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Papers by haymanot zeleke
Research Square (Research Square), Oct 9, 2020
Research Square (Research Square), Oct 19, 2020
Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a re... more Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a relevant problem in pediatrics with an incidence of 1-10% per patient. Children may die because of cerebral edema and had a signi cant mortality (24%) and morbidity (35%). Objective: We assessed the incidence and predictors of diabetic ketoacidosis among diabetes children at East and West Gojjam zone referral hospitals, North West Ethiopia, 2019. Methods: An institution-based retrospective follow up study was conducted on children who were registered
Research Square (Research Square), Sep 4, 2020
Background: Recurrent diabetic ketoacidosis in patients with already diagnosed diabetic mellitus ... more Background: Recurrent diabetic ketoacidosis in patients with already diagnosed diabetic mellitus remains a relevant problem in pediatric with an incidence of 1-10% per patient. Children may die due to cerebral edema and had signi cant mortality (24%) and morbidity (35%). Objective: We assess the incidence and predictors of diabetic ketoacidosis among diabetic children at East and West Gojjam zone referral hospitals, North West Ethiopia, 2019. Methods: An institution-based retrospective follow up study was conducted on children who were registered from January 1, 2014, to January 1, 2019. Epi data version 3.1 & Stata 14 were used for data entering and analysis respectively. Result: A total of 354 children were included from this 207(58.5%) had diabetic ketoacidosis. The overall incidence rate of diabetic ketoacidosis was 2.27/100 children/month of observation. Age <5 years (AHR:
PLOS ONE, Oct 13, 2022
Background Antenatal depression is a serious health problem and has negative consequences for the... more Background Antenatal depression is a serious health problem and has negative consequences for the mother, fetus, and the entire family. However, it is a neglected component of care especially bay health care providers for women in pregnancy. The purpose of this study was to assess the prevalence of depression and associated factors among pregnant women attending antenatal clinics in public health institutions, in the Awabale Woreda. Method An institutional-based cross-sectional study was conducted in 2018 and a stratified sampling technique was used to select the study health institutions. All seven public health institutions in Awabale District were included to select 393 mothers and the sample size was proportionally allocated based on the number of target mothers. We used EpiData version 3.1software for data entry and SPSS version 20 software for cleaning and analysis. A Bivariable logistic regression analysis was used to identify the association between each outcome variable and the factor. Again, a multivariable logistic regression analysis was employed to identify factors associated with each outcome variable, and variables with a p-value less than 0.05 were taken as significant variables. Edinburgh Postnatal Depression Scale was used to declare the presence of antenatal depression with a cut point score of 13 and above. Result This study showed that 63(17.8%) pregnant mothers had antenatal depressive symptoms. Women who were employed 85% reduced to develop antenatal depression than
International Breastfeeding Journal, Dec 1, 2016
Background: Exclusive breastfeeding means babies are given only breast milk and nothing else: no ... more Background: Exclusive breastfeeding means babies are given only breast milk and nothing else: no other milk, food, drink, not even water for one day (24 hrs) before the survey was conducted. It prevents 13% of childhood mortality; i.e, at least 1.2 million children worldwide would be saved every year. The objective of this study was to assess the prevalence exclusive breastfeeding (EBF) practice and its associated factor among mothers who have infants less than six months of age in Motta town, East Gojjam, Amhara Regional State, Ethiopia. Method: A community based quantitative cross-sectional study was conducted from April 7, 2015 to May 7, 2015. A simple random sampling technique was applied after taking all registered mothers who have infants less than six months old from local health extension workers of each kebele. A total of 423 mothers with infant less than six months old were included in this study. The data was collected using an interviewer administered questioaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. Result: Prevalence of exclusive breastfeeding was 50.1%. Mothers with young infants aged 0-1 month (Adjusted Odds Ratio [AOR] 3.86: (1.64, 9.07), unemployed mothers (AOR 3.01: 1.46, 6.20), low income mothers (AOR 3.61: 1.75, 7.45), mothers who received breastfeeding counseling in pregnancy (AOR 2.76: 1.52, 4.99), fed colostrum (AOR 3.50: 1.45, 8. 45), didn't give prelacteal feeds (AOR 4.48: 1.82, 11.03) and were supported by their husband (AOR 2.67: 1.04, 6.95) were more likely to practice exclusive breastfeeding than their counterparts. Conclusions: Prevalence of exclusive breastfeeding practice in study area was lower than country recommended level. Age of the child, maternal occupation, income, breastfeeding counseling during antenatal care, husband support of breastfeeding and colostrum feeding were independent predictors of exclusive breastfeeding practice. Recommendations to increase exclusive breastfeeding practice are revising postpartum maternity leave, increasing health professional's habit of breastfeeding counseling through training, involving husbands during counseling, educating mothers and the community as a whole to avoid traditional practices that hinder exclusive breastfeeding up to six months.
