Abstract:Introduction: Cancer is the uncontrolled growth and spread of cells. It can affect almost any part of the body. The growths often invade surrounding tissue and can metastasize to distant sites. Cancer is a leading cause of disease worldwide. Objectives:To identify knowledge on management of chemotherapy related side-effects among cancer patients. Methodology:Methodology of the present study included a descriptive cross-sectional hospital based study. Seventy four cancer patients under chemotherapy treatment from Bhaktapur Cancer Hospital were selected using non-probability purposive sampling technique. A preset of questionnaire was used to identify knowledge on management of chemotherapy related side-effects among cancer patients.Results: 54.9% of cancer patients knew that drinking too much liquid during the day removes the harmful agents from the body. 28.4% of the respondents ate high fiber foods with adequate fluid to manage constipation, 45.9% respondents perfumed oral care and gargle 3-4 times daily for management of stomatitis and mucositis, 67.6% of respondents took anti-emetic medication before meals for management nausea and vomiting ,40.5% of responded drank more fluid than usually with ORS for management of diarrhoea, 43.2% respondent put on scarf and cap/wig for management of hair loss, 45.9% took small and frequent diet for management of loss of appetites, majority of respondents 62.2% maintain personal hygiene and change clothes everyday for management of skin rashes, majority of respondents 73% took paracetamol and apply cold compress for management of fever, 44.6%respondents drank plenty of water with vitamin C for management of burning micturition. Conclusion:In this study among 74 respondents 43(58.1%) of respondents had average knowledge, 29(39.2%) had poor knowledge, and 2(2.7%) had good knowledge on management of chemotherapy related side effects.
Background: Health seeking behavior is any action taken by an individual who perceive themselves to have any health problems or to be ill, for an appropriate remedy. It can be determined by physical, socioeconomic, cultural or political, environmental, socio-demographic, knowledge, gender issues, political environment and health care system. Individual have different opinion regarding willingness to seek health from health care services. The general objective is to assess the health seeking behavior of community people in Lalitpur district of Nepal. Methodology: A descriptive cross-sectional study was conducted on community people of Mahalaxmi municipality in Lalitpur district of Nepal with the sample size 221. Probability proportionate method was used to select the ward and household, and respondents were selected purposively. Self-developed structure questionnaire was used to collect data using interview technique. Data management, analysis and interpretation were done using both descriptive and inferential statistics in SPSS version 16 software. Results: Among 221 respondents, 84.6% of respondents seek health care services whereas 15.4 % did not seek health last time they were ill. The most frequently reported places to seek health care services were modern health facility (modern medication) (82.4%) followed by Self-medication (11.4%), alternative medication (4.6%) and traditional healer (1.6%) respectively. There was statistically significance association between health seeking behavior of community people with marital status (p=0.002), occupation (p=0.001), level of education (p=0.030), source of income (p<0.001), monthly income (p<0.006), duration of illness (p=0.008) and availability of nearest health care services (P<0.001). Conclusion: Study concluded that most of the respondents used modern medication while last time they were ill, such as hospital, clinic and health post as a first choice to treat health problem. The reasons for not seeking health care services were due to far distance, lack of money, lack of family support, lack of knowledge. Thus, awareness programmes are essential in community people for appropriate used of available health care services. Key words: Community people, Health seeking behavior, Utilization of health care services.
Introduction: Complementary and Alternative Medicine (CAM) is becoming popular in all over the world for treatment of variety of health problems. Mostly middle-aged adults use it as they are at risk of developing non-communicable diseases. This study attempted to assess utilization of CAM among middle aged adults of Bhaktapur. Methodology: A descriptive cross-sectional study was conducted among 107 middle aged adults (40-59 years) of Madhyapur Thimi, Ward 9 using non-probability purposive sampling method. Data was collected through structured interview schedule and analyzed by employing descriptive statistics in SPSS version 16 software. Result: Whole medical system was the most commonly used CAM therapy which included Ayurved (60.7%) followed by Mind-body interventions i.e. Yoga (24.3%) and Meditation (8.4%). CAM therapies like yoga, massage therapy, meditation, reiki and heat therapy were obtained from respective CAM center only whereas ayurvedic and use of herbs were obtained from both centers and locally. All these therapies were mostly used on daily basis. Mostly used CAM therapies for treatment of health problems are Ayurved (100%), herbs (75%), massage (100%) and heat therapy (100%). People also used it for prevention, wellbeing and relaxation purposes. Most CAM users viewed CAM therapy as effective one, and about 94.4% respondents would like to recommend others to use these therapies as well. Conclusion: Study concludes that people use variety of CAM on their daily basis which is very beneficial and effective for preventive and therapeutic purposes of different health conditions. There is a great importance to promote and strengthen the various CAM therapies to promote health of people. Key words: Complementary and Alternative Medicine, Ayurveda, Whole Medical System
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