Adult Health Nursing

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Browsing Adult Health Nursing by Author "Aga Fekadu(PhD)"

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    Assessment of family care givers’ knowledge and practice of caring for children with congenital heart disease at the cardiac center Ethiopia, Addis Ababa, Ethiopia.
    (Addis Ababa University, 2021-07) Berihu Feben; Aga Fekadu(PhD); Hailu Aklil
    Background: Congenital heart disease (CHD) is one of the most common birth anomalies. Around the world it has been estimated that children’s have one among 100 congenital deficits due to the chromosomal abnormalities. In the last few years, the emergence of new technologies and advanced therapy the children born with CHD can make it through the adult hood. During the journey of treating children with CHD the role of family caregivers is significant. However, little is known about the family caregiver’s knowledge and self-reported practice of caring for children with CHD. Objective: The objective of this study is to assess the family caregiver’s knowledge and selfreported practice of caring for children with congenital heart disease at cardiac center Ethiopia Addis Ababa Ethiopia. Methods: The study was performed under hospital based descriptive cross-sectional study. The data was collected from families of children with CHD at the cardiac center outpatient department through written questioner. The questioner was administered by two trained nurses who work in the outpatient department of the cardiac center. The returned questionnaire was checked for completeness, cleaned manually and entered in to EPI INFO statistical software and then transferred to SPSS windows version 25 for further analysis. Results: A total of 377 family caregivers with a response rate of 96.91% were participated in this study from which (45.1%) of the respondents had good knowledge towards care for child with CHD and (44.3%) had good practice toward scare for CHD. There was a significant relationship between family caregiver’s knowledge and educational status [AOR=0.322, 95%CI.0.186, 0.557] and living area [AOR=19.274, 95% CI. 6.535, 56.84]. family caregiver’s knowledge towards CHD [AOR=1.11, 95% CI 7.240, 0.002.], frequency of feeding [AOR=0.093,95%CI. 0.02, 0.53] and living area [AOR= 57.3, 95%CI 1.07, 3048.8] were significantly associated with self-reported practice towards care for child with CHD at outpatient department. The statistical significance level was declared at p-value <0.05. Conclusion & Recommendation: The results from this study showed that family caregivers had poor knowledge towards CHD and poor self-reported practice towards care for child with CHD. Lack of guide line for proper health education and resources are contributing factors. Therefore, the hospital’s administrative and supportive organizations would better to provide training regarding proper health education towards care for child with CHD and the disease condition.
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    Assessment of Knowledge and Practice on Safe Handling of Cytotoxic Drugs Among Nurses Working in Oncology Unit at Governmental Hospitals Addis Ababa, Ethiopia 2019.
    (Addis Ababa University, 2019-06) Asefa Selamawit; Aga Fekadu(PhD); Getahun Negalign(BSc)
    Introduction: Occupational exposure to cytotoxic drugs is a worldwide concern and the number of staff possibly exposed to hazardous effect of the cytotoxic drug was more than 5.5 million. Unsafe handling practices have been pointed out in several studies, particularly in countries where access and use of these medicines have recently risen. Objective: To assess knowledge and practice on safe handling of cytotoxic drugs among nurses working in oncology unit at governmental hospitals Addis Ababa, Ethiopia 2019. Method: An institutional based cross-sectional study was conducted on 77 nurses in two selected governmental hospitals Addis Ababa Ethiopia from April 1-30, 2019. Censuses approach was used to select nurses. Structured self-administered questionnaire was used to collect data. Descriptive statistics such as mean, standard deviation and percentage were calculated to describe frequency and displayed in tables. Multiple Linear regression was done to see the association between dependent variables and independent variables. Significant factors were identified based on include in 95% level at p-value less than 0.05. Result: Mean score of knowledge of nurses about cytotoxic drug was7.82±2.22 and mean score practice of nurse 22.1±5.5 multiple regression analysis indicated that chemotherapy training was significantly associated with nurse’s knowledge (p = 0.01) and practice of nurses handling cytotoxic drug (p=.048) respectively. Working ward and experience were significant associated with knowledge of nurses on handling cytotoxic drug. Conclusion and Recommendation: Most of nurses didn’t take training about chemotherapy handling. This study finding showed that chemotherapy training was significantly associated with knowledge and practice. In service training regarding chemotherapy handling should be given to nurse’s and oncology course should be incorporated and reinforced in to nursing professions curriculums.
