HEALTH FACILITY

A RETROSPECTIVE STUDY ON THE PREVALENCE OF CEREBROVASCULAR ACCIDENT AND ITS ASSOCIATED RISK FACTORS AMONG PATIENTS ADMITTED INTO THE NEUROLOGICAL WARD OF A TETIARY HEALTH FACILITY (2015- 2020)

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Abstract
Stroke is a leading cause of death and disability worldwide. This study was conducted to investigate the prevalence of stroke and it's associated risk factors among patients admitted at the neurological ward of University of a tertiary health facility. The objectives this research work aims to determine the prevalence of Cerebrovascular accident, identify the associated risk factors, determine the percentage of stroke survivors and distribution of mortality rate. The study employed a retrospective descriptive survey design method. The area of study was the neurology
ward in the University of Benin Teaching hospital, Benin City, Edo State, Nigeria. Of a total population of two thousand three hundred and thirty-nine patients admitted, one thousand three hundred and ninety-seven patients were diagnosed of CVA and their data was collated. Purposive sampling technique was used. A well-structured checklist was used to elicit items relevant to the research objectives. The study showed that the prevalence of CVA was 58.9% of the total population, and the most prevalent risk factors were hypertension and diabetes mellitus. The percentage of survivors was 69.4% and the distribution of mortality was highest amongst the males, age group 50-69, married patients, tertiary level of education, Christians, and Bini. The study therefore recommends that community education on lifestyle modifications, beneficial nutritional practices, maintaining appropriate body weight should be ensured. Also health workers should make anthropometric measurements, blood pressure and blood glucose level a routine procedure to ensure prompt treatment and eradication of these risk factors.
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KNOWLEDGE OF OCCUPATIONAL HAZARDS AND SAFETY PRACTICES AMONG NURSES IN A TERTIARY HEALTH FACILITY IN BENIN CITY, EDO STATE

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This study explored the knowledge of occupational hazards and safety practices among 258 nurses in a tertiary health facility in Benin City, Edo State, Nigeria, through a comprehensive survey. The research examined socio-demographic characteristics, awareness of various occupational hazards (physical, biological, chemical, ergonomic, and psychosocial), exposure levels, and adherence to safety protocols. Results indicated that 60.9% of nurses possessed good knowledge of occupational hazards, 33.3% had moderate knowledge, and 5.8% exhibited poor knowledge. High awareness was noted for workplace hazards (95.3%) and their potential adverse health effects (96.5%), though knowledge of relevant laws and regulations was lower (68.2%). Exposure to occupational hazards was significant, with 41.1% of nurses reporting high exposure and 50.0% experiencing moderate exposure. Frequently encountered hazards included prolonged standing (72.5%), low back pain (68.6%), workplace stress (76.7%), and exposure to disinfectants (55.0%). Overcrowded workplaces (56.6%) and infectious diseases (37.6%) were also prevalent concerns. Safety practices were robust, with 71.3% of nurses demonstrating good adherence, particularly in regular hand hygiene (77.1% strongly agree) and proper disposal of sharps (74.0% strongly agree). However, disagreement regarding needle recapping (24.8%) suggested areas for improved training. A chi-square analysis (χ² = 104.216, p < 0.001) confirmed a significant relationship between higher knowledge levels and better safety practices, underscoring the importance of education in fostering safer behaviors. The findings highlight gaps in organizational safety systems, such as limited systematic hazard identification (59.7%), and the need for targeted interventions. Recommendations include enhanced training on hazard- specific risks, regular risk assessments, ergonomic improvements, and stricter policy enforcement to mitigate exposure and promote a safer working environment for nurses in tertiary healthcare settings.
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co-supervisor