Browsing by Author "Mahlungulu, Sarah Nomalizo."

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Effects of psychoeducation on medication compliance and symptom management for clients with bipolar affective disorder attending community psychiatric clinics in Ethekwini health district .
(2005) Ng'oma, Mwawi Agnes.; Mahlungulu, Sarah Nomalizo.
This study was aimed at evaluating effects of psycho education on medication compliance and symptom management for clients with bipolar affective disorder attending community psychiatric clinics in the Ethekwini Health District of KwaZulu-Natal Province. A quantitative study was done using a quasi-experimental design. A one group pre-test and post-test design was used to assess the effects of psycho education. The population of the study were all clients with bipolar affective disorder attending Escoval House community psychiatric clinic and its satellite clinic (Austerville). Systematic sampling was used to select clients to participate in the study and a total of forty clients were selected. Two self-administered questionnaires were used to collect data. Clients were assessed in areas of their knowledge, medication compliance and symptom management (Pre-test). The group was then exposed to six sessions of psycho education, and they were assessed again a week after the psycho education (post-test) using the same instruments. The data was analyzed using the Statistical Package for Social Sciences (SPSS). Descriptive statistics were used to analyse participants' characteristics and some selected variables. Cross tabulations, chi-squares and paired t-tests were used on dependent variables and on social variables of interest to compare the changes in scores and means respectively and lastly to determine the relationship of social variables and the dependent variables. The findings of this study revealed that psycho education improved respondents' knowledge about their illness and symptom management techniques (with P-values ranging from 0.0001- 0.03), psycho education also improved medication compliance with P-value =0.000, but it did not affect the respondents' ability to use new techniques in managing their symptoms (with P-values ranging from 0.125- 0.75).
The practice of the traditional birth attendants during pregnancy, labor, and postpartum period in rural South Africa.
(2004) Flomo-Jones, Dedeh Helen.; Mahlungulu, Sarah Nomalizo.
This study was undertaken to investigate the practice of Traditional Birth Attendants (TBA) during pregnancy, labor, and the postpartum period. The overall goal of this study was to promote safe motherhood. This study was conducted in Abaqulusi, a sub-district of KwaZulu-Natal, Zululand Health District 26, in four rural communities. A descriptive design with structured interview schedule guided the process. A convenient sample of forty-eight actively practicing trained Traditional Birth Attendants and forty-eight mothers attended by these Traditional Birth Attendants were interviewed. Of these 48 TBAs 47 were women, and one interestingly, was a man. Their age range was from 20 to over 70. Fifty percent of the mothers attended by the TBAs were between 15 and 24 years old. This finding is significant because the result shows that most of the mothers who are attended and delivered by TBAs are a high risk group. Data generated was quantitatively and qualitatively analyzed. The study revealed that the TBAs attended the mothers during the pregnancy, labor, and postpartum periods. All TBAs examined mothers with their hands, gave education on the importance of good nutrition, child spacing, and follow up care. The study showed that during labor 100 % of TBAs deliver babies on the floor with an old blanket, in the lithotomy position and encouraged the mother to empty her bladder before and during labor. They wore gloves or plastic bags. They examined mothers before delivery was done. They measured the umbilical cord, tied it with string and cut it. They cleaned the baby's mouth, nose, and eyes with a clean cloth, and wrapped the baby up and put it near the mother. They delivered the placenta, checked it to see if all was out. They washed the mother and put her on her bed. During the postpartum period, 100 % of the TBAs visited the mother at her home for one week to assess and care for the mother and her baby. The TBAs examined the mother, checked the umbilical cord and bathed the baby. They educated the mother about breastfeeding, caring for her breast, and eating balanced meals to produce adequate breast milk. The study revealed that the mothers perceived the TBAs as caring. The mothers loved the TBAs because the TBAs were easily accessible, even at night. The conclusion reached in this study is that TBAs are of great value to the rural communities of South Africa. They need to be supported by the health professionals so thal tbeir practice can be recognized. They form part of the maternal and child health care. Their practice is indispensable.
The role of spirituality in the life of people living with HIV/AIDS.
(2006) Dolo, Meiko Josephine.; Mahlungulu, Sarah Nomalizo.
