ORIGINAL RESEARCH ARTICLE | March 3, 2024
Evaluation of the Practices of Anesthesiologists in the city of Kinshasa on the Management of Post-Operative Pain
Réunilde Sifa Wabuza, Augustin Kadiata Bukasa, Michaelle Mambwe Kalungwishi, Chantal Nyemba Tshitala, Félicien Tshimungu Kandolo
Page no 44-51 |
DOI: 10.36348/sjnhc.2024.v07i03.001
Introduction: The management of Postoperative Pain represents a public health problem. Throughout the world, this subject is the subject of numerous studies which emphasize the need to treat pain and evaluate practices. However, despite the progress made in the understanding of pain mechanisms, analgesic techniques, and the multiple recommendations made by learned societies in many countries, Post-Operative Pain is insufficiently addressed. The objective of our work was to evaluate the practices of anesthesiologists in the field of postoperative pain management in two health institutions in the city province of Kinshasa which are the Saint Joseph Hospital of Limeté and the Ngaliema Clinic. Method: The population of our study consisted of 23 anesthesiologists, 14 of whom were the subject of our occasional sample. To collect the data, we used the survey method supported by the techniques of direct observation, interviews and documentary analysis. At the end of our survey, the data was processed using descriptive analysis by calculating percentages and the average. Results: Regarding socio-demographic characteristics, the majority of subjects surveyed were male at level A1 (graduate, equivalent of bacc+3) and with professional experience of 10 years or more. Concerning the management of Post-Operative Pain, 48.5% provided the actual management of Post-Operative Pain; 17.1% provided pre-anesthetic information. Overall, the management of postoperative pain was achieved at 32.8%. Conclusion: Referring to our acceptability threshold set at 80%, we can affirm that the management of Postoperative Pain is not provided satisfactorily by the anesthesiologists of the two hospital institutions selected for the study.
ORIGINAL RESEARCH ARTICLE | March 3, 2024
Perception of Adolescents in the Commune of Bandalungwa on Practices to Prevent Sexually Transmitted Infections
Odon Nswele Ilundu, François Kalonji, Didier Mangbala Ekibe
Page no 52-59 |
DOI: 10.36348/sjnhc.2024.v07i03.002
Background and Objective: Adolescence is a period of transition, physical maturation, identity formation and the acquisition of social roles. During this period, sexuality is perceived with a great deal of ambiguity in most parts of the world. While it is accepted that adolescents can have a sexual life, it is often considered problematic because of the risks involved: sexually transmitted infections (STIS), unwanted pregnancies and the social prohibitions imposed on adults. Method: For this, we opted for the phenomenological survey method, followed by the semi-structured interview technique using in-depth face-to-face interviews and rounded off by a data collection instrument consisting essentially of an interview guide with a Smartphone recorder. Results: After analysis and discussion, the following emerges: the adolescents interviewed represent sexually transmitted infections in several ways, as being a disease transmitted by sexual intercourse or an incident of sexual intercourse. They felt that certain practices such as fidelity, abstinence, screening and the use of condoms could help prevent STIS. However, they said that certain factors can hinder the use of these preventive measures, including lack of awareness, shame about buying condoms and lack of financial resources. Conclusion: Considering the quintessence of this scourge of STIS that plagues teenagers, the conclusion of this study proposes solutions linked to the use of condoms and also fidelity and/or abstinence.
