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1.
West Afr J Med ; 36(2): 138-143, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31385600

RESUMO

BACKGROUND: Holistic ward round (HWR) is a polyadic, multiphasic, holistic model of neurosurgical patient care. It is a multidisciplinary ward round where all healthcare providers involved in patients care, the patients, the relations, as well as clergymen (depending on the patients' faith and need) collectively work to review patient's condition and make decisions in the patient's best interest. OBJECTIVES: The study assessed the effectiveness of the holistic model of care and identified the challenges facing this model of healthcare delivery. METHODS: The study was qualitative in design and In-depth Interviews (IDIs) were conducted with eighteen (18) participants who were purposively selected. They include neurosurgeons, nurses, medical social workers and physiotherapists. The data were thematically content analysed with the help of ATLAS.ti (v.7) software. RESULTS: The study found that patients and relations have immensely benefitted from the model of care through psychosocial support. The major challenges facing HWR were logistic, timing and common problems found in the Nigerian healthcare system. CONCLUSION: It was concluded that for HWR to effectively help spinal cord injured patients further, the healthcare providers, patients and their families require support in different forms from outside the hospital.


Assuntos
Saúde Holística , Equipe de Assistência ao Paciente , Assistência ao Paciente , Assistência Centrada no Paciente/métodos , Adulto , Feminino , Hospitais Universitários , Humanos , Relações Interprofissionais , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Neurocirurgiões , Neurocirurgia , Nigéria , Fisioterapeutas , Pesquisa Qualitativa , Assistentes Sociais
2.
Afr J Med Med Sci ; 44(3): 205-12, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27280232

RESUMO

BACKGROUND: Nigeria experienced her first outbreak of Ebola Virus Disease (EVD) in the second-half of 2014. Since its first occurrence in Zaire and Sudan in 1976, most studies on EVD were clinically based and were carried out using biomedical approaches. No empirical social science/behavioural-oriented study exists on the deadly EVD in Nigeria. OBJECTIVE: This study examined the traditional healers' perception and attitude towards Ebola virus disease in Ibadan metropolis. STUDY DESIGN: Purposive sampling method was used to select a total of 23 traditional healers who specialized in different areas of traditional medicine (such as herbs selling, faith healing, divination, and general practice). In-depth interview (IDI) method was employed in the study. RESULTS: The study found some misconceptions about the disease while the dominant attitude among the healers was that of avoidance and caution on safety. CONCLUSION: The healers' interpretations of the disease rested on the culture and individual experiences. There is thus a need to take the local cultural perceptions of the Ebola Virus Disease into consideration when controlling the disease in the future.


Assuntos
Atitude , Conhecimentos, Atitudes e Prática em Saúde , Doença pelo Vírus Ebola , Medicina Tradicional Africana , Cultura , Feminino , Doença pelo Vírus Ebola/diagnóstico , Doença pelo Vírus Ebola/terapia , Doença pelo Vírus Ebola/transmissão , Humanos , Entrevistas como Assunto , Masculino , Nigéria
3.
Afr Health Sci ; 13(3): 820-8, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24250327

RESUMO

BACKGROUND: Human errors in healthcare delivery pose serious threats to patients undergoing treatment. While clinical concern is growing in response, there is need to report social and behavioural context of the problem in Nigeria. OBJECTIVE: To examine patients' knowledge and perceived reactions to medical errors. METHODS: A cross-sectional survey was conducted using a semi-structured questionnaire was used to collect data from 269 in-patients and 10 In-Depth Interviews were conducted among health caregivers in the University of Calabar Teaching Hospital, Nigeria. RESULTS: Majority (64.5%) of respondents reported annoyance and disappointment with medical errors. Severity of error (88.5%) and the perception of negligence mediated intention to litigate. Voluntary disclosure significantly reduced patients' intention to litigate caregivers (chi(2)=3.584; df=1; P=0.053). Frustration/anger was not more likely to influence patient to litigate than feelings of resignation/forgiveness (chi(2)=2.156; df=1; P>.05). Financial difficulties arising from error had an important influence on litigation. Health caregivers admitted possibility of errors; and insisted that although notifying patients/relatives about errors is appropriate, disclosure was dependent on the seriousness, health implications and the causes. CONCLUSION: Voluntary disclosure and teamwork is very important in dealing with medical error. The role of medical social workers could be important in the discourse and disclosure of medical error.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Pacientes Internados/psicologia , Erros Médicos , Adaptação Psicológica , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Hospitais de Ensino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria , Pesquisa Qualitativa , Centros de Atenção Terciária , Adulto Jovem
4.
Afr J Med Med Sci ; 38 Suppl 2: 31-40, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20229736

RESUMO

Unlike biomedical research, social and behavioural research has not been thought to require rigorous or mandatory ethical review on the assumption that it can do no harm. As a result, little or no attention is paid to its involvement in health researches. This paper discusses the ethical challenges of social and behavioural research in cancer to identify potential areas for research. Inferences were made from documentary analysis of characteristics of cancer patients. A total of 76 papers were reviewed covering the period from1960 to 2007. The data shows that conducting social and behavioural research on cancer patients in Africa is associated with ethical challenges. These include; respect for person and autonomy, risk minimization, exploitation, inducement and compensation, benefit sharing, gaining access to participant, third party issue, informed consent, coercion, discrimination, conflict of interest and scientific misconduct. The paper concludes that cultural challenges of cancer research, management and administration of informed consent, access to research participant, compensation of research participant and benefit sharing are major potential areas of research.