Research Square (Research Square), Nov 22, 2022
Journal of Pediatrics & Neonatal Care, 2021
Diabetic Ketoacidosis (DKA) remains an acute emergency in children with diabetes, which results d... more Diabetic Ketoacidosis (DKA) remains an acute emergency in children with diabetes, which results due to an absolute or relative insulin deficiency. It has a significant morbidity (neurologic squeal) and the leading cause of death. Its related complication includes cerebral edema, hypoglycemia, hypokalemia, pulmonary edema, acute renal failure, shock and vascular thrombosis [1].
Journal of patient experience, Oct 16, 2020
Patient experience of nursing care is the perception of the patient about the real existing nursi... more Patient experience of nursing care is the perception of the patient about the real existing nursing service. Addressing patient experience of nursing care is very important to improve nursing service quality because it identifies the factors that affect the nursing care quality better than patient satisfaction. Therefore, this study aimed to assess patient experience in nursing care and associated factors among adult admitted patients in Debre Markos and Dessie referral hospitals. An institution-based crosssectional study was conducted from March 1, 2019, to March 30, 2019, among 528 consecutively selected adult admitted patients. Data were cleaned, coded, and entered in Epi-data version 3.1 then exported to Statistical Package for Social Sciences version 25 for analysis. Multivariate logistic regression, with a 95% CI was used to identify variables that had a significant association. The overall good patient experience in nursing care was 64%. Duration of admission !22 days (adjusted odds ratio [AOR] ¼ 2.67, 95% CI ¼ 1.013-7.025) and free service (AOR ¼ 3.69, 95% CI ¼ 2.381-5.730) showed a positive association with patient experience in nursing care. However, admission in gynecology ward (AOR ¼ 0.43, 95%CI ¼ 0.257-0.707), secondary education (AOR ¼ 0.53, 95% CI: 0.308-0.907), and college or above education (AOR ¼ 0.55, 95%CI ¼ 0.320-0.957) showed a negative association with patient experience in nursing care.
Journal of Human Hypertension, Nov 19, 2022
Background: Self-care practice is crucial for the prevention and management of Hypertension. Poor... more Background: Self-care practice is crucial for the prevention and management of Hypertension. Poorly controlled hypertension leads to cardiovascular complication as well as organ damage. Despite the availability of several effective pharmacologic and non-pharmacologic therapies, hypertension control remains suboptimal. Self-care practices allow hypertensive patients to have improved quality of life by avoiding complication and decrease health care expenditure. Objective: we assessed self-care practice and its associated factors among Hypertensive Follow up patients at East Gojjam Zone public hospitals, Northwest Ethiopia, 2020. Methods: Institution based cross sectional study was conducted by both quantitative and qualitative methods from October 1-30, 2020. Epi data version 3.1 and SPSS version 25.0 were used for data entry and for analysis respectively. Descriptive statistics and binary logistic regression analysis was employed. Adjusted odds ratios were used to ascertain effect sizes for any association between the dependent and associated variables while signi cance level at p value of 0.05 was determined using 95% con dence intervals. Result: Out of 480 patients included in the study 51% have Poor self-care practices. About 44.6%, 92.5%, 82.8%, 62.5% of respondents were poor adherent to antihypertensive medications, low diet quality, poor practiced to physical activity, poor practice to weight management respectively. Some of the respondents 3.3%, 9.8% were smokers and were alcohol drinkers respectively. Educational status who cannot read and write (AOR=3.153, 95% CI: 1.674-5.939), no co morbidity (AOR = 0.418, 95% CI: 0.263-0.663), uncontrolled blood pressure status (AOR = 2.141, 95% CI: 1.271-3.609), poor social support status (AOR = 2.587, 95% CI: 1.544-4.334) and unfavorable attitude (AOR= 3.193, 95% CI: 1.951-5.225) showed signi cant statistical association with poor self-care practice. Conclusion: The level of hypertension self-care practices found to be low. Therefore, education towards hypertension self-care practices should be strengthened for patients living with hypertension. Special attention should be given to patients with low educational level that cannot read and write, patients with co morbidity, uncontrolled state of hypertension, poor social support and those with unfavorable attitude towards hypertension management modalities.
