Bachelor of Science

URI for this collectionhttps://rps.wku.edu.et/handle/987654321/112

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PREVALENCE OF HYPERTENSIVE CRISIS AND ASSOCIATED FACTORS AMONG HYPERTENSIVES PATIENTS IN GURAGE ZONE SELECTED PUBLIC HOSPITAL, ETHOPIA, A CROSS SECTIONAL STUDY, 2015E.C
(wolkite universty, 2023-10) EYOAS TEHERKU; FIKIRU GIRMA; ATITEGEB ENDALE
Background: Hypertension is one of the major health problems that can cause significant morbidity and mortality in the world. Since HTN is a silent killer for which the majority of hypertensive patients are unaware of their symptoms. It affects about 1.13 billion world population. 1-2% of this population have hypertensive crisis. Hypertensive crisis is becoming the main health issue in both high and low-income level countries. However, studies are scarce in developing countries such as Ethiopia. Objective of the study: To assess the prevalence of hypertensive crisis and associated factors among hypertensive patients who visit gurage zone public hospitals. Method: An institution-based cross-sectional study design was conduct in gurage zone during data collection period from May1/6/2015 to Jun1/9/2015e.c using structure and pretested questionnaire by reviewing of data and face to face interview. Additionally, weight, height, and blood pressure of participants were measured following standard procedures. Systematic Random sampling technique was used to select a total number of 422 participants. Data was entered in to Epi data version 4.6 and exported to SPSS version 26 for analysis. All variables in the multi-variable logistic analysis were candidate with a bi-variable at p < 0.25. The multivariable logistic regressions was performed to determine the predictors of hypertensive crisis, and the significance level was established with p <0.05. Result: The prevalence of hypertension crisis in gurage zone selected public hospitals was 22.7% (95% CI: 1.73-1.81). Male prevalence of HTN crisis were 12.7% (53) and female prevalence of HTN crisis were 10% (42). The mean (1.74) and range of ages of the participants were 24-80 year. Age categories from 45-65 years olds were high prevalence of HTN crisis; it accounts 9.2% (39). From all respondents 45.7% (193) participants have comorbid among those 107 were males and 86 were females. The highest prevalence of participant comorbid was DM 22.3% (94). Participants who drink alcohol were 56.4% (240) from this percent participant develop HTN crisis were 9.2% (39) (AOR=2.109, 95% CI: 1.303-3.415), participants who have family history were 51.2% (216) from this percent participant develop HTN crisis were 8.5% (36) (AOR=1.649, 95% CI: 1.010-2.693) were significantly associated with hypertensive crisis. Conclusion: The prevalence of HTN crisis was significant proportion for this study. Hence, hypertensive patients should be strictly managed accordingly, and promoting screening programs could reduce the risk of target organ damage. According to this study although hypertensive crises affects wider range of population age group about 53.1% are those with the age of 45-65. Majority of patients had already existing hypertension and Diabetes mellitus is the most common co morbid. For our study Participant having family history and drinking alcohol were significantly associated with HTN crisis. There for, there is an urgent need to create healthy awareness, frequent healthy screening and implementation of effective interventions targeting on the hypertensive patients.
HYPEREMESIS GRAVIDARUM AND ITS ASSOCIATED FACTORS AMONG PREGNANT WOMEN ADMITTED TO OBSTETRIC AND GYNAECOLOGIC CENTER AT WORABE COMPREHENSIVE SPECIALIZED HOSPITAL, SILTE ZONE, JUNE 2022, ETHIOPIA.
