ABSTRACT
Introduction: A colostomy is a surgical procedure that brings one end of the large intestine out through the abdominal wall. Approximately 100,000 people in incidence in the United States undergo operations that result in a colostomy or ileostomy each year. Objective: To assess knowledge and associated factors toward colostomy care among staff Nurses working at Dessie Town governmental hospitals, Ethiopia 2022. Methods: Institutional-based cross-sectional study design was conducted at governmental hospitals in Dessie Town from August 1, 2022 to August 25, 2022. A simple random sampling technique was deployed using a self-administered questionnaire. Descriptive statistics analyses such as frequencies, percentage, and mean were used to summarize the results. Both bivariable and multivariable logistic regressions were employed to identify factors associated with participants' knowledge of colostomy care. A p-value of <.05 and 95% confidence interval (CI) was used to declare statistical significance. Results: A total of 265 nurses participated making a response rate of 98.1%. About 57.6% (157) of the participants had good knowledge of providing colostomy care. Having a clinical experience of 4-6 years (adjusted odds ratio [AOR] = 2.4 95% CI: 1.186, 5.513), 6-8 years (AOR = 2.5, 95% CI: 1.981, 6.177), and >8 years (AOR = 3.3, 95% CI: 1.481, 7.394), providing colostomy care for 6-10 patients (AOR = 2.6, 95% CI: 1.186, 5.512) and 10 or more patients (AOR = 3.3, 95% CI: 1.480, 7.394), and routine reading of professional (AOR = 1.83, 95% CI: 1.062, 3.153) were significantly associated with good knowledge of colostomy care. Conclusion and recommendation: Knowledge of colostomy care was not satisfactory among nurse professionals working in governmental hospitals in Dessie town. Participation in the training of colostomy care, having more than eight years of experience, providing colostomy care for more than seven patients, attending scientific colostomy meetings, and reading professional literature were significant factors associated with good knowledge of providing colostomy care. Thus, capacity-building in-service training is required to enhance the knowledge of colostomy care.
ABSTRACT
Coronavirus disease19 is an emerging respiratory disease caused by a novel coronavirus. The two strains of coronavirus were severe acute respiratory syndrome-coronavirus, and Middle East respiratory syndrome-coronavirus. A sudden outbreak of coronavirus disease 2019 (COVID-2019) caused by infection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2). The objective of this study was to analyse the community's knowledge, attitude, and practice and their associated determinants, in relation to updated COVID19 prevention and control in South Wollo Zone, Ethiopia. Materials and methods: Community-based prospective cross sectional study was conducted from 10 April to 30 July 2020. The study population was selected from Dessie town and 423 samples were collected using systemic random sampling technique through self-administered questionnaire and verified, coded, and entered into epidata software and it export to SPSS for analysis. To summarise descriptive statistics frequencies, percentage, mean, and median were used and presented with tables, charts, and figures. Results: The participation rate was 93.6%. Among the respondents 53.5% had solid knowledge; 50% had a positive attitude, and 45.2% had good COVID19 practice. Single marital status [adjusted odds ratio (AOR) (95% CI) = 0.487 (0.294-0.809)] and physical labour in occupation [AOR (95% CI) = 2.87 (1.003-8.214)] were both linked to strong COVID19 knowledge. Age of 30-34 [AOR (95% CI) = 2.264 (1.04-4.92)], age of 45-49 [AOR (95% CI) = 4.79 (1.22-18.77)], good knowledge [AOR (95% CI) = 1.58 (1.01-2.498)], good practice [AOR (95% CI) = 2.88 (1.754-4.72)] were significantly associated with adequate attitude, in the other hand sex [AOR (95% CI) = 3.03 (1.72-5.34)], educational status [AOR (95% CI)= 26.23 (3.83-179.84)], jobless occupation [AOR (95% CI)=0.212 (0.079-0.572)], age, and adequate attitude were all linked to good coronavirus disease practice 19. Conclusions: More than half, half, and less than half of the participants, respectively, had knowledge, attitude, and practice of COVID19 in Dessie town.