African journal of health, nursing and midwifery最新文献

{"title":"Environmental Variables Influencing Exclusive Breastfeeding Among Mothers Attending Postnatal Clinics in A Tertiary Health Institution","authors":"Nwankwo I.P., Ilo I.C.","doi":"10.52589/ajhnm-p79u9mfy","DOIUrl":"https://doi.org/10.52589/ajhnm-p79u9mfy","url":null,"abstract":"The current WHO/UNICEF feeding recommends that breastfeeding with good nutrition is essential to achieving the UN sustainable development goals. This study was carried out to assess the environmental variables influencing exclusive breastfeeding of infants aged 0–6 months in Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State, Nigeria. Three objectives guided the study. Cross sectional descriptive survey design was used for the study. The instrument for data collection was a structured questionnaire which was validated by experts and was administered to four hundred (400) post natal women of child bearing age who were randomly selected. The data collected were analyzed using statistical methods, which included mean, chi square, and t-test which were presented in frequencies and percentages. The result revealed that 44.7% of babies were exclusively breastfed while more than half (55.3%) were not exclusively breastfed. The result of this study also showed that maternal education had a significant effect on their exclusive breastfeeding pattern (P < 0.05) as 65.9% of mothers who breastfed exclusively had up to tertiary education. An association was also found between the parity of mother and breastfeeding practices. This is because 46.3% of mothers who had three or more children breastfed their children exclusively. This study showed a positive association between place of delivery and breastfeeding practices. Place of delivery revealed a significant difference between the two groups as exclusive breastfeeding was observed in 95.5% babies delivered in government health facilities compared with 4.5% delivered at private health facilities. Health workers should educate the mothers about the benefit of exclusive breastfeeding. Some other factors found to prevent mothers from practicing exclusive breastfeeding were finance, 36 (16.3%); personal reasons, 51 (20.1%); lack of time as they have to go back to work, 72 (32.6%); dissatisfaction, 40 (18.0%); stress, 9 (4.0%); baby's refusal, 7 (3.2%); and pains, 6 (2.7%).","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48117283","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":"Risk Factors for Suicidal Ideation and Self-Harm among Undergraduate Students in a Private University in Ogun State, Nigeria","authors":"Johnson F.A., Ogunsanmi L., A. I.","doi":"10.52589/ajhnm-02imttgx","DOIUrl":"https://doi.org/10.52589/ajhnm-02imttgx","url":null,"abstract":"Background: Today, the most prevalent and the leading cause of death among young people is suicide. Worldwide, suicide accounts for an estimated 6% of all deaths among young people. The study examined the various risk factors for suicidal ideation and self-harm amongst Babcock University undergraduates. Method: Descriptive survey research design was utilized with a multistage sampling technique to select 398 undergraduates. The instrument for data collection was a semi-structured questionnaire that sought information on the environmental, social, and intrapersonal factors influencing suicide ideation and self-harm. Results were presented via means and percentages for descriptive statistics; correlation and regression were used to determine the associations between suicidal ideation and the risk factors. Ethical clearance was sought from Babcock University Health Research Ethics Committee. Results: The distribution of participants showed that 46.0% (183) were males while 54.0% (215) were females. Environmental factors influencing suicidal ideation were computed and measured on a 21-point rating scale with a mean ± SD of 13.38±3.458. The respondents' mean ± SD for the social factors measured on a 27-point rating scale was 17.15±5.772. Correlation analysis showed that suicide ideation had a statistically significant relationship with gender (p<0.01), parents' spousal relationship (p<0.01), environmental (p<0.01), social (p<0.01), and intrapersonal factors (p<0.01). Self-harm had a significant relationship with parents' relationship (p<0.01), environmental (p<0.01), social (p<0.01) and intrapersonal factors (p<0.01). However, the practice of self-harm was not different across the two genders (p = 0.170). Conclusion: Suicidal behaviors have been seen to be a serious public health concern. The prevention and intervention programs of suicide and self-harm should consider the particular characteristics of adolescent suicide and self-harm. This should include social transmission and recognition of mental health disorders.