wegene jemebere | Hawassa University (original) (raw)

Papers by wegene jemebere

Journal of Health, Medicine and Nursing, 2019

BackgrOund: Breast cancer is the most commonly diagnosed cancer in women and it is the leading ca... more BackgrOund: Breast cancer is the most commonly diagnosed cancer in women and it is the leading cause of cancer related death worldwide. Despite the fact that most of the cases found at developed countries, the majority of death occur in low income countries including Ethiopia. Routine breast self-examination is important for early detection to augment prevention of breast cancer by 50% and reduce premature death of women. In active role in creating breast cancer awareness through education, nurses need to have a sound knowledge base and adequate practical skills in the field of breast cancer prevention. The aim of this study was to assess practice of breast self-examination (BSE) and associated factors among nurses. Methods: A hospital based descriptive cross-sectional study was conducted from March to April 2018 on a sample Of 180 female nurses. Pretested and structured questionnaire was used to collect the data. Data entry was done using EPI Info 3.5.4 and exported to SPSS version 20.0 software package for analysis. Bivariate and multivariate analyses were performed with logistic regression to measure the association between dependent and independent variables. Results: Total of 180 nurses were interviewed with a response rate of 91.8%. This study revealed that (71.2%) of nurses ever practiced BSE. From those nurses practiced BSE, only (28.1%) regularly; (16.4%) monthly (right response) and (32.0%) of a week after menses. Seven of them detected a breast mass/lump and only (16.4%) of nurses have taught BSE technique to their clients. Educational status of the nurses (AOR and 95% CI: 2.91; 1.74, 4.85) and family history of breast cancer (AOR and 95% CI: 5.2; 2.34, 8.15 were significantly associated with BSE practice. Conclusion: This study discovered severe gap about the correct practice of BSE among female nurses. The hospital and ministry of health of Ethiopia have to give regular education and training On BSE especially how to practice BSE correctly.

Frontiers in Global Women's Health

Background: Cervical cancer is the most prevalent gynecologic cancer in women and the second lead... more Background: Cervical cancer is the most prevalent gynecologic cancer in women and the second leading cause of cancer death worldwide. Africa's southern, eastern, and western regions have the highest rates of cervical cancer. Cervical cancer is treatable and curable when detected early, but it is nonetheless fatal in low- and middle-income (LMIC) nations where screening and early detection are not widely accessible. Objective:The objective of this study is to assess the magnitude of precancerous cervical lesions and their associated factor among women screened for cervical cancer at a referral center in southern Ethiopia, in 2021.MethodsA retrospective institution-based cross-sectional study was conducted from February 21 to April 14, 2022, among randomly selected 372 records of women screened for cervical cancer at Hawassa University Specialized Hospital. Data were extracted from clients' charts using a data extraction checklist. Statistical Package for Social Sciences version 2...

Research & Reviews: Journal of Computational Biology, Jan 2, 2019

Journal of Clinical Images and Medical Case Reports

Background: Most of the time primary school children experience minor injuries and they always ne... more Background: Most of the time primary school children experience minor injuries and they always need first aid care to prevent conditions become worse and school teachers are the nearest ones to manage their minor injuries. Lack of knowledge and skills of their teachers may lead to serious health consequences. Acquiring the basic knowledge and skills of first aid can be vital for teachers to be able to provide proper emergency pre-hospital care in the event of an accident to save life and prevent avoidable consequences. The aim of this study was to assess knowledge on first aid measure and its associated factors among governmental primary school teachers in Hawassa city, southern Ethiopia. Methods: A cross-sectional study design was conducted from February 4-22, 2021. Data were obtained from 213 primary school teachers selected by simple random sampling technique from eight schools using a self-administered questionnaire. Epi Info 3.5.4 was a data entry software and SPSS version 20.0...

