Browsing by Author "Soyannwo, O. A."

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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
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
Non-cardiac surgery and anaesthesia in children with congenital heart disease
(1996-06) Soyannwo, O. A.; Baiyeroju, A. M.
Children with Congenital Heart Disease (CHD) presenting for non-cardiac surgery have various physiological and functional abnormalities and thus pose great challenges to the anaesthetist. This one year prospective study was undertaken to determine the incidence of CHD in children presenting for noncardiac surgery, the type of lesions and anaesthetic course. Five patients (1.5%) out of a total of 324 children aged from birth to twelve years who had surgery during the study period were found to have CHD, ventricular septal defect (VSD) being the commonest cardiac lesion. Surgery was for cataract extraction and herniorrhaphy. Although all the children had been previously treated or were on current treatment for additional medical problems, surgery under closely monitored balanced general anaesthetic technique was found to be safe.
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