Evaluating Quality of Life of Parents Having a Child with Disability

Introduction: Disability is the condition of difficulty in carrying out daily activities normally and in taking part in social life due to problems in parts of the body and the physical system. Children with disabilities are one of the most marginalized and excluded groups in society. Facing daily discrimination in the form of negative attitudes, Estimates suggest that there are at least 93 million children with disabilities in the world, but numbers could be much higher. Method: A descriptive analytical research design was used to identify the quality of life of parents/caretakers having a child with disability/ies in Illam district. Systematic random sampling was used and collected data from 244 participants. World Health Organization Quality of Life-Brief (WHOQOL-BREF) Questionnaire was adopted Association between the socio-demographic variables and four domains of WHOQOL was determined using one way ANOVA. In the end, multiple linear regression analysis was performed to find the predictors of domains of WHOQOL and to control the confounding effect. Results: The quality of parents having a child with disability have good quality of life in social relationship mean 15.6±1.3.The physical domain is weakly correlated with the social domain. There is a moderate positive correlation between psychosocial and the social domains. Cognitive disability mean score was highest on social domain that is 14.91and lowest on the physical domain (13.87). Conclusion: To improve quality life of parents, health care and welfare professionals should focus on particular people with higher age group, disadvantaged and marginalized groups illiterate, those who are unmarried, divorced or separated and those engaged in agriculture and carry out interventions aimed at improving their quality of life.

Evaluating Quality of Life of Parents Having a Child with Disability

Introduction: Disability is the condition of difficulty in carrying out daily activities normally and in taking part in social life due to problems in parts of the body and the physical system. Children with disabilities are one of the most marginalized and excluded groups in society. Facing daily discrimination in the form of negative attitudes, Estimates suggest that there are at least 93 million children with disabilities in the world, but numbers could be much higher. Method: A descriptive-analytical research design was used to identify the quality of life of parents/caretakers having a child with disability/ies in Illam district. Systematic random sampling was used and collected data from 244 participants. World Health Organization Quality of Life-Brief (WHOQOL-BREF) Questionnaire was adopted Association between the socio-demographic variables and four domains of WHOQOL was determined using one way ANOVA. In the end, multiple linear regression analysis was performed to find the predictors of domains of WHOQOL and to control the confounding effect. Results: The quality of parents having a child with a disability has a good quality of life in a social relationship mean 15.6±1.3.The physical domain is weakly correlated with the social domain. There is a moderate positive correlation between psychosocial and social domains. Cognitive disability mean score was highest on the social domain that is 14.91and lowest on the physical domain (13.87). Conclusion: To improve the quality of life of parents, health care and welfare professionals should focus on particular people with higher age groups, disadvantaged and marginalized groups illiterate, those who are unmarried, divorced or separated and those engaged in agriculture and carry out interventions aimed at improving their quality of life

Assessment of Anxiety and Depression among Patients with Substance Use Disorder Attending at a selected Rehabilitation Center Kathmandu, Nepal

Background: Anxiety and depression are two important contributors to the global burden of disease. Both conditions are frequently found as comorbidity among patients with substance use disorder and play a major role in its prognosis and relapse. If ignored such psychiatric illness by a mental health professional, can create a gap in the overall treatment outcome of substance use disorder.   Methods: A descriptive cross-sectional research design was adopted to assess the level of depression and anxiety among patients with substance use disorder attending a selected rehabilitation center, Kathmandu from March 2019 to May 2019. Data collection was done from 115 respondents using the purposive sampling technique. A Semi-structured interview scheduled and Hospital Anxiety and Depression Scale was used. Collected data were analyzed by using both descriptive as well as inferential statistics. Results: The study findings showed that among 71.3% of respondents, 41.7% had boarder line anxiety and 29.6% of them had anxiety. Similarly, among 48.7 % of respondents, 29.6% had borderline depression and 19.1% of them had depression. The study concluded that there was a significant association between the level of anxiety and type of family (p=0.035). There was a significant positive relationship (p=0.001, r=.328) between anxiety and depression scores. Conclusion: Most of the patients with substance use disorder had borderline anxiety and depression. Likewise, level of anxiety was significantly associated with type of family. It was also concluded that there was significant positive relationship between anxiety and depression scores. So early identification and management of such psychiatric co-morbid conditions is noteworthy. This action would help to reduce severity in future. Keywords: Anxiety, Depression, Substance use disorder, Rehabilitation cente

Experience of Cyberbullying among Nursing Students

Background: Personal hygiene includes cleanliness of the body and proper maintenance of personal appearance. This study aimed to identify the existing knowledge and practice of personal hygiene among lower secondary level school-going children in Morang, province one, in Eastern-Nepal. Methods: A quantitative, descriptive study was conducted in selected schools of Morang district, Eastern-Nepal comprising of 400 school children. Data was collected using a self-developed and validated structured questionnaire and observation checklist. Two schools from rural areas and two from urban areas were randomly selected and students from classes 6, 7 and 8 were also randomly selected for the study. Result: The majority of the students were in the age group 10-15 years (55% in urban areas and 50% in rural areas). Proper handwashing technique was reported by 59.5% of the students from the urban areas and 48.5% from rural areas. The majority of the students used toothpaste for brushing teeth in urban (79%) and rural areas (76%) respectively. For hand washing, 52% used soap in the urban areas whereas only 26% used soap in the rural area. Although knowledge and practice of personal hygiene were adequate, a significant gap was noted between them in the urban and rural areas (p<0.05). Conclusion: There was a significant gap between the knowledge and practice regarding the personal hygiene among the respondents both in the rural and in the urban areas. Adequate number of educational interventions has to be encompassed in the schools to increase the awareness among the students regarding this subject