Browsing by Author "Banstola, Ratna Shila"
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Publication Metered Dose Inhaler among Patients with Respiratory Disorders(Nepal Health Research Council, 2025) Aryal, Kalpana Paudel; Rai, Nisha; Banstola, Ratna ShilaAbstract Background: Metered dose inhaler is the most recommended and efficient therapy for management of respiratory disorders but incorrect inhaler use has critical to get significant impact of medication. The study aimed to assess the knowledge and practice on Metered dose inhaler among patients with respiratory disorders. Methods: Cross-sectional study was conducted among 126 patients with respiratory conditions in 2021 in a teaching hospital. A structured questionnaire was used to assess knowledge on using Metered dose inhaler whereas checklist created by the WHO Guide to Good Prescribing was used to evaluate patient’s practice on inhalation technique. Results: The results showed that 74 (58.7%) of the patients were female and belonged to age group 66-80 years (mean/SD 63.35±11.803). Over half of the patients i.e., 66 (52%) had a satisfactory level of knowledge whereas, only 2 (1.6%) patients were aware on the waiting time between each puff of Metered dose inhaler. The results showed that only 3 (2.4%) patients had practiced correct technique on Metered dose inhaler. Conclusion: Though the higher proportion of the patients had satisfactory level of knowledge on Metered dose inhaler use but critical gap was seen in essential steps for using Metered dose inhaler. Healthcare providers should consider appropriate measure to increase the knowledge and correct use of Metered dose inhaler. That ultimately improves the quality of respiratory health of patients with respiratory disorders. Keywords: Knowledge; metered dose inhaler; patients; practice; respiratory disorders.Publication Psychological Burden Faced by Parents having Children with Thalassemia in a Teaching Hospital of Birgunj, Madhesh province(Institute of Medicine, Tribhuvan University, 2024) Shrestha, Romina; Shah, Rubi; Bhandari, Keshav; Banstola, Ratna ShilaAbstract: Introduction Caring for a child suffering from thalassemia is very stressful for parents. The study was aimed to identify the psychological burden of parents having children with thalassemia. Methods Cross-sectional analytical study was done. The parents having children diagnosed with thalassemia and receiving service from Pediatric OPD, National Medical College were the study participants. Non-probability convenience sampling technique was used and sample size was 88. Data was collected through face-to-face interviews using a structured interview schedule. Data analysis was done in SPSS version 16. Chi-square test, fisher’s exact test and odds ratio were used to examine the association. Results Mean psychological burden score was 47.47 ± 10.9, and 71.6% of parents had moderate level of psychological burden. Level of psychological burden was associated with parents’ sex (p=0.03), education level (p=0.03), and income (p=0.01). Odds ratio determined that psychological burden was 2.9 times higher (95% CI = 1.1-7.6) among mothers, 3.7 times higher (95% CI = 1.4-9.9) for the parents whose income was insufficient to get their needs met. Non-literate parents were 3.6 times and parents with primary to secondary level education were 1.6 times more likely to have psychological burden. In contrast, those with higher secondary or above levels of education were less likely to perceive psychological burden (OR = 0.3, 95% CI = 0.4-1.0). Conclusion More than two-thirds of the parents having children with thalassemia tend to have moderate levels of psychological burden. The measures to reduce psychological burden of parents should focus more towards mothers, those parents with low education level and with less income.