(wolkite universty, 2022-09) WAKUMA MIRESA; MUSEMA DILGEBA; SEMERYA CHEKIN
Background: Hyperemesis gravidarum is defined as a severe form of nausea and vomiting that occurs during pregnancy and characterized by dehydration, considerable weight loss of 3 kg or 5% or more from pre-conception, and ketonuria. In Ethiopia, especially in Silte Zone, a limited study has been conducted on the assessment of HEG and its determinants. Thus, this study is aimed to determine the prevalence and associated factors for HEG among pregnant women admitted to the obstetric and gynecologic center at Worabe Comprehensive Specialized Hospital. Objective: To assess the prevalence and associated factors for hyperemesis gravidarum among pregnant women admitted to the obstetric and gynecologic center at Worabe Comprehensive Specialized Hospital from April 11 to May 11, in 2022, Ethiopia. Methods: Facility-based cross-sectional study design was employed among 254 pregnant women admitted to the obstetric and gynecologic center at Worabe Comprehensive Specialized Hospital from April 11 to May 11 in 2022. PUQE (pregnancy-unique quantification of emesis and nausea) was used to identify severe NVP or HEG. Data was summarized using descriptive statistics, and p-value and adjusted odds ratio (AOR) were used to measure the significance of the association between dependent and independent variables. Results: In this study, the prevalence of HEG among pregnant women attending at Worabe comprehensive specialized hospital was 5.1% (95% CI; 2.4, 8.1). The result showed that being primigravida (AOR = 9.881; 95% CI: 2.678-36.454), having multiple gestations (AOR=5.548; 95% CI: 1.148-26.806), and having a family history of hyperemesis gravidarum (AOR= 4.982; CI 95%:1.453-17.077) were associated with HEG. Conclusions and recommendation: The prevalence of hyperemesis gravidarum was determined to be 5.1% (95% CI: 2.4, 8.1). First gestations, twin pregnancies, and having family history of HEG are significant risk factors for HEG. Thus, special consideration including early identification of those mothers during first ANC visiting, counseling for being visited at early stage of nausea and/vomiting is recommended. Furthermore, additional researches are needed on triggering factors, and negative effects associated with hyperemesis gravidarum are needed.
COLOSTRUM DISCARDING PRACTICE AND ASSOCIATED FACTORS AMONG MOTHERS OF CHILDREN AGED LESS THAN 1 YEAR IN WEST AZERNET BERBERE DISTRICT, SILTE ZONE, SNNP ETHIOPIA, 2021
(wolkite universty, 2021-09) ABDLFETA MOHAMMED
Abstract Background: Globally Colostrum discarding practice had been reported across different countries, in varied places with trends. A wide range of harmful new born feeding practices were documented in Ethiopia even after the implementation of infant and young child feeding guideline. Even though few studies conducted on Colostrum feeding in Ethiopia; majority of previous research works used solely quantitative approach and there was no sufficient information in our study area. Therefore, the objective of this study was to assess the prevalence of colostrum discarding practices and associated factors among mothers of children aged less than 1 year in West azernet berbere woreda.Methods: A community based cross- sectional study was conducted in west azernet berbere woreda from March 26 up to April 30/2021. Total samples of 434 study subjects were involved in the study. The quantitative data were collected by using pretested structured questionnaire and qualitative data were collected by using Focused Group Discussions. The quantitative data were coded and entered into epi-Data version 3.1 and exported to SPSS version 21 for analysis. Descriptive analysis like frequency and mean were performed. Binary and multiple logistic regression analysis were employed to identify associated factors. Variables with p-value <0.05 with 95% confidence interval identified statistically significant. Results: The prevalence of colostrum discarding practices in this study was 64(14.75%). The mothers who didn‟t attend ANC services during pregnancy of index infant [AOR=19.024, 95% CI: (2.007-188.313)], home delivery[AOR= 5.599, 95% CI: (1.042-30.084)], breast feeding initiated after one day of birth[AOR= 58.187, 95% CI; (2.041-1658.987)] , poor knowledge [AOR= 15.016, 95% CI; (3.174-71.039)] and negative attitude toward colostrum feeding[AOR= 59.418, 95% CI; (8.571-411.894)] were positively associated factors with colostrum discarding practices. Conclusion; Colostrum discarding practice among mothers of children aged less than 12 months in west azernet barbered woreda was found to be high when compared to WHO recommendation. Lack of ANC follow up, home delivery of index child, delayed initiation of breast feeding, poor knowledge on colostrum- feeding practices and negative attitude towards colostrum- feeding practices were significant factors associated with colostrum discarding practices of mothers.
PROPORTION OF COMPLETE TETANUS TOXOID IMMUNIZATION STATUS AND ASSOCIATED FACTORS AMONG PREGNANT MOTHERS WHO ATTENDING ANC AT WOLKITE TOWN HEALTH CENTERS, GURAGE ZONE, SOUTHERN ETHIOPIA, 2023.
