Browsing by Author "Onibokun, A. C."

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Breast and cervical cancers awareness and screening practices among rural women in Ona-ara Local government area, Ibadan, Nigeria
(2013-05) Ajayi, I. O.; Onibokun, A. C.; Soyannwo, O. A.
The level of awareness and screening practices for breast and cervical cancers among rural women was investigated. Three of the six rural wards in Ona-ara LGA were selected by balloting and the three largest communities in each of the wards were purposively selected for the study.Structured interview was conducted among 276 consenting women aged ≥18 years in the households. Data were analysed using descriptive statistics and Chi-square test. Mean age of respondents was 36.5+12.6 years. Only 52(18.8%) and 11(4.0%) mentioned they knew something about breast and cervical cancers respectively. Knowledge of risk factors, cause and screening methods was poor irrespective of demographics. Only 15/52 (28.8%) and 3/52 (5.8%) who knew something about breast cancer mentioned clinical and Breast Self-Examination (BSE) respectively as screening methods for breast cancer. Half, 28/52 (53.8%) have ever practiced BSE and 9(17.3%) had clinical examination of the breast which was done as part of antenatal care or physical examination. The 24 respondents who did not examine their breasts mentioned they did not know they should (54.2%), don’t have problems with their breasts (54.3%), don’t know how to do it (37.5%) and think health workers should do it (33.3%). Only 4/11(36.4%) of those who knew something about cervical cancer mentioned vaginal examination for cervical cancer screening and only one (0.1%) respondent mentioned Pap smear. The poor level of awareness and screening practices for breast and cervical cancers among women in these rural communities emphasizes the need for community-based educational campaigns and provision of screening facilities in rural areas
Breast cancer knowledge and screening practices among women in selected rural communities of Nigeria
(Acadenic Journals, 2012-11) Olowokere, A. E.; Onibokun, A. C.; Oluwatosin, O. A.
Globally, the devastation that befalls women diagnosed of breast cancer remains inestimable. Early detection remains a major effective approach that should be employed to combat the disease. The issue of concern, however, is whether women in the rural underserved areas are aware of these early detection methods. This study was designed to assess rural women’s awareness and knowledge of breast cancer and their screening practices. The study was a descriptive cross-sectional study utilizing self developed structured questionnaire. Reliability of the instrument was determined and alpha correlation values range between 0.81 and 0.95 for the different components of the questionnaire. Data was processed using descriptive analysis and associations tested with Chi-square at 5% level of significance. The results of the findings showed that 52.7% of the women had adequate knowledge about breast cancer risk factors and symptoms. Regarding the women’s awareness about breast cancer screening methods, 52.8 and 51.7% of women have heard about Breast Self-Examination (BSE) and Clinical Breast Examination (CBE) respectively. However, few numbers of respondents (3.9%) were aware about mammography and these are people who did it for the purpose of diagnosing breast problem. Majority of the women (72.8%) did not practice BSE which is the most readily available screening method. Considering the lack of sophisticated diagnostic technology such as mammography for breast screening in the rural areas, BSE provided a unique opportunity for the women to be breast aware and to identify breast problems which may constitute danger to their health in the future. Health care professionals, most especially those at the primary health care level, should enhance the women’s skills to use this simple procedure effectively to promote their health
Effective communication skills
(Vantage Publishers, Ibadan, 2000-06) Onibokun, A. C.
Factors influencing initiation of antenatal care in Ibadan, Nigeria
(2011-12) Oluwatosin, O. A.; Aluko, J. O.; Onibokun, A. C.
Objective: Late antenatal care (ANC) registration and irregular attendance have been implicated as factors preventing women from receiving the full benefits of effective ANC. Therefore, this study seeks to elicit the factors that impact pregnant women's timing of registration for ANC in a mission hospital, in Ibadan, Nigeria. Method: A cross-sectional study of 160 women attending the booking clinic over a 4-week period. A structured questionnaire was utilized to collect data on sociodemographic characteristics, index pregnancy, previous pregnancy and past obstetrical history. Result: Only 14 women (9.4%) booked at first trimester while 93 (62.4%) and 42 (28.2%) booked at second and third trimesters respectively. For previous and current pregnancies, the husband's instruction was the leading influence for booking, at 71 (45.8%) and 89 (57.4%) respectively. Knowledge of ANC timing, experience of loss of child and miscarriage were significant predictors of gestational age at booking. Conclusion: This study suggests the need for education at a pre-conceptual stage of the benefits of early initiation of ANC for women
Integrating nursing into national cancer control programs: prevention and early detection - the Nigeria experience
(Wiley-Liss, 2002) Onibokun, A. C.
