Cerebral palsy (CP) is a major cause of physical disability in childhood. Caregivers are often subjected to both stress and burden due to prolonged care. This article assesses levels, correlates, and predictive factors of stress and caregiver burden among primary caregivers of children with CP. A hospital-based descriptive cross-sectional study was conducted in three tertiary hospitals within the Osun State, Nigeria. Two hundred and nine caregivers were interviewed with both the Parental Stress Scale and Caregiver Difficulty Scale to assess for stress and burden of caregivers, respectively. Data were collected and analyzed using Statistical Program for Social Sciences for Windows version 22 (SPSS Inc., Chicago, Illinois, United States) with alpha set at p < 0.05. Two hundred and nine children with CP aged 12 months to 12 years were seen during the 6-month period. Mothers constituted 87.1% of the total caregivers. The mean (standard deviation [SD]) stress seen in caregivers was 44.8 ± 10.1, while the mean (SD) caregiver burden was 45.2 ± 13.4. Both these scores were above the minimum score of 42, which signifies high psychosocial stress and burden. Multivariate linear regression was used to assess associations between clinical and sociodemographic and each of stress and caregivers' burden. Severity of CP and level of education were the most important predictors of stress, while severity of CP, level of education, and male child were the most important predictors of caregivers' burden. Caregivers' burden and stress are known to result in negative outcomes. Identifying factors that can predict caregivers' burden and stress could help develop an early intervention strategy to minimize these negative effects while promoting caregivers' psychosocial well-being.
Background: Parenting stress in mothers of cerebral palsy children had been linked with common themes such as disturbed social relationships, health problems, financial problems, moments of happiness, worries about future of the child and need for more support services. The objective of this paper was to critically review the article titled: 'Effect of Social Support on parenting Stress of Korean Mothers of Children with Cerebral Palsy' in the Journal: J.Phys.Ther.Sci.Methods: The review gave a short literature review on the subject. Following this, a summary of the article was given. The article summary summarized the contents of the review. This was followed by a brief analysis of how effective the structure of the article is, investigating how the information is set out and whether or not the reader can have access to it. The presentation of the content of the article including the alignment as well as the format of this article was assessed. The third section was the critique of the article, evaluating its authority and currency. The accuracy, objectivity as well as coverage of the article was as well reviewed. Similarly, the relevance of the content of the article with respect to its title was reviewed. The stability of the article as related to its publication was not left out of the review. This review also carried out an analysis of the figures and tables prior to finally judging the article's accessibility and credibility. Recent advances that are related to the article was briefly explained.Findings: On the whole, the article was found to be relevant, clear and well written. Conclusion: The structure, strength, content as well as the limitations of the article were analyzed and critiqued. This article has contributed to the literature considering its valuable critique of current research study on social support and parenting stress.
Birth brachial plexus injury (BBPI) is still one of the major causes of birth injury in Nigeria despite improved medical care. Physiotherapy, one of the main conservative managements, has some controversy. This study, therefore, assessed the prevalence and pattern of children with BBPI attending physiotherapy. A 10-year (January 2005?December 2014) retrospective analysis of children with BBPI was performed at the Department of Physiotherapy, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Data about patients' demographic and clinical variables were collected and analyzed using Statistical Program for Social Sciences for Windows version 22 (SPSS Inc., Chicago, Illinois, United States). BBPI constitutes 8.8% of all cases reviewed with a male-to-female ratio of 1.6:1. Their mean birth weight was 3.80???0.66?kg, with an average incidence rate of 4.1 per 1,000 live births. Vaginal delivery (74.6%) was the most common mode of delivery, and shoulder dystocia of 35.2% was the most implicated etiology of the condition. Most BBPI children were born in private hospitals (66.2%) with the first and fourth parity showing the highest cases (28.2% each). The middle class parents (47.9%) had the highest prevalence of children with BBPI and only 19.7% had a formal discharge. BBPI in Nigeria still has a high prevalence despite improved medical care. There should be an established continual interdisciplinary working relationship and standardized protocols or guidelines for the management of children with BBPI.
Background: It has been established that the challenges faced by children with cerebral palsy bring about a higher level of stress which has negative effect on their physical health as well as their social well-being. The aim of this study was to explore the psychosocial problems encountered by the parents caring for children with cerebral palsy (CP) in an urban setting. Methods: Qualitative research design using focus group discussion (FGD) was used for the study.
Background: Climate change has had a profound effect on socioeconomic, cultural, political, technological and even biological nature of man and plants in the world. This study is aimed at investigating the relationship between climate change and health of adult residents of Ile-Ife, Nigeria. Methods: A sample survey method was used with structured questionnaire and oral interview. Random sampling technique was employed to get the sample size of 142. Informed consent of participants was obtained before commencement of the study. 142 questionnaires were duly completed and returned. Data were analyzed using frequencies, mean, standard deviation and percentages. Pearson Product Moment Correlation was employed to find the relationship between the test variables of the hypotheses. Findings: Majority of respondents (48.6%) had tertiary education, 20.4% had secondary education, while 18.3% are illiterate. 42.3% got their information on climate change through radio, while only 4.9% got theirs through research institutes. 54.9% had adequate knowledge about climate change and only 9.2% had very inadequate knowledge. 37.3% experienced malaria and headache together due to climate change, while few (0.7%) experienced skin rashes. Significant relationship existed between the socioeconomic characteristics of the respondents and their present health status (r = 0.348, p = 0.001, α = 0.05). Significant relationship was similarly found between the socioeconomic characteristics of respondents and their perception of the effect of climate change on their health (r = 0.392, p = 0.001, α = 0.05). Conclusion: Climate change had negative impacts on the health of adult residents of Ile-Ife. Governments should ensure preservation of the ozone layer and also increase awareness of the citizens on climate change and the effects on human health.
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