Objectives: This study sought to examine midwives' utilization of nonpharmacological pain relief measures in labor pain management and to test the relationship between midwives' knowledge and utilization of nonpharmacological pain relief measures for labor pain management in secondary health facility in Calabar, Cross River State, Nigeria. Materials and Methods: A descriptive cross-sectional design was used for the study. The study was rooted in Katherine Kolcaba's Comfort theory. Totally, 67 participants were recruited for the study using the purposive sampling technique. A self-made structured questionnaire was used to obtain participants' information on knowledge, utilization, and predictors of nonpharmacological pain relief measures. Results: Although 41 (61.2%) of the participants had knowledge about nonpharmacological pain relief measures, few did not know some of the cognitive-behavioral and environmental measures in labor pain management. There was 35.8% (24/67) for utilization of cognitive-behavioral measures and 55.2% (37/67) for psychological/emotional measures for labor pain management by respondents, respectively. Fifty (74.6%) of respondents agreed that predictors such as lack of knowledge, lack of updates and training, work experience, best practice guidelines, and equipment were hindrances to utilization. There was statistically significance in relationship between the level of knowledge and utilization of nonpharmacological pain relief measures (r = 0.6, P < 0.05). Conclusion: The utilization of nonpharmacological measures for labor pain management is low, thus it is recommended that frequent education, training updates on effective labor pain management, provision of clinical guidelines on labor pain management, and enrichment of midwifery training curriculum are imperative to ensure quality labor pain management and positive health outcome.

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Objective: This study investigates treatment satisfaction and medication adherence among hypertensive patients attending the medical outpatient clinic of a teaching hospital in Ekiti State, Nigeria. Materials and Methods: The study design was descriptive and cross-sectional using quantitative research strategy. A systematic sampling technique was used in selecting 270 participants; a structured questionnaire was used for data collection. Medication adherence was assessed using the 8-item Morisky Medication Adherence Scale, and treatment satisfaction was assessed using the 14-item Treatment Satisfaction Questionnaire for Medication. Results: The study findings revealed that majority (73.7%) of the study participants had good knowledge of hypertension, while 44.4% had a good level of treatment satisfaction. Test of association of participants' sociodemographic characteristics revealed age (χ² = 23.773, P = 0.003) and occupation (χ² = 21.251, P = 0.019) to be significantly associated with treatment satisfaction. The level of medication adherence by the participants was observed to be relatively poor (50.4%). The educational status (χ² = 23.914, P = 0.001) and monthly income (χ² = 10.406, P = 0.034) of the participants showed significant association with medication adherence. Conclusion: The study recommends that improving patients' understanding of their disease and treatment with subsidizing hypertensive medications by the government will enhance medication adherence.

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The purpose of this review is to integrate the psychological experience of infected individuals during the pandemic. The spread of the pandemic has led to psychological and emotional impacts on patients. A qualitative synthesis is needed to identify, appraise, and integrate the available qualitative findings to provide an evidence for the development of interventions. A meta-aggregation approach was used to analyze studies published in English from January 2020 to August 2021. The JBI Qualitative Assessment and Review Instrument was used to assess the methodological quality of included studies. The ConQual system was used to establish the dependability and credibility in the synthesized findings. Six phenomenological studies and one narrative inquiry with an overall quality score of 70%–100% were included. The research findings from 87 participants in eligible studies were aggregated into three categories based on similarity of meaning. Two synthesized findings were generated and rated as moderate based on the ConQual score. The synthesized findings suggested that participants had psychological distress such as fear, anxiety, loneliness, and uncertainty, but they accepted the fact of being infected and tried to adjust themselves using some self-coping strategies, such as diverting attention from disease, seeking help from professional counselors, relying on religious beliefs, and participating in religious activities. They would like to learn more about infections and diseases and needed more informational support from health-care professionals. They were looking forward to recovery from the disease.

