expansion of such community action in other communities in Bhutan with similiar context is strongly recommended..","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132029646","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}

引用次数: 0

A clinical audit report on quality of nursing documentation at Jigme dorji Wangchuck national referral Hospital, 2018 2018年晋美多吉旺楚克国家转诊医院护理文件质量临床审核报告

Bhutan Health Journal Pub Date : 1900-01-01 DOI: 10.47811/bhj.84

Kencho Zangmo, Tshering Dema, Bhagawat Acharya, S. Sonam, Tshering Choden, Kelzang Dechen, Kinga Om

{"title":"A clinical audit report on quality of nursing documentation at Jigme dorji Wangchuck national referral Hospital, 2018","authors":"Kencho Zangmo, Tshering Dema, Bhagawat Acharya, S. Sonam, Tshering Choden, Kelzang Dechen, Kinga Om","doi":"10.47811/bhj.84","DOIUrl":"https://doi.org/10.47811/bhj.84","url":null,"abstract":"Introduction: Whether it is a written documentation or an oral communication, the practice and delivery of healthcare is debated to be critically dependent on effective and efficient communication. Nursing documentation is one of the principal sources of information about patient care and an important tool for communication. This descriptive study assessed both quantitative completeness and quality of nursing documentation by major in-patient units of Jigme Dorji Wangchuck National Referral Hospital.\u0000Methods: This cross-sectional study used D-catch tool. Data of randomly selected 317 patient records from six major in-patient units were entered into EpiData file. Using STATA version IC/14, descriptive statistics and multi variable analysis were carried out.\u0000Results: Overall quantitative completeness (M-3.4, SD-.59) of the nursing documentation was higher compared to the quality of the documents maintained (M-2.8, SD-.79). The basic and less time-consuming information such as admission data and vital signs charting are documented better compared to the more time consuming and complex documentation such as nursing care process.\u0000Conclusion: Systems should not only be in place to enhance documentation quantitatively but also consider uplifting the quality of the documents maintained. Initiating centralized admission system in the hospital may reduce nurses’ burden of clerical documentation, which will allow them to focus on quality nursing documentation and overall nursing care of patients.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129746942","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}

引用次数: 0

Effectiveness of lignocaine-dexamethasone periauricular injection on treating tinnitus 利多卡因地塞米松耳周注射治疗耳鸣的疗效观察

Bhutan Health Journal Pub Date : 1900-01-01 DOI: 10.47811/bhj.87

T. Adhikari, Sithar Dorji, P. Wangchuk, P. Khandu, S. Jamtsho

引用次数: 0

Are people aware of the Buddhist astrological recommendations on timing for surgery? 人们知道佛教关于手术时机的占星术建议吗?

Bhutan Health Journal Pub Date : 1900-01-01 DOI: 10.47811/bhj.82

Dorji Gyeltshen, T. Dorji, M. Gurung, T. Tsheten, K. Tenzin, Phub Tshering, Sithar Dorjee, T. Tenzin

{"title":"Are people aware of the Buddhist astrological recommendations on timing for surgery?","authors":"Dorji Gyeltshen, T. Dorji, M. Gurung, T. Tsheten, K. Tenzin, Phub Tshering, Sithar Dorjee, T. Tenzin","doi":"10.47811/bhj.82","DOIUrl":"https://doi.org/10.47811/bhj.82","url":null,"abstract":"Introduction: Adhering to the astrological recommendations on timing of invasive therapies are a standard practice in gSo-wa Rig-pa based Bhutanese Traditional Medicine. The day (for La-dza, Sog-dza and Shey-dza), lunar date (for La-ney) and time within the day of surgery (for La-ney), along with Wang-thang (field of power) and Lung-ta (Horse of fortune) are important astrological recommendations. However, there are no information about the patients’ knowledge, attitude and practice on astrological recommendations for timing of surgery in an allopathic setting in Bhutan. The study was conducted to assess the knowledge, attitude and practice of considering Buddhist astrological recommendations among patients undergoing elective surgeries.\u0000Methods: A cross-sectional study with convenient sampling was conducted at the National Referral Hospital, Thimphu from April to May 2018. Data were collected using a pretested interviewer-administered questionnaire. Ethical clearance was obtained from the Research Ethics Board of Health, Bhutan.\u0000Results: From 420 participants (response rate 99.5%), 188 (44.8%) were aware that there are astrologically determined good timings to undergo elective surgeries. Only four persons (1.0%) were aware about La-ney. Among those who believed in such astrological recommendations, the attitude were more favourable towards the areas in which they had higher knowledge.\u0000Conclusion: The patients had very poor knowledge about the astrological recommendations to choose the timing for surgery. A well designed study on the effect of astrological recommendations on the surgical outcomes is recommended for generating evidence for further action.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116480880","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}

