Background Diagnosed with breast malignancy can be stressful, affecting several domains of life, affecting physical, emotional, and spiritual well-being that can lead to stress. To adapt to stress, the patient can use different coping methods. Therefore the objective of this research was to assess coping strategies for stress and its associated factors among breast cancer patients in Tikur Anbesa specialized hospital, Ethiopia. Methods and materials The institution-based cross-sectional study was carried out among 272 study participants attending Tikur Anbessa specialized hospital from February to April 2020. The data was collected using a structured questionnaire and analyzed using Stata 4.2. Descriptive statistics was employed for data analysis and tables and figures were used to present the results. Binary logistic regression was used to identify variables that affected the outcome variables. Result Majority (45.8%) of the study participants were in the age range 40–54 years. About 51.1% [95% CI (45.1–57.2)] of breast cancer patients have positive coping strategies to stress in the current study. About 64% solve stress through the Confrontive strategy and more than 73% of participants solve their problems by distancing. In self-controlling coping mechanisms, most participants do positive coping strategies. Having social support and taking only chemotherapy increased positive coping strategy but being single and time since diagnosis (1–3 years) increased negative coping. Conclusions About 51% of breast cancer patients have a positive coping strategy. Since the majority of breast cancer patients in the current study experienced negative coping strategies, it is better to expand health education regarding stress coping strategies. In addition, it is better to link patients to clinical psychologists and organizations that aimed to social support to cancer patients.
Background: Diarrhea is the second most common cause of morbidity and mortality among children under 5 years old, following acute respiratory tract infection. Despite that home interventions can prevent 57% of mortality related to diarrhea. However, still mothers’ attitudes towards home-based diarrheal management range from 39-78% as a result of different factors.Objective: This study aimed at assessing attitudes towards home-based management of diarrhea and associated factors among mothers of under-five children attending health care institutions.Methods: An institutional-based cross-sectional study was conducted. Systematic random sampling was used to select study participants. Data were entered using Epidata version 3.1 and exported to SPSS version 25. The result was presented in frequency and percentage using tables and figures. Binary logistic regression was used to analyze the data. Those variables with p-value <0.2 in bivariate were entered in multivariate analysis to avoid confounding variables whereby p-value <0.05 were considered as significantly associated. Result: A total of 422 mothers were surveyed with a 100% response rate. The mean age of the mothers was 33 ±10. Positive mothers’ attitude was 51.9% with 95%CI (46.8, 57.1). Maternal age ranges from 25-35 years (AOR:3.27, 95% CI: 1.72,6.22), 36-45 years (AOR: 8.79, 95%CI: 3.50, 22.11), age >45 years (AOR: 8.00, 95%CI: 2.62, 24.43), being single (AOR 0.18, 95%CI:0.06, 0.56), being divorced (AOR:0.25, 95%CI:0.08,0.81), primary education (AOR: 7.26, 95%CI: 3.62,14,57), Secondary and above (AOR:8.43, 95%CI:3.77,18.82), Daily labor (AOR:5.44, 95%CI:1.19, 24.96), Income level with 1001-3000 ETB and greater or equal to 3001ETB with (AOR:3.14, 95%CI:1.35, 7.29) and (AOR:4.06, 95% CI: 1.71, 9.66) respectively. Knowing about how to prepare ORS (AOR: 6.72, 95%CI: 3.62,12.48) were significantly associated variables with the out came variable in the multivariate regressionConclusion: One in every two mothers had a favorable attitude in this study. Maternal age, marital status, maternal educational status, occupation, and knowing about the preparation of ORS were factors associated with mothers’ attitude. The focus should be made on younger mothers, illiterate, unmarried couples, not knowing how to prepare ORS to boost mothers’ attitude.
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