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Primary stroke prevention in Nigerian children with sickle cell disease (SPIN): Challenges of conducting a feasibility trial
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Najibah A. Galadanci MBBS FMCPath Shehu U. Abdullahi MD FWACPaed Musa A. Tabari MBBS FMCR FICS Shehi Abubakar MBBS Raymond Belonwu MBBS FWACPaed Auwal Salihu MBBS FMCPsych Kathleen Neville MD MS Fenella Kirkham MD FRCP FRCPCH Baba Inusa MD FRCPCH DCP Yu Shyr PhD Sharon Phillips MSPH Adetola A. Kassim MBBS FMCPath Lori C. Jordan MD PhD Muktar H. Aliyu MBBS MPH DrPH Brittany V. Covert MPH Michael R. DeBaun MD MPH 《Pediatric blood & cancer》2015,62(3):395-401
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B.J. Brown FWACP J.O. Okereke MB BS I.A. Lagunju FMCPaed A.E. Orimadegun FWACP J.U. Ohaeri FMCPsych MD MRCPsych O.O. Akinyinka PhD FRCPCH 《Health & social care in the community》2010,18(3):289-295
Sickle cell anaemia in children is characterised by recurrent crises that frequently involve intensive medical care which may impact on the health and well‐being of their carers. The psychosocial impact of sickle cell disease on 67 carers of children with sickle cell disease attending the Paediatric Haematology/Oncology clinic of the University College Hospital, Ibadan, Nigeria, was determined between February and May 2007 using a structured questionnaire adapted from an instrument earlier validated for the study of carer burden in sickle cell disease and relevant to the Nigerian culture. Data analysis was performed using the Statistical Package for Social Sciences (SPSS) version 15.0. Demographic factors as well as frequency of hospitalisations and blood transfusions were each categorised into groups and the Mann–Whitney U‐test was used to test for differences in stress scores between any two groups while the Kruskal–Wallis test was used to test for differences in more than two groups. Level of statistical significance was set at P < 0.05. Family finances were adversely affected in 39 (58.2%) families. Financial stress was frequently associated with a history of two or more hospitalisations in the previous year and more so in families with more than three children. Majority (80.6%) of the carers said they had minimal or no difficulty coping with their children. There was also a significant correlation between financial stress and difficulty in parental coping. Caring for the illnesses in the children often caused disruptions in family interactions; worst in the first year after diagnosis and improved over the years. Regular assessment of psychosocial areas of need is necessary to guide provision of necessary support. 相似文献
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Omigbodun OO Odukogbe AT Omigbodun AO Yusuf OB Bella TT Olayemi O 《Social psychiatry and psychiatric epidemiology》2006,41(5):415-421
Background Studies suggest that high levels of stress and psychological morbidity occur in health care profession students. This study
investigates stressors and psychological morbidity in students of medicine, dentistry, physiotherapy and nursing at the University
of Ibadan.
Methods The students completed a questionnaire about their socio-demographic characteristics, perceived stressors and the 12-item
General Health Questionnaire. Qualitative methods were used initially to categorise stressors. Data was then analysed using
univariate and logistic regression to determine odds ratios and 95% confidence intervals.
Results Medical and dental students were more likely to cite as stressors, overcrowding, strikes, excessive school work and lack of
holidays while physiotherapy and nursing students focused on noisy environments, security and transportation. Medical and
dental students (1.66; SD: 2.22) had significantly higher GHQ scores than the physiotherapy and nursing students (1.22; SD:
1.87) (t = 2.3; P = 0.022). Socio-demographic factors associated with psychological morbidity after logistic regression include being in a
transition year of study, reporting financial distress and not being a ‘Pentecostal Christian’. Although males were more likely
to perceive financial and lecturer problems as stressors and females to perceive faculty strikes and overcrowding as source
of stress, gender did not have any significant effect on psychological morbidity. Stressors associated with psychological
distress in the students include excessive school work, congested classrooms, strikes by faculty, lack of laboratory equipment,
family problems, insecurity, financial and health problems.
Conclusion Several identified stressors such as financial problems, academic pressures and their consequent effect on social life have
an adverse effect on the mental health of students in this environment especially for students of medicine and dentistry.
While stressors outside the reach of the school authorities are difficult to control, academic support including providing
a conducive learning environment, advice on means for sustenance, added support during periods of transition are key areas
for interventions. 相似文献
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