(WOLKITE UNIVERSITY, 2023-08) DAGNACHEW ZERGA; ETALEM ABEGAZ
Background: Tetanus is a vaccine preventable, non- communicable infectious disease. And also, it is an acute, potentially fatal disease that is characterized by generalized increased rigidity and convulsive spasms of skeletal muscles. It is caused by the spore-forming bacterium Clostridium tetani. The main strategy to prevent the disease is immunization with protective dose of tetanus toxoid vaccine. But globally, maternal and neonatal tetanus is a public health problem due to low maternal tetanus toxoid vaccination. Ethiopia has highest neonatal mortality and morbidity related to tetanus in the world due to low tetanus toxoid immunization coverage. Objective: To assess the proportion of complete tetanus toxoid immunization status and associated factors among pregnant mothers who attending ANC at wolkite town health centers, Gurage zone, Southern Ethiopia, 2023.Methods: An institution based cross-sectional study was conducted on July 2023 on pregnant mothers who attending ANC at Wolkite town health centers. Systematic random sampling technique was used to select the sample of 237 women. Data was collected through face-to-face interview with semi-structured questionnaires. The data was entered and analysis was done by using SPSS version 25. Binary logistic regression analysis models were used to assess the association between dependent and independent variables.Result: A total of 237 women were interviewed with a response rate of 92.8%. The results of the study showed 20% of respondents were received complete TT vaccine. Variables including:secondary school [(AOR 0.043, 95% CI (0.007-0.271)], >4 ANC visits [(AOR 3.589, 95% CI (1.288-10.005)], health workers respectful [(AOR 0.115, 95% CI (0.037-0.359)] and feeling about the distance [(AOR 17.551, 95% CI (5.137-59.964)] were found to be predictors of receive complete doses of TT.Conclusion: The study revealed that relatively low. The results of the study showed 20% of respondents were received complete TT vaccine. In this study was found to be analogues as compared to studies conducted in other parts of Ethiopia like Shashemene. Factors like educational status of the mother, number of ANC, their feeling about the distance of nearest health center and health workers respectfulness were among those were significantly associated with proportion of complete tetanus toxoid immunization
EVIDENCE BASED PRACTICE UTILIZATION AND ITS ASSOCIATED FACTORS AMONG NURSES IN WOLLAYTA SODO UNIVERSITY COMPRHENSIVE SPECIALIZED HOSPITAL AND HALABA KULITO GENERAL HOSPITAL, SOUTH ETHIOPIA, 2023.
(WOLKITE UNIVERSITY, 2023-08) SEADA OUMER; SELAMAWIT ENAWGAW; ZEMECHA TADEMU
Background: Evidence-based practice is the thoughtful, concise, and prudent use of the most recent, best evidence when making decisions about the care of the specific patient. The EBP paradigm for healthcare professionals is an important means to improve the quality of patient care, but its implementation is still lacking. Objective: To assess evidence-based practice utilization and its associated factors in Wollayta Sodo University Comprehensive & Specialized Hospital and Halaby Kulito General Hospital, South Ethiopia, 2023.Methods: An institution-based cross-sectional study was conducted among nurses working in Wollayta Sodo University Comprehensive Specialized Hospital and Halaba Kulito general hospital, of south region from May 17 to Jun 18 2023.418 BSc nurses was involved in the study. Simple random sampling technique was employed for the study. Self-administered questioners used to collect data. Data was collected by data collectors. Descriptive analysis was done. The collected data was entered to Epi data version 4.6 and analyzed using SPSS version 25 statistical software package. Bivariate and multivariate logistic regression was done. having a p value of <0.05 with Adjusted ORs together with its corresponding 95% CIs was taken to measure the level of significance of the association. Results From 418 proposed nurses, 382 of them completed the questionnaire giving 91.4% response rate. Of these, 56% of them had good evidence-based practice utilization. Variables including good knowledge (AOR =6.88: 95% CI: 4.324–10.942), EBP training (AOR = 1.78:95% CI: 1.11–2.855) and level of confidence (AOR = 2.19: 95% CI: 1.22–3.929) were found to be predictors of evidence-based practice utilization. Conclusions The study revealed that evidence-based practice utilization among nurses is relatively low. Nurses need to give attention to level of confidence along with their EBP; Hospitals need to manage to provide training about evidence practice which raises level of utilization.
