Browsing by Author "Adenipekun, A."

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Correlates of depression and anxiety among the cancer patients in the radiotherapy clinic in UCH, Ibadan, Nigeria
(2015) Asuzu, C. C.; Adenipekun, A.
The diagnosis of cancer and its management result in several problems for cancer patients. This may result from factors some of which may be modifiable. This study was aimed at identifying the prevalence of depression and anxiety in patients attending the Radiotherapy Clinic in the UCH, Ibadan and to identify the variables affecting them. The Beck’s Depression Inventory (BDI-II) and the Fear of Progression (FOP12) scales were used to assess depression and anxiety among cancer patients. The 206 diagnosed cancer patients studied were made up of 146 (79.6%) women and 42 (20.4%) men. Some 76 (36.9%) had moderate to very high anxiety while 29 (14.1%) had borderline to severe depression. The ages ranged between 10 to 85 years with a mean of 47.84 (+/_ 16.45). In prevalence of anxiety and depression, 36.9% of the cancer patients experience varying levels of anxiety and 31.6% experience varying levels of depression. On logistic regression, age, religion, educational level and treatment type significant factors for anxiety. Specifically, being older than 40years, being a Christian, not reporting educational qualification and not yet commencing treatment compared to having surgery as the current treatment type was significant risk factors for anxiety. Only treatment type was a significant risk factor for depression that is not yet commencing treatment compared to having surgery as the current treatment type was a factor for depression. Appropriate Psychological evaluation and therapy as may be needed should be administered to all oncology patients preparing for surgery and chemotherapy to enhance their emotional and psychological wellbeing. The findings of this study have implication for establishment of psycho-oncology care in all the cancer centres in Nigeria.
Knowledge and attitudes of terminally ill patients and their family to palliative care and hospice services in Nigeria
(2005-06) Adenipekun, A.; Onibokun, A.; Elumelu, T. N.; Soyannwo, O. A.
Bacground: A palliative care and Hospice service is a neglected aspect of medical discipline especially in a developing country like Nigeria. With the global increase in incidence of cancer and HIV/A IDS and 70% of them presenting late, coupled with limited resources, for effective symptom control, palliative care therefore remains the only option left to improve the quality of life of the patients. Objective: To assess the, knowledge and attitudes of patients and their relations to palliative care and hospice services {PC&H} and to fashion out appropriate services for the patients. Materials and methods: A total of 130 participants were studied using a questionnaire which comprised of three parts: Socio-demographic variables. Information about Knowledge and Attitudes towards PC&H. Results: Sixty nine were patients while 61 were family members. Ninety four [72.3%] had no knowledge of PC&H regardless of level of education and social status. 109 (84%) agreed that symptoms of the terminally ill patients should be treated to improve their quality of life and 75%. of the participants agreed that this will be better done in a Hospice. 106 183% | participants desire to have hospice established in every community, this again was regardless of tribe Conclusion: There is a gross lack of knowledge about PC&H in our community as evidenced among, the participants studied. However, there is a positive attitude towards PC&H suggesting a general acceptance, since there is presently no well established Hospice, in Nigeria; we recommend that government and Non-governmental organizations should assist in this area. A hospital based Hospice might be a starting point