ORIGINAL RESEARCH ARTICLE | March 14, 2024
Knowledge and Practice of Occupational Health Hazard among Healthcare Workers in Kogi State Specialist Hospital
Emmanuel Bola Jonah, Tukur Dahiru
Page no 60-68 |
DOI: 10.36348/sjnhc.2024.v07i03.003
The study was done to investigate the knowledge and practice of occupational health hazard among two hundred and thirty two (232) healthcare workers in Kogi State Specialist Hospital (KSSH). The healthcare workers were selected through a multistage sampling technique, and the instrument used was self-administered semi-structured, closed ended questionnaire that assessed the health workers knowledge and practice of occupational health hazard as well as the relationship and factors that influences practice of occupational health hazard. Result from the findings of the study showed that 67.7% majority of the healthcare workers had good knowledge on occupational health hazard, and 92.2% majority of the healthcare workers had good practice towards occupational health hazard. More findings from the study showed that there is a significant relationship between the healthcare workers gender (Sig. values = 0.045 < 0.05), and knowledge (Sig. values = 0.007 < 0.05) on the practice of occupational health hazard. Finally from the study, female healthcare workers [AOR = 1.932; CI = 1.456 – 2.562], those within 30 – 39 years [AOR = 1.482; CI = 2.708 – 7.150], married [AOR = 14.308; CI = 8.154 – 25.105], Christians [AOR = 1.111; CI = 2.227 – 4.143], hospital attendants [AOR = 4.450; CI = 2.740 – 7.228], and healthcare workers with good knowledge [AOR = 2.334; CI = 1.749 – 3.141] are significant likely to practice good occupational health hazard prevention compared to their counterparts.
ORIGINAL RESEARCH ARTICLE | March 15, 2024
Perception of Adolescent Girls Living with HIV/AIDS Regarding Their Illness in the City of Lukala in Kongo Central in the Democratic Republic of Congo
Nzolani Mpangi Henriette, Ngoy Eyasu, Désiré Nsobani Lukelo, Augustin Kadiata Bukasa, Dominique Tuka-Mbiasi
Page no 69-72 |
DOI: 10.36348/sjnhc.2024.v07i03.004
Introduction: Despite the clear progress in the fight against HIV, the challenges to be overcome remain significant and vital. This is the negative opinion that the population has towards HIV-positive people. This perception of HIV leads, among patients, to a feeling of rejection, discrimination, marginalization and stigmatization. The aim of this study is to explore the perception of people living with HIV AIDS (PLHIV) in the city of Lukala DRC regarding their illness. Method: This is a cross-sectional study, by interview conducted with adolescent girls living with HIV/AIDS, during the year 2022 in the city of Lukala. Results: The results revealed that 83% of adolescent girls reached the age of maturity. Among them, 66% are married and multiparous, 83% have a low level of education and do self-employed work. All respondents have heard of AIDS and admit to being affected. Everyone is afraid of death. As for the cause of the disease, 66% of cases believe in bad luck. However, they continue to do their usual work. 50% of respondents are stigmatized or rejected by the family. They find their life dark. 66.7% of cases take no protective measures. Among married people, 80% say they lead a normal married life. Conclusion: Adolescent girls living with HIV/AIDS are a reality in the city of Lukala. However, preventive measures and therapeutic monitoring are not well applied but their lives continue normally. Ignorance and poor education favor the transmission of HIV.
ORIGINAL RESEARCH ARTICLE | March 17, 2024
Daily Experience of Residents of the Masanga-Mbila District on Self-Medication at Home, in the Democratic Republic of Congo
Angel Andjelani Ngongo, Augustin Kadiata Bukasa, Didier Mangbala Ekibe, Pascal Atuba MAmenepi, Yves Mokili Sambwa, Jolie Kanjinga Kena, Jacques Lofandjola Masumbuku, Félicien Tshimungu Kandolo
Page no 73-79 |
DOI: 10.36348/sjnhc.2024.v07i03.005
Introduction: The delivery of medication is an act emanating from health professionals who have this task in their responsibilities and more particularly the pharmacist. The aim of this study is to understand the way in which the population of the Masanga-Mbila district experiences the phenomenon of self-medication on a daily basis. Methods: It is a descriptive study falling within qualitative research of the phenomenological type. She is carried out among the population of the Masanga district Mbila, commune of Mont- Ngafula, city of Kinshasa, in the Democratic Republic of Congo. This is an environment where observations have been made on this frequent practice of self-medication. The target population was made up of household managers within the population of the Masanga-Mbila district. The phenomenological survey method and the structured interview technique made it possible to collect information concerning the population's experience of self-medication. Results: After analysis thematic, we arrived at the results following: The Experience in the practice of self-medication was focused on three points: Self-medication is seen as a first resort before going to the hospital. Respondents put forward two reasons for their recourse to self-medication, the lack of financial means and the fact of having knowledge about medications and their use. In their experience, the respondents revealed in their receipt some consequences linked to the practice of self-medication, in particular rebellion and worsening of the illness. In the recommendations that they have formulated towards the community user, they wish that these latest can resort to self- medication only to relieve small sufferings and then always be to consult; and towards sellers of medicines, to avoid delivering medicines without a prescription medical. Conclusion: to contribute to the reduction of this practical, it falls under the Ministry of Public Health to strengthen pharmaceutical inspection and establish a system permanent control to ensure rational sale of products in our country; require pharmacies to only deliver medicines on medical prescription; s raise awareness among the population about the abuse of self-medication.
