Journal Issue: Volume: 1, No. 1 (2024)
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Volume
Number
Issue Date
2024
Journal Title
Journal ISSN
ISSN 3059-9156 (Print), ISSN 3059-9164 (Online)
Journal Volume
Articles
Advancing Research Excellence: Announcing the Establishment of the Journal of Rapti Academy of Health Sciences
(Rapti Academy of Health Sciences (RAHS), 2024) Lamsal, Dinesh Kumar; Lamichhane, Basant; Bhandari, Hira Lal; Kandel, Ramesh
Abstract:
It is with great pleasure that we present the first edition of the Journal of Rapti Academy of Health Sciences (JRAHS). As members of the editorial board, we are committed to advancing the research activities at Rapti Academy of Health Sciences.
As Mark Twain aptly stated, “The secret of making progress is to get started,” the publication of this inaugural edition of JRAHS marks a significant step forward in the realm of research and scientific writing at RAHS. This milestone is the culmination of various progressive endeavors, including the publication of numerous souvenirs, the establishment of an Institutional Review Committee (IRC), and a series of training sessions and workshops. Today, we are delighted to present the first edition of JRAHS as a testament to our collective efforts in promoting research at RAHS.
As the institution continues its steady academic growth with the commencement of undergraduate programs (MBBS, BNS, BSc Nursing Programs) and postgraduate programs (MD/MS), we believe this initiative will greatly encourage all of you to engage in and explore more scientific work and research. While we must always stay abreast of evidence-based practices, our scientific writings and research papers will serve as exemplary models of effective practices in resource-limited settings like ours.
In this issue, we have included valuable articles from various disciplines, ranging from original research papers to intriguing case reports. We extend our heartfelt gratitude to all authors, reviewers, and editorial staff who have dedicated their expertise to ensuring the high quality of this journal. Thank you for your contribution and readership of JRAHS. We look forward to your feedback and contributions in future editions.
Knowledge and Attitude Regarding Gender Based Violence among Adolescents at Selected School of Ghorahi, Dang
(Rapti Academy of Health Sciences (RAHS), 2024) Poudel, Ambika Dhakal; Khatri, Binita; Belbase, Geeta; Dhital, Puja Sharma
Abstract:
Introduction: Gender-based violence is an alarming social problem that affects people around the world, including adolescents. It comprises physical, sexual or mental impairment and threats of such acts which could happen either in public or private areas. The study finds out knowledge and attitudes regarding gender-based violence.
Methods: A cross-sectional research design was used for the study. A total of 286 adolescents of 9th and 10th-grade students were selected by using a non-probability purposive sampling technique. A Self- admistered questionnaire was developed by the researchers based on a literature review. Descriptive and inferential statistics were used for data analysis.
Results: Out of 286 respondents, more than half (55.6 %) had an inadequate level of knowledge regarding gender-based violence. Nearly half (49.3 %) had a favourable attitude towards gender-based violence. A minority of the respondents (20.6 %) felt at least one type of gender-based violence in their lifetime. About one-fifth (20.6 %) had unfavourable attitude There is a significant association between level of knowledge and type of family. However, there is no significant association between the level of knowledge and other socio-demographic variables.
Conclusion: The study concluded that more than half respondents had a poor level of knowledge while half of the respondents had a favourable attitude towards gender-based violence. A minority of respondents had felt at least one type of gender-based violence in their lifetime.
Nurses’ Knowledge and Practice regarding Immediate Newborn Care in Maternity Ward of a Teaching Hospital
(Rapti Academy of Health Sciences (RAHS), 2024) Khatri, Binita; Maharjan, Ratna Kumari
Abstract:
Introduction: A newborn is thought to be small, helpless, and entirely reliant on others for survival. During the first hour of life, newborns are primarily susceptible to morbidity and mortality, which can be avoided with prompt care immediately after birth. The newborn care that is provided immediately after delivery is straightforward but crucial. This aim of the study is finding out the nurses’ knowledge and practice regarding immediate newborn care.