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    Assessment of Knowledge of Stroke Risk factors and Warning Symptoms Among Adults with Type II Diabetes Mellitus in Selected Hospitals, Addis Ababa, Ethiopia, 2021.
    (Addis Abeba University, 2021-06) Akele Rediet; Aga Fekadu(PhD); Badada Tadesse
    Background: Stroke is a major public health concern that affects people all over the world. It is a major contributor to morbidity, mortality and disability in both developing and developed countries. Increasing knowledge regarding cerebrovascular diseases and tackling risk factors are important to reduce the rising worldwide burden of stroke. Objective: The main aim of this study is to assess knowledge of stroke risk factors and warning symptoms among adults with type II diabetes in selected hospitals, Addis Ababa, Ethiopia,2021. Methods and materials: Institutional based cross-sectional study was conducted among adults with type II diabetes in selected governmental hospitals of Addis Ababa, Ethiopia. Systematic random sampling was used to select eligible 499 study participants. The data coding, entry and clearance was made by using Epi data software version 4.6.0 and exported to SPSS software version 25 for analysis. Simple and multiple linear regression analysis were done to explore the association between independent with the dependent variables. Result: Of the calculated sample size, total of 470 respondents were interviewed with response rate of 94.2%. Majority (54.9%) of study participants were females and the mean age of respondents were 50.6 (+12.9). The mean score of knowledge of warning symptoms and risk factors of stroke was 63.9% and 67.2% respectively. Younger age (B= -0.021; P= 0.01), higher level of education (B= 1.873; P= 0.000) and know someone diagnosed with stroke (B= 3.64; P=0.000) shows statistically significant association with knowledge of stroke warning symptoms. Similarly, higher level of education (B= 2.007; P= 0.000), know someone with stroke (B= 3.328;P= 0.000) and living with others (B= 2.28; P= 0.000) shows statistically significant association with knowledge of stroke risk factors. Conclusion and recommendation: In general, from this particular study, knowledge of diabetic patients towards stroke risk factors and warning symptoms was inadequate. Therefore,the importance of stroke education concerning its risk factors and warning symptoms via social media, health education sessions, and posters should be emphasized.
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    Assessment of the Practice of Non-Pharmacological Post-Operative Pain Management and Associated Factors Among Nurses Working in Public Referral Hospitals of Amhara Regional State
    (Addis Ababa University, 2019-01) Dires Tadila; Aga Fekadu(PhD); Gebreyeohannis Tigistu(MSc)
    Background: Non-pharmacological interventions defined as therapies that do not involve taking medicines or any other active substance. Such interventions may include exercise, massage, relaxation training, thermotherapy and psychological or behavioral management. Non pharmacological pain management is important when managing post-operative pain. Non-pharmacologic method have no side effects, have minimum risk, are not detrimental to patients, easy to administer and cost-efficient. These interventions should be implemented by nurses into routine plans of care for patients. Objective: To assess practice of non-pharmacological post-operative pain management and associated factors among nurses working in public referral hospitals of Amhara regional state. Method: Cross-sectional study design will be used. Data will be collected from March to April 2019 by using a structured self-administered questionnaire. Source population of the study will be nurses who work at post-operative units of public referral hospitals of Amhara regional state. The sample size of study is 300 nurses who work in post-operative unit of randomly selected referral hospitals of Amhara regional state. Correlation coefficient r will be used to measures the degree of association between dependent variable and continues in dependent variables. Differences between the groups in the mean values of the variables will be tested with ANOVA test. In addition, association between factors and nurses’ practice of non-pharmacological methods will be tested by t test. I will also use multiple linear regression to asses significantly associated variable with significant p value <0.05 and 95 % confidence interval. Conclusion and recommendation:
