Health Related Quality of Life Regarding Physical and Physiological Parameters in Children suffering from Sickle Cell Anemia
Lamiaa Ahmed Elsayed,
Sahar Mahmoud El-Khedr Abd El-Gawad
Issue:
Volume 4, Issue 2, April 2015
Pages:
22-30
Received:
31 January 2015
Accepted:
10 February 2015
Published:
27 February 2015
Abstract: Background: Sickle cell disease is an inherited blood disorder characterized by a chronic hemolytic anemia that contributes to painful crises. It is an autosomal recessive disorder caused by production of abnormal hemoglobin S and is associated with high morbidity and mortality. It may influence the quality of life of children, who may require more frequent hospital care. This study aimed to compare health related quality of life regarding physical and physiological parameters between children suffering from sickle cell Anemia and healthy children. A comparative study that was conducted at Outpatient Clinic and Pediatric Hematological Department in selected hospital at Makkah Al-Mukaramah. A purposive sample composed of 80 children was classified into two groups, 40 healthy children and 40 children suffering from SCD both groups fulfilling certain inclusion and exclusion criteria. Tools: First tool was an observation checklist that was composed of three parts. Second tool was Pediatric Quality of Life Inventory that was used to assess children's quality of life. Results: Most of the children suffering from SCA had low level of QOL physical, social and emotional wellbeing subcategories as compared to healthy children and statistical significant differences were found. There were statistical significant difference regarding weight, arm circumference physical parameters and respiration, systolic blood pressure and oxygen saturation physiological parameter. It was concluded that, sickle cell anemia affect the quality of life of children suffering from it & There are differences in quality of life between children with sickle cell disease and healthy children. Recommendations: Awareness of parents regarding sickle cell disease helps in improving children's quality of life. Develop an educational program for parents regarding the prevention of sickle cell crises.
Abstract: Background: Sickle cell disease is an inherited blood disorder characterized by a chronic hemolytic anemia that contributes to painful crises. It is an autosomal recessive disorder caused by production of abnormal hemoglobin S and is associated with high morbidity and mortality. It may influence the quality of life of children, who may require more...
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The Frequency of the Depression Among Elderly Population and to Explore Possible Associations Between Depression Severity and Daily Accomplishments in Minia Geriatric Club
Issue:
Volume 4, Issue 2, April 2015
Pages:
31-38
Received:
28 January 2015
Accepted:
8 February 2015
Published:
3 March 2015
Abstract: The aging process affects human bodies as well as human behaviors. In general, the extra years can be marked by declining health, reduced mobility that may lead to accidents, isolation, and loneliness. Some late-life problems can result in depression and anxiety include less of coping with physical health problems, caring for a spouse with dementia, and grieving the death of loved ones. The aim of the present study was to assess the frequency of the depression among elderly population and to explore possible associations between depression severity and daily accomplishments in Minia Geriatric Club. The study was conducted on 70 elderly persons (the elderly client attends the geriatric club and who agree to share in the study). The study tools are questionnaire sheet and geriatric depression scale. The questionnaires sheet the social and personal characteristics of the study sample. (Age, sex, marital status, level of education, presence of physical health problems, sensory changes, history of exposure to accident, and hobbies. While the Geriatric Depression Scale (GDS) is consisted of 30 statements, each statement is scored by one point and the total scores for are categorized into three levels as: normal 0-9; mild depression 10-19; severe depression 20-30. The study results denoted that: more than half of the study sample (55.7%) were had mild depression and 37.1% were had sever depression. 71.4% and 65.7% of the study sample were had physical health problems and cognitive problems respectively. In addition to 47.1% of them were previously exposed to accident. There are no statistically significance differences in level of depression as regard to sex, level of dependency and level of education. But there are statistically significant differences were noted regarding level of depression and (presence of physical health problems, and sensory changes P= 0.05). The study concludes that depression among elderly is often associated with presence of chronic health problems with mental or social stress. Recommendation; coordination between the health team members is needed to provide holistic and optimal care for elderly clients. All forms of cognitive and supportive psychotherapy are recommended for improving depression in elders.
Abstract: The aging process affects human bodies as well as human behaviors. In general, the extra years can be marked by declining health, reduced mobility that may lead to accidents, isolation, and loneliness. Some late-life problems can result in depression and anxiety include less of coping with physical health problems, caring for a spouse with dementia...
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Health Care Workers Adherence to Infection Prevention Practices and Control Measures: A Case of a Level Four District Hospital in Kenya
Alice W. Gichuhi,
Simon M. Kamau,
Elijah Nyangena,
Z. Ngalo Otieno-Ayayo
Issue:
Volume 4, Issue 2, April 2015
Pages:
39-44
Received:
20 February 2015
Accepted:
12 March 2015
Published:
21 March 2015
Abstract: Infection prevention practices and control are critical activities that influence the quality of health care services. This study was conducted to determine the health workers adherence to infection prevention and control policies and procedures at a Level 4 Hospital in Kenya. A descriptive cross-sectional survey design were used. The objectives of the study were to: -Identify existing infection prevention and control policy guidelines at the level four hospital; -Evaluate the implementation of infection prevention and control measures; 3) Identify the barriers to compliance with infection prevention practices and control measures. Data was collected by questionnaire, record review and a focus group discussion. Quantitative data was analyzed by the statistical Package for Social Sciences (SPSS) while information from focus group was analyzed thematically. The results revealed that Health Care Workers (HCWs) had good knowledge on infection prevention practices and control. There were written infection prevention practices and control (IPPC) policy guidelines and high awareness (98.7%) of the IPPC policy guidelines. The record review showed that there was approximately 6.7% nosocomial infections rate among hospitalized patients. Barriers to IPPC compliance among the health care workers (HCWs) included frequent shortage of water, inadequate updates on IPPC through continuing professional education and inactive IPPC committee. The study concluded that there was adequate compliance with IPPC, though there were challenges to implementation that needed to be addressed. The study was done in October 2010 to January 2011
Abstract: Infection prevention practices and control are critical activities that influence the quality of health care services. This study was conducted to determine the health workers adherence to infection prevention and control policies and procedures at a Level 4 Hospital in Kenya. A descriptive cross-sectional survey design were used. The objectives o...
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