Research Square (Research Square), Apr 3, 2023
Italian Journal of Pediatrics, Nov 3, 2020
Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a re... more Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a relevant problem in pediatrics with an incidence of 1-10% per patient. Children may die because of cerebral edema and had a significant mortality (24%) and morbidity (35%). Objective: We assessed the incidence and predictors of diabetic ketoacidosis among diabetes children at East and West Gojjam zone referral hospitals, North West Ethiopia, 2019. Methods: An institution-based retrospective follow up study was conducted on children who were registered from January 1, 2014, to January 1, 2019. Epi data version 3.1 & Stata 14 were used for data entering and analysis respectively. Result: Out of 354 children included in the study, 207 (58.5%) developed diabetic ketoacidosis. The overall incidence rate of diabetic ketoacidosis was 2.27/100 children/month of observation. Age < 5 years (AHR: 3.52, 95% CI (2.25, 5.49), non-adherence (AHR: 1.54, 95% CI (1.11, 2.14), inappropriate insulin storage (AHR: 1.36, 95% CI (1.008, 1.85), presence of upper respiratory tract infections during diabetic ketoacidosis diagnose (AHR: 2.22, 95% CI (1.11, 4.45) and preceding gastroenteritis (AHR: 2.18, 95% CI (1.07, 4.44) were significant predictors. Conclusion: Age < 5 years old, non-adherence, inappropriate insulin placement at home, preceding gastroenteritis, and presence of upper respiratory tract infections at the time of diabetic ketoacidosis development were significant predictors. Hence, assessing and close monitoring as well as strengthened diabetic education should be given for the above predictors.
Epilepsy journal, 2018
Back ground: Epilepsy is one of common neurological disorder in developing countries. Epilepsy af... more Back ground: Epilepsy is one of common neurological disorder in developing countries. Epilepsy affects 50 million people worldwide, and 80% of them live in the developing world. Epilepsy is one of stigmatizing problem with social, physical, economical and psychological effects on the patient as well as on the family.
Background Entire populations are at risk of diseases such as diabetes. There is also limiting re... more Background Entire populations are at risk of diseases such as diabetes. There is also limiting resources in Ethiopia to control hyperglycemia because of limited catastrophic expenditure for chronic diseases. Due to the importance of balancing blood glucose level in diabetes, low/ few glycemic foods are important to moderate blood glucose in diabetes patients. Objectives To assess the utilization of low glycemic index foods and associated factors among diabetes mellitus patients at Debre Markos referral and Finote Selam hospitals, Northwest Ethiopia, 2019. Methods Institution based cross-sectional study design was conducted. A systematic random sampling technique was used to select study participants. The data was coded and entered to Epi Data version 3.1 and exported to statistical package for social science (SPSS) version 25 for analysis. Binary logistic regression model was used for analysis. The adequacy of the final model was checked using Hosmer and Lemeshow goodness of fit tes...
Sage Open Medicine, 2022
Objective: Alcohol consumption during pregnancy can cause many major severe illnesses to both mot... more Objective: Alcohol consumption during pregnancy can cause many major severe illnesses to both mothers and their offspring. Despite this, many pregnant women consume both homemade and manufactured alcoholic beverages. We conducted this study to assess the prevalence and determinants of alcohol consumption among pregnant women in Gozamin district, Amhara, Ethiopia, in 2020. Methods: Community-based cross-sectional study was employed from 1 to 30 November, 2020. The participants were recruited using a stratified multi-stage sampling technique. A structured and pretested interviewer-administered questionnaire was utilized for data collection. The collected data were entered into Epi-data Version 3.1 and exported to SPSS Version 25 for further analysis. The model fitness was checked by Hosmer and Lemeshow’s goodness of fit test. Then, logistic regression models were considered to determine the associations of independent variables with the outcome variable. Variables with p < 0.25 in bivariable logistic regression were considered for multivariable logistic regression. Finally, variables with p < 0.05 in multivariable logistic regression were considered as determinants of alcohol consumption. Result: A total of 555 pregnant women participated in this study, making the response rate of 97.4%. The prevalence of alcohol consumption among the participants was 45.6% (95% confidence interval = 41.4–49.2). The determinants of alcohol consumption among the participants were highest wealth index (adjusted odds ratio = 3.21; 95% CI = 1.68–6.14), pre-pregnancy alcohol consumption (adjusted odds ratio = 3.67; 95% confidence interval = 2.36–5.71), poor social support (adjusted odds ratio = 3.08; 95% confidence interval = 1.60–5.94), and unplanned pregnancy (adjusted odds ratio = 1.66; 95% confidence interval = 1.04–2.66). Conclusion: In this study, the prevalence of alcohol consumption was high among the pregnant women. Our findings suggest introduction of policies and interventions that can help reduce alcohol consumption during pregnancy. The health education priority should be creation of awareness about the negative health impacts of alcohol on the health of pregnant mothers and their offspring.
