COLLEGE OF HEALTH SCIENCE , DEPARTMENT OF PUBLIC HEALTHhttp://etd.dbu.edu.et:80/handle/123456789/2192024-03-29T00:50:15Z2024-03-29T00:50:15ZQUALITY OF LIFE AND ITS ASSOCIATED FACTORS AMONG EPILEPTIC PATIENTS ON TREATMENT FOLLOW UP IN NORTH SHOA ADMISTRATION, AHARA NATIONAL STATE, ETHIOPIA.ESUBALEW, GUDAYhttp://etd.dbu.edu.et:80/handle/123456789/7682021-09-29T07:18:05Z2021-06-01T00:00:00ZQUALITY OF LIFE AND ITS ASSOCIATED FACTORS AMONG EPILEPTIC PATIENTS ON TREATMENT FOLLOW UP IN NORTH SHOA ADMISTRATION, AHARA NATIONAL STATE, ETHIOPIA.
ESUBALEW, GUDAY
Background: Epilepsy is a common illness worldwide and has been observed to affect quality
of life. Epilepsy patients have a lower quality of life than the general population as well as many
other chronic disease patients. However, aside from focusing on symptom reduction, no attention
is paid to the quality of life of those with epilepsy. This increases the negative impact on quality
domains, has an influence on performance, and raises health-care costs. The goal of this study
was to evaluate quality of life and associated characteristics among epilepsy patients who visited
North Shoa zone hospitals in Ethiopia.
Methods: An institution-based cross-sectional study design was conducted from April -May
2021 at north shoa zone hospitals. A systematic random sampling technique was used to get a
total number of 472 samples. Data on quality of life was assessed through interviews using the
World Health Organization Quality of Life—Brief Version. The collected data were coded,
entered into Epi Data 3.1, and analyzed by using SPSS version 25. Simple and multiple linear
regression analysis models were fitted and the unstandardized β coefficient at 95% confidence
interval was employed. The statistical significance was accepted at p-value <0.05.
Results: From a total of 472 participants the response rate was 98%. The mean score of quality
of life was 57.2±12.3. Age (β=5, 95% CI: 2.301, 7.699), marital status (β=-6.914, 95%CI: -
8.867, -4.961),seizure frequency (β=-.2.307, 95%CI: -4.795, .020), Anti-epileptic drug non adherence (β=-.11.016, 95%CI: -13.642, -8.389), anxiety (β-4.062, 95%CI: (-6.503, -1.621),
poor social support (β=-6.220, 95%CI: (-8.422, -4.017) and moderate social support (β=-5.58,
95%CI: -7.792, -3.368) were significantly associated with quality of life.
Conclusion: The mean quality of life of people living with epilepsy in this study was low. Age,
marital status, seizure frequency, anxiety comorbidity, antiepileptic drug non-adherence, number
of anti-epileptic drugs/day, moderate and poor social support were all found to be predictors of
quality of life in this study. As a suggestion, the patient treatment plan should include a quality
of life assessment that addresses psychosocial concerns; professional support on how to cope
with psychological, environmental, and social difficulties should be increased.
2021-06-01T00:00:00ZNURSING DOCUMENTATION PRACTICE AND IT’S ASSOCIATED FACTORS AMONG NURSES WORKING IN, NORTH SHOA ZONE PUBLIC HOSPITALS, AMHARA, ETHIOPIA.AGIZEW, ENDALEhttp://etd.dbu.edu.et:80/handle/123456789/7652021-09-29T07:07:27Z2021-06-01T00:00:00ZNURSING DOCUMENTATION PRACTICE AND IT’S ASSOCIATED FACTORS AMONG NURSES WORKING IN, NORTH SHOA ZONE PUBLIC HOSPITALS, AMHARA, ETHIOPIA.
AGIZEW, ENDALE
Background: Nursing documentation is an essential component of nursing practice that has a
potential to improve patient care outcomes. Poor documentation of nursing care activities among
Nurses have been shown to have negative impacts on health care quality. Therefore, the current
study aimed to determine nursing documentation practice and its associated factor among nurses
working in north shoa zone public hospitals, northeast Ethiopia.