LABOR COMPANIONSHIP AND ITS ASSOCIATED FACTORS AMONG POSTNATAL MOTHERS AT ATTAT PRIMARY HOSPITAL AND WOLKITE UNIVERSITY SPECIALIZED HOSPITAL, GURAGE ZONE, SNNPs REGION, ETHIOPIA, 2023.
(WOLKITE UNIVERSITY, 2023-08) HAWI JEBESSA; MASRESHA GEREMEW
Background: Labor companionship is the assistance given to a woman throughout her labor and childbirth. The burden of maternal and perinatal deaths is surprisingly higher in low resource countries compared to developed countries, this discrepancy is due to lack of quality of care and the low utilization of institutionalized, client-centered and continuous preferred companion-supported care in less developed countries. companionship has great impact on the reduction of maternal and perinatal death by encouraging facility-based delivery. Therefore, this research will assess the labor companionship implementation and its associated factors in primary and specialized hospitals, Gurage Zone, SNNP, Ethiopia 2023. Objective: To assess labor companionship and its associated factors among post-natal mothers at Attat primary hospital and WKU specialized hospital, Gurage Zone, SNNP, Ethiopia, 2023. Methods: Institution based cross-sectional study design was employed. From the total sample size of 372 post-natal mothers, 361 postnatal mothers were participated in the study and we collected individual respondent consecutively as per the total numbers of women per one month and the data was collected by using structured questionnaire from woman who gave childbirth in Attat primary hospital and WKU specialized hospital from May 25 to June 26, 2023. The data was entered in Epi data manager version 4.4 and exported to Statistical Package for Social Sciences (SPSS) version 27 for analysis. Bivariate and multivariable logistic regression was used to assess the factor association. Result: A total of 361 participants were involved in the study with a 97.045 response rate. The magnitude of labor companionship during labor (first stage) was found to be 78.9% and during delivery (second stage) 15.5%. Women who had complicated labor and delivery (AOR= 5.132; CI= 95%: 1.597, 10.691), women's residence (who live in urban) (AOR= 4.796, CI= 95%: 1.859, 12.369), Good attitude toward having support person (AOR= 12.21, CI= 95%: 4.648, 32.097), comfortability of the facility (AOR= 5.044 CI= 95%: 1.926, 13.209),women’s perceived SBA were not busy (AOR= 8.888, CI= 95%: 3.944, 20.031), being primipara (AOR= 4.755, CI= 95%: 1.235, 6.144) were significantly associated with labor companionship. Conclusion: Labor companionship during delivery (second stage) was found to be low. Giving emphasis on the Attitude toward having support person, residence, complicated labor and delivery, busyness of skilled birth attendants, being primipara were suggested for the improvement of labor companionship.
MAGNITUDE OF FUNCTIONAL DYSPEPSIA AND ITS ASSOCIATED FACTORS AMONG ADULTS VISITING OUT PATENT DEPARTMENT AT WOLKITE UNIVERSITY SPECIALIZED HOSPITAL, WOLKITE ETHIOPIA
(WOLKITE UNIVERSITY, 2023-08) DADITU TAYE; MOHAMED ABDO; ELIAS LEGASU
Background: Functional dyspepsia is a prevalent condition with symptoms that originate in the upper abdomen area, both in the general population and in clinical settings. The magnitude of functional dyspepsia and its contributing variables vary from nation to nation. It is most common gastrointestinal disease in developing countries. However, had not been widely used in routine medical practice because the concept of functional dyspepsia is relatively new and not widely recognized, usually missed in the diagnosis. The magnitude of functional dyspepsia in Ethiopia is not well known and limited researches has been conducted about it in Ethiopia. Objective: To assess the magnitude of functional dyspepsia and its associated factors among adults visiting outpatient