Browsing by Author "Akin-Odanye, E. O."
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Item The delivery of psychosocial services in an oncology setting: the Ibadan experience(2015) Asuzu, C. C.; Akin-Odanye, E. O.The diagnosis of cancer and its treatment have serious multiple impacts on the different domains of the patients’ lives as well as that of their caregivers. It is often challenging for patients to cope effectively with the social, emotional, spiritual and physical impact of the disease without psychosocial support. Psychosocial health services refer to those psychological and social services as well as interventions provided to patients to enable them, their families, and health care providers get the best possible care from the health care system and to manage the psychological, social/cultural and behavioral aspects of illness and its consequences so as to enhance quality of life. These psychosocial services include, but are not limited to distress screening and management through psychological interventions, group and individual counselling, nutritional counselling, psycho-education services, provisions of breast prostheses free of charge or at minimal cost etc. While giving psychosocial services to cancer patients in most of North America and Europe is almost the norm today, much is still left to be done to accomplish this in Nigeria. This paper gives an insight into what has been done so far in Nigeria to ensure that the provision of psychosocial services in oncology setting becomes part of standard care.Item The effect of pilot cognitive restructuring therapy intervention on depression in female cancer patients(Wiley Online Library, 2015) Asuzu, C. C.; Akin-Odanye, E. O.; Philip, E. J.Item Impact of active coping, religion and acceptance on quality of life of patients with breast cancer in the department of radiotherapy, UCH, Ibadan(2014) Elumelu, T. N.; Asuzu, C. C.; Akin-Odanye, E. O.Background- A breast cancer diagnosis as well as the treatment that follows has considerable consequences on women’s physical functioning, psychological health and overall well-being, resulting in significant interference with patients’ quality of life (QoL). Purpose The study seeks to assess the impact of active coping, religion and acceptance on the QoL of patients with breast cancer. Participants- This study, which is descriptive in nature, assessed the QoL and coping mechanism of 110 patients with breast cancer receiving treatment at the radiotherapy clinic in the University College Hospital (UCH). The patients had an age range of 25–75, an average age of 46.82 and an SD of 10.55. Male patients were 4 (3.60%), while 106 (96.40%) were female. Currently married participants were 84 (76.40%), while 26 (23.60%) were not. Methods- Data was collected using the Functional Assessment of Cancer Therapy-Breast (FACT-B) V.4 QoL questionnaire and Carver’s Brief Cope questionnaire. Results- Analysis of data showed that significant differences were found between participants who used active coping, religious coping and acceptance more than those who did not in the overall QoL (p<0.05) as well as in some of the QoL dimensions. Conclusions- Significant differences exist in the QoL of patients with breast cancer based on the coping style they adopt. Patients with breast cancer should be helped to adopt coping styles that would enhance their QoL.Item Measured effect of some socio-demographic factors on depression among breast cancer patients receiving chemotherapy in Lagos State University Teaching Hospital (LASUTH)(Faculty of Medicine, Makerere University, 2011-09) Akin-Odanye, E. O.; Asuzu, C. C.; Popoola, A. O.Background: Breast cancer is a disease predominantly found amongst women. It is a disease which threatens an organ that is intimately associated with a woman’s self image, sexuality, as well as her reproductive and nurturing capacity. These threats have serious psychological implications for women living with breast cancer. Objective: To examine the pattern and predictors of depressive symptoms among breast cancer patients receiving chemotherapy in the Lagos State University Teaching Hospital (LASUTH). Methods: Ethical approval was obtained for an ongoing multi-centre study. The data used in this study are pre-test scores from breast cancer patients in the Lagos State University Teaching Hospital. The 21-item Becks Depression Inventory II (BDI-II) was administered on 33 purposively sampled breast cancer patients who read and signed informed consent forms before taking part in the study. Results: Analysis of data using simple percentages showed that the 33 participants indicated varying degree of depressive symptoms: 13 (39.4%) of the respondents had minimal depression, 12 (36.4%) of them had mild depression, 3 (9.1%) had moderate depression, and 5 (15.2%) had severe depression. The average BDI-II score yielded 16.09 indicating mild depression. Multiple regression analysis results showed that being informed about breast cancer, average monthly income, cancer stage and educational level significantly predicted participants’ level of depression. Conclusion: This study confirmed the presence of depressive symptoms in cancer patients in Nigeria. It was recommended that intervention programs to help reduce these depressive symptoms be developed.Item A pilot study of cancer patients’ use of traditional healers in the radiotherapy department, University College Hospital, Ibadan, Nigeria.(Wiley Online Library, 2015) Asuzu, C. C.; Elumelu-Kupoluyi, T.; Asuzu, M. C.; Campbell, O. B.; Akin-Odanye, E. O.; Lounsbury, D.Objective: This descriptive cross-sectional study assessed cancer patients’ use of traditional healers, the association between delay in coming to this clinic and patients’ use of traditional healers, reasons cancer patients use western medicine after trying traditional treatment and the cost of obtaining traditional treatment. Methods: Participants were made of 400 consecutive and consenting new patients in the Department of Radiotherapy, University College Hospital (UCH), Ibadan. A validated interviewer-administered semi-structured questionnaire was used for data collection. Data was analyzed using descriptive and inferential statistics. Focus group discussions were held with some of the clients as well as the traditional healers. Results: It showed that 34.5% of the patients patronized traditional healers, while 65.5% used only hospitals. The most common reason given among patients who patronized traditional healers for doing so was their desire to be healed and to be rid of pains (45.9%), while the most common reason they opt for western medicine afterwards was lack of improvement in their health condition (70.1%). The cost of traditional treatment for cancer ranged between no cost to N5,000 (that is approximately $31.25 @ $1 = N160) to be treated. The cost of orthodox care would range from a minimum of N40,000 to several millions of naira. Conclusions: Patients patronize traditional healers to be rid of pains; hence physicians should endeavor to control cancer-related symptoms, especially pains as the patients await diagnosis. Also, the low cost of obtaining traditional treatment, regular assurance of cure and other assistances given to them, could be an enticing factor in its use.