Background: The peculiarity in Nigerians’ demographic, socio-economic and cultural pattern necessitated the need to explore potential COVID-19 vaccine acceptance. This study investigated the determinants of willingness to receive COVID-19 vaccine in Nigeria. Methods: An online cross-sectional study among the general population in Nigeria. Data were collected using an electronic questionnaire. A total of 368 individuals participated in the research. The outcome variable was willingness to accept COVID-19 vaccine coded as “Yes=1 and No=0.” Basic socio-demographic information of participants and other information related to COVID-19 were obtained. Stata MP 14 was used for the statistical analysis. Descriptive statistics were presented, test of association were carried out using chi square and a binary logistic regression was used to assess the determinants of willingness to accept COVID-19 vaccine. All analyses were performed at 5% level of significance. Results: The mean age of the respondents was 29.4 + 9.65 years. Majority of the study participants were female (58.9%), Yoruba (74.7%) and dwellers of urban area (68.5%). Also, 85.6% have attained tertiary level of education. Two-fifth (40.5%) of respondent reported their willingness to take the COVID-19 if made available. Majority (69.8%) of those that are willing to take the vaccine would prefer a live attenuated form and 39.6% would prefer the vaccine administered intramuscularly. Age group≥40 years (AOR: 5.20, CI: 1.02- 26.41), currently married (AOR: 2.81, CI: 1.05 – 7.53) and susceptibility to COVID 19 infection (AOR: 2.52, CI: 1.21 – 5.26) were associated with likelihood of willingness to accept COVID-19 vaccine. Conclusion: Despite the fact that majority were at risk of COVID-19 infection, willingness to receive COVID-19 vaccine was low among Nigerians. Level of maturity in terms of age and marriage as well as susceptibility to COVID-19 infection increased the likelihood of accepting COVID-19 infection. In Furtherance, younger ones, unmarried and non-susceptible individual may require more efforts tailored towards enrichment of understanding about the importance of COVID-19 vaccine in other to improve the acceptance of COVID-19 vaccine in Nigeria.
Aims: Diabetes leg ulcer is the ulceration of the leg associated with diabetes and in most cases result into amputation. Studies showed inadequate knowledge of the disease and this is why most of the patients only seek healthcare services after the Leg ulcer is already infected and seems not to be healing. Consequently, this study aims is to examine the effect of nurse-led education on knowledge of leg ulcer prevention. Materials and methods: A pre and post-test quasi experimental design was conducted with a multi-stage sampling technique to select forty participants through a convenient sampling method, and then allocated them into two groups by simple randomization (n=30 control, and n=30 experimental group). A modified structured questionnaire from preventive aspects of leg care practices used in America Diabetes Association and the National Diabetes Education were used to measure the knowledge level. Participants in experimental group were educated based on European Wound Management Association educational package. Data collected were analysed using frequency, mean, standard deviation, and independent paired t-test at 0.05 significant levels. Results: Result showed pre-intervention knowledge mean score of 5.2±2.3 and 5.1±2.0 with mean different of 0.1, while the Post-intervention knowledge means score of 12.5±3.2 and 5.4±2.6 with mean different of 7.1, in experimental and control respectively. Significant different was observed between the control and experimental group, after the intervention (t=11.82, ˂ 0.001). Conclusions: The nurses must provide a continuous and focused training program on leg ulcer for the diabetes patients to improve their knowledge on prevention of the diseases.
The COVID-19 pandemic continues to wreak havoc in Nigeria, with more cases and deaths reported every day. However, vaccine development and uptake are believed to aid the fight against this outbreak. We investigated vaccine uptake, unmet need for vaccine, and reported side effects among the populace. An online cross-sectional study was conducted among 417 adults from the six geopolitical zones in Nigeria using the online data collection tool, Kobo-toolbox. We obtained information on socio-demographic characteristics, vaccine uptake, unmet need, and related side effects of COVID-19 vaccine. Descriptive analysis and binary logistic regression were done using Stata MP 16. The mean age of the respondents was 32.1 ± 10.7 years. About half (49.9%) were below 30 years of age. Majority were females (63.1%), Christians (89.2%), and urban dwellers (74.6%). Majority (89.2%) of respondents know that vaccines are beneficial to health, and 41.2% have received the COVD-19 vaccine. Unmet need for COVID-19 vaccine was 74.3% and herd immunity was estimated as 93.1%. Respondents working in the private sector (AOR=0.32, 95% CI=0.11-0.90), and who said COVID-19 vaccine is not beneficial to health (AOR=0.04, 95% CI=0.01-0.29) were less likely to receive COVID-19 vaccine, while those who have tested for COVID-19 (AOR=3.93, 95%CI=1.98-7.84) have a higher likelihood of receiving COVID-19 vaccine. Continuous awareness for COVID-19 vaccine is needed. The government needs to persistently assure citizens of the safety and efficacy of the vaccines. Also, this study recommends that the administration of a highly effective vaccine would result in achievable herd immunity and curb the transmission of COVID-19 virus.
Background: Diabetes-related cataract extraction is a minor surgery required to regain full vision. One of the recognized factors that can delay or prevent full-vision recovery is poor management, and most of this management is being carried out by patients themselves. Objective: This study aimed to assess the knowledge of diabetes patients on self-management after cataract extraction in two tertiary hospitals in Osun State. Methods: A cross-sectional descriptive design was conducted among 97 diabetes patients who underwent cataract extraction and were attending clinics and follow-up visits in Osun State. A self-structured questionnaire was used for data collection. Results: Moderate knowledge was found among the participants on an appropriate diet (56.7%), prevention of injury risk (57.5%), prevention of infection risk (50.9%), and low knowledge on the technique of administration of eye drop (60.8%) after cataract extraction, whereas 74.7% of the total respondents were knowledgeable on the indication for follow-up visit after cataract extraction, these results were found to be below the expected knowledge level. Conclusion: An intensive and comprehensive educational initiative by nurses should be tailored to meet the specific needs of diabetes patients with cataract surgery. Nurses also need to implement the use of checklist which will enhance learning and improve patient understanding of self-management after cataract extraction.
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