department at Wolkite University Specialized teaching hospital: 2023 G.C. Method: Institution based cross-sectional study design was utilized and the 254 participants were interviewed using both self-administered and interviewer administered structured questionnaires and they were selected using consecutive sampling technique. The data was collected, sorted by group members then entered into EPI data version 3.4 software, and exported to statistical package for social sciences (SPSS) version 27 software packages for further analysis. The association between each independent variable and the dependent was determined using binary logistic regression. In a multivariable analysis, variables were considered statistically significant if they had a P-value of less than 0.05 at 95% confidence interval. RESULT: A total of 254 patients participated in this study with 100% response rate. Functional dyspepsia was diagnosis in76(29.9%), by using R3DQ. In multivariate regression analysis, occupation (AOR:0.281,95%CI (0.11-0.721)), drugs (A0R:3.624,95%CI (1.915-6.856)), smoking (AOR:3.181,95%CI (1.498,6.758) and drinking alcohol (AOR: 0.36(0.14-0.97), were significantly associated with functional dyspepsia at p-value (≤0.05).Conclusions and Recommendations: The result of this study show that functional dyspepsia was associated with a variety of factors. Functional dyspepsia could be prevented by working on lifestyle habits modification and giving more attention towards drug user
Awareness towards glaucoma and its associated factors among adult clients in Ophthalmology department of Gurage zone hospitals(2023)
(WOLKITE UNIVERSITY, 2023-08) MEKFIRA MEHDI; MELAKU ALEMU; WUBETU MIRKUZE
Background: Awareness of glaucoma is directly affected by good eye screening practice which in turn helps for reduction of the blindness burden of glaucoma. However, it is unknown in the study area, making provision of interventions difficult. This study was intended to assess awareness of glaucoma and associated factors among adults in Gurage zone hospitals, South Ethiopia. Objective: Our research aims to assess Awareness towards glaucoma and associated factors among adult clients in Ophthalmology department of Gurage zone hospitals (2023 GC) Method and Materials: Institutional based cross-sectional study was conducted among adult client who visits Ophthalmology department of Gurage zone hospitals. Paper based interview and standardized structured questionnaire was used to collect data after verbal informed consent. Data collection was conducted May 15 up to May 29. The collected data was cleaned, coded and entered in to SPSS version 26. Errors related to inconsistency were minimized using cross tabulation. The results were presented in narrative, tables, and graphs. Furthermore, logistic regression, specifically binary and multivariable logistic regression, analysis was used to identify factors related awareness towards glaucoma among patients. Result: A total of 179 study participants were involved making response rate of 94.22%. More than half of the respondents 97 (54.2%) were male. The proportion of awareness of glaucoma was 44%, with 95% CI [32.44-55.56], it was positively associated with educational status: primary and secondary education [AOR:1.9,1.1-2.8], college and above[AOR:2.06,1.3-3.1], and history of chronic diseases, HTN [AOR:0.6,0.1-3.7]. place of residence [AOR: 0.68,0.24-1.8].Conclusion: The Level of awareness towards glaucoma was low Mean glaucoma awareness score were 44%, with 95% CI (32.44%-55.56%) in this population. The level of awareness towards glaucoma in this study were strongly associated to Level of education of respondents (AOR =2.06(1.3-3.1, 0.001)). The study findings imply the need for health education about the glaucoma to effectively aware clients, and prevent blindness due to the disease.
