PERCEIVED EFFICACY OF NON-PNEUMATIC ANTI-SHOCK GARMENT IN THE MANAGEMENT OF POSTPARTUM HAEMORRHAGE IN TERTIARY HOSPITALS

(A CASE STUDY OF NORTHERN NIGERIA)

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Author

Presented To

Department of Education

ABSTRACT
The study aimed at determining the perceived efficacy of Non-pneumatic Antishock garment in tertiary hospitals of Northern Nigeria. That is the North West, North East and North central. An Ex-post facto research design was used for the study. The population of the study included doctors and nurses from selected tertiary hospitals. Stratified random, simple random and purposive sampling techniques were used in selection of hospital respondents. +In these techniques, all the existing states in Northern Nigeria were stratified into the three geopolitical zones ,these are North East – Adamawa, Borno, Taraba, Gombe, Bauchi, Yobe States; North West – Kaduna, Kano, Jigawa Kebbi, Sokoto, Zamfara, Katsina and North Central – Nasarawa, Benue, Kwara, Plateau, Federal Capital Territory, Kogi and Niger States. From each stratum two (2) States were randomly selected. From each randomly selected state, one tertiary hospital was selected purposively and where there are more than one tertiary hospitals, one was selected at random. A total of six (6) States, six (6) tertiary hospitals and three hundred and seventy-five (375) respondents were used for this study. The instrument used for this study was the questionnaire which contained 5 sections (A to E), structured on a four-point Likert scale. A pilot study was conducted in Aminu Kano Teaching Hospital and Usman Danfodio Teaching Hospital Sokoto. The data from pilot study was analyzed using guttmans-split half test. The results showed a reliability coefficient of 0.779 and internal consistency of 0.858. The data collected was analyzed using t-test and one way analysis of variance (ANOVA) at 0.05 level of significance to test the hypotheses. A constant mean of 2.5 was used to ascertain the agreement of the respondents on the questionnaire items. From results of the study, the following findings were made: NASG is significantly available in the tertiary hospitals in Northern Nigeria. Nurses and doctors in tertiary hospitals in Northern Nigeria are aware ofthe NASG for management of postpartum haemorrhage. NASG is used by nurses and doctors in tertiary hospitals in Northern Nigeria for postpartum haemorrhage. NASG is considered effective for postpartum haemorrahage by Nurses and doctors in the selected hospitals involved in the study. There is no significant difference between Doctors and Nurses in their awareness, and utilization of the NASG for management of postpartum haemorrahage among nurses and doctors of the tertiary hospitals in Northern Nigeria. In conclusion, there is significant availability, awareness and utilization of the NASG in tertiary hospitals in Northern Nigeria. It is recommended that, Government should make the NASG available in all hospitals in Northern Nigeria. The Non-pneumatic Anti-shock garment should be included in the curricula of medical and nursing students.