The purpose of the study was to explore the role of spirituality in the lives of people living with HIV/AIDS, which was aimed at exploring the different spiritual beliefs held by that group of people and the importance of those beliefs in helping them to live with HIV/AIDS. A qualitative approach, using an exploratory research design was undertaken using twenty-five purposefully selected participants from the support group of people living with HIV/AIDS at Philani Clinic in King Edward VIII Hospital in Durban. Data were collected by utilizing focus-group interviews followed by one-on-one individual interviews. An audio tape recorder was used to record the interviews. Field notes and memos were also kept to strengthen the data and to ensure trustworthiness. The socio-demographic characteristics of participants were analyzed using the Statistical Package for Social Sciences (SPSS 11.5) for Windows; the results are displayed in the form of tables, graphs, percentages and presented in the methodology section of chapter three. The qualitative data were transcribed and analyzed manually by assembling the transcript from each interview and utilized to form major themes, sub-themes, categories and sub-categories that emerged from the data. In this study spirituality was described as a four-dimensional cognitive (mental) relationship with the transcendent being/higher power/ultimate reality, a relationship of love, forgiveness and connectedness that is reinforced by one's belief system. The result of this relationship is the achievement of inner peace, which produced a general sense of wellness that is usually subjective. General wellness could be physical health, mental health, acceptance of things that one cannot change and quality of life. Common themes identified from the sample included spirituality, defined as a personal relationship with God or a higher power that facilitates love, forgivingness and connectedness; taking precaution, respecting the elders and believing in God for everything. HIV/AIDS was found not to be a curse from God, but an ordinary illness, even though other participants believed that it was God's plan to bring humanity back to Him, while others believed that it was a blessing. The study also found that HIV/AIDS could be prevented through the continuous use of condoms, faithfulness in marriage and abstinence, but some believed that its cure could only come from God after the accomplishment of the purpose for which He allowed the infection. However some study participants believed that the cure would be discovered through research. The benefit of the spiritual belief that helped participants to cope with the infection was the achievement of inner peace, which was achieved through restoration of relationships.
Spiritual care in nursing : a grounded theory analysis.
(2001) Mahlungulu, Sarah Nomalizo.; Uys, Leana Ria.
There is scientific evidence that the spiritual well-being of a person can influence the quality of life lived and the general responses to life's crises of illness, pain, suffering and even death (Ross, 1994). The problem that was identified in this study was the absence of an explicit description or the phenomena of spirituality and spiritual care in nursing within a South African context. Concept clarification was imperative ifnurses, patients/clients in South Africa were to realize spirituality and spiritual care within a broader context of holistic nursing. The purpose of the study was to conceptualize the phenomena of spirituality and spiritual care from the perspectives of nurses and patients/clients with an aim of generating a middle range theory of spiritual care in nursing that explained the phenomena by utilizing data that were grounded in the participants' experiences. A qualitative mode of inquiry using a grounded theory method was applied. A sample of 56 participants composed of 40 nurses, 14 patients and 2 relatives of patients was recruited by theoretical sampling procedure from two hospitals, and one hospice settings. Data were collected by utilizing focus groups interviews followed by one to one in depth interviews and observations. An audio tape recorder was used to record the conversation, field notes and memos were also kept to strengthen the data, and to ensure trustworthiness. Data were collected and analyzed simultaneously. A software called Nvivo was used to code data into different levels of coding. The results were rich descriptions of the phenomena in question and a development of a theoretical model for spiritual care. The concept of spirituality was described as a unique individual quest for a transcendent relationship by establishing and maintaining a dynamic relationship with self, others and with God as understood by the person. The ability to establish and maintain a meaningful transcendent relationship seemed to be related to the person's beliefs, faith or trust. 99% of the participants expressed their quest for a transcendent relationship through organized religion while I % claimed to have their spiritual fulfilment outside an organized religion. The phenomena of spirituality and spiritual care were conceptualized as occurring in phases which begin with a comfortable zone, trigge r-response and spiritual caring. The nurses role in spiritual care was perceived as based upon the principles of ubuntu. compassion for human suffering and pain and acceptance of a patient/client as a unique being. Nurses carried their spiritual care roles by accompanying, helping, presencing, valuing and intercessory roles. The outcomes of spiritual care were cited as hope, inner peace, finding meaning and purpose in life, illness, and in death.