Kirigia, Consolata
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Influence of Patient Related Factors on Health Seeking Behaviours among Men with Lower Urinary Tract Symptoms attending Surgical Out Patient Clinic at Meru Level Five Hospital, Kenya Muriuki, Festus Mwendia; Oluchina, Sherry; Mbithi, Bernard Wambua; Kirigia, Consolata
Journal Of Nursing Practice Vol. 4 No. 1 (2020): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i1.105

Abstract

Background: Currently there are increased cases of men presenting with Lower Urinary Tract Symptoms (LUTS) especially in low resource countries. These symptoms may or may not be related to prostate cancer and health seeking behaviours are not clear.   Purpose: To establish the influence of patient related factors on health seeking behaviours for Lower Urinary Tract Symptoms (LUTS) among men attending surgical outpatient clinic at Meru hospital, Kenya.Methods: Descriptive cross-sectional study design was used. The study population involved 120 men suffering from LUTS, 2 physicians and 2 nurses. Questionnaires and interview guides were used for data collection. Study period was from August 2018 to March 2020.Results: Majority (67.0%) of the patients with LUTS were aged between 61-70 years. Also, the majority (68.8%) of the respondents had primary level of education. The findings also pointed out majority (72.0%) of the patients were farmers with income level of below Ksh. 20,000. Logistic regression was used whereby P-values determine the statistical significance of results with cut off set at (p ?0.05). The inferential statistics pointed out that patient related factors test items had a statistical significant influence since the p-values were found to be less than 0.05 at 95% confidence interval. Conclusion: There was a significant negative influence of patient related factors such as lack of knowledge, low income levels and distance to health care facilities on health seeking practices. Therefore patients seek medical attention when quality of their lives has been threatened. The study recommends adopting measures of rising awareness on need for seeking early medical attention and initiate outreach health services in underserved areas or through telehealth
Perceptions towards diagnosis of prostate cancer in Tharaka Nithi County, Kenya Kirungia, Timothy Kinoti; Kirigia, Consolata; Gitonga, Lucy; Kiruki, Silas
Journal Of Nursing Practice Vol. 4 No. 2 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i2.126

Abstract

Background: Cancers are leading cause of death in developed nations and the second leading cause of death in developing nations. One of the most frequently diagnosed cancers among men is Prostate cancer (PCa)Objective: This research study aimed at exploring the patient?s and family?s perceptions towards diagnosis of prostate cancer in Tharaka Nithi County, Kenya.Methods: The study population comprised of families and PCa patients attending Chogoria mission hospital, Magutuni sub-county hospital, Chuka county hospital and Tharaka sub-county hospital which were selected purposefully, from which a sample of 70 patients and 65  family members was obtained. Purposive sampling method was used to sample patients and families. Data were collected using interview schedules and focus group discussions and summarized using descriptive statistics. Statistical analysis for association between variables was done using chi-square tests.  Results: The study revealed that; men in the age group 60-70 were most prone to the development of prostate cancer. A high percentage of patients and families perceived that prostate cancer was caused by genetic factors and should be treated by medical personnel. Over 50% of the patients and families had no idea of the symptoms of prostate cancer neither had they heard of it before the patient was diagnosed. The study also revealed that 50% of  the patients suffered hypertension, 80% did not believe the diagnosis at first and over 50% perceived the diagnosis as a death sentence. PCa patients showed the highest level of acceptance and lung cancer patients the poorest acceptance of illness. Over 90% of the patients and families observed general health improvement after medication. Over 78% of the patients and family?s had embraced insurance as a way of meeting the medical expenses.Conclusion: This study demonstrated that patients and families perceived the diagnosis of prostate cancer as a death sentence. They also had low level of knowledge about PCa. A strong correlation was demonstrated between family history and increased risk of PCa. However, it was demonstrated that family history of PCa did not increase levels of knowledge on the causes of PCa.