Assuntos
Pesquisa Comportamental/ética , Pesquisa Biomédica/ética , Ética em Pesquisa , Neoplasias , África , Cultura , Humanos , Nigéria , Autonomia Pessoal , Risco , Valores Sociais
5.
World Health Popul ; 9(2): 14-25, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18270503

RESUMO

The Okun tribe, numbering about a million persons, accepts sexual relations between men and wives of their male kin. We identified and used features of spouse sharing that affect reproductive health to develop an interactive, community-based intervention. The intervention promoted discussion of spouse sharing as a risk factor in HIV/AIDS transmission, knowledge of AIDS/sexually transmitted diseases (STDs), perception of risk and alternative behaviors to avoid contracting HIV/AIDS. The intervention effects were evaluated using data collected in baseline and follow-up surveys in May 1999 and June 2000 among 1018 sexually active respondents in two sets of Okun communities - one with and the other without intervention. The intervention significantly increased knowledge of HIV/AIDS, perception of risk of contracting the disease and the intention to discontinue spouse sharing in the intervention communities. Those who perceived themselves at risk of contracting HIV/AIDS were more likely to express intention to discontinue spouse sharing (odds ratio 2.87) than those who did not. It was recommended that future community-based interventions to address traditional practices that could transmit HIV/AIDS should address the aspects of the practice that could transmit the disease and actively involve the people to make impact.


Assuntos
Serviços de Saúde Comunitária/métodos , Características Culturais , Infecções por HIV/prevenção & controle , Educação em Saúde/métodos , Casamento/etnologia , Grupos Populacionais , Comportamento Sexual/etnologia , Adolescente , Adulto , Criança , Feminino , Infecções por HIV/etnologia , Infecções por HIV/transmissão , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pessoa de Meia-Idade , Nigéria , Grupo Associado , Fatores de Risco , Sexo Seguro
6.
World Health Popul ; 9(2): 83-94, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18270508

RESUMO

With limited evidence of decreases in malaria-related mortality and morbidity, and nearly half the time to the 2010 deadline of Roll Back Malaria (RBM) targets now past, we conducted this study to assess the awareness, accessibility and use of malaria control strategies among at-risk groups within the context of RBM in Nigeria. It was a descriptive, cross-sectional pilot study of 34 registered women attending antenatal clinics and 34 mothers of children less than five years old, using a questionnaire in a malaria holo-endemic community of Ogun State, Nigeria. Results showed that 14.7% and 16.2% of all respondents interviewed were aware of the home management of malaria (HMM) program (17.6% of mothers of children under five years vs. 11.8% of pregnant women) and the change in policy on malaria treatment (23.5% of mothers of children under five years vs. 8.8% of pregnant women) respectively. Younger respondents knew more about HMM than older ones (p <.05). Most (63.2%) of the 68 respondents (64.7% of mothers of children under five years vs. 61.8% of pregnant women) interviewed knew about insecticide treated nets (ITNs); however, only 22.1% were using the treated material. Reasons given by those not using ITNs included: they did not know about ITN prior to the interview (43.3%(, they had no money (41.5%) and they did not know where to get it (7.6%). Only 5.8% of mothers of children less than five years old, and none of the pregnant women, had taken the new combination drug. Eight (23.5%) of the 34 pregnant women interviewed knew about intermittent preventive treatment of malaria for pregnant women (IPT), while two (25.0%) of these eight women had received a preventive treatment dose. The results of this pilot study showed that efforts need be intensified to make adequate information and materials relating to the different malaria control strategies more available and accessible at the community level to achieve and sustain the RBM goals, both in Ogun State and in Nigeria in general. However, a larger study is needed to provide more generalized findings.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Malária/tratamento farmacológico , Malária/prevenção & controle , Controle de Mosquitos/métodos , Adolescente , Adulto , Antimaláricos/uso terapêutico , Roupas de Cama, Mesa e Banho/estatística & dados numéricos , Centros Comunitários de Saúde , Feminino , Acesso aos Serviços de Saúde , Humanos , Inseticidas/uso terapêutico , Entrevistas como Assunto , Nigéria , Projetos Piloto , Gravidez
7.
Afr J Reprod Health ; 7(1): 63-70, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12816314

RESUMO

This paper reports the main results of a series of interviews conducted among the Yoruba of south-western Nigeria. Fifty men and fifty women differing in socio-demographic backgrounds were studied. The study revealed that during their first sexual experience, Yoruba girls are at risk of contacting sexually transmitted diseases and of having unplanned pregnancies because of the traditional control measures and lack of adequate sex education even among those from non-traditional backgrounds. Choice of marriage partner is influenced by the kin, which encourages early marriage and multiple sexual relationships through polygyny. Yoruba men do not like contraceptives and the women suffer more of the consequences of sexual relationships than men. Sexual decision-making in Yoruba culture is characterised by certain specific problems of structural and cultural origins such as separate lifestyle of men and women, seeing the discussion of sexuality as a taboo, male dominance, and the perceived side effects of contraceptives. There is need for expanded sexual and reproductive health education strategies targeted at both males and females in this community especially among the adolescent group.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Sexo , Comportamento Sexual/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/prevenção & controle , Adolescente , Adulto , Características Culturais , Tomada de Decisões , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Educação Sexual
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