Background - Acute kidney injury is an emerging global public health problem significantly associ... more Background - Acute kidney injury is an emerging global public health problem significantly associated with increased in morbidity, mortality, and extra cost incurred. Type 2 diabetes mellitus is an independent risk factor for acute kidney injury that is not well investigated in developing countries including Ethiopia. Objective - To assess the incidence and predictors of acute kidney injury among type 2 diabetes mellitus patients having follow-ups in Amhara region Comprehensive Specialized Hospitals. Methods - Institution-based retrospective follow-up study was conducted among 538 type 2 diabetes mellitus patients from January 1, 2014, to January 1, 2020, by systematic random sampling. Kaplan-Meier curve and Log-rank test were used to compare survival time between different categories of explanatory variables. Cox proportional hazard was used to determine significant predictors and proportional hazard assumptions were checked by plotting cox Snell’s residual and global test. Results...
Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that ... more Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that may include inflicted physical injury, psychological abuse, sexual assault, progressive social isolation. This violence can be considered a leading public health problem with serious health consequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, no information of nurses" preparedness (knowledge, attitude and skill, and barriers) regarding to IPV care in Ethiopia, high prevalence and impact on women health, these make it problem. Objectives: To assess nurses" knowledge, practice and attitude, and identify barriers to care women exposed to intimate partner violence in East Gojjam, Amhara region, Ethiopia. Method: Quantitative study design was conducted to assess nurses" preparedness (knowledge, practice and attitude) to care women exposed to IPV and qualitative design for barriers to care Women exposed to IPV. East Gojjam has 18 woredas. ...
Journal of Nursing & Care, 2015
Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that ... more Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that may include inflicted physical injury, psychological abuse, sexual assault, progressive social isolation. This violence can be considered a leading public health problem with serious health consequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, no information of nurses' preparedness regarding to IPV care in Ethiopia, high prevalence and impact on women health, these make it problematic. Method: descriptive correlational quantitative study design was conducted to assess nurses' preparedness (knowledge, practice and attitude). Required sample size was 448 nurses. From 18 woreda, nine woreda were randomly selected through proportionate sampling method then the study sample was selected randomly. Odds ratio, 95% confidence intervals and 0.5% marginal error was used. Descriptive, bivariate and multivariate analysis was conducted. Result: Just over 94% of all respondents had not received any training. More than the halves of nurses were not knowledgeable. Around 60% of nurses had negative attitude to IPV cases. In addition, almost 60% of nurses were not skilful. There was a significant association between being male to care to Women exposed to IPV. Males were around 8 times more likely to give care to Women exposed to IPV. Nurses who had experience on the care of women exposed to IPV were more give care than who never had experience. Conclusion and recommendation: Many of nurses had no skill/experience to care women exposed to IPV and majority of nurses could not ask sign of women exposed to IPV like eating disorders, hypertension, headaches and irritable bowel syndrome. Majority of nurses were not knowledgeable and not skilful.
Background Human Immune Virus’ positive status non-disclosure to a sexual partner is a public hea... more Background Human Immune Virus’ positive status non-disclosure to a sexual partner is a public health problem where a high prevalence of Human Immune Virus infection is reported on a region with poor partner disclosure status. The aim of this study was to assess Human Immune Virus positive status disclosure to sexual partners and associated factors among adult Human Immune Virus positive clients at Debre Markos town, Amhara Regional State Ethiopia, in, 2019. Methods Facility based cross-sectional study was done among 421 adult Human Immune Virus positive clients in Debre Markos town from September 1-30-2019. Consecutive sampling was used to collect the data. Epidata version 3.1 for data entry and SPSS version 25 for data analysis were used. Hosmer-Lemeshow goodness test of model fitness was checked. Bivariable and multivariable logistic analysis (p<0.05) was performed. Results The median age of participants was 35 years with (IQ of 30-42). Human Immune Virus positive status disclo...
Journal of Patient Experience, 2020
Patient experience of nursing care is the perception of the patient about the real existing nursi... more Patient experience of nursing care is the perception of the patient about the real existing nursing service. Addressing patient experience of nursing care is very important to improve nursing service quality because it identifies the factors that affect the nursing care quality better than patient satisfaction. Therefore, this study aimed to assess patient experience in nursing care and associated factors among adult admitted patients in Debre Markos and Dessie referral hospitals. An institution-based cross-sectional study was conducted from March 1, 2019, to March 30, 2019, among 528 consecutively selected adult admitted patients. Data were cleaned, coded, and entered in Epi-data version 3.1 then exported to Statistical Package for Social Sciences version 25 for analysis. Multivariate logistic regression, with a 95% CI was used to identify variables that had a significant association. The overall good patient experience in nursing care was 64%. Duration of admission ≥22 days (adjus...
