Nursing
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Item Psychiatric morbidity among pregnant and non pregnant women in Ibadan, Nigeria(Taylor & Francis Group, 2023) Bello, O. O.; Bella-Awusah, T. T.; Adebayo, A. M.; John-Akinola, Y. O.; Ndikom, C. M.; Ilori, T.; Cadmus E. O.; Omokhodion F.A comparative cross-sectional study was conducted among 991 pregnant and 674 non-pregnant women of reproductive age attending healthcare facilities in Ibadan, Nigeria using the General Health Questionnaire-12 (GHQ), and WHO self-reporting questionnaire (SRQ). Logistic regression analysis was conducted to identify predictors of psychiatric morbidity at p <0.05. A significantly higher proportion of pregnant women experienced psychological distress on the GHQ (51.8%) and psychiatric morbidity on SRQ (33.3%) compared with 28.6% and 18.2% of non-pregnant women, respectively. Predictors of psychiatric morbidity among pregnant women were the type of facility, poor satisfaction and communication with partners, the experience of violence in the home, previous abortions, and previous history of depression. Psychiatric morbidity among non-pregnant women was predicted by younger age, previous history of depression, poor satisfaction and communication with partners. There is a need for early identification of psychiatric morbidity among women of reproductive age, to ensure early interventions and prevent long-term disability.Item Perception and utilization of mammography among women in selected Primary health centres in Ibadan North Local Government, Oyo state(Department of Nursing, College of Medicine, University of Ibadan, Ibadan., 2018) Ndikom, C. M.; Songa T. T.; Ogbeye G. B.; Ohaeri, B. M.Mammography is the most effective screening tools for early detection of breast cancer, but studies indicate low utilization. Yet, many women die from breast cancer in Nigeria with majority of them presenting in the late stage of the disease. This study was therefore designed to assess the perception and utilization of mammography in prevention of breast cancer among women, in selected primary health centres in Ibadan North Local Government Area, Oyo State, Nigeria. This descriptive cross-sectional study was carried out among 219 women who consented and were selected using purposive sampling technique. A structured validated questionnaire was used for data collection. Data were analysed using SPSS, version 20 and hypotheses were tested using chi-square at p=0.05. Findings from the study showed that majority of the respondents (50.2%) were in the age range of 26 35 years. Most 160 (73.1) are aware of Mammography and 57.1% of the women affirmed that mammography helps them to understand breast cancer. Only 4.6 % of the respondents had utilized mammography. In addition, many 130 (59.4%) affirmed that cost was a major factor responsible for non-utilization of mammography, others factors are lack of social support 122(55.7), lack of encouragement 115(52.5), not prescribed 84(38.4) and these also had significant statistical association with utilization of Mammography (p<0.05). This study revealed that mammography is being under utilised therefore there is need for more sensitization by stakeholders. Moreover, policy makers should look into ways of subsidizing the cost of mammography in order to encourage utilization. This will help in reducing morbidity and mortality to breast cancer among women in Ibadan North Local Government area.Item Pre-Screening Counseling in Cervical Cancer Prevention: Implication for Nursing(Academic Journals, 2011) Ndikom, C. M.; Ofi, B. A.Cervical cancer is the second most common cancer among women worldwide, with an estimated 529,409 new cases and 274,883 deaths in 2008, about 86% of the cases occur in developing countries, representing 13% of female cancers (IARC, GLOBOCAN, 2008). All sexually active women are at risk for the development of this disease and it is one of the leading causes of death for middle-aged women in the developing world. It is almost completely preventable, if precancerous lesions are identified and treated early (Carr and Sellors, 2004; Ayinde and Omigbodun, 2003). Uptake of screening services has remained low. Pre-screening counseling (PSC) could help increase compliance with screening schedule. Various studies identified ignorance/lack of knowledge, inappropriate/cultural beliefs about the illness; apprehension, etc., as barriers to utilization of screening services (Gharoro and Ikeanyi, 2006; Mutyaba et al., 2007). Also, a positive correlation between Pap test awareness and utilization was reported by Gharoro and Ikeanyi (2006). Pre-screening counseling is very important in order to achieve the purpose of screening. counseling is a two-way dialogue that enables a woman gain knowledge and improve her ability to make informed choice about type of screening procedure she will undertake, being fully aware of the risks and benefits of such. This was explained using the theory of planned behaviour. The nurse/midwife should be well versed in cervical cancer natural history, prevention and management in order to counsel effectively. She should also avail herself of every opportunity to counsel and inform women about cervical cancer.