Browsing by Author "Poudyal, Sunita"
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Publication Admitted Cases of Dengue Fever among Dengue Positive Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Poudyal, Sunita; Subba, Hem Kumari; Sharma, KalpanaAbstract: Introduction: Dengue fever, a mosquito-borne disease, is one of the emerging tropical diseases that appear primarily in rainy seasons. The number of dengue cases was increased in recent years in Nepal. Chitwan is one of the risky areas of dengue. This aim of the study is to find out the prevalence of hospital admission among the dengue positive cases. Methods: The descriptive cross-sectional study was carried out among 323 serologically confirmed dengue fever positive patient admitted in Medicine Inpatients Department of Chitwan Medical College Teaching Hospital. Ethical approval was taken from the Institutional Review Committee (Reference number. 076/077-121 dated August 30, 2019). Data were collected from 1st September 2019 to 31st December 2019 using a structured interview schedule and record review. Convenience sampling was done. Data was analysed using Statistical Package for Social Sciences version 11. Point estimate at 95% Confidence Interval was calculated, with frequency and percentage. Results: Among 1206 patient with dengue fever, 323 (26.78%) (24.29-29.27 at 95% confidence Interval) were admitted in the tertiary care hospital. Study findings revealed that out of 323 admitted patients with dengue fever, 182 (56.3%) patients were between 20-40 years of age and 179 (55.4%) were males. The highest number of patients were admitted in the months of September 192 (59.4%) and October 101 (31.2%). Conclusions: Admission rate among dengue positive cases are comparable to other studies of the similar settings. Dengue fever is common among community people especially in young adult and males. Hence, screening of dengue fever in febrile illness is necessary for the early diagnosis and prompt treatment.Publication Self-Care Practice among Patients with Chronic Obstructive Pulmonary Diseases(Nepal Health Research Council, 2024) Sharma, Kalpana; Subba, Hem Kumari; Poudyal, Sunita; Adhikari, ShitalBackground: Self-management behaviour is crucial for halting the progression of the disease and preventing exacerbations and hospitalizations in patients with chronic obstructive pulmonary diseases. Hence, this study aimed to assess self-care practice among patients with chronic obstructive pulmonary diseases attending at a teaching hospital. Methods: Cross-sectional study was carried out among 106 patients who were diagnosed to have Chronic Obstructive Pulmonary Diseases and attending at respiratory and critical care medicine department of Chitwan Medical College Teaching Hospital. Convenience sampling technique was used to select 106 samples for the study. Structured interview schedule and observation checklist were used to collect the data. Data analysis was performed in SPSS version 23 for window using descriptive and inferential statistics. Results: The finding of this study revealed that 50.0% of patients with Chronic Obstructive Pulmonary Diseases had high and 50.0% had low self-care practice. Only 5.7% were using inhaler correctly whereas 94.3% of patients were using inhaler incorrectly, Furthermore, marital status, ethnicity and level of depression were found to be the significant factors associated with self-care practice of the patients. Conclusions: Half of the patients with chronic obstructive pulmonary diseases have low self-care practice whereas almost all are using inhaler incorrectly. Hence, self-management intervention program is needed for the patients with chronic obstructive pulmonary diseases to enhance their knowledge and skill on self-care practice including inhaler use. Keywords: Chronic obstructive pulmonary diseases; patients; self-care practice.