Browsing by Author "Apakama, AI"
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Item Comparative Analysis of Life Satisfaction of Patients before and after Diagnosis of Eye Pathologies(Ms. M. B. Mondal, 2024-04) Apakama, AI; Onwuegbuna, AA; Nwafor, CE; Uzozie, CC; Isu, FN; Onyekwe, AE.Aim: To compare the life satisfaction of patients before and after diagnosis of eye pathologies. Methods: This was a prospective cross-sectional survey amongst eye patients at Guinness Eye Centre, Onitsha, South East, Nigeria using pretested interviewer-administered structured questionnaire. Data collected included the socio -demographics and the life satisfaction scores of the patients before, and 4-6 weeks after diagnosis. Results: A total of 137 patients in the age range 18 to 88years, and with disease duration ranging from 1 to 23 years were enrolled. There was equal male to female ratio with mean age of 54.6 years. There was significant decreased mean life satisfaction scores from 25.9 before diagnosis to 24.3 after diagnosis among participants with eye pathology. Conclusion: The diagnosis of a vision threatening eye pathology is associated with lowering of life satisfaction hence the need to incorporate psychotherapy in the long term management of these patients.Item Duration of Illness and Resilience as Determinants of Life Satisfaction amongst Patients with Eye Pathologies(Ms. M. B. Mondal, 2024-04) Apakama, AI; Onwuegbuna, AA; Nwafor, CE; Uzozie, CC; Isu, FN; Onyekwe, AE.Aim: To determine how duration of disease and resilience as determinants correlate with life satisfaction amongst eye pathology patients Methods: This was a prospective cross-sectional survey amongst eye patients at Guinness Eye Centre, Onitsha, South East, Nigeria using pretested interviewer-administered structured questionnaire. Information such as the socio -demographics, duration of disease and questions aimed at assessing the resilience and life satisfaction scores of these patients were collected. Results: A total of 137 patients in the age range 15 to 88years, and with disease duration ranging from 1 to 23 years were enrolled. Gender and age of the participants were controlled as covariate. There was significant correlation between duration of eye pathology diagnosis and life satisfaction r= -0.22, p= 0.01, and resilience and life satisfaction r= 0.30, p= 0.01. In other words as the duration of eye pathology diagnosis increases, the more likely that the patient will report lesser life satisfaction. In contrast, patients who report higher resilience were more likely to also report higher life satisfaction. Conclusion: Life satisfaction amongst eye pathology patients is significantly determined by duration of eye disease and resilience.Item Knowledge and Attitude of Eye Care Workers towards Electronic Medical Records in a Tertiary Eye Facility in South-East Nigeria(Ms. M. B. Mondal, 2024-03) Onwuegbuna, AA; Eze, UA; Apakama, AI; Chianakwalam, EA; Ogazi, PO; Ezeude, CM; Ochiogu, BC; Udeaja, AC.Electronic Medical Records (EMR) has been an integral part of patient management in the developed world but still gradually gaining popularity in the developing world. It was met with resistance by health workers in Nigeria though this is changing in the post COVID era. However, there still appears to be some resistance to its acceptance for different and sometimes justifiable reasons. The aim is to determine the knowledge and attitude towards EMR among eye health workers in a teaching hospital in South East Nigeria. This cross-sectional quantitative study was conducted among consenting consecutive eye care workers at Guinness Eye Centre, Onitsha aged? 18years from July to September, 2023. A pretested semi structured self-administered questionnaire was used. Information of interest were biodata, knowledge and attitude towards EMR. They were summarized into simple frequencies and percentages. Knowledge scores were grouped into good and poor using the blooms cut off for knowledge attitude and practice. Univariate and bivariate analysis were done and results represented in tables and charts with levels of significance placed at p<0.05. There was a total of 135 respondents; the mean age was 32.6 years ± 10 SD, male to female ratio of 1:1.1. The result showed good knowledge and positive attitude towards EMR (85.2% and 73.2% respectively) with younger age group, professional cadre and computer literacy found to be associated with good knowledge and positive attitude towards EMR in the population. The hospital/ clinic were the most common sources of EMR information. This study showed good knowledge and positive attitude toward EMR in the study population. It also suggested an association with younger age group, professional cadre and computer literacy.Item Limited Awareness of HCV among Ophthalmic Patients in Nigeria(Ms. M. B. Mondal, Ph.D., 2024-03) Onwuegbuna, AA; Apakama, AI; Eze, U; Chianakwalam, EA; Ezeude, CM; Ochiogu, BC; Chigbo, CG; Elej, GU.Background: The hepatitis C virus causes serious morbidity and mortality and is a global public health concern. Aim: To ascertain adult patients’ awareness of hepatitis C in a specialist eye clinic in Anambra State, Nigeria. Methods: A pretested, semi-structured questionnaire administered by interviewers and also self-administered by participants was used in this prospective, descriptive, cross-sectional study to ascertain the awareness of hepatitis C among adults visiting a specialist eye clinic in Anambra State, Nigeria. Descriptive variables and tests of significance were used in the analysis of data on socio demographics, awareness, and knowledge of hepatitis C. The COUTH Ethics committee granted ethical approval. Results: Because they met the inclusion criteria, 264 people in total took part in this survey. With an age range of 20–87 years, there were 110 (41.7%) males and 154 (58.3%) females, with a ratio of 1:1.4. The average age was 60.6 +/- 14.8 years. The majority of the 149(56.4%) participants were unaware of HCV infection while 258 (97.8%) were unaware of the method by which HCV is spread. Conclusion: In Nigeria, adult patients who visit eye clinics have low knowledge of hepatitis C.Item Retinitis Pigmentosa in Awka, Nigeria: A Survey Study(Ms. M. B. Mondal, 2024-03) Ochiogu, BC; Apakama, AI; Udeaja, AC; Otuka, OAI; Onwuegbuna, AA.Background: Retinitis pigmentosa which causes irreversible blindness and affects all gender is usually inherited. Objectives: To describe the incidence and pattern of retinitis pigmentosa at the Eye Unit of Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka, Nigeria. Materials and Methods: The case files of all the new patients seen at the Eye Unit of the Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka between January 2014 to December 2021 were reviewed. Those with clinical diagnosis of Retinitis Pigmentosa were selected and information bordering on age, sex, occupation, disease duration. associated morbidity and fundus findings were extracted and analyzed using descriptive statistics. Results: Out of the 5461 new patients seen at the Eye Clinic within the study period, 29(0.5%) were diagnosed of Retinitis Pigmentosa. Of the 29 patients 18 (62.1%) were males and 11(37.9%) females, with male to female ratio of 1.6:1. The age range was 7 years to 69 years. Thirteen patients (44.8%) were between 16 years and 44 years. Median age was 33 years while the mean age was 34. 8+15. 2 years. Nine (31.0%) patients were students. The most common complaints of the patients were poor vision, 27(93.1%) and refractive error 8(27.68). Seven patients (24.18) were blind at presentation while retinal pigmentation was the most frequent fundus finding 29 (100%). Conclusion: Retinitis Pigmentosa is a cause of visual impairment and blindness which reduces the quality of life of affected persons. Early diagnosis and visual rehabilitation should be encouraged.