Browsing by Author "Okoro, Chukwuemeka Chukwubuikem"

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    A 5-year Retrospective Review of the Presentation Pattern and Management outcomes of Uterine Fibroids in a Nigerian Tertiary Hospital.
    (Kabale University, 2024) Madunatu, Chimezie Michael; Okoro, Chukwuemeka Chukwubuikem; Onyejiaka, Chukwudubem Chinagorom; Enechukwu, Chukwunonso Isaiah; Ofojebe, Chukwuemeka Jude; Ani, Vincent Chinedu; Eleje, George Uchenna; Mbachu, Ikechukwu Innocent; Okafor, Chigozie Geoffrey; Okoro, Amarachukwu Doris; Okafor, Christiana Nkiru; Oguejiofor, Charlotte Blanche; Eze, Stephen Chijioke
    Background: Uterine fibroids are a common gynecological condition affecting reproductive-age women. Although fibroids are considered benign, they are a cause of major quality-of-life issues for women in their reproductive age. Objectives: To determine the prevalence, pattern of presentations and management outcomes of uterine fibroids over 5 years. Materials and Methods: This is a retrospective review of the prevalence, clinical presentations, and outcome of the management of uterine fibroid over 5 years (between January 1st, 2017, and 31st December 2021) at Nnamdi Azikiwe University Teaching Hospital (NAUTH). The case files of women who were managed for uterine fibroid during this period were obtained from the hospital’s Health Records department to extract relevant information. The social, demographic, and clinical data of the subjects were extracted using a designed proforma. The outcome measures included the prevalence, clinical presentations, and management outcomes of uterine fibroids. Data was analyzed using the SPSS 26.0 IBM Corporation. Results: The prevalence of uterine fibroids was 10.7% of all gynecological cases that were presented to the clinic. Participants, mean age was 39.11±7.01 years, most (75.4%) being nulliparous. Abdominal swelling was the commonest (62.3%) pattern of presentation and most of the subjects presented late with a mean duration of symptoms of 38.2±9.82 months. Surgery was the commonest method of treatment with myomectomy being the modality used in 86.5% of subjects. The common postoperative complication was anemia which was reported in 15.2% of the subjects. Conclusion: Uterine fibroid prevalence in this review of 10.66% is high and so also are the associated complications. The symptoms correlate with delayed presentations common in our locality. Surgical management comprising predominantly myomectomy and hysterectomy remained the commonest treatment option in our environment.
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    Effect of Educational Intervention Program on Self-Efficacy of Individuals with Type 2 Diabetes Mellitus in South-East, Nigeria.
    (Kabale University, 2024) Okafor, Christiana Nkiru; Onyenekwe, Chinedu Charles; Okonkwo, Uchenna Prosper; Umunnah, Joseph Onuuwa; Okoro, Chukwuemeka Chukwubuikem; Mbanuzuru, Ahaoma Victor; Agunwah, Ukamaka Elizabeth; Odira, Chika Chioma; Makata, Eucharia Ngozi; Nwankwo, Chinenye Mercy
    Objectives: Diabetes Mellitus is a chronic disease, which requires a level of confidence among the sufferers in its management. This study investigated the effect of an educational intervention program on self-efficacy (SE) in diabetic individuals with type 2 diabetes mellitus in South-East, Nigeria. Methods: The study was a quasi-experimental controlled study, comprising 382 individuals with type 2 DM selected, and assigned to intervention (IG) and control groups (CG). The instrument for data collection was the Stanford Chronic Disease Self-Efficacy Scale (SCDS). Pretest data were collected, and thereafter education on diabetes management was given to the IG group. The IG was followed up for 6 months. At the end of 6 months, post-test data were collected using the same instrument. Data were analyzed using Pearson Chi-square test statistics. A P-value less than .05 alpha level was considered significant. Results: There was no statistically significant difference between the two groups before intervention. However, after 6 months of intervention, a significant proportion of participants’ scores in IG moved from low to either moderate or high SE in almost all the SE domains (P < .05. Conclusions: There was an improvement in most domains of self-efficacy in the intervention group after 6 months of educational intervention.
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    Utilization of Educational School Facilities Among Students in a Selected Tertiary Institution in South East Nigeria.
    (Kabale University, 2024) Okoro, Amarachukwu Doris; Okafor, Christiana Nkiru; Menkiti, Ifeoma Oluchukwu; Egbuna, Maryann Chioma; Munezero, Tamu John Bosco; Mandera, Immaculate; Okoro, Chukwuemeka Chukwubuikem
    Background: Educational school facilities are indispensable in the teaching and learning process because they enhance understanding, application, and retention of knowledge. Despite the importance of these educational facilities in increasing the performance of students, studies assessing their utilization are scarce. Objectives: The objective of the study was to assess the utilization of educational school facilities among students of a Nursing training institution in South East Nigeria. Methods: The study was a cross-sectional, descriptive, non-experimental, questionnaire-based study. A stratified sampling technique was used to select 130 students from the first, second, and third years who participated in the study. Results: There was poor utilization of the demonstration room partly due to the poor equipment of the laboratory and the school policy of insisting that the student replace any damaged item. There was poor utilization of the computer laboratory for learning mostly due to the non-availability of internet services. Conclusion: We recommend that government and non-governmental agencies join hands in re-equipping the educational facilities and provide the needed manpower to make the facilities suitable and conducive for students.