MST-Department of Community and Reproductive Health Nursing

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Browsing MST-Department of Community and Reproductive Health Nursing by Subject "Kenyatta National Hospital"

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    Determinants of Sexual Function among Female Patients with Gynaecological Cancers at Kenyatta National Hospital, Nairobi City County, Kenya
    (Kenyatta University, 2022) Obora, Maximillar; Lister Onsongo; James O. Ogutu,
    Background: Gynaecological cancer impacts approximately three million women globally. The problem is much intense in resource limited countries. Sexual health is attracting great focus as a key aspect of gynecological malignancy management and a component of Quality of Life. We have paucity of information in regards to the magnitude of sexual dysfunction among survivors with gynaecological cancers in Kenya. Therefore, investigating sexual function among survivors with gynaecological cancer is an important area of inquiry. Broad objective: To assess the determinants of sexual function among female patients with gynecological cancers at Kenyatta National Hospital. Methodology: Descriptive correlational study design was utilized where by 108 Female patients diagnosed with gynaecological cancers on treatment and regular follow up were consecutively recruited by simple random sampling. The study was conducted at Kenyatta National Hospital Cancer Treatment Centre. The main variables were socio-demographic, assessed with the socio-demographic questionnaire, clinical characteristics, extracted from medical records, psychological, assessed with the Body Image Scale (BIS), social, assessed with the Multidimensional Scale of perceived Social Support (MSPSS) and cultural, and assessed with the Sexual Dysfunction Beliefs Questionnaire. Sexual function was evaluated by female sexual function index. SPSS Version 25.0 was used in analysis .Chi square test, Pearson’s 𝑟 assessed correlations and logistic Regression were done to identify the predictors of sexual function. Results: Mean total score of Female Sexual Function Index scores was 10.0. Eighty-five (85%) of respondents had sexual dysfunction. Age (p=0.004), Employment status (p=0.002), cervical cancer (p =0.016), endometrial cancer (p=0.018), cancer staging 4 (p = 0.008) and social support (p =0.037) were significant predictors of sexual dysfunction. Age (p =0.001), education level (p =0.002), employment status (p<0.0001) and lifestyle adaptation (p =0.047) were significantly associated with sexual function. Respondents who had cancer of the cervix were 7 times more likely to have sexual dysfunction Conclusion and recommendations: These results signify that Sexual dysfunction is a disturbing and under managed problem among gynecological malignancy survivors. Assessment of sexual function using Female Sexual Function Index scores has yielded important information that predicted outcome of patients with gynecological cancers. Health professionals can contribute great impact on the Quality of Life of gynecologic malignancy survivors by focusing on sexual health issues. Therapeutic intervention at multidisciplinary level should incorporate sexual rehabilitative strategies in all oncology settings in order to provide relevant supportive care in addressing physical and psychosocial needs of patients with gynecological cancers across survivorship continuum of care and broadening sexual health training within the medical curriculum for all health professionals.
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    Quality Of Life for Family Caregivers to Cancer Patients in Kenyatta National Hospital Nairobi City County, Kenya
    (Kenyatta University, 2022) Mwangi, Samuel N.; Lister Onsongo; James Ogutu
    Quality of life (QoL) among cancer patient caregivers is significantly affected by characteristics such as age, educational level, economics, and geographical setting during the care provision. Objective: To explore the factors associated with QoL among family caregivers (FCG’s) of cancer patients in Kenya. Methodology: This was a correlational study conducted at Kenyatta National Hospital, which is the largest teaching and referral hospital in Kenya. The study enrolled 164 cancer patient family caregivers. The QoL (Family Version) was used to measure Quality of Life. Data collection was done using interviewer-administered questionnaires. A student t-test and Pearson chi-square were used to determine the association between personal, social and disease characteristics and family caregiver quality of life. Results: The average mean score of family caregiver QoL was 55.8 (SD±10.12) percent which is lower than in other countries. Conclusion: There was a significant association with family caregiver quality of life (QoL) and level of education, relationship to the patient, caregivers' ability to carry out normal activities, and caregiver knowledge of the stage of cancer
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    Symptom Burden and Quality of Life in Cancer Patients at Kenyatta National Hospital Nairobi City County, Kenya
    (Kenyatta University, 2022) Soita, Phillip; Lister Onsongo; Elizabeth Ambani
    Background: Cancer is highly ranked as a cause of morbidity and mortality globally with an estimated 9.3 million new diagnoses made in 2020 with a projected increase to 47,000 new cancer cases and 32,987 cancer deaths in Kenya. Cancer related symptoms are caused by the disease itself or the ongoing treatment, however factors like age, gender, and concurrent diseases may also influence the general symptom experience. Despite the fact that these symptoms affect the QoL of these patients, there is little being done to address this effect on the QoL. Therefore the effect of disease related burden on the QoL among the malignancy patients with these unique variables in view is an important area of study.Objective: To assess the disease related symptom burden and the QoL among cancer patients in Kenyatta National Hospital. Methodology: Descriptive, correlational study with 168 cancer patients as participants recruited through simple random sampling. Self-administered and interviewer administered questionnaires were used in the study. The research was carried out in the oncology unit of Kenyatta National Hospital targeting adult patients that are undergoing cancer treatment. Statistical program for social scientists (SPSS) version 25.00 was used to carry out data analysis and presented using graphs, tables and chats. Results: A total of 166 participants participated in the study. The overall QoL score was at 70.28. Cancer type(p=0.02), treatment period, treatment type(p=0.009),level(p=0.012), income(p=0.011) and marital status (0.039) were the key factors that affect the QoL among the study patients with symptom burden score(p=0.0001) and type of treatment p=0.035) being the main predictors of QoL.Conclusion and recommendation: Cancer and its treatment poses a risk and great symptom burden to these patients if not fully addressed. Its therefore essential to adopt a QoL assessment tool to be used by care givers to address specific patient needs, health care workers to provide relevant information to all cancer patients under treatment on symptom severity and progress, health care policy makers to incorporate symptom assessment, palliative care management and training in the health care system management and training and ensure community or public education on the common cancer predictors and drafting the right messages to pass to the people in order to improve on their QoL during and after treatment