Correlation Between Coping Strategies and Quality of Life Among Myocardial Infarction Patients in Nepal

Objective: To examine the correlation between coping strategies and quality of life (QoL) among patients with myocardial infarction (MI) Method: A descriptive correlational design was used to examine the relationship between coping strategies and QoL among 88 patients with MI who were older than 18 years, 2 months after the initial diagnosis of MI. QoL was assessed using the cardiac version of the Quality of Life Index. Coping strategy was assessed using Jalowiec Coping Scale. Problem-focused coping and emotion-focused coping were also compared in male and female patients.Results: Problem-focused coping was significantly positively associated with overall QoL (r = .41, p = <.01), particularly the health and functioning dimension (rs = .39, p = <.01) and socio-economic dimension (rs = .46, p = <.01) but not with psychological & spiritual and family dimension. Men used more problem-focused coping strategies than women. The problem-focused coping score was significantly different between men and women (t = 4.9, p <.05).Conclusion: The results revealed that patients who used more of problem-focused coping had better QoL than patients who used less problem-focused coping. Educating patients to enhance the use of appropriate coping strategies may be useful to promote the QoL of Nepalese patients with MI

ネパール国の病棟勤務看護師におけるワーク・エンゲイジメント、ワーカホリズム、リカバリーの評価およびウェル・ビーイングに対する効果

学位の種別: 課程博士審査委員会委員 : (主査)東京大学教授 山本 則子, 東京大学教授 松山 裕, 東京大学准教授 永田 智子, 東京大学准教授 荒木 剛, 東京大学准教授 豊川 智之University of Tokyo(東京大学

Fear, risk perception, and engagement in preventive behaviors for COVID-19 during nationwide lockdown in Nepal

The world has faced huge negative effects from the COVID-19 pandemic between early 2020 and late 2021. Each country has implemented a range of preventive measures to minimize the risk during the COVID-19 pandemic. This study assessed the COVID-19-related fear, risk perception, and preventative behavior during the nationwide lockdown due to COVID-19 in Nepal. In a cross-sectional study, conducted in mid-2021 during the nationwide lockdown in Nepal, a total of 1484 individuals completed measures on fear of COVID-19, COVID-19 risk perception, and preventive behavior. A multiple linear regression analysis was used to identify factors associated with COVID-19 fear. The results revealed significant differences in the fear of COVID-19 in association with the perceived risk of COVID-19 and preventive behaviors. Age, risk perception, preventive behavior, and poor health status were significantly positively related to fear of COVID-19. Perceived risk and preventive behaviors uniquely predicted fear of COVID-19 over and above the effects of socio-demographic variables. Being female and unmarried were the significant factors associated with fear of COVID-19 among study respondents. Higher risk perception, poor health status, and being female were strong factors of increased fear of COVID-19. Targeted interventions are essential to integrate community-level mental health care for COVID-19 resilience

Review: Anxiety and Quality of life in Patients with Myocardial Infarction

Obejctive: Anxiety and reduced Quality of Life (QoL) are commonly reported in patients with myocardial infarction (MI) for long years and has a great interest to improve patients&rsquo; quality of life. Almost all of the patients with MI will have anxiety to some level. Persistent anxiety for long period has detrimental effect on quality of life. Therefore this study is aimed to find out the effect of anxiety on quality of life of patients with MI.Methods: Published literatures were searched using individual or combination of keywords: anxiety, quality of life and myocardial infarction in following databases: PubMed, CIHNAL, Proquest, and Google Scholar. The full texts were obtained from the journal homepage using Prince of Songkla University and those that could not be accessed from this University were obtained from the University of Tokyo network. Papers which were not accessible from these two networks were excluded from the review.Results: Majority of studies found that patients with MI reported high level of anxiety persisting over months to years affecting QoL. Some studies showed that anxiety was associated with complications and all of the study showed that anxiety was associated with decreased quality of life. Different studies measured anxiety and quality of life differently which might have affect the results of the studies and most of the studies did not consider it and lack to correlate the level of anxiety in each dimension of QoL is noted. High level of anxiety was correlated with the poorer quality of life. Therefore, the researcher should note that which level of anxiety the patient is suffering from because mild anxiety is helpful to focus attention; to learn the stressful situation and solve the problems to protect him/her by themselves. Moderate level of anxiety reduces the patient&rsquo;s concentration but facilitates to seek information and solve problems with assistance. Severe anxiety results in difficulties in thinking and reasoning and disturbs physiological functioning. Therefore, it is equally important to consider the correlation between mild, moderate anxiety to QoL.Conclusion: Anxiety affects negatively in QoL in patients with MI. Identification of the level of anxiety can help plan effective nursing management of MI patients.</p

COVID-19 Vaccine Acceptance: A Case Study from Nepal

While vaccine acceptance changes over time, and factors determining vaccine acceptance differ depending on disease and region, limited studies have evaluated vaccine acceptance in Nepal. We conducted an online, cross-sectional study to assess COVID-19 vaccine acceptance among Nepalese. Data were collected before and after the vaccine approval in Nepal, during which 576 and 241 responses were obtained, respectively. We found that vaccine acceptance was generally high among Nepalese (93%) and increased after the safety of vaccine was examined by the regulatory bodies (98%). This indicated the role of the national drug regulatory authority to convey drug safety. In addition, we analyzed the predictor(s) of vaccine acceptance. We found that the people who believe that vaccine is an effective measure in preventing and controlling the disease were highly likely to accept vaccination. Given that Nepal had just passed the most devastating wave of COVID-19 during our post-approval data collection, we assume that this might have also played a role in the belief that vaccination is an appropriate approach to combat the pandemic. Likewise, the number of people willing to vaccinate as soon as possible increased from 43% to 86% after approval. Therefore, our results indicate that the government needs to focus on assuring the safety and effectiveness of a vaccine to enhance acceptance. Although fewer responses obtained after vaccine approval might have affected our results, overall, our findings indicate vaccine acceptance is likely to be affected by socio-demographic factors and the attitudes of respondents. This should be carefully considered in the rollout of the vaccination plans in Nepal and countries alike in future

Additional file 2: of Prevalence and correlates of substance use among health care students in Nepal: a cross sectional study

Health Professional Questionnaire. (PDF 182 kb