Research Article
Exploring Maternity Care Variations: Model vs. Non-Model Hospital in Bangladesh
Issue:
Volume 12, Issue 3, June 2024
Pages:
44-51
Received:
2 June 2024
Accepted:
17 June 2024
Published:
29 June 2024
Abstract: Introduction: Maternal healthcare is a critical component of public health systems worldwide, aiming to safeguard the health and well-being of mothers and infants during pregnancy, childbirth, and the postpartum period. Aim of the study: The aim of this study is to conduct a comparative analysis of maternity care services between a selected model district hospital and a non-model district hospital in Bangladesh. Methods: A cross sectional study was conducted over a period of 12 months starting from January to December 2020 at two district hospitals of Rangpur Division named Kurigram District Hospital (250 bedded Model hospital) and Lalmonirhat district hospital (100 bedded Non -Model hospital) among the mothers who had institutional delivery during the study period. Result: In the model district hospital majority 93.3% of mothers received an explanation of possible events that might occur during childbirth, compared to only 10.0% in the non-model district hospital. In the model district hospital, 86.7% of mothers received regular monitoring and were informed time to time, compared to only 6.7% in the non-model district hospital. In the model district hospital, 80.0% of mothers received information about their general physical condition at discharge, compared to only 13.3% in the non-model district hospital. This difference is highly significant (p-value = 0.00), with an odds ratio of 26 respectively. Conclusion: In conclusion, the comparative analysis of maternity care services between model and non-model district hospitals in Bangladesh offers valuable insights into the complexities of maternal healthcare delivery in LMICs.
Abstract: Introduction: Maternal healthcare is a critical component of public health systems worldwide, aiming to safeguard the health and well-being of mothers and infants during pregnancy, childbirth, and the postpartum period. Aim of the study: The aim of this study is to conduct a comparative analysis of maternity care services between a selected model d...
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Research Article
Supporting Patients with Amputated Lower Limb in Accepting Their New Body Images by Traumatology Nurses of Central Hospital Yaoundé-Cameroon: An Exploratory Study
Mispar Guinyonga Wankam*
,
Kengne Djeudjo Ingrid Fabiola,
Fouodji Engo François De Sales
Issue:
Volume 12, Issue 3, June 2024
Pages:
52-59
Received:
14 March 2024
Accepted:
27 April 2024
Published:
15 July 2024
Abstract: This study aims at exploring the role of the nurse in supporting patients with the amputated lower limb towards the acceptance of their new body images in the traumatology B unit of the Central Hospital in Yaoundé-Cameroon. The study used a qualitative exploratory design. The study population was made up of eight nurses from the traumatology unit of the central hospital in Yaoundé-Cameroon. Data were collected using a semi-structured interview guide from a purposeful sample of nurses. The saturation level determined the sample size for the study. Data were analyzed using inductive content analysis. The results obtained from this study showed that it is difficult to take care of patients with amputated lower limbs as physical support e.g. hygiene care; wound dressings, pain evaluation and care were outlined by most of the nurses as the main mode of support given to patients. Consideration should be given to non-pharmacological and less invasive surgical interventions for phantom limb pain, as they are associated with less common and less severe side effects. Active listening, reassuring patients, helping relationship and confidence were the main elements of psychological support stated by the nurses. The main challenges nurses encountered in supporting amputated patients were difficult communication and language barrier. The findings from this study proposed that there were many factors to take into account in order to be able to help patients with amputated lower limb: physical and moral pain, the psychological aspect with modification of body image, loss of self-esteem etc... The nurse must demonstrate human and relational qualities and great psychological resistance in order to effectively support the amputated patient on the physical level by providing hygiene and comfort care, dressing; and on the psychological level by questioning the patients about their difficult emotions while being available to listen in order to establish a nursing diagnosis and help the patients to cope with their difficulties.
Abstract: This study aims at exploring the role of the nurse in supporting patients with the amputated lower limb towards the acceptance of their new body images in the traumatology B unit of the Central Hospital in Yaoundé-Cameroon. The study used a qualitative exploratory design. The study population was made up of eight nurses from the traumatology unit o...
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