Objective: To assess nursing documentation practice and it’s associated factors among nurses
who were working at North Shoa zone public hospitals, northeast Ethiopia.
Method: Institutional based cross sectional study was conducted at North Shoa zone public
hospitals. A simple random sampling technique was used to select 421 nurses. Nurses who have
been working in a selected hospital were participated. Data was collected by using structured
pre-tested self-administered questionnaires. Data was entered by Epi data version 3.1 and further
analysis was conducted by using SPSS version 23.0. Binary and multiple logistic regressions
were performed. All variables with p-value <0.25 on bivariate analysis were taken to
multivariate analysis. Adjusted odd ratio was calculated and P-value less than 0.05 with 95% CI
taken as statistically significant.
Result: In the current study the proportion of good nursing documentation practice was found to be
201 (47.7 %) with 95% CI (43.2, 52.7). Availability of operational standard (AOR=1.67(95% CI
(1.12, 2.52), good knowledge (AOR= 1.826 (1.202, 2.776), and availability of monitoring system
AOR =1.509(1.002, 2.272) were significantly associated with nursing care documentation practice.
Conclusion: Nursing documentation practice was poor among nurses under the study.
Availability of operational standard for nursing documentation, knowledge, and monitoring
system for nursing documentation were significantly associated with practice of nursing care
documentation. policy makers should include nursing care documentation as one of health
package to implement it as part of day to day activities in all health facilities and health
institutions provide to sustain continues monitoring system and operational standard for nursing
documentation to familiarize them with the guide line regarding documentation. Nurses should
improve their documentation practice by updating their knowledge. .
2021-06-01T00:00:00ZDETERMINANTS OF REDUCED FETAL MOVEMENT AMONG MOTHERS FOLLOWED UP IN GOVERNMENT HOSPITALS, IN NORTH SHOA ADMINISTRATION ZONE, AMHARA NATIONAL REGIONAL STATE, ETHIOPIA: A CASE CONTROL STUDYABEBAW, ALEMAYEHUhttp://etd.dbu.edu.et:80/handle/123456789/7642021-09-29T07:04:20Z2021-08-01T00:00:00ZDETERMINANTS OF REDUCED FETAL MOVEMENT AMONG MOTHERS FOLLOWED UP IN GOVERNMENT HOSPITALS, IN NORTH SHOA ADMINISTRATION ZONE, AMHARA NATIONAL REGIONAL STATE, ETHIOPIA: A CASE CONTROL STUDY
ABEBAW, ALEMAYEHU
Background: Maternal perception of decreased fetal movement is a common complaint, and one
of the most frequent causes of unplanned visits that affects up to 15% of pregnancies. Not
enough emphasis is placed on the risk factors for reduced fetal movement despite their higher
association with maternal and fetal morbidity and mortality. Identifying the determinant factors
for reduced fetal movement could help reduce maternal and fetal complications by providing
close follow up for those at risk. Therefore, this study aims to identify the determinants of
reduced fetal movements.
Methods: An unmatched case control study was conducted from March-May, 2021 among 129
(43 cases and 86 controls) pregnant women who followed up at North Shoa Zone Government
Hospitals. Face to face interview with structured questionnaire and chart review were used for
data collection. Cases were selected via consecutive sampling method, and controls were
selected by systematic random sampling technique. The collected data was entered, cleaned,
coded and checked by using Epi-Data version 3.1 and then exported to SPSS version 23 for data
analysis. Binary logistic analysis was executed and all variables with p-value <0.2 was entered
into multivariable logistic regression. Finally, multivariable logistic regression analysis was used
to identify independent predictors of reduced fetal movement. P-value of less than 0.05 at 95%
CI was considered as cutoff point to declare a statistically significant association.
