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   Table of Contents - Current issue
October-December 2022
Volume 4 | Issue 4
Page Nos. 177-256

Online since Monday, December 26, 2022

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Evaluation of adolescent/youth.friendly sexual and reproductive health services: A 7-year systematic review from January 2016 to April 2022 p. 177
Oladayo Damilola Akinwale, Cecilia Bukola Bello, Oluwaseyi Abiodun Akpor, Mayowa Grace Elemile
Adolescent/youth-friendly sexual and reproductive health services (SRHS) play a vital role in reducing morbidity and mortality associated with adolescent SRH. This review examined studies carried out on adolescent/youth-friendly SRHS with focus on availability, accessibility, utilization as well as perception of health care providers, and adolescents about the services. The study design was systematic review of empirical studies using a well-defined strategy. Online journal was searched comprehensively using Web of Science, Google Scholars databases, PubMed, Medline, and EMBASE. Other sources were identified through the scanning of references of selected sources. The articles selected were between 2016 and 2022 and had qualitative/quantitative and mixed methods. The articles that met the selection criteria were also screened using PRISMA-P guidelines and SPIDER framework for systematic review was further used for inclusion criteria based on the following concepts: sample, phenomenon of interest, design, evaluation and research type. A total number of 32 studies were included in the study and findings were reported based on the five emerging themes. The review showed that majority of the adolescents were not aware of adolescent/youth-friendly SRHS, some health care providers were not also in support of the services which accounted for low utilization of the services among adolescents. The review further showed poor accessibility and nonavailability of AYFSRHS as the only available SRHS were meant for married adults. Therefore, these findings serve as evidence for policy-makers at all the levels of healthcare delivery system to considered all the factors observed in this review and develop strategies that will make adolescent/youth-friendly SRHS available and accessible to adolescents. More so, other stakeholders, especially health care providers must improve their attitude toward provision of adolescent/youth-friendly SRHS.
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Symptom experience in patients with cancer-related fatigue: A systematic review and meta-synthesis p. 193
Ke Peng, Mi Zhang, Jie Zhang, Dan Yang, Ling Tang
To understand the real experiences of patients with cancer-related fatigue and to promote quality of life, the researchers used computer searches of PubMed, EMbase, CINAHL, PsycINFO, Web of Science, and China National Knowledge Infrastructure, China Biology Medicine disc, Wanfang Data, China Science and Technology Journal Database for relevant qualitative studies from the inception to November 1, 2021. The results showed that a total of 16 papers were included, and 57 outcomes were distilled into 9 categories, which were pooled into four integrated outcomes, such as somatic, psychological and social support and so on. It is concluded that patients with cancer-related fatigue are not only in the midst of multidimensional, unspeakable somatic experiences, and complex psychological experiences, they are also hindered in coping with fatigue symptom and social life. Therefore, healthcare professionals should provide health interventions and psychological support to those patients whenever possible.
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Drivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID-19 lockdown period: A systematic review Highly accessed article p. 202
Brian Barasa Masaba, Rose Mmusi-Phetoe, Jacklyne Atieno Odhiambo, Bernard Rono, Jane Wamuyu Kabo, Damaris Moraa, Alex Rutto, John Kennedy Moturi, Thomas Ong'ondo Ng'Ambwa, Damaris Ochanda, Sammy Diana Mawia, Mary Kipmerewo, Samuel Oyugi, Stephenie Lydia Ojiambo
The present study aimed to explore the drivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID-19 lockdown period. A systematic review design was adopted. The major online databases utilized were PubMed, Google Scholar, Uganda and Kenya Ministry of Health repositories, ScienceDirect, and Scopus. Studies that were originating from Kenya and Uganda that were publicly available in electronic format published from March 2020 to March 2022 were used. The thematic analysis identified major concepts that were drivers to the present research problem which were as follows: (1) school closure and (2) loss of income by parents. The COVID-19 containment measures introduced in the two countries were noted as major contributing factors. During the pandemic, lockdown led to school closures which meant the teenagers being idle at home with an increased opportunity to indulge in sexual risk behaviors. Schools have been noted to be a safe place protecting this vulnerable population. However, with their prolonged closure, the teenagers were exposed to sexual predators. Parents lost income, and this might have contributed to early marriages and teenagers' dependency on their sexual partners. Based on the reviewed evidence, the present study furthers the advocacy for the reduction of early marriages and teenage pregnancy, especially in the current COVID-19 pandemic era. The study calls upon the governments to intensify efforts toward the present research problem as the COVID-19 pandemic is eroding the earlier gains made within the region.