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Globally, type 2 diabetes mellitus (T2DM) is considered as one of the most common diseases, which is associated with irreversible risk factors such as age, gene, race, ethnicity, and reversible factors such as diet, physical activity, and smoking. Noncompliance to dietary regimen is the major factors for rapidly rising incidence of T2DM among developing countries. Recently, elevated HbA1c level has also been considered as one of the leading risk factors for developing microvascular and macrovascular complications. Improvement in the elevated HbA1c level can be achieved through diet management; thus, this study found that improvement in patients' dietary knowledge, attitude toward, and compliance to diet regimen will promote a better control of the disease. In conclusion, the stakeholders (health-care providers, health facilities, agencies involved in T2DM care) should educate the patients on the importance of dietary modification in the disease management. Similarly, there is a need for nurses and other health care professionals to advocate and promote a better holistic management that will encourage patients participation and family involvement in the care.

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Background: The level of self-care of hemodialysis patients is important in controlling the disease process and symptoms. Nursing care has an important place in the process of resolving existing or developing problems of patients receiving hemodialysis treatment and in adapting to treatment. Prayer is not only a resource that encourages religious/spiritual coping, it is also a spirituality that strengthens hope. Objective: The objective of this study is to determine whether prayer has an effect on self-care agency and hope in hemodialysis patients. Materials and Methods: This is a descriptive and correlational study which was conducted with 180 patients in a private and a public dialysis center. The data of 173 hemodialysis patients who met the inclusion criteria were collected using personal information form, Herth Hope Scale, Self-care Agency Scale, and Prayer Attitude Scale. Results: A positive, moderate, and statistically significant correlation was found between the Prayer Attitude Scale and total score (r = 0.144, P = 0.048) and sub-scale future (r = 0.350, P = 0.000) of Herth Hope Scale. And there was positive correlation between the Prayer Attitude Scale and the total score of Self-care Agency Scale (r = 0.599, P = 0.000) and its five sub-dimensions drug use (r = 0.566, P = 0.000), diet (r = 0.619, P = 0.000), self-monitoring (r = 0.522, P = 0.000), hygienic care (r = 0.576, P = 0.000) and mental status (r = 0.328, P = 0.000). Conclusions: The study found that prayer had a positive effect on self-care agency and hope in hemodialysis patients.

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As one of the most common malignant tumors in the world, colorectal cancer (CRC) is accompanied by a variety of symptoms in the process of disease development and treatment, which seriously affect the functional state and quality of life of patients. In China, comprehensive intervention measures of traditional Chinese medicine (TCM) play an indispensable role in the treatment and rehabilitation of CRC. In order to further standardize and improve the treatment and management of CRC by medical staff, the Chinese Association of Integrative Medicine issued the “Expert Consensus for Diagnosis and Treatment of Colorectal Cancer with Integrated Traditional Chinese and Western Medicine” in August 2021. This paper interprets this consensus in detail from the perspective of nursing, focusing on the common understanding of the pathogenesis of CRC, TCM diagnosis and syndrome differentiation, integrated traditional Chinese and Western medicine nursing, TCM characteristic therapies, etc., with a view to deepening the understanding and practical application of the consensus among clinical doctors and nurses and improving the level of diagnosis, treatment, and nursing of CRC.

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As an external treatment technique of traditional Chinese medicine (TCM), auricular point sticking, which is rooted in holographic biology theory and TCM viscera and meridian theory, is a safe and effective treatment method. This article introduces the technology overview and development process. The auricular point sticking technique for constipation is taken as an example to specify the basic requirements, assessment, operational points, acupoint selection and matters needing attention during the implementation of the auricular acupressure technique, providing a reference for the operating procedures of this technique in the clinical treatment of other diseases such as insomnia, diarrhea, colds, hypertension, headache, and dysmenorrhea.

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The emergence of the coronavirus disease-2019 (COVID-19) outbreak and its rapid transmission in different parts of the world has become a major public health challenge. Considering the consequences of malaria in the past, it is the need of the hour that in the process of containing COVID-19, we should not ignore the strategies aimed toward the prevention and control of malaria infection. There is no point in complaining about the developments that have already happened, the best strategy will be to consider the different facets of COVID-19 infection containment as opportunities and then act accordingly. In the process of fighting against the COVID-19 infection, we have ignored the delivery of essential services pertaining to malaria. This calls for the need to revisit the planned and implemented services for COVID-19 infection and use the existing mechanism for implementing the strategies required for malaria elimination.

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