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41853963","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":"Pregnant Women's Perception of the Effectiveness, Safety and Timeliness of Antenatal Services Provided by Midwives in Government-Owned Healthcare Facilities in South-South Nigeria","authors":"Kanikwu P.N., Chiejina E.N., Odira C.C.H.","doi":"10.52589/ajhnm-m6vy4ajr","DOIUrl":"https://doi.org/10.52589/ajhnm-m6vy4ajr","url":null,"abstract":"Background: Both non- and under-utilization of antenatal services can lead to poor materno-fetal outcomes. Perception of the effectiveness, safety and timeliness of the services by pregnant women may substantially affect the utilization. Objectives: The objectives of this study were to determine pregnant women’s perception of the effectiveness, safety and timeliness of the antenatal services provided by midwives, and the relationships between effectiveness, safety and timeliness of antenatal services at government-owned healthcare facilities in South-South Nigeria. Method: A cross-sectional research design was adopted for the study. Multistage sampling technique was used to select 30 primary, secondary and tertiary government-owned health facilities across the six States in South-South Nigeria from which 50 respondents were selected from each of the selected facilities. A total of 1,500 pregnant women were selected for the study. The instrument used for data collection was a self-developed Questionnaire on Pregnant Women’s Perception of the Effectiveness, Safety and Timeliness of Antenatal Services Provided by Midwives. The reliability of the instrument was established through the test-retest method using Cronbach’s alpha which yielded co-efficient of 0.715. Data collected were analyzed using frequencies, percentages, mean and Spearman Rank order correlation. Results: The result showed means of 4.27+0.68, 3.72+1.03, 3.23+1.17 respectively for pregnant women’s perceived effectiveness, safety and timeliness of antenatal services provided by midwives. Significant relationships also existed between safety and effectiveness (rho = 0.33, p < 0.001), as well as between timeliness and effectiveness (rho = 0.10, p < 0.001) of the antenatal services. Conclusion: Pregnant women in South-South Nigeria had a positive perception of effectiveness, safety and timeliness of the antenatal services provided by midwives. Midwives in government-owned healthcare facilities should conduct regular evaluations to get feedback from pregnant women regarding the quality of antenatal services they provide.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46213523","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":"Preconception Care Utilization among Childbearing Women in South-East Nigeria","authors":"Chika C.H.O., Edith N.C., Christiana N.O., Adaobi M.I.","doi":"10.52589/ajhnm-5mrkm80j","DOIUrl":"https://doi.org/10.52589/ajhnm-5mrkm80j","url":null,"abstract":"Adverse pregnancy outcomes remain a challenging health problem in Nigeria. Before conception, couples need to utilize preconception care which is meant to address most of the reproductive health risks. However, the use of this service and its determinants is not well investigated globally. This Cross-sectional study was aimed at assessing the utilization of preconception care and its determinants among mothers in South-East Nigeria. Pre-tested and validated structured Questionnaire on Preconception Care Utilization was used to collect data from 350 postnatal women who were systematically selected from 33 sampled health facilities. Data were collated and entered into SPSS version 20. Binary logistic regression was used to determine the association between the demographic characteristics of the mothers and the utilization of preconception care. Statistical significance was set at p<0.05. Results show that only 23.4% of the mothers utilized preconception care. Parity, employment status, and pregnancy intention were significantly associated with preconception care utilization. The odd of utilizing preconception care were 60.2% lower among multiparous women than primiparous women. Working-class mothers were more than 70% less likely to utilize preconception care than mothers who were not employed. Mothers whose pregnancy was intended were 3.4 times more likely to utilized preconception care than mothers whose pregnancy was unintended. Health facilities should establish functional clinics with the availability of evidence-based guidelines to improve uptake of preconception care. Health care professionals should intensify their efforts in encouraging women to receive preconception care.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46689448","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":"Relationship Between Socio-Demographic Variables and Risky Sexual Behaviour among Undergraduates in Tertiary Institutions in Rivers State, Nigeria: A Cross-Sectional Survey","authors":"Eunice O.O., Oluebubechukwu A.U., Idang N.O., Elizabeth N.O.","doi":"10.52589/ajhnm-shtrpjpg","DOIUrl":"https://doi.org/10.52589/ajhnm-shtrpjpg","url":null,"abstract":"Background: Significant empirical surveys have been made to investigate sociodemographic factors contributing to Risky Sexual Behaviours among young people. However, there are concerns regarding what influences Risky Sexual Behaviours. The purpose of the study is to examine the relationship between the sociodemographic variables and Risky Sexual Behaviours among undergraduate students in tertiary institutions. Methods: A cross-sectional study was conducted among undergraduate students at two tertiary institutions in Rivers State, Nigeria to investigate the relationship between sociodemographic variables and Risky Sexual Behaviours. Undergraduate students in years one and two from departments of Nursing Science and Medicine and Surgery in PAMO University of Medical Sciences and University of Port Harcourt, College of Medicine were recruited for the study. Two hundred and eighty (280) undergraduate students were randomly selected from a total of 491 as participants in the study. Descriptive and inferential analysis of data using SPSS version 20 was done. Results: Data showed that 60% of the respondents were from the University of Port Harcourt, while 40% were from PAMO University of Medical Sciences. The majority of the students (78.9%) were between 16 -20years, while only 0.7% of the students were ≥31years. Findings revealed that there is no significant relationship between respondents’ sociodemographic variables and awareness of, attitude to risky sexual behaviour. It was found that only gender and age significantly influence practices with an R2 of 0.22. Conclusion: Risky sexual behaviour among young people is significantly associated with age and gender.