Aim: This study aimed to assess anxiety and depression among health sciences students at home quarantine during the COVID-19 pandemic in selected provinces of Nepal.Methods: A web-based cross-sectional study was conducted among 409 health science students enrolled at graduate and post-graduate levels in selected universities and their affiliated colleges. Students from selected colleges were asked to fill out a survey, that was made available through email and social media outlets such as Facebook and Viber. The data were downloaded in Excel and imported to SPSS version 16 for analysis.Results : The prevalence of anxiety and depression was 15.7 and 10.7%, respectively. The study showed significant associations between (i) place of province and anxiety; (ii) sleep per day and depression; (iii) hours spent on the internet per day for education and depression; (iv) postponement of final exams and depression. There were no significant associations with the socio-demographic variables.Conclusion: Anxiety and depression in health science students showed correlation with the province, internet use for education, and postponement of exams. These correlations could be common among students in other fields as well. A large-scale study covering a wider geographical area and various fields of education is necessary to further evaluate the impact of COVID-19 on (health sciences) students. The integration of mental health programs both as an intervention and a curriculum level among students is critical to ensure the health of the students.
Introduction. Birth preparedness is crucial for health quality of mother and newborn and acts as a strong contributor in mitigating maternal and newborn mortalities. Different factors are predicted to have an influence upon birth preparedness practice. This paper aims at exploring relationship between various factors and birth preparedness practice. Methods. A cross-sectional study design was used to find out the relationship between various factors and birth preparedness practice. One hundred sixty-five women residing at ward number 1 of Rapti Municipality, Chitwan who delivered in the last twelve months were selected consecutively and interviewed using a semistructured questionnaire. The collected data were analyzed using descriptive and bivariate techniques. Results. Three quarters (75.2%) of the respondents had better birth preparedness, institutional delivery was 63.0%, antenatal care (ANC) visit as per protocol was about 62.0%, and about 90% of the respondents had received counseling during ANC. Age, religion, family types, education, age at marriage, parity, number of children, knowledge on birth preparedness, knowledge on danger sign, place for ANC and delivery, and decision-makers were found to be statistically significant (P value < 0.05) with birth preparedness practice. Conclusion. Better knowledge on birth preparedness led to a better preparedness status. Age, religion, family type, education of women and partners, parity, and number of children were the factors that influence birth preparedness. Counseling during ANC played a significant role in birth preparedness.
Background: Quality of life (QoL) is the perception of an individual about their position in life. Chronic diseases such as diabetes are said to have influence on QoL. Health condition changes with increased age and chronic disease condition. This study aimed to assess Health-Related QoL of diabetic and non-diabetic elderly. Method: A community based cross-sectional study was conducted among 167 elderly in Gaindakot municipality of Nawalpur, Nepal. Health related QoL was assessed using World Health Organization QoL Instrument scale. Data was analyzed using descriptive as well as inferential statistics. Results: Among the diabetic respondents, highest mean score was obtained in social relationship (68.76), whereas environmental health (69.02) holds highest mean score among non-diabetic. Non-diabetics were in better position in terms of both psychological (63.23 vs 55.77) and physical health (62.23 vs 57.15) than diabetics. Overall QoL and overall health perception were found to be significantly correlated with all domains of QoL at (p<0.05) and (p<0.01) respectively among diabetics. Age group, gender, educational status, marital status and employment status were found to be statistically associated with different domains of QoL in both groups but caste, family type smoking and alcohol intake didn’t show any association with any of the domain of QoL in both groups. Conclusion: Three domains of Health Related QoL (physical, psychological and environmental health) except social relationship were better among non-diabetic compared to that of diabetic respondents. Preventing diabetes and focusing on physical, psychological and environmental health of diabetics are required for a healthy elderly life.
Background: Tuberculosis (TB) is one of the world's most serious infectious diseases caused by Mycobacterium tuberculosis. Tuberculosis typically attacks the lungs, but can also affect other parts of the body. Methods: An analytical cross-sectional study was conducted patients who were suffering from tuberculosis and taking Anti-TB medicine from different DOTS center of Chitwan District during the 22nd August to 3rd September 2021. Data was analyzed using descriptive and inferential statistical tools in SPSS-20. p-value <0.05 was considered as statistically significant. Results: Out of 285 respondents regarding age majority (41.8%) of respondents belong to the age group of 20–34 years. The mean and SD of age was 42.77±1.019 years. More than 60% respondents had good level of practice on preventive measure. None of the variables was found to be statistically significant. Conclusion: Most of the tuberculosis patients had not good level of knowledge and preventive practices so DOTS center and local government need to make strategy on preventive measure.
Background: The Antenatal care period is the time between immediately conceptions after to before birth baby. The objective of this research is to find out factor associated with ANC service utilization by mothers. Methods: Community based analytical cross sectional study was conducted in Junichande rural municipality, Jajarkot among mother have child under two years of age data is collected through interview method. Descriptive analysis and chi- square test were performed. Results: This study shows more than half of the (58.8%) mother had completed ANC. Ethnicity, education level, husband occupation, availability of essential drugs and equipment, satisfaction behavior of health worker and proper physical infrastructure are the factors that influence the ANC care utilization which were found significantly associated with ANC utilization. The main reason for not receiving ANC among mother were lack of awareness. Conclusions: This study suggest health care providers and policy maker to make aware mothers on maternal complication to prevent and neonatal mortality and increase ANC utilization.
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