ORIGINAL RESEARCH ARTICLE | March 24, 2024
Daily Experience of Finalist Nursing Learners on Their Support in Clinical Internship by Supervisors
Roline Nanto Muleng Bwal, Augustin Kadiata Bukasa, Emillienne Kulembidila Nsopa, Roland Yende Mupepe, Dieu-Merci Kasau Kasau, Musulu Ndesiay Robert, Augustin Tshitadi Makangu
Page no 80-85 |
DOI: 10.36348/sjnhc.2024.v07i03.006
Introduction: Nursing education aims to introduce future nurses to the realities of social and professional life. In the context of professional education, all these learning activities are based on two interacting poles, namely, learning in an academic situation (simulation) and clinical learning, which means alongside the patient (patient). The primary goal of our study is to understand the daily experience of finalist nursing learners regarding support during clinical internships by supervisors. Method: This study is qualitative phenomenological. She used the phenomenological survey method, the free face-to-face and individual interview technique, with the aim of allowing the interviewee to express all their thoughts. And also made use of the interview guide, the recording device, papers and pens as data collection instruments. Results: After analysis, the results show that the learners have an unpleasant experience of support during clinical internship. And for this, they propose as strategies the appropriate training of supervisors on support, supervision of supervisors, awareness of the supervision task and the development of expected skills. Conclusion: In view of these results, we suggest that the nursing science section look into the supervision of the scientific staff assigned to support learners in clinical internships.
ORIGINAL RESEARCH ARTICLE | March 24, 2024
Opinion of Diabetic Patients on the Difficulties of Their Care during the COVID-19 Pandemic
Chantal Kanyere Saa Sita, Albertine Muzingu Kuwekita, Jean-Paul Kasombo Kalenga, Benjamin Lumbanziladio Lumona, Augustin Kadiata Bukasa
Page no 86-91 |
DOI: 10.36348/sjnhc.2024.v07i03.007
Introduction: This COVID-19 pandemic represents a major challenge for ensuring continuity of care during a health crisis and raises questions about the risks incurred in the event of chronic illness (es). Among these, diabetes affects more than half a million people in Belgium, one in five of whom is over 65 years old. This study aims to understand the opinions of patients suffering from diabetes on the difficulties of their care during the covid19 pandemic. Methods: This is a qualifying phenomenological study, it is exploratory descriptive. It falls within the field of public health. The target population consisted of patients suffering from diabetes and who receive care either on an outpatient basis or in hospitalization at the diabetology department of the General Provincial Reference Hospital of Kinshasa, the number of which is nine diabetics. She used the phenomenological inquiry method and the face-to-face semi-structured interview technique. Results: After analyzing the collected data, we found the following results: diabetics were treated by home care, by telephone contact following the instructions of the diabetologist, but also by self-care. The difficulties encountered by diabetics are linked to the freedom to freely engage in physical exercises and other activities and those to contact with the healthcare team; and these difficulties encountered have generated a psychological discomfort. In terms of expectations, diabetics want caregivers to grant them a certain framework of freedom and to computerize the care system (telemedicine or telenursing). Conclusion: Considering these results, we strongly suggest that all health facilities that care for diabetics implement telemedicine and/or telenursing in the care of diabetics during periods such as the pandemic.