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Occupational Stress and Associated Factors among Nurses working in Public Hospitals of Arsi Zone, Oromia Regional State, Central Ethiopia, 2018
Biniam Worku Hailu,
Yohannes Ejigu,
Yibeltal Siraneh
Issue:
Volume 6, Issue 2, June 2020
Pages:
17-28
Received:
16 September 2019
Accepted:
22 October 2019
Published:
30 April 2020
Abstract: Nursing, by its nature, is an occupation subject to a high degree of stress. This profession involves working with people who are themselves suffering a considerable degree of stress. Occupational stress compromised quality of service delivery and also leads as employees’ burnout, turnover and absenteeism. The Objective of the study is to determine the level of occupational stress and associated factors among nurses. The study employed facility based cross sectional study was conducted from August 13 –September 02, 2018. All nurses who served at least for 6 months in Arsi zone public hospitals were asked using self-administered structured questionnaire. The collected data was checked manually, edited, coded and entered into Epi-data version 3.1 and finally it was exported in to statistical package for social science version 24 for cleaning and analysis. Descriptive statistics were used to estimate frequency percent and mean. Dependent variables (occupational stress) were computed based on the respondents having average score of mean and above in expanded nursing stress scale. Then, associations between independent and dependent variables were analyzed first using bivariate binary logistic regression. Variables that had p<0.25 on bivariate binary logistic regression were entered into multivariable binary logistic regression and adjusted odds ratio (AOR) with 95% CI were reported. The study finding showed that 202 (53%) with (95% CI: 48.2-58.1) of nurses were occupationally stressful. Factors significantly associated with occupational stress among nurses were sex of respondents (female: AOR=2.37, 95% CI: 1.41, 3.97), marital status (ever married: AOR=2.49, 95% CI: 1.35, 4.60), Role ambiguity (nurses who had Role ambiguity: AOR=3.01, 95% CI: 1.79, 5.05) and working hours. (≥8hrs hours per day: AOR=2.85, 95% CI: 1.10, 7.36). In this study, more than half of nurses had occupational stress, Thus, Arsi zone public hospitals collaborative with concerned stakeholders to design stress reduction program for tackling occupational stress among nurses.
Abstract: Nursing, by its nature, is an occupation subject to a high degree of stress. This profession involves working with people who are themselves suffering a considerable degree of stress. Occupational stress compromised quality of service delivery and also leads as employees’ burnout, turnover and absenteeism. The Objective of the study is to determine...
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Assessment of Knowledge, Attitude and Practice Women of Reproductive Age Group Towards Abortion Care at Gambella Health Facilities, South West of Ethiopia
Ataguadil Mekonnen,
Zemnu Awoke
Issue:
Volume 6, Issue 2, June 2020
Pages:
29-40
Received:
19 December 2019
Accepted:
4 February 2020
Published:
4 June 2020
Abstract: Abortion is an important cause of bleeding during pregnancy. It is one of the five Leading causes of maternal death in the developing world. Moreover, in developing country, abortion is the major cause of maternal mortality, which in Ethiopia safe abortion accounts 60% considering the huge number of maternal deaths due to abortion. The aim of this study is to Assessment of KAP Women of Reproductive Age Group towards Abortion Care at Gambella health facilities. An institutional based cross-sectional study will be conducted at 4 Health facilities in Gambella town from August 15 to September 30, 2019. A total of 412 pregnant women will be selected by systematic random sampling technique. Data will be coded and entered into Epi-info version 3.1 and exported to SPSS V-20 for cleaning and analysis. At bivariate logistic regression analysis, independent variables with cut off P-value<0.25 was included. In the multivariable binary logistic regression analyses were used to assess the independent effect of various explanatory variables on the dependent and to control potential confounder. P values <0.05 were considered to identify the significant factors associated with the dependent variable. Out of 422 sampled women of reproductive age group (15-49 years of age), 412 were interviewed making up a response rate of 97.6%. The majority of 39.1% participants had knowledge about legal abortion service and 69.5% of women in reproductive age group had inadequate knowledge towards safe abortion and who think about abortion, 174 (42.2%) were said that it is Sin against God, 52 (12.5%) were said that it is good, 67 (16.2%) were said that it is harm full practice and 40 (9.6%) were they don’t knew. Attitude towards safe abortion about, One hundred Eight two (29.9%) women of reproductive age group have positive attitude towards safe abortion to be legal and accessible under any circumstance. The majority of 322 (78.1%), of them knew at least one type of abortion complication. From the total respondents 405 (98.3%) of them had sexual intercourse at least once. Only 66 (16.3%) of respondents had induced abortion before. Conclusion and Recommendation: More than 30.5%, 29.9% of the respondents were inadequate knowledge and lacking knowledge and had negative attitude towards induced abortion respectively. Therefore, it would be better to disseminate health education to increase awareness and knowledge, Practice regarding induced abortion and also strengthening family planning implementation.