Research Square (Research Square), Oct 9, 2020
Research Square (Research Square), Oct 19, 2020
Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a re... more Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a relevant problem in pediatrics with an incidence of 1-10% per patient. Children may die because of cerebral edema and had a signi cant mortality (24%) and morbidity (35%). Objective: We assessed the incidence and predictors of diabetic ketoacidosis among diabetes children at East and West Gojjam zone referral hospitals, North West Ethiopia, 2019. Methods: An institution-based retrospective follow up study was conducted on children who were registered
Research Square (Research Square), Sep 4, 2020
Background: Recurrent diabetic ketoacidosis in patients with already diagnosed diabetic mellitus ... more Background: Recurrent diabetic ketoacidosis in patients with already diagnosed diabetic mellitus remains a relevant problem in pediatric with an incidence of 1-10% per patient. Children may die due to cerebral edema and had signi cant mortality (24%) and morbidity (35%). Objective: We assess the incidence and predictors of diabetic ketoacidosis among diabetic children at East and West Gojjam zone referral hospitals, North West Ethiopia, 2019. Methods: An institution-based retrospective follow up study was conducted on children who were registered from January 1, 2014, to January 1, 2019. Epi data version 3.1 & Stata 14 were used for data entering and analysis respectively. Result: A total of 354 children were included from this 207(58.5%) had diabetic ketoacidosis. The overall incidence rate of diabetic ketoacidosis was 2.27/100 children/month of observation. Age <5 years (AHR:
PLOS ONE, Oct 13, 2022
Background Antenatal depression is a serious health problem and has negative consequences for the... more Background Antenatal depression is a serious health problem and has negative consequences for the mother, fetus, and the entire family. However, it is a neglected component of care especially bay health care providers for women in pregnancy. The purpose of this study was to assess the prevalence of depression and associated factors among pregnant women attending antenatal clinics in public health institutions, in the Awabale Woreda. Method An institutional-based cross-sectional study was conducted in 2018 and a stratified sampling technique was used to select the study health institutions. All seven public health institutions in Awabale District were included to select 393 mothers and the sample size was proportionally allocated based on the number of target mothers. We used EpiData version 3.1software for data entry and SPSS version 20 software for cleaning and analysis. A Bivariable logistic regression analysis was used to identify the association between each outcome variable and the factor. Again, a multivariable logistic regression analysis was employed to identify factors associated with each outcome variable, and variables with a p-value less than 0.05 were taken as significant variables. Edinburgh Postnatal Depression Scale was used to declare the presence of antenatal depression with a cut point score of 13 and above. Result This study showed that 63(17.8%) pregnant mothers had antenatal depressive symptoms. Women who were employed 85% reduced to develop antenatal depression than
International Breastfeeding Journal, Dec 1, 2016
Background: Exclusive breastfeeding means babies are given only breast milk and nothing else: no ... more Background: Exclusive breastfeeding means babies are given only breast milk and nothing else: no other milk, food, drink, not even water for one day (24 hrs) before the survey was conducted. It prevents 13% of childhood mortality; i.e, at least 1.2 million children worldwide would be saved every year. The objective of this study was to assess the prevalence exclusive breastfeeding (EBF) practice and its associated factor among mothers who have infants less than six months of age in Motta town, East Gojjam, Amhara Regional State, Ethiopia. Method: A community based quantitative cross-sectional study was conducted from April 7, 2015 to May 7, 2015. A simple random sampling technique was applied after taking all registered mothers who have infants less than six months old from local health extension workers of each kebele. A total of 423 mothers with infant less than six months old were included in this study. The data was collected using an interviewer administered questioaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. Result: Prevalence of exclusive breastfeeding was 50.1%. Mothers with young infants aged 0-1 month (Adjusted Odds Ratio [AOR] 3.86: (1.64, 9.07), unemployed mothers (AOR 3.01: 1.46, 6.20), low income mothers (AOR 3.61: 1.75, 7.45), mothers who received breastfeeding counseling in pregnancy (AOR 2.76: 1.52, 4.99), fed colostrum (AOR 3.50: 1.45, 8. 45), didn't give prelacteal feeds (AOR 4.48: 1.82, 11.03) and were supported by their husband (AOR 2.67: 1.04, 6.95) were more likely to practice exclusive breastfeeding than their counterparts. Conclusions: Prevalence of exclusive breastfeeding practice in study area was lower than country recommended level. Age of the child, maternal occupation, income, breastfeeding counseling during antenatal care, husband support of breastfeeding and colostrum feeding were independent predictors of exclusive breastfeeding practice. Recommendations to increase exclusive breastfeeding practice are revising postpartum maternity leave, increasing health professional's habit of breastfeeding counseling through training, involving husbands during counseling, educating mothers and the community as a whole to avoid traditional practices that hinder exclusive breastfeeding up to six months.
