Aims: Anaemia in children aged 6 - 59 months is an important public health problem associated with increasing hospital costs, lengths of hospital stay, and development of complications later in life. Due to the signif...Aims: Anaemia in children aged 6 - 59 months is an important public health problem associated with increasing hospital costs, lengths of hospital stay, and development of complications later in life. Due to the significant caregiver roles of mothers, the level of mothers’ knowledge, beliefs and practices are important in addressing anaemia in children. This study investigated knowledge, attitudes, beliefs, and practices of select mothers on anaemia and linked these with known factors for anaemia. Methodology: The case study was conducted at Mkuranga District Hospital, Paediatric Ward between December 2014 and April 2015. A cross-sectional design was used to recruit a convenience sample of 40 mothers whose children had a confirmed diagnosis of anaemia (through routine laboratory testing). Results: Within the sample, the majority of children were male (52.5%);aged 6 - 39 months (87.5%);and had a diagnosis of severe anaemia (75.0%) according to the World Health Organization’s definition. Over one third (35%) of mothers reported a prior history of anemia in their other children, and the majority (55%) had heard about anaemia prior to their child’s hospitalization. Maternal anaemia was reported by 67.5% of mothers. Mothers reported that maternal anemia (17.5%) and feeding practices (32.5%) are known contributing factors to anaemia in children. Mothers reported that anemia could be prevented (55.0%) and cured by herbal preparations (47.5%). In addition, some mothers indicated that anaemia was caused by witchcraft (22.5%) and eating lemons (2.5%). Conclusion: Severe anaemia was high among the studied population which aligned with their hospitalization status. Findings suggested potential gaps in control and management of anemia in children possibly related to low awareness or incorrect knowledge of the relationship between maternal and child anaemia. The findings also highlighted important cultural beliefs related to anaemia. There is an imperative for culturally and socially appropriate knowledge translation and exchange with mothers in order to impact on the prevention and control of anaemia in children in Tanzania.展开更多
Aims: The purpose of this study was to assess the knowledge and practices among nurses regarding patient care, following cardiac catheterization, at a tertiary care hospital in Karachi, Pakistan. Background: Cardiovas...Aims: The purpose of this study was to assess the knowledge and practices among nurses regarding patient care, following cardiac catheterization, at a tertiary care hospital in Karachi, Pakistan. Background: Cardiovascular diseases (CVDs) are the major cause of morbidity and mortality, globally. Nurses are the largest body of health care professionals who attempt to reduce the burden of cardiovascular diseases. Design: This study employed a descriptive analytical cross-sectional study design to answer the research questions. Methodology: The data were collected from 70 participants using two instruments. Knowledge was assessed through a 50-multiple-choice questions-based questionnaire, whereas, to assess the practices, an observational checklist was utilized which comprised of 20 components. Findings: The majority of the nurses, 54.3%, had adequate, 40% nurses had inadequate, and only 5.7% nurses had excellent knowledge scores. Moreover, 87.1% nurses were observed as carrying out unsatisfactory practices, whereas, only 12.9% nurses were found carrying out satisfactory practices. Conclusion: Since variation in the practices was observed in each of the department, therefore, there is a need for further research, to assess nurses’ attitudes through a qualitative approach and to develop and implement a standard post-cardiac catheterization care protocol.展开更多
Introduction: The number of children and adolescents admitted in Dar es Salaam juvenile centers due to misbehavior and criminal offences has risen from 20 to 30 per month. Increasing aberrant behaviors in children hav...Introduction: The number of children and adolescents admitted in Dar es Salaam juvenile centers due to misbehavior and criminal offences has risen from 20 to 30 per month. Increasing aberrant behaviors in children have been linked to mental disorders. Assessment of presence mental health disorders as the main cause of these behaviors would be important to restore mental health of children and assist the system to impose a fair trial. Objective: This study aimed to determine the presence of mental disorders and associated factors among children and adolescents within Dar es Salaam juvenile systems and explore factors that may affect their mental health while in juvenile home. Methods: The mixed research method was used to estimate prevalence of mental disorders by a cross-sectional study and a qualitative method was applied to evaluate mental disorders according to DSM IV TR criteria. Results: The overall prevalence of mental dysfunction by mental status evaluation was 3%: 95% (CI;25.3 - 43.2;n =37 out of 108). The younger age group (13 - 15) years presented with a prevalence of 30%: 95% (CI;14.7 - 44.5) while the older adolescents (16 - 17 years) had a prevalence of 55%: 95% (CI;43.3 - 67.1). Attention deficit disorder was found in some children, some had history of drug and alcohol abuse, with few sexual disorders, depression and brief psychotic reaction and was found to be common among adolescent with unstable family situations such as death of parents, divorce of parents, and single parented children. Conclusion: Findings are suggestive that there is a presence of underlying mental disorders in some of the adolescents in the juvenile detention. Thus mental health screening for children in juvenile homes should be made mandatory in order to identify causes of aberrant behavior as well as provide treatment, prevent complications and maintain mental health of these children. Mental health screening for such children would also assist in conducting a fair trial for these emancipated children.展开更多