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Dredging hand Yang meridians with deep tissue massage combined with neck movement in stiff-neck syndrome: A randomized controlled trial p. 211
Xueguo Sun, Zonghua Qi, Ying Liu, Yan Li, Xianli Dou, Lingyun Zhang
Objective: The objective of this study is to observe the therapeutic effects of dredging hand Yang meridian with deep tissue massage combined with neck movement on stiff-neck syndrome. Materials and Methods: This is a randomized controlled trial. The consecutive patients with the stiff-neck syndrome were randomly allocated into the intervention group and patch group (1:1) according to the random number table. The intervention group was treated with dredging hand Yang meridian with deep tissue massage combined with neck movement once a day for 3 days, while the patch group therapy was treated with a 3-patch therapy and every patch included 24-h patch and 24-h patch-free. A needle electromyogram would be exerted if the patients were at their willingness in different stages. The pain of patients was assessed by Visual Analog Scale in the two groups at every 24 h time point. Results: Finally, 212 patients completed the trial, 106 in each group. The curative rate in the intervention group was higher than in the patch group (99.06% vs. 84.91%, χ2 = 0.890, P < 0.01). Repeated measures of the general linear model showed a significant difference in pain score within the subject-factors (factor of time F = 4548.577, P < 0.001; factor of time-group F = 490.034, P < 0.001). There was a significant difference between groups regarding pain score (F = 3016.315, P < 0.001). Conclusion: Dredging hand Yang meridian with deep tissue massage combined with neck movement is better than patch therapy in stiff-neck syndrome, with a shorter duration and instant effects.
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Quality of life and psychological impact among chronic disease patients during the COVID-19 pandemic p. 217
Mohammed Al Maqbali, Ahmad Alsayed, Ibrahim Bashayreh
Objective: Patients diagnosed with chronic disease may experience psychological symptoms including depression, anxiety, insomnia, and fatigue, all of which may adversely affect their quality of life (QoL). The main objective of this study is to identify the level of QoL, to know the prevalence of these symptoms among chronic disease patients in Oman during the third wave of coronavirus disease 2019 (COVID-19) pandemic, and to explore the contributing factors. Methods: A cross-sectional and descriptive correlational design was used. Convenience sampling was used to recruit participants. Data were collected using the Functional Assessment of Chronic Therapy (FACT)–General, Hospital Anxiety and Depression Scale, the Insomnia Severity Index, and the FACT–Fatigue subscale via Qualtrics® software. Linear regression analyses were used to explore factors that were associated with QoL. Results: Of 990 patients with chronic disease who participated, the mean total QoL score was 67.7 (standard deviation = 16.1). Participants aged above 51, those with a basic education, those with heart disease, or those with more than one comorbidity had a significantly lower QoL. Linear regression revealed that the main factors associated with lower QoL included heart disease (β = 0.05, P = 0.02), diabetes (β = 0.12, P < 0.01), having taken one dose of COVID-19 vaccine (β = 0.05, P = 0.04), anxiety (β = −0.24, P < 0.01), depression (β = −0.31, P < 0.01), insomnia (β = −0.12, P < 0.01), and fatigue (β = 0.27, P < 0.01). Conclusions: The COVID-19 pandemic has significantly reduced the individuals' level of QoL and affected the mental health of patients diagnosed with chronic diseases. Appropriate strategies to monitor psychological problems and interventions to prevent and reduce these among such patients are needed.
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Job satisfaction and organizational commitment among nurses working on temporary versus permanent jobs at a tertiary care teaching hospital, Uttarakhand, India p. 224
Neha Panchal, Suresh Kumar Sharma, Rakesh Sharma, Ritu Rani
Objective: The objective of this study was to assess and compare job satisfaction and organizational commitment among nurses working on temporary versus permanent basis at a tertiary care teaching hospital, Uttarakhand, India. Materials and Methods: A total of 250 nurses (125 temporary and 125 permanent) were selected using stratified disproportionate random sampling techniques from a tertiary care teaching hospital. Sociodemographic datasheet, Job Satisfaction Survey scale, and Organizational Commitment scale were used to collect data. Results: The study results revealed that the job satisfaction score was significantly higher in permanent nurses (139.1 ± 15.4) than in temporary nurses (131.3 ± 12.2) (P < 0.001). However, temporary nurses (85.2 ± 14.4) were more committed toward organization than permanent nurses (80.0 ± 16.0) (P < 0.001). There was a significant association between nurses' job satisfaction and their gross salary (P < 0.001) and their organizational commitment with the selected profession by own will (P < 0.001). Conclusion: The present study concluded that majority of temporary and permanent nurses reported a moderate level of job satisfaction and organizational commitment. This study suggests enhancing employee satisfaction can improve organizational commitment. As well, this study's findings can serve as a valuable foundation for designing policies to enhance organizational commitment in the future.
