Background & Aim: The use of chemotherapy for the treatment of breast cancer has experienced a rapid increase in recent years and this is expected to continue. The objectives of the study were to ascertain the patient-related factors, therapy related factors, and health care system factors that influence non-adherence to chemotherapy among breast cancer survivors at University of Nigeria Teaching Hospital (UNTH), Enugu. Methods & Materials:The study design was a cross-sectional descriptive survey with a total population of 100 cancer survivors. The breast cancer questionnaire was the instrument used for data collection. Results: The result of the study showed that financial constraint 61(61.0%) was the major patient related factor that influence non-adherence to chemotherapy, medication side effects (hair loss, loss of weight) 62(62.0%) and duration of treatment 50(50.0%) were the major therapy related factors while unfavorable hour of clinic visit 40(40.0%) was the major health care related factor that influences non-adherence to chemotherapy. Conclusion: It was concluded that the federal government should re-implement the health care policy that allowed treatment free-of-charge at Nigerian government hospitals to those with malignancies and other chronic ailments to mitigate the burden of associated financial problems and encourage patients to seek orthodox medical care. Also, health education initiation on benefit of adhering to chemotherapy would be needed on the part of the nurses to foster the women intake of chemotherapy. Nurses caring for women who receive endocrine therapy for breast cancer should identify those who may be at greater risk for being non-adherent.
Background: Acne Vulgaris is a common chronic inflammatory skin disease, with a prevalence of about 80% among adolescents and adults. Aim: The study was designed to assess knowledge and treatment behavior of acne vulgaris among female students of the University of Nigeria, Enugu campus, Nigeria. Method: Descriptive survey design was adopted for this study. Three hundred and nineteen (319) female students of the University of Nigeria, Enugu Campus recruited through stratified random sampling were involved in the study. A questionnaire with a reliability coefficient of 0.80 Cronchbach alpha was used for data collection. Ethical clearance was obtained from the University of Nigeria, Teaching Hospital. Ethical principles of Informed consent, confidentiality and anonymity were maintained in the study. Data were presented in tables and analysed using descriptive statistics of frequency, percentages, means and standard deviation; and Chi-square (P < 0.05) inferential statistics. Findings: Majority (95.3% (304)) of the respondents have good knowledge of acne vulgaris. Consultation with a dermatologist was seen as very important for the management of acne vulgaris (M = 3.42 ± 0.62), removing acne by squeezing is not considered necessary (M = 2.04 ± 0.92) and the majority of the respondents (86.8%) use medically approved drugs and formulations like cleansers, exfoliants, sunscreen. No statistically significant relationship was found between the level of academic study and knowledge of acne vulgaris. Conclusion: Nurse educators must consolidate health campaigns on the evidence-based treatment options available for acne vulgaris. This is necessary to prevent complications arising from the use of untested dermatological products.
Malaria in pregnancy can lead to malaria-related anaemia, a condition that when left untreated, can result in death, especially among vulnerable populations such as pregnant women. Malaria can lead to severe anaemia and maternal and foetal death. This study aimed at exploring the perception and use of traditional medicine in the treatment of malaria among pregnant women in Ngenevu and Udi siding communities. A descriptive cross-sectional survey method was adopted for the study. Study population was 93 pregnant women purposively selected from two urban slums of Ngenevu and Udi siding, Enugu state. Structured questionnaire with reliability coefficient of 0.75 was used for data collection. Health Research Ethics Committee of University of Nigeria Teaching Hospital Enugu approved the study. Data collection was on the spot and was analysed with SPSS/IBM version 23. Inferential statistics was used to test the significance of income and educational level in determining the use of traditional medicine among pregnant women at p<0.05 level of significance. Majority (93.5%) of pregnant women in Udi siding and Ngenevu used traditional medicine to treat malaria. More than half (87.1%) perceived traditional medicine used in treating malaria as effective. Of the 32 women who reported to have experienced side effects, 81.3% had nausea and vomiting of which 57.7% and 42.3% are from Udi Siding and Ngenevu respectively. There was a significant relationship between income and level of education and use of traditional medicine in treatment of malaria in pregnancy (p<0.05). Pregnant women in the two urban slums utilized traditional medicine in treating malaria. Efforts should be intensified to discourage and reduce to the barest minimum the use of traditional medicines in treating malaria in pregnancy. This will help in stemming the tide of maternal and child mortality and morbidity in these urban slums.
Background & Aim: Human Papilloma Virus (HPV) is a common sexually transmitted infection with high mortality rate though its prevention is now possible through vaccination. The study determined the knowledge and acceptance of HPV Vaccine among Secondary School students in Queens Model secondary school Enugu Methods & Material: The study utilized a quantitative descriptive survey method. Sample size of 368 students was determined using the power analysis at 95% confidence interval and 5% error margin. Stratified sampling method including proportionate sampling was used to select respondents from different classes to ensure representativeness. Data was collected using questionnaire developed by the researchers with a reliability of 0.79 Cronbach alpha after pre-test and data was analyzed with the aid of SPSS version 20 using descriptive statistics of frequencies and percentages. Results: Only 51(13.86%) of the respondents have heard of HPV vaccine. Majority 97.3% were willing to receive a vaccine that can prevent cervical cancer and 98.1% respondents agreed to recommend a vaccine that can prevent cervical cancer for others for fear of death and concern for their safety. Conclusion: Health education on HPV vaccine should be made available to young girls to enable them take advantage of this service before the resumption of sexual activities.
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