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44211333","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":"Impact Study on Health Beyond Bar Extension Services of the Bataan Peninsula State University College of Nursing and Midwifery","authors":"S. Ruby, C. Roberto","doi":"10.52589/ajhnm-bw23iznf","DOIUrl":"https://doi.org/10.52589/ajhnm-bw23iznf","url":null,"abstract":"Health Beyond Bar (HBB) is 4-year project aimed to help persons deprived of liberty (PDLs) at Bataan District Jail in Balanga to improve health conditions and situations through provision of health service and health education. A medical clinic was established in 2015 under the auspices of the College of Nursing and Midwifery and financial assistance from Bataan Governor and Department of Health. To assess the impact and determine objectives attainment, the study delved on: What is the level of increment of trained and educated PDLs in the HBB program? What are the health problems managed from the period of 2019 to 2020? What is the prevalence rate of communicable diseases managed from the period of 2017 to 2020? Are there significant differences in the prevalence rate of communicable diseases managed in the facility? Records review and data scrutiny were used. A consistent percentage increment of trained PDLs creating an impact in their health conditions was observed. Number of trainings conducted in 2018 compared to other years also have increased. Eight common health problems were managed by the clinic and a considerable increase in the number of these were managed in the clinic. Prevalence of Tuberculosis and Sexually Transmitted Diseases have considerably declined. An erratic prevalence in skin disease was observed. Likewise, it’s prevalence was noted to be significant, while the rest of the health conditions were not significantly different. A new strategy of implementation of Health Education Session and Training may be adopted where offerings may be done on a two-week cycle per quarterly. A more innovative delivery of training programs may improve the numbers and retention of information shared. A robust approach to health education related to skin disease may be devised. Lastly, the Medical Clinic may use creative information drive in compliance and monitoring of prevalent health conditions.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48863670","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":"Prevalence of Burnout Syndrome among Clinical Nurses Working at State Hospital, Ijaye, Abeokuta, Ogun State, Nigeria","authors":"J. Sodimu, O. Ngozi, O. Fadipe, O. T. Mosuro","doi":"10.52589/ajhnm-jxc09cbz","DOIUrl":"https://doi.org/10.52589/ajhnm-jxc09cbz","url":null,"abstract":"Even though burnout syndrome is detected in professionals from various areas, prevalence is particularly high in service and care workers, especially health and care ones. Among those, nurses have been the subject of several studies, because they experience constant stressful labour situations, working in direct contact with patients who have different expectations and degrees of suffering. It is, therefore, necessary to conduct a study to determine the prevalence of the symptoms of burnout among nurses in hospitals in an effort to anticipate the negative impact of burnout on hospital nursing services. Consequently, this study aims to determine the level, knowledge and prevention among clinical nurses. A descriptive design was adopted for this study which was conducted in State Hospital, Ijaye, Abeokuta. A total of 100 respondents were used for the study, a stratified sampling technique was used to select the participants. A modified, structured, closed-ended questionnaire was used. Analysis was presented in tables, charts and percentages. Nearly all the causes listed in the questionnaire were seen as factors causing burnout in clinical nurses (99% of working long hours). 96%: from patients and families. Furthermore, it was found out that the majority of the nurses agreed to items listed in the questionnaire as things a nurse can do to prevent burnout, establishing social support; 94%, set goals for self; 99% etc. This implies that the majority of the nurses know what they can do to prevent burnout. Aside from free study grants, job opportunities that are most likely to attract young people, what can be done to retain nurses are to improve job satisfaction, patient safety, quality of health care and quality of life for both nurses and patients.