Browsing by Author "Rai, Nisha"
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Publication Knowledge and Attitude Towards Human Papilloma Virus and Human Papilloma Virus Vaccine(Nepal Health Research Council, 2024) Poudel, Sandesh; Rai, Snigdha; Adhikari, Shree Prasad; Dhakal, Sheela; Rai, Nisha; Upadhyaya, Preetam Chandra; Shah, PushkalBackground: Human papilloma virus is the leading cause of cervical cancer with Human papilloma virus 16 and 18 being the commonest variants. The primary prevention by vaccination against HPV is finally gaining its momentum. This study aimed to evaluate the knowledge and attitude towards Human papilloma virus and Human papilloma virus vaccine and highlighted on the setback of their inadequate knowledge. Methods: This was a community based cross sectional study done among 120 women who attended cervical cancer screening camp at satellite clinic of Paropakar Maternity and Women`s Hospital at Bhaisepati of Kathmandu district. The interview was done one on one with a preformed questionnaire. Data was primarily entered in an individual form and analysis was done using SPSS version 23 program and was depicted in tables, diagrams and chart. Results: The mean age of the women was 41.8±9.9 with majority belonging to age group 41-50 years (47.16%), 88 (74%) women were multiparous,59 (49%) were uneducated and 50 (33%) were previously screened for cervical cancer. Among 27 (22%) of the women who had heard about HPV and knew that it causes cervical cancer, most of them have heard from social media while 110(91.6%) did not know about its vaccine and its availability while 100% of the participants had positive attitude towards receiving the information and keen on vaccinating their daughters. Conclusions: Knowledge and awareness of Human Papilloma Virus and its vaccine still remains low among the women in our society. However, there was high acceptance of HPV vaccine, indicating potentially high uptake rates in these communities. Keywords: Attitude; human papilloma virus; knowledge; vaccine.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.