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Nursing students' experiences of horizontal violence and occupational belonging during clinical placements p. 231
Ozge Sukut, Cemile Hurrem Ayhan
Background: Horizontal violence has negatively affected the students' active learning, interpersonal relationship, and occupational belonging. However, little attention has been paid to the relationship between horizontal violence and occupational belonging among nursing students. Objective: The objective of this study was to explore the frequency, types, perpetrators, effects, and responses of horizontal violence experienced by nursing students and the relationship between occupational belonging and horizontal violence. Materials and Methods: The present study used a descriptive, cross-sectional survey design. The data were collected from the 277 undergraduate nursing students selected by convenience sampling method using personal characteristics form, horizontal violence survey, and occupational belonging subscale at nursing faculty in Istanbul. Results: The first three horizontal violence behaviors experienced by nursing students were found, respectively: being forced to do trivial and unimportant work which are not the students' responsibility (84.1%), being exposed to sarcastic remarks by nurses (80.9%) and unwillingness of the nurse to help and lack of support (80.9%) and being ignored by nurses (77.3%). Nearly half of the students (48.4%) considered leaving nursing profession as a result of horizontal violence. There was a negative relation between horizontal violence and occupational belonging (P < 0.05). As horizontal violence scores increased, occupational belonging scores decreased. Conclusions: Findings from this study shown that horizontal violence decreasing occupational belonging, and so nursing students consider leaving nursing profession or education. Further studies are needed to better demonstrate addressing the horizontal violence bilaterally and the effective preventive interventions.
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Diabetes knowledge and self-care practices among people living with type 2 diabetes mellitus in a diabetes clinic in Southwestern Nigeria p. 239
Timothy Titilayo Famakinwa, Oyeninhun Abimbola Oluwatosin, Joel Olayiwola Faronbi, Funmilola Adenike Faremi, Adeyemi Ogunleye, Chinma Stella Adereti, Matthew Idowu Olatubi
Objective: The objective of this study is to assess the knowledge and self-care practices of people living with type 2 diabetes mellitus (T2DM). Materials and Methods: The study was conducted in a clinic in Southwestern Nigeria. It adopted a cross-sectional design. The sample consists of 107 people living with T2DM. Data were collected using Diabetes Knowledge Questionnaire and Revised Self-care Inventory Scale. Results: The mean diabetes knowledge of the participants was 16.2 ± 3.0 and 70.1% had inadequate knowledge of T2DM. The mean diabetes self-care practice score among the participants was 49.9 ± 4.9, and 89.7% reported poor diabetes self-care practice. There is no significant difference in the knowledge of diabetes between male (16.42 ± 3.42) and female (16.12 ± 2.8) participants (t = 0.45; P = 0.65), and no significant difference in self-care practice of male (49.23 ± 4.51) and female (50.06 ± 5.07) participants (t = 0.75, P = 0.46). In addition, there is no correlation between age and knowledge of diabetes (r = -0.18, P = 0.07) and self-care practices (r = 0.08, P = 0.38) of participants. No significant relationship was found between knowledge of diabetes and diabetes selfcare practices (χ2 = 1.605, P = 0.448) Conclusion: Knowledge of diabetes and self-care practices of people living with T2DM in this study were poor. Effort should be directed at improving their diabetes knowledge and self-care practices.
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Operation rules of scraping technique p. 245
Hong Chen, Dongpan Fan, Jing He, Jin Zhao, Ling Tang
Traditional Chinese medicine scraping is a kind of natural therapy with a long history of simple and safe operation. It is easy to learn and tools are readily available, so that it has a very wide range of practical value. This paper introduces the definition and indications, function and standardization process of scraping technology, the technical operation specifications and matters needing attentions, as well as the application method of scraping technology, with a view to providing reference for clinical use of scraping technology in the treatment of cervical spondylosis, periarthritis of shoulder, lumbar muscle strain, hypertension, chloasma, and other diseases.
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A nurse-led occupational health promotion program for farmers p. 251
Indrakshi Basu, Rajadurai Premavathy, Smritikana Mani
Agrarian occupational health is a neglected primary health-care service in India. A nurse-led health promotion program is planned based on a Conceptual Model for the Occupational Health Nurse Specialist prepared by Ms. Janice Dees (1984) inspired from Orem's self-care theory. The interventions included are range of motion exercise, progressive muscle relaxation technique, foot and palm massage, and literacy on safety practices. The wellness of field farmers is expected by following this program plan.
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A simple concept of fluid balance can be harder in the intensive care unit p. 255
Aneri Parekh, Kunal Deokar, Sanjay Singhal
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