Result: Post term pregnancy (AOR = 5.48, 95% CI=1.12-26.76), Preeclampsia/eclampsia (AOR
=4.90, 95% CI= 1.64-14.67), Oligohydramnios (AOR= 4.71, 95% CI= 1.27-17.48), Primi
gravida (AOR =4.31, 95% CI=1.38-13.45), and Anemia (AOR= 4.04, 95% CI= 1.07 -15.34)
were found to be significantly associated factors of reduced fetal movement.
Conclusion: The determinants of reduced fetal movements were post term pregnancy,
preeclampsia/eclampsia, oligohydramnios, prim gravida and anemia.
2021-08-01T00:00:00ZASSESSMENT OF INTIMATE PARTNER VIOLENCE AGAINST WOMEN OF REPRODUCTIVE AGE AND ASSOCIATED FACTORS DURING COVID 19 PANDEMIC IN DEBRE BERHAN TOWN, ETHIOPIA 2021: A COMMUNITY– BASED CROSS-SECTIONAL STUDY.EHITEMARIYAM , TEFERAhttp://etd.dbu.edu.et:80/handle/123456789/7202021-09-16T13:44:33Z2021-08-01T00:00:00ZASSESSMENT OF INTIMATE PARTNER VIOLENCE AGAINST WOMEN OF REPRODUCTIVE AGE AND ASSOCIATED FACTORS DURING COVID 19 PANDEMIC IN DEBRE BERHAN TOWN, ETHIOPIA 2021: A COMMUNITY– BASED CROSS-SECTIONAL STUDY.
EHITEMARIYAM , TEFERA
Background: Intimate partner violence (IPV) is a major public health concern that affects more
than one-third of all women globally. Assessing the prevalence and associated factors of IPV
during pandemics in various localities is crucial for intervention actions. So far, rare assessment
studies were done in Ethiopia during the current Covid-19 pandemic.
Objective: This study aimed to assess the prevalence and associated factors of IPV during the
Covid-19 pandemic among women of reproductive age in Debre Berhan town, Ethiopia, 2021.
Methods: A community based cross-sectional study was done. A total of 809 ever-partnered
women of reproductive age were selected randomly via multistage sampling method. Data about
IPV and associated factors were gathered using standardized questionnaire. Descriptive statistics,
bivariate and multivariate logistic regressions were computed. Crude (COR) and adjusted odds
ratios (AOR) with the resulting 95% confidence interval (CI) were used to verify strength of
associations. Significant associations were declared at p-values <0.05.
Result: Among the 796 women successfully participated in the study, 337(42.3%) experienced at
least one type of IPV. Prevalence of psychological, physical and sexual violence was 281(35.3%),
122(15.3%) and 121(15.2%), respectively. Multivariate analysis revealed woman with: no formal
education (AOR, 95% CI 3.66(1.91, 6.98)), primary education (AOR, 95% CI 3.52(2.04, 6.07)),
junior education (AOR, 95% CI 3.35(1.87, 6.02)), no own income (AOR, 95% CI 1.78(1.24,
2.56)), and attitude of IPV is acceptable (AOR, 95% CI 4.02(1.33, 12.14)); a male partner with no
formal education (AOR, 95% CI 3.06(1.53, 6.14)), with ‘level of religious beliefs’ (weak (AOR,
95% CI 4.17(1.45, 12.03); and medium (AOR, 95% CI 1.64(1.13, 2.39)), alcoholics (AOR, 95%
CI 5.91(4.03, 8.67)), and smoking habits (AOR, 95% CI 2.04(1.10, 3.77)); and family size of 4-5
(AOR, 95% CI 1.73(1.03, 2.92)), and >5 (AOR, 95% CI 1.83(1.01, 3.39)) were significantly
associated with presence of any IPV. Whilst, lower education status and lack of own income of
women constantly showed significant associations with each types of IPV.
Conclusion and recommendation: This study revealed high prevalence of IPV among the study
participants. The high IPV prevalence was due to multiple factors, thus demanding empowering
the women and tailored health education to male-partners.
2021-08-01T00:00:00Z