School of Nursing
http://repository.chuka.ac.ke/handle/chuka/240
2022-04-15T01:47:01ZNULM 843: HUMAN RESOURCE MANAGEMENT
http://repository.chuka.ac.ke/handle/chuka/14547
NULM 843: HUMAN RESOURCE MANAGEMENT
Chuka, University
2021-07-13T00:00:00ZDETERMINANTS OF HIGH INCIDENCE RATE OF MENTAL DISORDERS AMONG YOUTHS IN CHUKA SUB-COUNTY, KENYA
http://repository.chuka.ac.ke/handle/chuka/7955
DETERMINANTS OF HIGH INCIDENCE RATE OF MENTAL DISORDERS AMONG YOUTHS IN CHUKA SUB-COUNTY, KENYA
Kaburi, John Mwiti
Youth are most vulnerable to mental disorders and psychological disturbances than any other group in the society. Globally, mental disorders amongst the youths have been on increase with one fourth to one-third of the youths and adolescents experiencing these disorders across their lifetime. Kenya mental health policy 2015 – 2030 states that: about 40% of in patients youths in hospitals suffer from mental illness. In Tharaka Nithi County, statistical reports for the year 2014 indicate that there was a total of 1,966 mentally ill persons who visited the health facilities. Chuka sub-county hospital had a total of 806 in-patients diagnosed with mental disorders. Out of the 806 patients, 216 were youths aged 15 – 35 years representing 41%. This high percentage of youths admitted with mental disorders necessitated the study. The current study sought to find the risk factors for mental disorders among the youths in Chuka Sub County. Six locations were conveniently sampled, after which proportion of participants from each selected location was calculated. Individual participants were purposively sampled. The study adopted a cross-sectional survey design to collect data from 384 youths who were sampled through convenience sampling technique. Structured questionnaires were used to collect data. Data was analyzed using Statistical Package for Social Science (SPSS) version 24. Frequencies and percentages were used to present descriptive statistics while Chi Square test of independence was used to test the relationship between the dependent and independent variables. Significant results were then be subjected to logistic regression analysis. Majority of the youths were male, 74%. Those who were aged between 21-25 were 42.5%, 15-20 years were 28%, 31-35 years were 28% and 25-30 years were 0.5%. Majority of the youths had secondary education, 58.8%, followed by college 21.5%, primary 12.2% and university at 7.5%. A big percentage of the youths, 63% were single by the time of study, 34.7% were married and 2.3% had divorced or separated. The following demographic factors were associated with high risk of developing mental disorders; age of the youth (p=0.022), level of education of the youth ( p<0.001), marital status of the youths (p=0.018), significant social risk factors included; youth discrimination (p=0.016), bullying by fellow students (p<0.001), mistreatment while growing up (p=0.013), and frequency of family conflicts, on economic risk factors, significant factors included; satisfaction with income earned (p=0.018), youth straining to fund social needs (p=0.046), and family financial support (p<0.001). Significant environmental risk factors included; area of residence (p=0.025), youths’ participation in societal civic activities (p=0.020) and crime rate at the youths’ area of residence (p<0.001). In conclusion, the study found interplay between social and economic variables which increased the risk of developing mental disorders among the youths. These socioeconomic risk factors compounded with environmental exposures increased the risk of developing mental disorders among the youths. The study recommended, that these interpretations of these findings should be done with caution, as inferences about real cause cannot be made.
A Thesis Submitted to the Graduate School in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Science in Nursing of Chuka University
2019-09-01T00:00:00ZDETERMINANTS OF HIGH INCIDENCE RATE OF MENTAL DISORDERS AMONG YOUTHS IN CHUKA SUB-COUNTY, KENYA
http://repository.chuka.ac.ke/handle/chuka/7897
DETERMINANTS OF HIGH INCIDENCE RATE OF MENTAL DISORDERS AMONG YOUTHS IN CHUKA SUB-COUNTY, KENYA
MWITI, KABURI JOHN
DETERMINANTS OF HIGH INCIDENCE RATE OF MENTAL DISORDERS AMONG YOUTHS IN CHUKA SUB-COUNTY, KENYA
A Thesis Submitted to the Graduate School in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Science in Nursing of Chuka University
2020-12-01T00:00:00ZSecondary Prevention Practices Among Adult Patients with Type 2 Diabetes Mellitus at Meru Level Five Hospital and Consolata Hospital Nkubu, Kenya
http://repository.chuka.ac.ke/handle/chuka/291
Secondary Prevention Practices Among Adult Patients with Type 2 Diabetes Mellitus at Meru Level Five Hospital and Consolata Hospital Nkubu, Kenya
Ngari, Dennis Mugambi
Diabetes is chronic metabolic disorder characterized by states of hyperglycemia with
disturbances of carbohydrates, fat and protein metabolism. Diabetes affects millions
of people globally every day and the prevalence of the disease is on the rise due to
unhealthy diet and lifestyle. The ailment is associated with significant disability,
premature deaths, and enormous medical costs. The disorder usually results to chronic
complications including cardiovascular diseases, diabetic nephropathy, diabetic
neuropathy, foot ulcers and diabetic eye diseases that are all preventable through
secondary preventive measures. Once an individual has been diagnosed with T2DM,
secondary preventive approaches are essential in preventing the occurrence of chronic
complications. However, lack of awareness of these measures has been cited as the
common reasons for the development of complications. The study aimed to assess the
practice and factors influencing secondary prevention among patients with Type 2
Diabetes Mellitus (T2DM) at Consolata Hospital Nkubu and Meru Level Five
Hospital. A descriptive correlational study design was adopted to collect data from
357purposively sampled participants with T2DM using questionnaires and Focus
Group Discussion Guide. Quantitative data was analyzed using SPSS version 25 at
95% confidence interval and a significance level p 0.05.Frequency tables, bar graphs
and pie charts were used for descriptive statistics while Chi squares and logistic
regression were used for inferential analysis. Most respondents attended Meru
Teaching and Referral Hospital. Majority of the respondents were aged between 40-
60 years. Most respondents 31.6% had secondary level of education and majority 67%
was employed. Concerning secondary prevention, majority did foot examination on
every visit 70.6% and BP monitoring 69.5%while 56.5% did annual eye screening.
Most respondents were married and did not engage in harmful social habits such as
smoking and alcohol use. The following factors were significantly predicting practice
of secondary preventive measures among diabetes patients at a p value ≤0.05;
knowledge on complications for diabetes, distance to the facility, availability of drugs,
good staff reception, receiving health education and counseling, good care-giver
communication, availability of DM services, availability of supplies for screening DM
complications, and client satisfaction all significantly influenced DM secondary
prevention. Affordability of services, health insurance cover of the patients, monthly
cost of DM management and traditional beliefs in managing DM all significantly
influenced DM secondary prevention. The level of secondary prevention was poor
which was influenced by a number of factors that needs be addressed to reduce the
global burden posed by the disease.
A Research Submitted to the Graduate School in Partial Fulfillment of the
Requirements for the Award of the Degree of Master of Science in Nursing of
Chuka University
2019-09-01T00:00:00Z