Browsing by Author "Shrestha, Amrita"
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Publication Assessing Knowledge of Cervical Cancer Screening and HumanPapilloma Virus Prevention in Security Personnel and Their Families:A Cross-Sectional Study Authors(Nepal APF Hospital, 2026) Karmacharya, Saujanya; Khatri, Nisha; Maharjan, Rajendra; Adhikari, Laxmi; Khaural, Binita; Dulal, Ramila; Shrestha, Amrita; Yadav, Rina KumariAbstract: Introduction: Cervical cancer is a leading cause of cancer-related morbidity and mortality among women in Nepal, despite being largely preventable through early screening and Human Papillomavirus vaccination. Limited evidence exists regarding knowledge of cervical cancer prevention among Armed Police Force personnel and their families. This study aimed to assess awareness and knowledge of cervical cancer, its risk factors, screening methods, and vaccination among this population. Methods: This was a hospital-based descriptive cross-sectional study conducted over a four-month period after obtaining approval from the Institutional Review Committee (Reference number: NAPFH-026/2024). A structured, validated questionnaire was used to collect data on socio-demographic characteristics and knowledge of cervical cancer, screening methods, and vaccination. A convenience sampling included 410 participants. Data were analyzed using Statistical Package for the Social Sciences version 26. Results: Among 410 participants, 315 (76.83%) had heard of cervical cancer, with media 104 (25.36%) being the most common source of information. Knowledge of cervical cancer risk factors and symptoms was variable, with multiple sexual partners 157 (38.29%) and post-menopausal bleeding 154 (37.56%) being the most frequently identified. More than half of the respondents, 225 (54.87%), believed cervical cancer is preventable, and 222 (54.15%) identified regular screening as a key preventive method. Although 251 (61.22%) had heard of the HPV vaccine, only 95 (23.17%) correctly identified the optimal timing for vaccination, and substantial misconceptions persisted regarding HPV infection, vaccine availability, and the necessity of screening after vaccination. Conclusions: While general awareness of cervical cancer was moderate, substantial knowledge gaps exist regarding HPV-related prevention and screening practices. Targeted education and counselling initiatives are essential to improve cervical cancer prevention and early detection among security personnel and their families.Publication Knowledge and Perception Regarding Medication Error Among Nurses(Nepal Health Research Council, 2023) Maharjan, Susan; Shrestha, Amrita; Shakya, Vivechana; Maharjan, Manju; Panthee, Bimala; Joshi, RashmiAbstract Background: Patient safety is the major concern in providing quality care. Medication errors have been identified as the most common type of preventable errors. This study aimed to assess the knowledge and perception regarding medication error among nurses. Methods: A quantitative cross-sectional research design was used. The study was conducted in four different private hospitals in Lalitpur. A total enumerative sampling technique was used to select 302 nurses from these hospitals. Descriptive statistical methods were used to assess socio-demographic variables and inferential statistics methods such as the chi-squared test was used to analyse the association between knowledge, perception, and its socio-demographic characteristics. Results: Most of the respondents 244 (80.8%) agreed the cause of medication error occurs due to unclear handwriting and 217 (71.9%) agreed prescribing the wrong route or dose and time. Mostly respondents 126 (41.7%) had inadequate knowledge, 101 (33.4%) had adequate knowledge and 75 (24.8%) had moderate knowledge on medication error. Mostly respondents 273 (90.4%) had positive perception and 26 (8.6 %) had negative perception. Conclusions: Most of the nurses had inadequate knowledge but has positive perception on medication error. Appropriate strategies for reducing nurses’ workload, barriers to reporting, and sensitization workshops in a regular basis by the administrator should be developed to address medication errors and enhance patient safety in hospital settings. Keywords: Knowledge; medication error; nurses; perception.Publication Severity of Stress in Acne Patients Attending Dermatology Outpatient Department of Tertiary Hospital in Kathmandu(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2021) Shrestha, Amrita; Pokhrel, Dinesh Binod; Parajuli, Sudip; Chapagain, Manisha; Shrestha, RabinaAbstract: Introduction: Stress persists when a person is unable to cope with the situations of the past, present or future. Stress may be associated with physical and psychological abnormalities. Acne vulgaris is a chronic inflammatory disease of the pilo-sebaceous units with prevalence of more than 85% in adolescent age group. Materials and Methods: Three hundred one patients were recruited in the study. Inclusion criteria included new acne patients of age 16 years and above as well as those who were using but not improving with topical or oral acne therapies. Exclusion criteria included patients receiving sedatives, antidepressants, or glucocorticoids, patient suffering from chronic illnesses like diabetes, hypothyroidism, chronic kidney disease, migraine and other diseases. This questionnaire included biodata of the patients, clinical history and their perceived stress scale. Global Acne Grading System (GAGS) was used to assess acne severity in relation to stress using the Perceived Stress Scale (PSS). Results: The results indicated an increase in stress severity positively correlated with an increase in acne severity, which was statistically significant (p<0.01). Most of the patients were students. Subjects with higher stress scores, determined using the PSS, had higher acne severity when examined and graded using the GAGS. Conclusions: The results showed that there is a positive correlation between severity of stress and grade of acne. Stress management should be a part of acne management. Keywords: Acne, Severity, Stress