Research Square (Research Square), Nov 22, 2022
Journal of Pediatrics & Neonatal Care, 2021
Diabetic Ketoacidosis (DKA) remains an acute emergency in children with diabetes, which results d... more Diabetic Ketoacidosis (DKA) remains an acute emergency in children with diabetes, which results due to an absolute or relative insulin deficiency. It has a significant morbidity (neurologic squeal) and the leading cause of death. Its related complication includes cerebral edema, hypoglycemia, hypokalemia, pulmonary edema, acute renal failure, shock and vascular thrombosis [1].
Journal of patient experience, Oct 16, 2020
Patient experience of nursing care is the perception of the patient about the real existing nursi... more Patient experience of nursing care is the perception of the patient about the real existing nursing service. Addressing patient experience of nursing care is very important to improve nursing service quality because it identifies the factors that affect the nursing care quality better than patient satisfaction. Therefore, this study aimed to assess patient experience in nursing care and associated factors among adult admitted patients in Debre Markos and Dessie referral hospitals. An institution-based crosssectional study was conducted from March 1, 2019, to March 30, 2019, among 528 consecutively selected adult admitted patients. Data were cleaned, coded, and entered in Epi-data version 3.1 then exported to Statistical Package for Social Sciences version 25 for analysis. Multivariate logistic regression, with a 95% CI was used to identify variables that had a significant association. The overall good patient experience in nursing care was 64%. Duration of admission !22 days (adjusted odds ratio [AOR] ¼ 2.67, 95% CI ¼ 1.013-7.025) and free service (AOR ¼ 3.69, 95% CI ¼ 2.381-5.730) showed a positive association with patient experience in nursing care. However, admission in gynecology ward (AOR ¼ 0.43, 95%CI ¼ 0.257-0.707), secondary education (AOR ¼ 0.53, 95% CI: 0.308-0.907), and college or above education (AOR ¼ 0.55, 95%CI ¼ 0.320-0.957) showed a negative association with patient experience in nursing care.
Journal of Human Hypertension, Nov 19, 2022
Background: Self-care practice is crucial for the prevention and management of Hypertension. Poor... more Background: Self-care practice is crucial for the prevention and management of Hypertension. Poorly controlled hypertension leads to cardiovascular complication as well as organ damage. Despite the availability of several effective pharmacologic and non-pharmacologic therapies, hypertension control remains suboptimal. Self-care practices allow hypertensive patients to have improved quality of life by avoiding complication and decrease health care expenditure. Objective: we assessed self-care practice and its associated factors among Hypertensive Follow up patients at East Gojjam Zone public hospitals, Northwest Ethiopia, 2020. Methods: Institution based cross sectional study was conducted by both quantitative and qualitative methods from October 1-30, 2020. Epi data version 3.1 and SPSS version 25.0 were used for data entry and for analysis respectively. Descriptive statistics and binary logistic regression analysis was employed. Adjusted odds ratios were used to ascertain effect sizes for any association between the dependent and associated variables while signi cance level at p value of 0.05 was determined using 95% con dence intervals. Result: Out of 480 patients included in the study 51% have Poor self-care practices. About 44.6%, 92.5%, 82.8%, 62.5% of respondents were poor adherent to antihypertensive medications, low diet quality, poor practiced to physical activity, poor practice to weight management respectively. Some of the respondents 3.3%, 9.8% were smokers and were alcohol drinkers respectively. Educational status who cannot read and write (AOR=3.153, 95% CI: 1.674-5.939), no co morbidity (AOR = 0.418, 95% CI: 0.263-0.663), uncontrolled blood pressure status (AOR = 2.141, 95% CI: 1.271-3.609), poor social support status (AOR = 2.587, 95% CI: 1.544-4.334) and unfavorable attitude (AOR= 3.193, 95% CI: 1.951-5.225) showed signi cant statistical association with poor self-care practice. Conclusion: The level of hypertension self-care practices found to be low. Therefore, education towards hypertension self-care practices should be strengthened for patients living with hypertension. Special attention should be given to patients with low educational level that cannot read and write, patients with co morbidity, uncontrolled state of hypertension, poor social support and those with unfavorable attitude towards hypertension management modalities.
