ORIGINAL RESEARCH ARTICLE | June 14, 2020
Relationship between Knowledge, Attitude, and Burden among Alzheimer's Family Care Givers in Jeddah, Saudi Arabia
Amal I Khalil, Najlaa Aladwani, Samar Aljehani
Page no 167-174
Background: According to Alzheimer's disease association. The prevalence of Alzheimer's patients will increase to reach 68% worldwide by 2050. More specifically according to Saudi Alzheimer's Association, the number of Alzheimer's patients was reported to be 130 thousand in Saudi Arabia. Therefore, this study looked at assessing the knowledge, attitudes, and level of burden among family care givers having Alzheimer patients. Methodology: A descriptive cross sectional correlational survey design was used to include 150 family care givers from Geriatric Society Association located in Almontazahat District, Jeddah, K.S.A. Three validated tools were used to assess the knowledge, attitudes and burden related to Alzheimer’s disease namely: Alzheimer’s disease Knowledge Scale, The Dementia Attitudes Scale, and Burden Scale for Family Caregivers. Findings: The majority (88.6 %) of the respondents were female, their mean age was (29.2 ± 12.5), and 55.6% had Bachelor level of education. Nearly three Quarter (72.5 %) of the respondents have moderate level (16-24 out of 30) of total knowledge of Alzheimer’s scale. Surprisingly, 78.5% of the respondents had a negative attitude, and 81.9% felt burden towards their Alzheimer's patients. Unexpectedly, a negative correlation was reported between participant's knowledge and their attitude at p ≥ 0.5 while, a positive correlation was conveyed between respondents’ knowledge and family burden scale at p ≥ 0.5. Conclusion and implications: It’s concluded that, the level of knowledge among study participants’ was moderate while their attitude was negative and felt burden toward having Alzheimer's patients. Therefore, it's recommended to conduct psychosocial interventions to improve family caregiver attitudes and reduce their burden toward their beloved Alzheimer’ patients. Comprehensive management of the Alzheimer patients includes building a partnership between health professionals and family caregivers, referral to Alzheimer's Associations, and psychosocial interventions where indicated.
ORIGINAL RESEARCH ARTICLE | June 6, 2020
Knowledge, Practice and Attitudes of Preventive Measures against Coronavirus Infection among Pregnant Women in Egypt
Hanan Morsy Salim Metwally, Mervat Mostafa Abd El Monem Desoky
Page no 156-166
Background: Unprecedented measures have been adopted to control the rapid spread of the ongoing coronavirus disease (COVID-19) epidemic in Egypt. Pregnant women adherence to control measures is affected by their knowledge, attitudes, and practices (KAP) towards COVID-19. Aim: Aim of the study was to assess the knowledge, practice and attitudes of preventive measures against COVID-19 infection among pregnant women. Subjects& methods: Research design: Across sectional design was used. Setting: The study was carried out in two Maternal and Child Health Centers (Alnahal Medical Centre and Sheba MCH) that are affiliated to the Ministry of Health and Population in Zagazig City, Sharkia Governorate, Egypt, between the period from January 2020 to April 2020. Subjects: All eligible pregnant women who attended for antenatal care during the study period by using simple random sampling. Tools of data collection: A structured interviewing questionnaire that consists of five parts, part one, socio-demographic and obstetric data, part two sources of information on preventive measure against COVID-19 infection, part three, knowledge towards COVID-19 infection and its prevention measures, part four practice of preventive measures of COVID-19 infection and part five attitudes towards COVID-19 infection. Results: The findings of this research showed that more than half of women (57.6%) had satisfactory level of total knowledge about the preventive measure of COVID-19 infection. However, the majority of women (87.6%) had unsatisfactory level of total practice of preventive measures of COVID-19. Educational level and multiparty were factors significantly associated with poor practice of the preventive measures against coronavirus -19 infection among pregnant women. Conclusion: The study showed that most of the participants had adequate knowledge of preventive measures against COVID-19 infection but the practice of these preventive measures were poor among the participants. Recommendations: Provide continuous health educational program on practice of using preventive measures against COVID-19 infection especially among pregnant women.
ORIGINAL RESEARCH ARTICLE | June 16, 2020
Family and Social Support System in Reducing Neonatal Morbidity and Mortality among Neonates Born To Adolescent Mothers
Anne Wawire Kabimba, Emmah Matheka, Sabina N. M. Wakasiaka
Page no 175-180
Background: The social society in Africa and most continents, perceives any girl who gives birth before marriage as a wrong doer. Such a girl is deemed to have negated the traditions. Poor and non-communication between adolescents and their parents or guardians has been implicated in most instances. The scenario is the same in the County of study according to information from the respondents and as alluded to by the County Director of health services. The parents and guardians in the County have been called upon to exercise responsibility over their daughters, encourage them to resume school instead of forcefully marrying them off or rejecting them on the bases of pregnancy. The purpose of this study was to give evidence-based health education in relation to family and social support systems in reducing neonatal morbidity and mortality among neonates born to adolescent mothers in the County Referral hospital. Objective: The objective of this study was to describe the role of family and social support in reducing neonatal morbidity and mortality among neonates born to adolescent mothers. Methods: Setting; the study was carried out at a County referral hospital using a randomized control trial design. The participants were expectant adolescent mothers aged 19 years and below attending the antenatal clinic at the hospital. A sample size of 528 respondents (264 cases and 264 controls) was calculated using Pagano formula and realized using simple randomization. Inclusion criteria: adolescent mother ≤ 19 years, gestation period of 26-34 weeks and resident of the study County for sufficient time follow up. Students, non- Kenyans and mothers with existing co-morbidities were excluded for fear of loss to follow up. Results: Negligence and lack of support, 81% (pv 0.000), lack of community emphasis on neonatal care 77% (pv0.001), lack of value for neonatal health, 78% (pv 0.000), lack of knowledge 60% (pv0.003) and poor socioeconomic status, stigma and rejection 89% (pv0.000) were some of the significant study findings. Conclusion: The poor family and social support played a major role in persistently high neonatal morbidity and mortality in the County.
ORIGINAL RESEARCH ARTICLE | June 30, 2020
Level of Professionalism among Nurses Working in Azad Kashmir
Shahnaz Amir, Dr. Mansoor Ghani, Nazia Ahmad Buksh, Tanzeel-u-Rehman, Asma Gul
Page no 181-187
Objective: To assess the level of professionalism among nurses working in Azad Kashmir also to identify nurses’ perceived strategies to enhance professionalism among nurses. Study Design: A descriptive cross sectional study. Place and Duration: Twelve months, from April 2017, five tertiary care hospitals of Azad Kashmir. Methods: The study included nurses who had been providing care in five tertiary care hospitals of Azad Kashmir since 3 years. (N=150). Data was collecting by using a self-structured questionnaire. Results: Research findings revealed that by using arbitrary scale 50(33.3%) out of 150 participants got more than 60% score on Likert scale; they had high level of professionalism. While 15 (10%) respondent got more than 80% score which denote exemplary level of professionalism. Likewise, 24(16%) nurses obtained 40% and less than 40% score which expresses low level of professionalism; moreover 61(40.6%) nurses demonstrated average professional level. Conclusion: Findings of the present study display that generally professionalism among nurses is at average level. Although level of professionalism in areas of Ethical practice and Responsibility and Accountability is relatively high. Some areas showed very low level of professionalism among nurses. These are Research Participation and Utilization, Autonomy. This study advocate for less stressful and less oppressed working environment coupled with opportunity to engaging in continue education for enhancing professionalism.