Browsing by Author "Devkota, N"
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Publication Knowledge and Practices of Child Protection among the School Health Nurses of Nepal(Kathmandu University, 2021) Chapgain, RH; Adhikari, S; Pandey, A; Sharma, S; Pokhrel, S; Devkota, N; Shrestha, NJ; Upadhaya, D; Acharay, J; Dharel, MABSTRACT Background Child protection is burning issues in developing countries including Nepal. Child protection is one of the key works of the school health nurses. Objective To find out about the existing knowledge and practices of child protection among the school health nurses. Method This descriptive cross-sectional study was conducted among 130 school health nurses working in different schools throughout Nepal. The participants were selected using purposive sampling technique and were invited to participate via various online networks. Self-administered questionnaire was used to collect data. Duration of data collection was 20 December 2020 to 10 February 2021. Descriptive statistics was used to analyze and interpret the data. Result Among the 130 Participants, 88.5% belonged to less than 29 years age group and 67.7% had Proficiency Certificate Level in Nursing education. None of them has received training related to child protection recognition and response and 90.8% had work experience of less than 5 years. Eighty percent and 96.9% participants had knowledge regarding the meaning of child right and child abuse respectively. But 45.4% had knowledge on meaning of child neglect; 53.1% and 72.3% had the knowledge of physical abuse and noncontact sexual abuse respectively. Majority (86.9%) of the participants reported as relatives were the abuser and 63.8% replied as home is the common place for abuse. Similarly, 85.4% had received the information regarding child protection via television radio and newspaper. Only 36.1% has already been involved in child protection. The participants who went to local government (Palika), police and Non-government Organizations for coordination for child right issues were 9(19.1%), 7(14.8%) and 8(17.0%) respectively. Conclusion Most of the school health nurses are young without having experience of childhood abuse and received any child protection training before joining the job. They have good knowledge of child right, physical, sexual abuse except child neglect and existing legal arrangements. There is gap in knowledge and practice. KEY WORDS Child abuse, Knowledge, Practice, School health nursesPublication Quality of Life and Associated Factors among Patients with Stroke at Tertiary Hospital, Nepal(Kathmandu University, 2024) Chaudhary, B; Devkota, N; Kafle, BR; Pradhan, S; Maharjan, PL; Adhikari, HPABSTRACT Background Stroke is the second leading cause of mortality globally, with 70% of cases occurring in low- and middle-income countries. Various risk factors for stroke have been identified as predictors of Health-Related Quality of Life (HRQoL). Objective This study aims to assess the impact of associated factors of stroke on the quality of life (QoL) of stroke patients at this tertiary hospital in Nepal. Method A descriptive cross-sectional study was conducted among 92 stroke patients at Annapurna Neurological Institute and Allied Sciences from June to December, 2022. Data were collected through a pre-designed and pre-tested SS-QoL questionnaire followed by a face-to-face interview. SPSS version 22 was employed for analysis, and Mann-Whitney U tests and Kruskal-Wallis H tests was applied to determine the association of variables at a 5% level of significance. Result About two-thirds of the participants were male, indicating a male predominance. Patients aged 45-55 exhibited higher quality of life in family roles and vision, possibly due to the adversity of stroke in older patients. Ischemic stroke was three times more prevalent than hemorrhagic stroke, and those individuals reported higher quality of life, particularly in work and productivity. However, other domains remained statistically insignificant. Among the studied comorbidities, hypertensive patients had the highest overall quality of life. Conclusion Conducting a comprehensive evaluation of the overall quality of life in individuals who have experienced a stroke can contribute to improved health outcomes, particularly in terms of their functioning and well-being in psychosocial aspects. KEY WORDS Co-morbidity, Quality of life (QoL), Stroke, Stroke specific quality of life scalePublication Self-Reported Emotional and Behavioural Problems among Adolescents, Kathmandu(Kathmandu University, 2023) Pandey, A; Adhikari, K; Dhakal, K; Pandey, AR; Upadhyay, R; Devkota, NABSTRACT Background Adolescents are highly vulnerable to different types of behavioural problems that can affect their academic and social lives. If left untreated, serious mental illness can develop. Objective The objective of this study was to find out emotional and behavioural problems among adolescents. Method A descriptive cross-sectional study was conducted among 275 adolescents studying in grades 7-11 at five private schools in Kathmandu. A non-probability convenience sampling technique was used to select required sample. The self-reported Strengths and Difficulties Questionnaire was used to collect data. Ethical approval was obtained from the Institutional Review Committee at the Institute of Medicine, Tribhuvan University. Descriptive statistics were used to analyse the data. The chi-square test was used to measure the association between behavioural problems and selected variables at a 95.0% confidence level. Result The mean age of the adolescents was 13.66 (SD ± 1.13) years, and 53.1% were female. In total, 7.3% and 13.8% of adolescents had abnormal and borderline levels of behavioural problems (total difficulties), respectively. Across different domains of difficulty levels, 5.0%, 12.0%, 3.3%, 5.5%, and 1.5% of adolescents had abnormal levels of emotional problems, conduct problems, hyperactivity/ inattention problems, peer relationship problems, and pro-social behaviours, respectively. Fathers’ occupation was significantly associated with behavioural problems among adolescents (p=0.020), and 15.3% of adolescents had a significant impact on their daily life, such as at home, with friends, in the classroom, or during leisure activities, due to emotional and behavioural difficulties. Conclusion Emotional and behavioural problems are quite prevalent among adolescents and have a significant adverse impact on their daily lives. KEY WORDS Adolescents, Behavioural and emotional problems, Self-report, Strengths and difficulties questionnaire