Abstract: Abortion is an important cause of bleeding during pregnancy. It is one of the five Leading causes of maternal death in the developing world. Moreover, in developing country, abortion is the major cause of maternal mortality, which in Ethiopia safe abortion accounts 60% considering the huge number of maternal deaths due to abortion. The aim of this ...
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Association Between the Distributions of Mean Corpuscular Hemoglobin and Red Blood Cell, and Mortality in a 3-Year Retrospective Study of Hemodialysis Patients
Yoshihiro Tsuji,
Yasumasa Hitomi,
Naoki Suzuki,
Yuko Mizuno-Matsumoto,
Toshiko Tokoro,
Masato Nishimura
Issue:
Volume 6, Issue 2, June 2020
Pages:
41-47
Received:
4 May 2020
Accepted:
15 June 2020
Published:
29 June 2020
Abstract: Introduction: A red blood cell (RBC) concentration of 300 to 350×104/μL and mean corpuscular hemoglobin (MCH) concentration of 30 to 35 pg have been proposed as management target values from the relationship of Hb=RBC×MCH to control anemia, wherein Hb levels should not exceed 12 g/dL. In contrast, even in patients whose Hb levels are maintained at 10 to 12 g/dL, Hb levels are widely distributed when divided into RBC and MCH. Objective: We examined the prognosis in the distribution of MCH and RBC. Methods: Patients were classified into two groups based on MCH and RBC values, wherein patients with MCH≥30 pg but<35 pg and RBC≤350×104/μL (Group I, n=177); and MCH<30 pg and RBC>350×104/μL (Group II, n=217). Associations between all-cause mortality and the distributions of MCH and RBC as well as the iron profiles of these two groups were assessed by Kaplan-Meier curves and Cox proportional hazards regression model, respectively. Results: Patients with MCH<30 pg and RBC>350×104/μL (Group II, n=217) had an increased long-term risk of death and a higher rate of iron deficiency than patients with MCH≥30 pg but<35 pg and RBC≤350×104/μL (Group I, n=177). Conclusions: The management goal for renal anemia would be to control MCH within the range of 30−35 pg and RBC within the range of 300−350×104/μL, and to avoid absolute iron deficiency.
Abstract: Introduction: A red blood cell (RBC) concentration of 300 to 350×104/μL and mean corpuscular hemoglobin (MCH) concentration of 30 to 35 pg have been proposed as management target values from the relationship of Hb=RBC×MCH to control anemia, wherein Hb levels should not exceed 12 g/dL. In contrast, even in patients whose Hb levels are maintained at ...
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Association of Depressive Symptoms with Iron Management in Patients on Maintenance Hemodialysis: A Cross-sectional Study
Yoshihiro Tsuji,
Naoki Suzuki,
Yasumasa Hitomi,
Yuko Mizuno-Matsumoto,
Toshiko Tokoro,
Masato Nishimura
Issue:
Volume 6, Issue 2, June 2020
Pages:
48-54
Received:
5 May 2020
Accepted:
15 June 2020
Published:
29 June 2020
Abstract: Background: Iron status has a critical role in depressive symptoms, but evaluation of depressive symptoms associated with iron metabolism is not usually included as a clinical parameter in hemodialysis (HD) patients. We aimed to assess the correlations between depressive symptoms and clinical, demographic, and laboratory variables including iron metabolism. Methods: One hundred and thirty-eight HD patients were evaluated in this study. The Beck Depression Inventory Second Edition (BDI−II) was used to quantify levels of depressive symptoms. BDI−II scores ≥ 14 were defined as depressive symptoms. Mean age, duration of HD, haemoglobin levels, serum ferritin levels, serum iron levels, transferrin saturation (TSAT), total iron binding capacity, serum albumin levels, and C-reactive protein were included in the model. Patients were categorized into four groups according to serum ferritin levels and TSAT. Backward stepwise logistic regression analysis was performed and odds ratios (ORs) and 95% confidence intervals derived. Results: Depressive symptoms were significantly associated with increased serum ferritin levels (OR, 1.010; p=0.0008). Compared with group 1 (ferritin <100 ng/dL, TSAT ≥20%) as reference, ORs for depressive symptoms were significantly increased in group 4 (ferritin ≥100 ng/dL, TSAT < 20%) (OR, 6.419; p=0.0073). Conclusion: Higher serum ferritin levels and decreased iron utilization efficiency were found to be involved in depressive symptoms among patients undergoing HD. Understanding the pathophysiology of depressive symptoms could provide insights into the design of clinical iron management in HD patients.
Abstract: Background: Iron status has a critical role in depressive symptoms, but evaluation of depressive symptoms associated with iron metabolism is not usually included as a clinical parameter in hemodialysis (HD) patients. We aimed to assess the correlations between depressive symptoms and clinical, demographic, and laboratory variables including iron me...
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