引用次数: 1

A cross-sectional job satisfaction survey of physicians in Bhutan to address the problem of retention 一个横断面的工作满意度调查的医生在不丹，以解决问题的保留

Bhutan Health Journal Pub Date : 1900-01-01 DOI: 10.47811/bhj.86

C. Wangmo, Sunkyung Kim, Thupten Palzang, R. Quick

{"title":"A cross-sectional job satisfaction survey of physicians in Bhutan to address the problem of retention","authors":"C. Wangmo, Sunkyung Kim, Thupten Palzang, R. Quick","doi":"10.47811/bhj.86","DOIUrl":"https://doi.org/10.47811/bhj.86","url":null,"abstract":"Introduction: A persistent shortage of physicians and relatively high attrition (>10% over 7 years) have been longstanding challenges for Bhutan despite efforts at improvement. Little is known about physicians’ job satisfaction. The study was done to assess level of job satisfaction amongst physicians in Bhutan and identify factors affecting it, thereby be able to better understand factors affecting physician retention.\u0000Methods: A national, cross-sectional study on job satisfaction of all Bhutanese physicians was conducted in 2016. Physicians were defined as satisfied if they answered yes to >50% of general survey questions about job satisfaction and and associations between demographic or job characteristics (e.g., married vs. unmarried, clinical vs. non- clinical) and job satisfaction were examined. Physicians were also queried about specific elements of their jobs (e.g., pay, working conditions) and explored associations between demographic or job characteristics and job elements.\u0000Results: Of 147 physicians who completed the job survey, 94 (64%) were classified as satisfied. There were significant differences in job satisfaction between married and unmarried physicians (72% vs 49%, p=0·01), specialists and generalists (73% vs 55%, p=0·04), nonclinical and clinical physicians (89% vs 61%, p=0·02), and physicians in referral and district hospitals (75% vs 48%, p <0·01). Across all demographic and job characteristics, salary satisfaction was low (11%). In multivariable analysis, non-clinicians had significantly greater satisfaction than clinicians with salary, annual leave, and work-family balance. Physicians in referral hospitals had significantly greater satisfaction than physicians in district facilities with work hours and working conditions.\u0000Conclusion: Survey findings suggest that, although job satisfaction appeared high, improved physician retention may require increased pay, opportunities for promotion to desired settings and job categories, and improved staffing and work conditions in district healthcare facilities.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"2000 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132338054","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}

引用次数: 4

Knowledge attitude and practice of exclusive breastfeeding among breastfeeding mothers in Trongsa district, Bhutan 不丹Trongsa地区母乳喂养母亲的纯母乳喂养知识、态度和做法

Bhutan Health Journal Pub Date : 1900-01-01 DOI: 10.47811/bhj.75

Dolley Tshering, M. Gurung, Neyzang Wangmo, Dorji Pelzom

{"title":"Knowledge attitude and practice of exclusive breastfeeding among breastfeeding mothers in Trongsa district, Bhutan","authors":"Dolley Tshering, M. Gurung, Neyzang Wangmo, Dorji Pelzom","doi":"10.47811/bhj.75","DOIUrl":"https://doi.org/10.47811/bhj.75","url":null,"abstract":"Introduction: The World Health Organization (WHO) has estimated around 1.4 million deaths and 10% of the disease burden in children under 5 years of age is due to non-exclusive breastfeeding in the first 6 months of life. As per the WHO, exclusive breastfeeding is considered the best nourishment for children in first six months. However, majority of the mothers fail to practice exclusive breastfeeding due to inadequate or lack of knowledge which poses a challenge. Thus, this study intends to assess knowledge, attitude and practices among breastfeeding mothers in Trongsa. \u0000Methods: A cross-sectional study was used. Data was collected from 205 breast feeding mothers in Trongsa District using the pre-tested structured questionnaire.\u0000Results: Majority (98%) of the mothers had an adequate knowledge on exclusive breastfeeding starting from early initiation, the feeding of colostrum and providing complementary feeding. Health staff and the national television were the main source of information for the mothers on exclusive breastfeeding. However, in terms of practice, 20% of them did not exclusively breastfeed and had given additional feeds along with breast milk with the assumption of insufficient mother’s milk. Similarly, 13.2% of them had squeezed and thrown away the colostrum.\u0000Conclusions: Despite mothers having good knowledge on exclusive breastfeeding, it was not practiced and followed. This study’s findings indicate a gap between the knowledge and the actual practice of exclusive breastfeeding among breastfeeding mothers in Trongsa.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121229493","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}

引用次数: 4