Post-operative pain is a common problem after surgical procedure. Undertreated and uncontrolled post-operative pain reduce physical and social performance, impaired quality of life and patient dissatisfaction, delayed discharge, increased use of health care resources and high cost on their hospital stay. Even if the problem is vast, researches on the area lack adequate data. This study aimed to assess knowledge, attitude and perceived barriers to post-operative pain management among anesthetists in Addis Ababa Governmental Hospitals, Ethiopia 2015. An institution based crosssectional study was conducted. A survey method was undertaken to include a total of 150 anesthetists working in 11 government hospitals found in Addis Ababa, Ethiopia. Pretested structured selfadministered questionnaire was used to collect the data. Data were entered and analyzed through SPSS version 20. Tables, graphs and frequencies were used to report the descriptive result. In total, 102 (68%) participants participated in the research. The mean score of correctly answered questions by the participants was 4.9 SD ±2.3, out of 12 items ranging from a minimum of 1 to a maximum of 11. Inadequate post-operative pain assessment, absence of pain management guideline and least priority for post-operative pain control are the major mentioned barriers by the participants. Anesthetist's pain management knowledge and attitude level was found to be low. Strengthening educational strategy for surgical pain management and working on standard guidelines plays major role in alleviating the problem.
Background: Prenatal ultrasound in antenatal care is widely recognised as one method of reducing maternal mortality. Pregnant women's knowledge and attitudes concerning prenatal ultrasound are thought to influence their response. However, little is known about pregnant women’s attitude and practice of prenatal ultrasound in Addis Ababa. This study aimed to assess attitude, practice and associated factors of pregnant women toward prenatal ultrasound in public hospitals of Addis Ababa. Methods: A cross-sectional study was done on 404 pregnant women from June to July 2022 at four public hospitals of Addis Ababa. A simple random sampling and systematic random sampling were used to select the study area and eligible individuals respectively. Interview using a structured questionnaire was employed. Bivariate and multivariate logistic regression was used to identify factors associated with attitude and practice. The odds ratio at 95% confidence interval with p-value less than 0.05% were considered statistically significant. Results: Magnitude of having positive attitude and good practice of pregnant women toward prenatal ultrasound were 71.5% and 60.6% respectively. Government employed women (AOR: 2.327; 95%CI: 1.177-4.600), ultrasound exposure for reason other than pregnancy (AOR: 2.009; 95%CI: 1.226-3.293), history of congenital anomaly (AOR: 4.82; 95%CI: 1.765-13.164) and experience of pregnancy (AOR: 2.36; 95%CI: 1.348-4.130) were significantly associated with attitude of prenatal ultrasound. Government employed (AOR=2.286; 95%CI: 1.110-4.708), ultrasound exposure (AOR= 1.893; 95%CI; 1.211-2.960), history of congenital anomaly birth (AOR= 2.444; 95%CI: 1.070-5.582), and women's knowledge of ultrasound (AOR= 2.018; 95%CI: 1.230-3.311) were significantly associated with practice. Conclusions; The level of attitude and practice toward prenatal ultrasound can be improved with increase knowledge of obstetric ultrasound scan to all antenatal women. Health professionals in antenatal care units should advise pregnant women to improve their attitude and practice that helps to have prenatal ultrasound scan as recommended by the WHO.
Cardiopulmonary resuscitation (CPR) is an important medical procedure which is needed for individuals who face sudden cardiac arrest. Sudden cardiac arrest is a life-threatening condition and a leading cause of death among adults over the age of 40 years in the United States and other countries. Reports showed that about 1,000,000 people die of cardiac arrest every year in the United States and Europe. To assess knowledge, attitude and associated factors of cardiopulmonary resuscitation among anesthetists working in governmental and private hospitals in Addis Ababa, Ethiopia. Institutional based cross-sectional study design was conducted in Addis Ababa governmental and private hospitals from March to August, 2014. Simple random sampling was used and structured questionnaires on cardiopulmonary resuscitation which is adopted from American Heart Association were distributed. The questionnaire had 20 items related to anesthetists' knowledge regarding cardiopulmonary resuscitation and 8 items related to their attitude towards cardiopulmonary resuscitation. Anesthetists were divided on the base of their age, gender, experience, private and governmental hospitals, training they took previously and level of education. Descriptive statistics were employed to analyze the data using SPSS version 20 and participants' level of attitude was measured by using a Likert scale. Percentages were worked out and the results were interpreted. From a total of 150 anesthetist participants, 140 of them or 93.3% scored below 84%. Those participants who were trained by CPR specialists, trained very recently, have higher degree and higher experience scored higher than their counter parts in items of level of knowledge. The level of knowledge on cardiopulmonary resuscitation among anesthetists working in Addis Ababa governmental and private hospitals was found to be poor (93.3%) according to 84% American Heart Association reference for CPR certification.
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