Methods: A cross-sectional research design was carried out among 32 nurses. Consecutive sampling technique was used. The self–administered questionnaire was utilized to assess knowledge and observation checklist for assessing practice on immediate newborn care. The data was edited, coded and entered into excel then exported to SPSS 16 program.
Results: Findings revealed that 65.63 % nurses have average knowledge and 87.50 % nurses have average practice. Education, work experience and training were not significantly associated with the nurse’s knowledge and practice regarding immediate newborn care at 95 % confidence interval. However, there was positive correlation between knowledge and practice on immediate newborn care.
Conclusion: The findings conclude that majority of the nurses have average knowledge and practice on immediate newborn care. Therefore, it is necessary to conduct continuing nursing education about immediate care to neonate for nurses in maternity ward periodically.
Quality of Life of Chronic Myeloid Leukemia Patients receiving Tyrosine Kinase Inhibitor (TKI): Comparison with Healthy Population
(Rapti Academy of Health Sciences (RAHS), 2024) Gautam, Ajaya Raj; Bhattarai, Stuti
Abstract:
Introduction: Development of tyrosine kinase inhibitors (TKIs) has changed the therapeutic landscape of chronic myeloid leukemia (CML) patients with an improved 10 years’ survival rate approximately from 20% to 90%. So, Quality of life (QoL) is an aspect of CML disease management that is gaining prominence in recent years. In Patan Hospital also, an increased 10 years’ survival rate has been seen among CML patients receiving TKIs under Glivec International Patient Assistance Program (GIPAP). So, the aim of this study was to compare the QoL of CML patients under treatment in Patan Hospital with the apparently healthy population.
Methods: This is a cross sectional comparative study done at Patan Academy of Health Sciences (PAHS) from October 2018 to September 2019. Short Form 36 (SF-36) questionnaire was used for QoL assessment. Ethical approval was obtained. Data analysis was done using epi info version 7.2.2.
Results: Total of 192 participants was included in this study. (98 in each CML group and apparently healthy population). Mean age of the study population was 47.42 years with 33.67% being females. Physical QoL was significantly poor in CML patients. (p value 0.01) but no difference regarding mental QoL between two groups.
Conclusions: Identification of symptom burdens of TKI therapies in routine practice is needed so as to lessen these burdens to effectively improve physical QoL in CML patients. Similarly, for improvement of mental QoL in younger patients (18-39 years’ age group), assessment of psychological impact of the disease and proper counseling in these patients is required.
Practice of Surgical Dressing among Health Care Workers at a Teaching Hospital, Chitwan
(Rapti Academy of Health Sciences (RAHS), 2024) Bhattarai, Stuti; Thulung, Bedantakala; Gautam, Ajaya Raj
Abstract:
Introduction: With growing concern over antimicrobial resistance and nosocomial infections, wound dressing techniques are required to prevent infection and shorten the healing time after surgery. Implementing a surgical wound dressing checklist can prevent surgical site infections and enhance healthcare professionals’ practices related to surgical wound dressing. This study aims to identify the practice of surgical dressing among health care workers at a teaching hospital, Chitwan.
Methods: A descriptive observation study was conducted at a Teaching Hospital in Chitwan. Using non-probability convenience sampling, 50 health care workers practicing surgical dressing from the Surgery, Gynaecology/Obstetrics, Neurosurgery, and Orthopaedic wards were selected as a sample. Data were collected using an observation checklist. Ethical approval was obtained from the Institutional Review Committee of Chitwan Medical College (IRC-CMC) with Ref. No. 198. Data analysis was performed using the Statistical Package for the Social Sciences (SPSS).
Results: The study revealed that only 28% of the health care workers had good practice (≥ 90% of total score without missing critical steps). There was significant association between working unit and level of practice of surgical dressing (p=0.005).
Conclusions: Majority of health care workers have poor practice of surgical dressing. Hence, there is need to provide in-service training for health care workers to enhance their skills. Further, procedure manual related to dressing should be made available in all wards.