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44807346","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 the Challenges Experienced by Nurses Caring for Patients Diagnosed with Psychotic Disorders in Neuro-Psychiatric Hospitals, from South-West, Nigeria","authors":"F M Adegbaju, Aina J.O Prof.","doi":"10.52589/ajhnm-w3pyvg78","DOIUrl":"https://doi.org/10.52589/ajhnm-w3pyvg78","url":null,"abstract":"These challenges are personal, and relationships. The goal of this study was therefore to identify the challenges faced by the nurses. The study adopted quantitative research design using descriptive methods. The sample size was determined by using the Cochran formula. A self-structured questionnaire was used to collect the data from the respondents. The findings on personal challenge revealed that 423 (95.9%) of the respondents have sufficient willingness to care, 374 (84.8%) revealed that respondents have emotional intelligence, 405 (91.8%) claimed they are able to care for patients with psychotic illness effectively in spite of challenges, furthermore 431 (97.7%) claimed to have positive attitude towards those diagnosed with psychotic disorders. Also, findings on relationship challenges revealed that 423 (95.9%) ability to establish adequate relationships with psychotic patients 441 (100.0%) claimed to have sufficient communication skills, 416 (94.3%) reported that relationships are vital in mental health nursing care. The study therefore concluded that despite the challenges experienced by the nurses, results indicate that they were still able to adequately care for their patients.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42229779","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":"Pregnant Women’s Knowledge and Perception of Exclusive Breastfeeding in Selected Hospitals in Ikorodu, Lagos State, Nigeria","authors":"A. E. Chinenye-Julius, O. Oduyoye, J. U. Uduh","doi":"10.52589/ajhnm-og6uqaaz","DOIUrl":"https://doi.org/10.52589/ajhnm-og6uqaaz","url":null,"abstract":"Introduction: Exclusive breastfeeding is a public health intervention and one of the most important strategies for improving infant survival rates. Generally, breastfeeding is practiced all over the world, though with variation in duration. This study therefore examined the level of knowledge and perception of exclusive breastfeeding among pregnant women in Ikorodu, Lagos State. Methodology: In this study, a convenience sampling method was used in selecting 174 respondents from the two selected private hospitals in Ikorodu, Lagos. The instrument for this study was a questionnaire which was well-structured and data obtained from the questionnaire was coded and then inputted into the computer. Statistical Package for Social Sciences (SPSS) version 21.0 was used for this analysis. Inferential statistics such as logistic regression and Pearson’s correlation test were also used to check for association. The level of significance used was 0.05. Result: The result of the study revealed that most (39.1%) of the respondents were between the ages of 25-29 years. Majority (69.5%) of the respondents were married and most (42%) of the respondents had tertiary education. Respondents’ level of knowledge measured on a 14-point rating scale showed that the respondents scored a mean of 5.22±2.28 which translated to a level of knowledge prevalence of 37.3%. Respondents’ perception measured on a 108-point rating showed that they scored a mean of 66.23±8.12 translated to perception prevalence of 61%. Conclusion: In conclusion, younger mothers practiced exclusive breastfeeding, while older mothers practiced non-exclusive breastfeeding of their babies. Mothers with a higher level of education practiced exclusive breastfeeding, while mothers with low or no educational attainment practiced non-exclusive breastfeeding of their babies.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48717692","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":"Effect of Two Teaching Methods on Sexual Health Knowledge of In-School Adolescents in Enugu State, Nigeria","authors":"Makata N.E., Agbapuonwu N.E., Ilo I.C., Obasi S.C., Chinweuba A.U., Agu M.C.","doi":"10.52589/ajhnm-vvsemfoz","DOIUrl":"https://doi.org/10.52589/ajhnm-vvsemfoz","url":null,"abstract":"This quasi experimental study was designed to determine the effect of lecture and Socratic questioning teaching methods on mean sexual health knowledge gain of in-school adolescents in Enugu State, Nigeria. A sample of 310 senior secondary-two students in eight intact classes were drawn from 16,510 senior in-school adolescents using multi-stage sampling. Sexual health knowledge test comprising 50 items was used to test students’ knowledge of sexual health. Student t-test and ANOVA were used to test the hypotheses at α=0.05. There was significant difference in the mean sexual health knowledge gain scores of students taught with lecture and Socratic questioning methods (lecture x̄=9.25 > Socratic questioning x̄=7.25; p<0.01). There was statistically significant difference in the mean sexual health knowledge gain of students in urban and rural schools (P<0.001). Students in rural areas taught with lecture method had higher mean sexual health knowledge gain score (x̄=11.75) than those in the urban areas (x̄ = 7.50). Urban subjects taught with Socratic questioning had slightly higher mean sexual health knowledge gain score of x̄=7.26 compared to their rural counterparts that scored x̄=7.25. Lecture remains effective teaching method for improving sexual health knowledge of students. Health educators should use lecture methods for adolescents’ health instructions.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41304364","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}