Browsing by Author "Dahal, Tulasha"
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Publication Depression, Anxiety and Stress among Nurses Providing Care to the COVID-19 Patients: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Bhandari, Menuka; Yadav, Upendra; Dahal, Tulasha; Karki, AnjulaAbstract: Introduction: Addressing adequately the mental health during and after COVID-19, as well as preparation for possible future outbreaks, requires an understanding of the nature and extent of mental health impacts, factors related to negative mental health outcomes and symptoms of mental illness. The aim of this study was to find the prevalence of depression, anxiety and stress among nurses providing care to the COVID-19 patients. Methods: A descriptive cross-sectional study was conducted from 10th April 2021 to 30th June 2021 among 301 nurses from three COVID-19 dedicated hospitals using self-administered questionnaires. Whole sampling technique was used. Ethical approval was obtained from the Ethical Review Board of Nepal Health Research Council (Registration number: 106/2021P). The data was analyzed using the Statistical Package for the Social Sciences version 16. Descriptive statistics like frequency, percentage, mean and standard deviation were calculated. Results: Out of 301 nurses, the prevalence of depression, anxiety and stress was 258 (85.72%), 189 (62.80%) and 151 (49.84%) respectively. Conclusions: The study has shown a higher prevalence of depression, anxiety and stress among nurses in comparison to other studies in the similar settings. A quick assessment of the mental health status and mental health requirements of nurses would be helpful in responding to and reducing psychological distress in the crisis situation. The mental health status of nurses should thus be closely monitored by the employing health institutions including managing their workload, providing emotional support and responding to their personal needs.Publication Womens Autonomy and Utilization of Maternal Health Care Services(Nepal Health Research Council, 2023) Dahal, Tulasha; Neupane, Sarswati; Chapagain, Pratikshya; Khanal, RanjeetaAbstract Background: Maternal health care means the health care that a woman receives during pregnancy, childbirth and postnatal period. Utilization of above service is crucial for the wellbeing of a mother and new born. The objective of the study is to find out women’s autonomy and maternal health care utilization in a community of Morang district. Methods: Cross-sectional study was conducted in the Gramthan Rural municipality which is located at Morang district. Study population was married women having at least one child under 12 month of age. Simple random sampling techniques was used to select the wards whereas purposive sampling technique was used to collect data with semi- structured interview schedule.Data analysis was done through binary logistic regression was used to findout the association between maternal health care utilization service with autonomy and demographic variables. All variables with a p-value 0.10 included in multivariate logistic regression. Results: Out of 318 women 36.5% had high level of autonomy and maternal health service was utilized by 29.2%. In bivariate analysis, women’s high level of autonomy was 2.033 times higher utilization of maternal health services than women’s with low autonomy. Respondents with unemployment, 0.528 times higher utilization of maternal health services than employment (p-value 0.011, CI 0.322-0.866). Ethnicity was also associated with utilization of maternal health services. In multivariate analysis education remained associated with utilization of maternal health services (p-value 0.004, 0.015, 95% CI 1.830-23.342, 1.197-5.184). It was found that the respondents with primary and secondary level education were 65% and 24% more utilized maternal health services than illiterate. Conclusions: Both level of autonomy and maternal services utilization are not satisfactory and poor specially illiterate women in a community of morang district. Women’s autonomy should be enhance to increase maternal health care utilization. Keywords: Autonomy; maternal health care; utilization