Cancer is a major killer disease in Nigeria; breast, cervical and prostate cancers being the commonest. Data from Globocan 2000 indicate an increasing rate in cancer morbidity and mortality in Nigeria. It is estimated that by the year 2010 about 500,000 cases will be diagnosed annually. Over 70% of the cancer patients present themselves in stages III and IV when only palliative therapy can be offered. In spite of the increasing rates in cancer prevalence in Nigeria, the importance placed on cancer as a health problem is somewhat very low, relative to other non- communicable diseases. The National Government does not allocate up to 6% of its National Annual budget to health. Currently, the government has not given the issue of cancer prevention and treatment the priority it deserves, as compared with HIV/AIDS, which has suddenly gained attention as a result of international efforts. The high rates of morbidity and mortality associated with cancer related diseases could be considerably reduced through effective cancer education, championed by community health nurses and targeted at prevention and early detection. Unfortunately, this approach has not got the attention it deserves. In a country where about 65% of the populace live in rural communities (where there is a high level of ignorance, inadequate manpower and health facilities) cancer outreach programs aimed at rural areas, can be enhanced. This can be achieved through a program that integrates nursing especially community nursing, into national cancer control. Currently, only limited attempts promoted by State Ministries of Health, NGOs and professional bodies, have attempted doing this with the focus on primary, secondary and tertiary prevention. This paper shall analyze, evaluate and discuss the efforts made so far in Nigeria as a basis to coming up with options and strategies for effectively using nurses, especially community health nurses, in the prevention and early detection of cancer
Knowledge and practice of breast self-examination among nursing and midwifery students in Ibadan, Nigeria
(TextLinks Publishers, Ibadan, 2014-06) Hammed, S. K.; Aluko, J. O.; Onibokun, A. C.; Adejumo, P. O.
Background: Breast self-examination (BSE) is a check-up that a woman does by herself at home to look for changes or problems affecting the breast tissue. BSE is still recommended as a general approach to increasing breast health awareness and thus potentially allow for early detection of any anomalies because it is free, painless and easy to practice. This study assessed the knowledge and practice of BSE among Nursing and Midwifery students of School of Nursing and Midwifery, Eleyele Ibadan. Methods: The descriptive study was conducted with the use of structured questionnaires designed by the researchers. The internet resources and previous related studies served as the sources of content of the questionnaire. A simple random technique was used to select the participants for the study; the Nursing and Midwifery Council indexing record for the school being the sample frame. Thus, a total of 142 participants were recruited for the study. Results: The findings show that, majority (84.5%) of the respondents had good knowledge of BSE, while all of them had heard about BSE as at the time of data collection. However, over 90% had been practicing it prior to the period of data collection appropriately. Less than 15% of the respondents, had been able detect breast lumps while performing BSE. This category of the respondents claimed to have informed their parents before any action was taken. Conclusion: Breast cancer is the most severe and serious health problem faced by the public, majorly women. These nursing and midwifery students, most of whom were within the transitive phase from adolescent to adulthood have potential influence on one another, their immediate families and the society at large. This category of the nation’s population has been less studied in previous related researches. Therefore, educating them particularly during their professional training is very important
Nurses’ knowledge and reported practice of palliative and end- of-life care nursing at the university college hospital, Ibadan, Nigeria
(TextLinks Publishers, Ibadan, 2014-06) Onibokun, A. C.
Background: Palliative and End-of-Life (EoL) care nursing is the active total care of patients with advanced illness. The goal of this approach to care is the achievement of the best quality of life for patients and their families. No member of the interdisciplinary team is more central to making these discoveries possible than the nurse. Care of patients with life-limiting diseases and dealing with death and dying is an integral part of oncology musing. In environments of best practice, nurses routinely identify and suggest patients to physicians for possible referral to palliative care and discuss potential referrals with families. Though studies from other parts of the globe had reported levels of knowledge and practice of palliative and EoL care amongst nurses; there is dearth of literature emanating from Nigeria, specifically on the knowledge and practice of palliative and EoL care nursing by professional nurses. To the best of the authors’ knowledge, the few that have been published in Nigeria, focused mainly on knowledge of palliative care among healthcare workers. Objective: The objective of this study was to explore the knowledge and reported practice of palliative and EoL care nursing by nurses working at the University College Hospital (UCH), Ibadan, Nigeria; in a bid to inform where gap in knowledge to practice may exist. Methods: This is a descriptive study utilizing cross-sectional design, 650 nurses in various nursing cadres, who were participating in the monthly continuing education program organized by the In- Service Education (ISE) department of UCH for nurses, over a period of twelve months. With the aid of a validated semi -structured questionnaire, information was elicited from the participants on demographic variables, education and training profile, and contents of nursing education curricula, years of working experience among others. On a 5-point Likert scale, their knowledge and principles of palliative and end-of-life care nursing were assessed. Their reported practice was also assessed. Results: The sample of 650 nurses was made up of 155(23.8%) university graduates and 495(76.2) diploma-prepared nurses. Three hundred and sixty four (32%) of the participants had component of palliative care nursing in their curricula, while 327(50.3%) had components of palliative care nursing and pain management in their curricula. Fifty-four (4.7%) had formal palliative care training post- qualification. Majority (81.2%) of the respondents claimed they apply the knowledge and principles of palliative care in their current practice. A little above fifty-nine percent (59.2%) had good knowledge of palliative care. However, the practice of some was poor (40.0%) and many (29.2%) also had poor attitude towards provision of palliative and EoL care to patients who are approaching EoL; evidenced by their inappropriate responses to the related questions. Conclusion: This study identified gaps in nursing knowledge and reported practice as it relates to palliative and EoL care nursing in the management of life-limiting diseases, such as cancer. It has provided the authors with baseline data that will be used to generate additional studies to further advocate for the need to integrate palliative and EoL care nursing components into nursing education curricula, both at the university and diploma levels. Our findings suggest a need for urgent review of nursing education curricula in Nigeria at both levels, and the input of all stakeholders especially the Nursing & Midwifery Council of Nigeria
Palliative care needs evaluation in untreated patients with hepatocellular carcinoma in Ibadan, Nigeria
(2010-04) Otegbayo, J. A.; Onibokun, A. C.; Aikpokpo, V. N.; Soyannwo, O. A.