SSRN Electronic Journal, 2019

Social Science Research Network, 2020

Introduction: Effective management of postoperative pain can lead to comfort, better mobility, im... more Introduction: Effective management of postoperative pain can lead to comfort, better mobility, improved recovery and a short stay in the hospital while untreated pain has harmful impacts on the patients as hopelessness, hinder their response to treatment, and negatively affect their quality of life. Inadequate knowledge and undesirable attitudes toward postoperative pain management were reported as one of the major difficulties to implement effective pain management among nurses. Objective: The main purpose of this study was to assess the knowledge and attitudes of nurses towards postoperative pain management working at Hawassa University comprehensive specialized hospital. Methods: Institution based cross-sectional study was conducted among two hundred three nurses working at the surgical, gynecology, obstetric wards, ophthalmic unit and operation theater from April 1-30, 2019. Data were collected through standardized worldwide accepted "Knowledge and Attitudes Survey Regarding Pain" (KASRP) tool it contains 37 items questionnaire of two domains: knowledge and attitude towards pain management. The collected data was analyzed using SPSS version 20. A chi-square test was done and significantly associated factors were identified. Result: One hundred and eighty-seven questionnaires were returned giving a response rate (92.1%). The mean score of correct answers was (22.5%) with a minimum and maximum score of (18.2%) and (75.4%) respectively. After categorizing the level of knowledge and attitude, (82.2 %) of nurses possessed very low knowledge and negative attitude towards postoperative pain management. Prior training on pain management (X 2 = 14.935, P=0.001) and reading of medical books or journals about pain (X 2 = 5.019, P=0.025) were significantly associated with knowledge and attitude of nurses towards post-operative pain management. Conclusion: Nurses had a very low level of knowledge and a negative attitude towards post-operative pain management. The hospital provides in-service training and avail reading medical books to improve nurse's knowledge and attitude towards post-operative pain management. The federal ministry of Health of Ethiopia enriches the pain content of the nursing curriculum.

Background Surgical site infections (SSIs) continue the main problem in health care facilities, c... more Background Surgical site infections (SSIs) continue the main problem in health care facilities, causing the prolonged length of stay, considerable morbidity, mortality, and the extra cost to patients after surgery. The aim of this study was to determine the prevalence of SSIs and explore its associated factors among surgical patients at Hawassa university comprehensive specialized hospital, southern Ethiopia. Methods A hospital-based cross-sectional study design was conducted among post-operative patients on a sample of 281 who were admitted and have had surgery from 1 March-1 April 2019. Purposive sampling technique and the structured questioner were selected to gather data from the patient's medical record, interview, and observation. EPI Info 3.5.4 was a data entry software and SPSS version 20.0 was selected for analysis. Associations among variables were assessed by binary logistic regression. Result A total of 281 patients have participated and the mean age was 30.3 (±18.9) years. The prevalence of SSIs was (24.6%) (95% CI 19.6-29.69). Age less than 15 years AOR = 0.131 (95% CI 0.020, 0.087), having clean surgical wound AOR = 0.006 (95% CI 0.002, 0.024) were significant protective associated factors to SSIs while having open surgical wound AOR =5.189 (95% CI 1.511, 17.821) and malnutrition AOR =29.351 (95% CI 5.711, 150.851) were significant risk associated factors to SSIs. Conclusion The prevalence of SSIs was bigger than the worldwide range between (1.2%) and (5.2%) even higher compared to reports from several developing countries. This needs exceptional attention to reduce the odds of surgical site infection by standardizing patient care and controlling of comorbidities. Background Surgical site infections circle as many as 30 days after surgery (or as late as one year after surgery in patients with implants) (1, 2). Among hospital-acquired infections, surgical site infections (SSI) are the most frequently reported. The incidence of SSI could be nearly 4 times higher in low and middle-income countries (LMIC) than in high-income countries (3). Surgical site infections were the primary infections in hospitals of Africa higher than magnitudes noted in developed countries (3) with cumulative incidence extended from 2.5% to 30.9% (4). In Ethiopia, the incidence rate of SSIs ranges from 10.9% to 75% (5-8).

Article, 2020

International Journal of Caring Sciences, 2019

article, 2019

Background: Breast cancer remains the most common cancer and most common cause of cancer-related ... more Background: Breast cancer remains the most common cancer and most common cause of cancer-related mortality among women worldwide. Objectives: The main purpose of this study is to assess barriers resulting in delayed patient presentation to breast cancer care among breast cancer patients under treatment at Hawassa university comprehensive specialized hospital. This study is the first conducted in the study area. Methods: A hospital-based descriptive cross-sectional study design was done from 1 Jun-30 December 2017 to answer the study objectives. All delayed 106 women under breast cancer treatment during data collection period were participated in the study. Structured data collection tool which encompass possible barriers in developing countries were applied to collect data from each study subject. Before the data collection, written ethical clearance letter was obtained from IRB of Hawassa university. Data entry was done using EPI Info 3.5.4 and exported to SPSS version 20.0 software package for analysis. Results: This study revealed that delay was multi-factorial. Of 106 delayed women to breast cancer care, (98.1%) didn't have knowledge about sign and symptom of breast cancer; (71.7%) were thinking the breast cancer lump was not dangerous enough to consult expert health professionals and (64.2%) using alternative medicines like prayer, herbal remedy or traditional healers. There was no significant statistical association found with major causes of delay and socio-demographic characteristics of the women. Conclusion: A significant percentage of women with breast cancer in Hawassa and nearby are experiencing presentation delay due socio-cultural, economic and health and health related causes. Hence, an intense and focused awareness campaign about breast cancer is needed to educate the general population by Ethiopian cancer association, Federal ministry of health, regional health offices any other concerned body.

