Browsing by Author "Ranjitkar, Uma Devi"
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Publication Perceived Burden of Care among Parents of Children with Sickle Cell Disease(Nepal Health Research Council, 2023) Nai, Saraswoti; Ranjitkar, Uma Devi; Pandey, ApsaraAbstract Background: Children affected with Sickle Cell Disease mostly depend on their parents for assistance which creates physical, emotional, social, and financial burdens among the parents. The objective of this study was to find out the level of perceived burden of care among parents of children with sickle cell disease in a hospital. Methods: A descriptive cross-sectional research design was used with a quantitative approach. The data were collected using a structured interview schedule using the Zarit Burden Interview scale among 152 parents attending the social service unit of Bheri Hospital, Nepalgunj. A nonprobability purposive sampling technique was used. Data were analyzed using Statistical Package for Social Science (SPSS), version 20. The Chi-square test was used to measure the association between the level of burden of care and selected variables. Results: One hundred and fifty-two parents were included in the study, among which more than half (58.6%) were fathers. More than half (52.0%) of parents perceived mild to moderate burden with a Mean±SD score of level of burden is 1.26±0.44. A significant statistical association was found between the level of burden of care and the relationship to the child (p=0.002), and the type of family (p=0.04). Conclusions: The study showed that the majority of the parents’ perceived a mild to moderate burden. Keywords: Burden of care; parents; sickle cell disease; zarit burden interviewPublication Perception and Healthcare Seeking Behavior in Acute Respiratory Infection among Parents of Under Five Children attending a Tertiary Care Center of Banke(Institute of Medicine, Tribhuvan University, 2024) Chand, Ambika; Ranjitkar, Uma DeviAbstract: Introduction Acute Respiratory Infections (ARI) are one of the leading and common causes of morbidity and mortality in children worldwide affecting under five children. Compared to high income countries, the incidence and frequency of ARIs pose a significant burden in low- and middle-income countries. The purpose of the study was to find out the perception and health care seeking behavior of ARI among parents of under five children. Methods A cross-sectional descriptive design with non-probability purposive sampling was used in the Pediatrics outpatient department of Nepalgunj Medical College Teaching Hospital. Data were collected using interview semi-structured questionnaires. A total of 187 parents attending OPD with their children were included in the study. Ethical approval was obtained from Nepal Health Research Council. Descriptive and inferential statistics used to analyze finding. Results Sixty-five percent respondents were from age 25–35 years. Among them two-third were female; 44.4%. educated, 42.8% were homemaker. Nearly half of the respondents had single child; 40.6% of children between 1-3 years; two- third (67.4%) were male. Majority (97.3%) had heard about acute respiratory infections and aware about acute respiratory infections. Majority (94.1%) perceived pneumonia as one of the common respiratory infections and (89.8%) perceived about cold exposure as cause of ARI. Conclusion More than half parents perceived about ARI in under five children. Almost all aware about increase temperature and respiratory distress were severe symptoms of ARI and there were significant association with knowledge and socio demographic variables such as ethnicity, education and occupation.