AIM This study aimed to evaluate the physical, psychosocial and spiritual needs of untreated patients with hepatocellular carcinoma, in order to determine effective palliative care approach and therefore improve their quality of life when curative therapy is elusive. METHODS The modified Needs Evaluation Questionnaire (NEQ) on pain and psychological assessments, thoughts and feelings and spiritual concerns was administered to 205 consecutive patients with recently diagnosed hepatocellular carcinoma after informed consent. The questionnaire included questions on pain, psychological state of mind, interference of disease with life, family functioning, knowledge of the disease, sexual functions and spirituality, among others. Responses were collated and analysed using simple statistics. RESULTS Abdominal pain, abdominal swelling, and weight loss were the leading clinical features, occurring in 157 (77%), 143 (70%) and 91 (44%) patients respectively. Pain characteristics varied, with 179 (87%) having it at presentation. Most of the patients (116, 57%) used NSAIDs for pain relief. Less than half (98, 48%) wanted to know the cause of the cancer, while 157 (77%) wanted to know treatment options. The majority (189, 92%) were ignorant about anyone with a similar ailment. Sexual function was not perceived as a problem but some expressed fears about sex, feeling that their partners would not find them attractive. Self-esteem was high in almost all respondents. Most (177, 86%) felt God is a “doer” while 28 (14%) felt God is a “supporter” and 162 (79%) would like a therapist or religious leader to talk to them. CONCLUSION Pain was a major concern and spiritual support by religious leaders was desired. Self-esteem of patients should be preserved and reinforced. We recommend that palliative care and end-of-life issues should be made part of multidisciplinary care of cancer patients in our setting
Patterns of psychoactive substance use among two-wheel commercial riders in Maiduguri, Borno state, Nigeria
(2011) Aliyu, U.; Oladele, E. O.; Adejomo, P. O.; Onibokun, A. C.
When any psychoactive substance is taken before driving, lives of both passengers and other motorists operating on the highway are endangered. This survey study designed to determine the patterns of psychoactive substance use among two-wheel commercial riders in Maiduguri, Borno State, Nigeria. The population of this study was 4141 two-wheel commercial riders operating in Maiduguri, Borno State. Multi-stage sampling technique was used to select 18 substations from the sampling frame. However, only 297 respondents constituted the study sample. Data were collected with the help of research assistants using a questionnaire. Descriptive statistics were used to analyze the data generated. The results of the study reveal that the commonly used psychoactive substances were kola nyt, cigarette, alcohol and marijuana. Oral and sniffing were the routes used by the respondents. Seventy-five percent of the respondents used these substances daily, mostly kola nut (31.31%) and cigarette (24.24%) that were obtained within garage. Alcohol (8.41%) and marijuana (7.74%) were obtained outside the garage. Analysis of problems associated with psychoactive substance use in the last one year shows that road traffic accident was the highest (Z-value of 6), followed by work and social problems (Z—value of 5 and 4) respectively. It is recommended that an intervention studies be conducted by the government and Non-Governmental Organizations (NGOs) to give the two-wheel commercial riders information on the types, use and consequences of psychoactive substances. Finally, government should enforce laws against psychoactive substance use and provide high-tech tools to help law enforcement agencies to tract substance users
Preparing nurses for the 21st century: re-envisioning nursing education and practice in Nigeria
(2013-12) Onibokun, A. C.
