Browsing by Author "Acharya, Devaka Kumari"
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Publication Knowledge, Attitudes, and Practices Concerning COVID-19 in Nepal(Nepal Health Research Council, 2023) Bhattarai, Anil; Ranabhat, Kamal; Saud, Bhuvan; Bhattarai, Suraj; Paudel, Kiran; Acharya, Devaka Kumari; Tripathi, Sangita; Shah, Sangam; Bhatta, Nikita; Das, Santa KumarAbstract Background: Coronavirus disease-2019 (COVID-19) severely affects patients with chronic diseases. Adequate knowledge, attitudes, and practice related to COVID-19 is associated with decrease morbidity and mortality. Therefore, this aimed to assess knowledge, attitudes, and practice toward COVID-19 disease among chronic diseases patients visiting tertiary hospitals in Kathmandu. Methods: A cross-sectional study was conducted among chronic disease patients who visited Tribhuvan University Teaching Hospital and Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu. Structured questionnaire was used to collect patients’ socio-demographic data and perspectives on COVID-19. Results: Four hundred chronic disease patients participated in the study, with 53.2% female and 46.8% male, and 56.8% of age ?50 years. Overall, 55.5% of the participants had good knowledge, 56.2% had good practice, and 30.7% had positive attitude towards COVID-19. Younger patients, 18-34 years, were found to have higher odds of having good knowledge compared to other age groups (aOR: 2.5; 95% CI: 1.3-6.0). The patients with less than average family income and those unable to read and write had lower odds of having positive attitude towards COVID-19 (aOR: 0.6; 95% CI: 0.4-0.9 and aOR: 0.4; 95%CI: 0.2-0.9, respectively). A statistically significant correlation was found between the patients’ knowledge and practice, knowledge and attitude, and attitude and practice (p <0.001). Conclusions: Nearly half of the chronic disease patients in Nepal had poor knowledge and practice whereas more than two-third had negative attitude towards COVID-19 disease. Older age of the patient was significantly associated with poor knowledge and practice. Keywords: Attitudes; chronic diseases; COVID-19; knowledge; practicePublication Self-Esteem smong Undergraduate Students in a Nursing College in Kathmandu: A Descriptive Cross-sectional Study(Institute of Medicine, Tribhuvan University, 2024) Kansakar, Prajina; Acharya, Devaka KumariAbstract: Introduction: Self-esteem is evaluation of self as being worthy and capable, the extent of which may be influenced by personal, interpersonal, and academic factors. Nursing is a stressful and demanding profession and requires positive self-esteem to develop confidence for healthy interaction with patients and health professionals. So, this study aimed to find out the self-esteem of undergraduate nursing students in a nursing college. Methods: A descriptive cross-sectional study was conducted among 118 undergraduate nursing students studying in first and third year of BSc Nursing and Bachelor of Nursing Science programs at Maharajgunj Nursing Campus, using proportional stratified simple random sampling. Data was collected through self-administered questionnaire with Likert Scale that measure self-esteem. Data analysis was done in SPSS version 16 using descriptive and inferential statistics. Results: Among 118 undergraduate nursing students, 63.6% (75) students had high self-esteem, 34.7% (41) had average self-esteem and 1.7% (2) had low self-esteem. Regarding the dimensions of self-esteem, mean percentages of the respondents were 78.7% (mean score 23.61 ± 3.59) for personal self-esteem, 80.1% (mean score 8.01 ± 1.48) for parentally derived self-esteem, 75.5% (mean score 26.44 ± 3.92) for academic self-esteem and 72.6% (mean score 18.15 ± 3.07) for social self-esteem. There was statistically significant association of self-esteem with age (p=0.001) and nursing education as their first professional choice (p=0.008). Conclusion: Majority of undergraduate nursing students have high level of self-esteem. More than one-third of them have average self-esteem. Self-esteem is low in academic and social dimension in comparison to personal and parental dimension. To strengthen students’ self-esteem teachers and campus administration, student support committee need to create supportive learning environment that would help to understand and deal with challenges in nursing education and practice, build self-confidence, self-worth, good communication. Parents’ support is necessary in building the students’ self-esteem.