Research Square (Research Square), Apr 3, 2023
Italian Journal of Pediatrics, Nov 3, 2020
Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a re... more Background: Recurrent diabetic ketoacidosis in patients with known diabetes mellitus remains a relevant problem in pediatrics with an incidence of 1-10% per patient. Children may die because of cerebral edema and had a significant mortality (24%) and morbidity (35%). Objective: We assessed the incidence and predictors of diabetic ketoacidosis among diabetes children at East and West Gojjam zone referral hospitals, North West Ethiopia, 2019. Methods: An institution-based retrospective follow up study was conducted on children who were registered from January 1, 2014, to January 1, 2019. Epi data version 3.1 & Stata 14 were used for data entering and analysis respectively. Result: Out of 354 children included in the study, 207 (58.5%) developed diabetic ketoacidosis. The overall incidence rate of diabetic ketoacidosis was 2.27/100 children/month of observation. Age < 5 years (AHR: 3.52, 95% CI (2.25, 5.49), non-adherence (AHR: 1.54, 95% CI (1.11, 2.14), inappropriate insulin storage (AHR: 1.36, 95% CI (1.008, 1.85), presence of upper respiratory tract infections during diabetic ketoacidosis diagnose (AHR: 2.22, 95% CI (1.11, 4.45) and preceding gastroenteritis (AHR: 2.18, 95% CI (1.07, 4.44) were significant predictors. Conclusion: Age < 5 years old, non-adherence, inappropriate insulin placement at home, preceding gastroenteritis, and presence of upper respiratory tract infections at the time of diabetic ketoacidosis development were significant predictors. Hence, assessing and close monitoring as well as strengthened diabetic education should be given for the above predictors.
Epilepsy journal, 2018
Back ground: Epilepsy is one of common neurological disorder in developing countries. Epilepsy af... more Back ground: Epilepsy is one of common neurological disorder in developing countries. Epilepsy affects 50 million people worldwide, and 80% of them live in the developing world. Epilepsy is one of stigmatizing problem with social, physical, economical and psychological effects on the patient as well as on the family.
Background Entire populations are at risk of diseases such as diabetes. There is also limiting re... more Background Entire populations are at risk of diseases such as diabetes. There is also limiting resources in Ethiopia to control hyperglycemia because of limited catastrophic expenditure for chronic diseases. Due to the importance of balancing blood glucose level in diabetes, low/ few glycemic foods are important to moderate blood glucose in diabetes patients. Objectives To assess the utilization of low glycemic index foods and associated factors among diabetes mellitus patients at Debre Markos referral and Finote Selam hospitals, Northwest Ethiopia, 2019. Methods Institution based cross-sectional study design was conducted. A systematic random sampling technique was used to select study participants. The data was coded and entered to Epi Data version 3.1 and exported to statistical package for social science (SPSS) version 25 for analysis. Binary logistic regression model was used for analysis. The adequacy of the final model was checked using Hosmer and Lemeshow goodness of fit tes...
Sage Open Medicine, 2022
Objective: Alcohol consumption during pregnancy can cause many major severe illnesses to both mot... more Objective: Alcohol consumption during pregnancy can cause many major severe illnesses to both mothers and their offspring. Despite this, many pregnant women consume both homemade and manufactured alcoholic beverages. We conducted this study to assess the prevalence and determinants of alcohol consumption among pregnant women in Gozamin district, Amhara, Ethiopia, in 2020. Methods: Community-based cross-sectional study was employed from 1 to 30 November, 2020. The participants were recruited using a stratified multi-stage sampling technique. A structured and pretested interviewer-administered questionnaire was utilized for data collection. The collected data were entered into Epi-data Version 3.1 and exported to SPSS Version 25 for further analysis. The model fitness was checked by Hosmer and Lemeshow’s goodness of fit test. Then, logistic regression models were considered to determine the associations of independent variables with the outcome variable. Variables with p < 0.25 in bivariable logistic regression were considered for multivariable logistic regression. Finally, variables with p < 0.05 in multivariable logistic regression were considered as determinants of alcohol consumption. Result: A total of 555 pregnant women participated in this study, making the response rate of 97.4%. The prevalence of alcohol consumption among the participants was 45.6% (95% confidence interval = 41.4–49.2). The determinants of alcohol consumption among the participants were highest wealth index (adjusted odds ratio = 3.21; 95% CI = 1.68–6.14), pre-pregnancy alcohol consumption (adjusted odds ratio = 3.67; 95% confidence interval = 2.36–5.71), poor social support (adjusted odds ratio = 3.08; 95% confidence interval = 1.60–5.94), and unplanned pregnancy (adjusted odds ratio = 1.66; 95% confidence interval = 1.04–2.66). Conclusion: In this study, the prevalence of alcohol consumption was high among the pregnant women. Our findings suggest introduction of policies and interventions that can help reduce alcohol consumption during pregnancy. The health education priority should be creation of awareness about the negative health impacts of alcohol on the health of pregnant mothers and their offspring.