The paper explores the current situation and future development of nursing education and practice in Nigeria and their influence on health care. This is necessitated due to the significant advances in biomedical science and in the complexity of health care, coupled with observed shortage of nurses and the numerous reports of unsafe and poor quality of patient care, which have served as precursors to the concerns about nursing education and nursing practice in developed parts of the world sincerely twentieth century. This move was initiated and led by American Association of College of Nursing since year 2000. However, stake holders of Nursing profession in Nigeria are yet to take this initiative, which have direct implications for both nursing education and nursing practice in Nigeria, hence the need for this advocacy paper. Major issues and challenges in this regard are discussed with some suggestions on the way forward
Psychotherapy in Africa: experience of the group psycho-educational support programme at Ibadan - a preliminary report
(1995-11) Onibokun, A. C.; Ohaeri, J. U.; Campbell, O. B.; Adenipekun, A. A
Africa stem from the lack of an appropriate psychodynamic theory ori which to base the technique used. He suggested and experimented with the use of cosmologies (world view) native to the culture (e.g. - the Yoruba Ayanmo myth) in psychodynamic elaborations in therapy. Ohaeri (1989) believed that work along the lines suggested by Morakinyo (1982) be encouraged, but opined that the current socio-economic and cultural changes in Nigeria make it imperative to examine the need for formalized psychotherapy in the contemporary Nigeria. In view of the above coupled with the felt needs of the teaming number of oncology patients at the Cancer Registry of the University College Hospital (U.C.H.), Ibadan, the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2) was established in July 1992. The clinic now runs a formal psychotherapy programme. With the increased availability of modern methods for diagnosis and the treatment of cancer, our experience has shown that many more cases of cancer now report in hospitals in Nigeria, in particular, at the Radio-therapy Centre of the University College Hospital (U.C.H.), Ibadan, which is the only functioning radio-therapy centre in West Africa sub-region for now. This has offered us the opportunity to enquire into aspects of psycho-oncology. Our goals in this clinic are: 1. to assist the patients and heir family members in becoming more knowledgeable about the disease by providing them with all necessary information. 2. to give support by providing continuity of care. 3. to teach the patients and their family members the necessary skills to cope with the stress of living with cancer. It is an eight session progressive course, which we have developed and used for hundreds of patients at the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2). The programme is intended for people living with cancer who want to help themselves cope with and combat their disease. It is also meant for those who wish to conduct group teaching skills for people living with cancer and their family members. The paper deals with the efficacy of psychotherapy in improving the quality of life of oncology patients in Nigeria, judging from our experience with our clients at the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2) of the University College Hospital, Ibadan, Nigeria. The findings pose great challenges to all categories of health care providers, especially Nigerian psychologists
Stressors and counseling needs of undergraduate nursing students in Ibadan, Nigeria
(Slark incoporated, 2004-09) Omigbodun, O. O.; Onibokun, A. C.; Yusuf, B. O.; Odukogbe, A. A.; Omigbodun, A. O.
Existing evidence suggests that nursing students have high levels of stress and that counseling and other support services should be made available to them. However, the stressors and counseling needs of undergraduate nursing students in Nigeria have yet to be explored. This study used a questionnaire to investigate the: stressors, counseling deeds, and desired counseling facilities of undergraduate nursing students at the University of Ibadan. Common stressors included excessive school work; financial 'problems, inadequate recreational facilities, and overcrowded accommodations. There was an association between reporting inconsiderate, insensitive lecturers as stressors and evidence of psychological distress. Nearly 60% of the respondents felt counseling would help them, and most desired counseling for academics, finances, and relationships. Most (78%) of the respondents preferred an independent facility with trained counselors. Desired characteristics for the services included accessibility, affordability, confidentiality, and a friendly atmosphere. Educators and administrators should use this information to design counseling facilities for students
Women’s health beliefs and breast cancer screening practices in Nigeria
(2012-06) Olowokere, A.; Onibokun, A. C.; Irinoye, O.
Receiving a diagnosis of breast cancer and coping with subsequent treatments can be highly threatening experiences that may influence women’s breast screening practices. It is therefore important to have a good understanding of women’s beliefs and behaviour where breast cancer may be concerned. This study examined the influence of women’s beliefs on breast screening practices (BSE) in four rural communities of Nigeria. Utilizing cross-sectional design, women’s beliefs were measured using the Health Belief Model (HBM) scale adapted to Nigerian cultural settings. Women’s perceived risk to breast cancer was found to be moderately high. Self-confidence and intention to participate in health-promoting behaviours were the significant variables that influenced the women’s practice of BSE (P = 0.000 and P = 0.021 respectively). The authors therefore recommend that community health nurses should promote activities geared towards mastery of BSE by promoting self -confidence in women through regular demonstration and reinforcement of health educational sessions at the primary health care level