Abstract Background: Breast cancer is the most commonly diagnosed cancer in women and ... more Abstract Background: Breast cancer is the most commonly diagnosed cancer in women and it is the leading cause of cancer related death worldwide. Despite most of the cases found at developed countries, majority of death occur in low income countries including Ethiopia. Routine breast self-examination is important for early detection to augment prevention of breast cancer by 50% and reduce premature death of women. In active role in creating breast cancer awareness through education, nurses need to have a sound knowledge base and adequate practical skills in the field of breast cancer prevention. The aim of this study was to assess practice of breast self- examination (BSE) and associated factors among nurses. Methods: A hospital based descriptive cross-sectional study was conducted from March to April 2018 on a sample of 180 female nurses. Pretested and structured questionnaire was used to collect the data. Data entry was done using EPI Info 3.5.4 and exported to SPSS version 20.0 software package for analysis. Bivariate and multivariate analyses were performed with logistic regression to measure the association between dependent and independent variables. Results: Total of 180 nurses were interviewed with a response rate of 91.8%. This study revealed that (71.2%) of nurses ever practiced BSE. From those nurses practiced BSE, only (28.1%) regularly; (16.4%) monthly (right response) and (32.0%) of a week after menses. Seven of them detected a breast mass/lump and only (16.4%) of nurses have taught BSE technique to their clients. Educational status of the nurses (AOR and 95% CI: 2.91; 1.74, 4.85) and family history of breast cancer (AOR and 95% CI: 5.2; 2.34, 8.15 were significantly associated with BSE practice. Conclusion: This study discovered severe gap about the correct practice of BSE among female nurses. The hospital and ministry of health of Ethiopia have to give regular education and training on BSE especially how to practice BSE correctly. Keywords: Nurse, breast cancer, breast self-examination, Ethiopia. DOI: 10.7176/JHMN/66-07 Publication date:September 30th 2019

www.iiste.org , 2019

Background: Breast cancer is the most commonly diagnosed cancer in women and it is the leading ca... more Background: Breast cancer is the most commonly diagnosed cancer in women and it is the leading cause of cancer related death worldwide. Despite most of the cases found at developed countries, majority of death occur in low income countries including Ethiopia. Routine breast self-examination is important for early detection to augment prevention of breast cancer by 50% and reduce premature death of women. In active role in creating breast cancer awareness through education, nurses need to have a sound knowledge base and adequate practical skills in the field of breast cancer prevention. The aim of this study was to assess practice of breast self-examination (BSE) and associated factors among nurses. Methods: A hospital based descriptive cross-sectional study was conducted from March to April 2018 on a sample of 180 female nurses. Pretested and structured questionnaire was used to collect the data. Data entry was done using EPI Info 3.5.4 and exported to SPSS version 20.0 software package for analysis. Bivariate and multivariate analyses were performed with logistic regression to measure the association between dependent and independent variables. Results: Total of 180 nurses were interviewed with a response rate of 91.8%. This study revealed that (71.2%) of nurses ever practiced BSE. From those nurses practiced BSE, only (28.1%) regularly; (16.4%) monthly (right response) and (32.0%) of a week after menses. Seven of them detected a breast mass/lump and only (16.4%) of nurses have taught BSE technique to their clients. Educational status of the nurses (AOR and 95% CI: 2.91; 1.74, 4.85) and family history of breast cancer (AOR and 95% CI: 5.2; 2.34, 8.15 were significantly associated with BSE practice. Conclusion: This study discovered severe gap about the correct practice of BSE among female nurses. The hospital and ministry of health of Ethiopia have to give regular education and training on BSE especially how to practice BSE correctly. 1. Background Breast cancer is the most commonly diagnosed cancer in women and the second leading cause of cancer related morbidity and deaths next to lung cancer. Every year's worldwide 1.15 million women are diagnosed with breast cancer and more than a half million die from this disease [1]. Despite the incidence of breast cancer is higher in the developed countries; the prevalence of death is higher than in developing countries [2]. Although breast cancer is thought to be a disease of the developed world, almost 50% of breast cancer cases and 58% of deaths occur in less developed countries [3]. Hospital records show that in Ethiopia there are more than 200,000 cancer cases per year where cervical & breast cancers are the top two cancer types having a lion's share for the high women deaths in the country and most women with breast cancer still present very late and treatment outcomes are often not optimal [4]. The prevalence of breast cancer in women aged 15 and over in sub Saharan Africa was 23.5 per 100,000 women in 2008 [5] and breast cancer has increased by more than 20%, while mortality has increased by 14% since