Background - Acute kidney injury is an emerging global public health problem significantly associ... more Background - Acute kidney injury is an emerging global public health problem significantly associated with increased in morbidity, mortality, and extra cost incurred. Type 2 diabetes mellitus is an independent risk factor for acute kidney injury that is not well investigated in developing countries including Ethiopia. Objective - To assess the incidence and predictors of acute kidney injury among type 2 diabetes mellitus patients having follow-ups in Amhara region Comprehensive Specialized Hospitals. Methods - Institution-based retrospective follow-up study was conducted among 538 type 2 diabetes mellitus patients from January 1, 2014, to January 1, 2020, by systematic random sampling. Kaplan-Meier curve and Log-rank test were used to compare survival time between different categories of explanatory variables. Cox proportional hazard was used to determine significant predictors and proportional hazard assumptions were checked by plotting cox Snell’s residual and global test. Results...
Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that ... more Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that may include inflicted physical injury, psychological abuse, sexual assault, progressive social isolation. This violence can be considered a leading public health problem with serious health consequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, no information of nurses" preparedness (knowledge, attitude and skill, and barriers) regarding to IPV care in Ethiopia, high prevalence and impact on women health, these make it problem. Objectives: To assess nurses" knowledge, practice and attitude, and identify barriers to care women exposed to intimate partner violence in East Gojjam, Amhara region, Ethiopia. Method: Quantitative study design was conducted to assess nurses" preparedness (knowledge, practice and attitude) to care women exposed to IPV and qualitative design for barriers to care Women exposed to IPV. East Gojjam has 18 woredas. ...
Journal of Nursing & Care, 2015
Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that ... more Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that may include inflicted physical injury, psychological abuse, sexual assault, progressive social isolation. This violence can be considered a leading public health problem with serious health consequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, no information of nurses' preparedness regarding to IPV care in Ethiopia, high prevalence and impact on women health, these make it problematic. Method: descriptive correlational quantitative study design was conducted to assess nurses' preparedness (knowledge, practice and attitude). Required sample size was 448 nurses. From 18 woreda, nine woreda were randomly selected through proportionate sampling method then the study sample was selected randomly. Odds ratio, 95% confidence intervals and 0.5% marginal error was used. Descriptive, bivariate and multivariate analysis was conducted. Result: Just over 94% of all respondents had not received any training. More than the halves of nurses were not knowledgeable. Around 60% of nurses had negative attitude to IPV cases. In addition, almost 60% of nurses were not skilful. There was a significant association between being male to care to Women exposed to IPV. Males were around 8 times more likely to give care to Women exposed to IPV. Nurses who had experience on the care of women exposed to IPV were more give care than who never had experience. Conclusion and recommendation: Many of nurses had no skill/experience to care women exposed to IPV and majority of nurses could not ask sign of women exposed to IPV like eating disorders, hypertension, headaches and irritable bowel syndrome. Majority of nurses were not knowledgeable and not skilful.
Background Human Immune Virus’ positive status non-disclosure to a sexual partner is a public hea... more Background Human Immune Virus’ positive status non-disclosure to a sexual partner is a public health problem where a high prevalence of Human Immune Virus infection is reported on a region with poor partner disclosure status. The aim of this study was to assess Human Immune Virus positive status disclosure to sexual partners and associated factors among adult Human Immune Virus positive clients at Debre Markos town, Amhara Regional State Ethiopia, in, 2019. Methods Facility based cross-sectional study was done among 421 adult Human Immune Virus positive clients in Debre Markos town from September 1-30-2019. Consecutive sampling was used to collect the data. Epidata version 3.1 for data entry and SPSS version 25 for data analysis were used. Hosmer-Lemeshow goodness test of model fitness was checked. Bivariable and multivariable logistic analysis (p<0.05) was performed. Results The median age of participants was 35 years with (IQ of 30-42). Human Immune Virus positive status disclo...
Journal of Patient Experience, 2020
Patient experience of nursing care is the perception of the patient about the real existing nursi... more Patient experience of nursing care is the perception of the patient about the real existing nursing service. Addressing patient experience of nursing care is very important to improve nursing service quality because it identifies the factors that affect the nursing care quality better than patient satisfaction. Therefore, this study aimed to assess patient experience in nursing care and associated factors among adult admitted patients in Debre Markos and Dessie referral hospitals. An institution-based cross-sectional study was conducted from March 1, 2019, to March 30, 2019, among 528 consecutively selected adult admitted patients. Data were cleaned, coded, and entered in Epi-data version 3.1 then exported to Statistical Package for Social Sciences version 25 for analysis. Multivariate logistic regression, with a 95% CI was used to identify variables that had a significant association. The overall good patient experience in nursing care was 64%. Duration of admission ≥22 days (adjus...