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    Correlates of Diabetes Self-Care Behaviors in Adults with Type 2 Diabetes and Comorbid Heart Failure
    (Addis Ababa University, 2019-07) Aga Fekadu(PhD); Dunbar Sandra ; Gary Rebecca(PhD); Higgins Melinda Kay(PhD)
    Background: Effective performance of diabetes self-care behaviors in type 2 diabetes (T2D) iscrucial for improving glycemic control and managing diabetes-related comorbidities including heart failure (HF). Compared to persons without T2D those with T2D have 2-3 fold higher incidence of comorbid HF which often result in increased morbidity and poorer survival. Little is known, however, about the correlates of diabetes self-care behaviors and outcomes in people with T2D and comorbid HF. Objective: The purpose of this secondary analysis study was to provide a deeper conceptual understanding of the correlates of diabetes self-care behaviors in adults with T2D and comorbid HF. Methods: Baseline data of 180 participants from a randomized clinical trial that tested a 6-month integrated self-care intervention for adult persons with comorbid HF and T2D were analyzed.Study-developed data extraction forms and a battery of standardized instruments were used to collect demographic, clinical, and psychosocial data from medical records and self-report. Diabetes self-care behaviors were measured using the Summary of Diabetes Self-Care Activities (SDSCA). Glycated hemoglobin (HbA1c) and fasting blood glucose (FBG) were analyzed from whole blood sample at baseline. Correlational bivariate, multiple logistic regression and hierarchical linear regression analysis were performed to examine associations and predictors of diabetes self-care behaviors and glycemic control. The IBM SPSS for Windows version 24 was used to analyze the data. Result: The participants mean age was 58.1±10.7 years and the majority were male (n = 118,65.6%) and African American (n = 119, 66.1%). Good self-rated health and presence of an implantable cardioverter defibrillator (p < 0.01) predicted better diabetes self-efficacy while taking both oral antiglycemic medication and insulin, history of depression, cardiac pacemaker, and digitalis (p < 0.05) predicted lower diabetes self-efficacy. Number of comorbidities >2(p<0.001), having more than a high school education (p< 0.05) and African American ethnicity(p< 0.05) predicted better exercise, blood glucose testing, and foot care behaviors, respectively.The use of an aldosterone inhibitor(p< 0.05) predicted worse exercise performance, higher Charlson comorbidity index scores (p< 0.01) predicted worse SMBG, and treatment with diet plus medication (p< 0.05) and dyslipidemia (p< 0.001) predicted worse foot care behaviors. In a bivariate analysis, the SDSCA general diet (p = 0.036) and SDSCA exercise (p = 0.029) were negatively associated with HbA1c, while SDSCA specific diet (p = 0.047) was positively associated. None of the diabetes self-care behaviors emerged as independent predictors of eitherHbA1c or FBG in the regression models. Diabetic-end organ failure, taking insulin only, taking oral ant glycemic and insulin, African American race, and dyslipidemia predicted higher HbA1c values (p< 0.05). Years since diagnosis of HF (p< 0.05), taking insulin (p< 0.01), diabetic-end organ failure (p< 0.01), and total daily medications (p< 0.05) predicted higher FBG values. Conclusion: This study identified demographic, clinical, and psychosocial factors associated with diabetes self-care behaviors and with diabetes self-efficacy. Nevertheless, the diabetes selfcare behaviors’ lack of influence of HbA1c and FBG is a major finding of this study.This underscores that the conventional disease-specific approach to diabetes self-care intervention cannot help to improve patient outcomes in people with T2D and comorbid HF. Therefore ,it is imperative to shift from disease-specific approach to integrated diabetes self-care model to improve outcomes for this population.