PREVALENCE OF HYPERTENSIVE CRISIS AND ASSOCIATED FACTORS AMONG HYPERTENSIVES PATIENTS IN GURAGE ZONE SELECTED PUBLIC HOSPITAL, ETHOPIA, A CROSS SECTIONAL STUDY, 2015E.C
(WOLKITE UNIVERSITY, 2023-08) EYOAS TEHERKU; FIKIRU GIRMA; ATITEGEB ENDAL
Background: Hypertension is one of the major health problems that can cause significant morbidity and mortality in the world. Since HTN is a silent killer for which the majority of hypertensive patients are unaware of their symptoms. It affects about 1.13 billion world population. 1-2% of this population have hypertensive crisis. Hypertensive crisis is becoming the main health issue in both high and low-income level countries. However, studies are scarce in developing countries such as Ethiopia. Objective of the study: To assess the prevalence of hypertensive crisis and associated factors among hypertensive patients who visit gurage zone public hospitals. Method: An institution-based cross-sectional study design was conduct in gurage zone during data collection period from May1/6/2015 to Jun1/9/2015e.c using structure and pretested questionnaire by reviewing of data and face to face interview. Additionally, weight, height, and blood pressure of participants were measured following standard procedures. Systematic Random sampling technique was used to select a total number of 422 participants. Data was entered in to Epi data version 4.6 and exported to SPSS version 26 for analysis. All variables in the multi-variable logistic analysis were candidate with a bi-variable at p < 0.25. The multi variable logistic regressions was performed to determine the predictors of hypertensive crisis,and the significance level was established with p <0.05.Result: The prevalence of hypertension crisis in gurage zone selected public hospitals was 22.7% (95% CI: 1.73-1.81). Male prevalence of HTN crisis were 12.7% (53) and female prevalence of HTN crisis were 10% (42). The mean (1.74) and range of ages of the participants were 24-80 year. Age categories from 45-65 years olds were high prevalence of HTN crisis; it accounts 9.2% (39). From all respondents 45.7% (193) participants have comorbid among those 107 were males and 86 were females. The highest prevalence of participant comorbid was DM 22.3% (94). Participants who drink alcohol were 56.4% (240) from this percent participant develop HTN crisis were 9.2% (39) (AOR=2.109, 95% CI: 1.303-3.415), participants who have family history were 51.2% (216) from this percent participant develop HTN crisis were 8.5% (36) (AOR=1.649, 95% CI: 1.010-2.693) were significantly associated with hypertensive crisis.ivConclusion: The prevalence of HTN crisis was significant proportion for this study. Hence, hypertensive patients should be strictly managed accordingly, and promoting screening programs could reduce the risk of target organ damage. According to this study although hypertensive crises affects wider range of population age group about 53.1% are those with the age of 45-65. Majority of patients had already existing hypertension and Diabetes mellitus is the most common co morbid. For our study Participant having family history and drinking alcohol were significantly associated with HTN crisis. There for, there is an urgent need to create healthy awareness, frequent healthy screening and implementation of effective interventions targeting on the hypertensive patients
EVIDENCE BASED PRACTICE UTILIZATION AND ITS ASSOCIATED FACTORS AMONG NURSES IN WOLLAYTA SODO UNIVERSITY COMPRHENSIVE SPECIALIZED HOSPITAL AND HALABA KULITO GENERAL HOSPITAL, SOUTH ETHIOPIA, 2023
(WOLKITE UNIVERSITY, 2023-08) SEADA OUMER,; SELAMAWIT ENAWGAW,; . ZEMECHA TADEMU,
Background: Evidence-based practice is the thoughtful, concise, and prudent use of the most recent, best evidence when making decisions about the care of the specific patient. The EBP paradigm for healthcare professionals is an important means to improve the quality of patient care, but its implementation is still lacking. Objective: To assess evidence-based practice utilization and its associated factors in Wollayta Sodo University Comprehensive & Specialized Hospital and Halaba Kulito General Hospital, South Ethiopia, 2023. Methods: An institution-based cross-sectional study was conducted among nurses working in Wollayta Sodo University Comprehensive Specialized Hospital and Halaba Kulito general hospital, of south region from May 17 to Jun 18 2023.418 BSc nurses was involved in the study. Simple random sampling technique was employed for the study. Self administered questioners used to collect data. Data was collected by data collectors. Descriptive analysis was done. The collected data was entered to Epi data version 4.6 and analyzed using SPSS version 25 statistical software package. Bivariate and multivariate logistic regression was done. having a p value of <0.05 with Adjusted ORs together with its corresponding 95% CIs was taken to measure the level of significance of the association. Results From 418 proposed nurses, 382 of them completed the questionnaire giving 91.4% response rate. Of these, 56% of them had good evidence-based practice utilization. Variables including good knowledge (AOR =6.88: 95% CI: 4.324–10.942), EBP training (AOR = 1.78:95% CI: 1.11–2.855) and level of confidence (AOR = 2.19: 95% CI: 1.22–3.929) were found to be predictors of evidence-based practice utilization. Conclusions The study revealed that evidence-based practice utilization among nurses is relatively low. Nurses need to give attention to level of confidence along with their EBP; Hospitals need to manage to provide training about evidence practice which raises level of utilization.

Bachelor of Science

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