文摘Aims: Anaemia in children aged 6 - 59 months is an important public health problem associated with increasing hospital costs, lengths of hospital stay, and development of complications later in life. Due to the significant caregiver roles of mothers, the level of mothers’ knowledge, beliefs and practices are important in addressing anaemia in children. This study investigated knowledge, attitudes, beliefs, and practices of select mothers on anaemia and linked these with known factors for anaemia. Methodology: The case study was conducted at Mkuranga District Hospital, Paediatric Ward between December 2014 and April 2015. A cross-sectional design was used to recruit a convenience sample of 40 mothers whose children had a confirmed diagnosis of anaemia (through routine laboratory testing). Results: Within the sample, the majority of children were male (52.5%);aged 6 - 39 months (87.5%);and had a diagnosis of severe anaemia (75.0%) according to the World Health Organization’s definition. Over one third (35%) of mothers reported a prior history of anemia in their other children, and the majority (55%) had heard about anaemia prior to their child’s hospitalization. Maternal anaemia was reported by 67.5% of mothers. Mothers reported that maternal anemia (17.5%) and feeding practices (32.5%) are known contributing factors to anaemia in children. Mothers reported that anemia could be prevented (55.0%) and cured by herbal preparations (47.5%). In addition, some mothers indicated that anaemia was caused by witchcraft (22.5%) and eating lemons (2.5%). Conclusion: Severe anaemia was high among the studied population which aligned with their hospitalization status. Findings suggested potential gaps in control and management of anemia in children possibly related to low awareness or incorrect knowledge of the relationship between maternal and child anaemia. The findings also highlighted important cultural beliefs related to anaemia. There is an imperative for culturally and socially appropriate knowledge translation and exchange with mothers in order to impact on the prevention and control of anaemia in children in Tanzania.
文摘Aims: The purpose of this study was to assess the knowledge and practices among nurses regarding patient care, following cardiac catheterization, at a tertiary care hospital in Karachi, Pakistan. Background: Cardiovascular diseases (CVDs) are the major cause of morbidity and mortality, globally. Nurses are the largest body of health care professionals who attempt to reduce the burden of cardiovascular diseases. Design: This study employed a descriptive analytical cross-sectional study design to answer the research questions. Methodology: The data were collected from 70 participants using two instruments. Knowledge was assessed through a 50-multiple-choice questions-based questionnaire, whereas, to assess the practices, an observational checklist was utilized which comprised of 20 components. Findings: The majority of the nurses, 54.3%, had adequate, 40% nurses had inadequate, and only 5.7% nurses had excellent knowledge scores. Moreover, 87.1% nurses were observed as carrying out unsatisfactory practices, whereas, only 12.9% nurses were found carrying out satisfactory practices. Conclusion: Since variation in the practices was observed in each of the department, therefore, there is a need for further research, to assess nurses’ attitudes through a qualitative approach and to develop and implement a standard post-cardiac catheterization care protocol.
文摘Introduction: The number of children and adolescents admitted in Dar es Salaam juvenile centers due to misbehavior and criminal offences has risen from 20 to 30 per month. Increasing aberrant behaviors in children have been linked to mental disorders. Assessment of presence mental health disorders as the main cause of these behaviors would be important to restore mental health of children and assist the system to impose a fair trial. Objective: This study aimed to determine the presence of mental disorders and associated factors among children and adolescents within Dar es Salaam juvenile systems and explore factors that may affect their mental health while in juvenile home. Methods: The mixed research method was used to estimate prevalence of mental disorders by a cross-sectional study and a qualitative method was applied to evaluate mental disorders according to DSM IV TR criteria. Results: The overall prevalence of mental dysfunction by mental status evaluation was 3%: 95% (CI;25.3 - 43.2;n =37 out of 108). The younger age group (13 - 15) years presented with a prevalence of 30%: 95% (CI;14.7 - 44.5) while the older adolescents (16 - 17 years) had a prevalence of 55%: 95% (CI;43.3 - 67.1). Attention deficit disorder was found in some children, some had history of drug and alcohol abuse, with few sexual disorders, depression and brief psychotic reaction and was found to be common among adolescent with unstable family situations such as death of parents, divorce of parents, and single parented children. Conclusion: Findings are suggestive that there is a presence of underlying mental disorders in some of the adolescents in the juvenile detention. Thus mental health screening for children in juvenile homes should be made mandatory in order to identify causes of aberrant behavior as well as provide treatment, prevent complications and maintain mental health of these children. Mental health screening for such children would also assist in conducting a fair trial for these emancipated children.
