Browsing by Author "Nepal, GM"
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Publication Knowledge of Dysphagia in Stroke among Nurses Working in Tertiary Care Hospital(Kathmandu University, 2019) Nepal, GM; Sherpa, MDABSTRACT Background Swallowing difficulty occurs in up to 37 to 78% of people experiencing a non-fatal stroke. About one half of dysphagic patients either die or recover spontaneously within the first 14 days of stroke onset leaving half with swallowing deficits that can significantly impair function, recovery and quality of life. It is important for the nurses to efficiently screen dysphagia post-stroke to reduce the odds of negative outcomes. Objective To assess the level of knowledge of Dysphagia among nurses working in Tertiary care hospital and to assess the associations of knowledge with educational level, years of experience and experience in caring for stroke patient with dysphagia. Method Self-Administered Questionnaire developed by Andrea Pickle Voight (2015) was used to collect data among nurses working in Dhulikhel hospital. Descriptive statistics was used to assess the knowledge on dysphagia and chi-square was used to assess the association between the variables. Result We found that nurses have moderate knowledge in dysphagia (62.39%). Knowledge level was significantly associated with experience in caring for stoke patient (p = 0.033) but not associated with educational level (p= 0.366) and years of experience (p= 0.065). Conclusion Nurses at Dhulikhel Hospital have moderate knowledge of dysphagia in stroke. Level of knowledge was significantly associated with caring for stroke patient but not with years of experience and educational level. KEY WORDS Aspiration, Dysphagia, Knowledge, Nurses, StrokePublication Knowledge of Stroke among Hypertensive Patients in Dhulikhel(Kathmandu University, 2022) Nepal, GM; Chand, P; Poudel, K; Acharya, SRABSTRACT Background More than 50% of patients with stroke have hypertension, a common modifiable risk factor for stroke. Studies reported that 90% of diagnosed hypertensive patients do not seek for treatment in Nepal and the reason for this remains unexplored. There is a possibility that lack of knowledge of stroke and its potential causes may be the reason. Objective To assess the knowledge of stroke in a group of patients with hypertension in suburban Nepal. Method Hypertensive patients visiting a tertiary care hospital in Nepal were approached and were included if they were 18 years or older. We used the Nepali version of ‘Awareness of Stroke, Risk Factors, and Treatment’ questionnaire to assess the knowledge of stroke. Descriptive statistics were used to analyze the results. Result A total of 273 patients were included with the mean age of 56 years. Almost half (48%) of the patients were uneducated. We found that only 24% of the patients identified brain as an organ affected by stroke, only 32% were aware about more than one warning signs of stroke, 64% reported that they were unaware of the treatment options for stroke and only 5% reported control of blood pressure as a part of stroke management. The commonest reported identifiable risk factor for hypertension was high blood pressure (44%). Conclusion There are significant knowledge gaps regarding stroke in hypertensive patients. Although most patients recognized hypertension as a risk factor for stroke, they were unaware of treatment options. Increasing awareness of hypertension as a risk factor for stroke may help to prevent the stroke burden in Nepal. KEY WORDS Awareness, Hypertension, Knowledge, Stroke