Suchergebnisse

Introduction: Psychoactive substance use is known since the origin of mankind and has been global problem that is influenced by social, economic, political and psychosocial factors. The menace of psychoactive substance abuse is that it is not only a socially unacceptable reality but in itself a disorder and is emerging as a major public health burden. Material and Method: A descriptive study was carried out with the view to find out the prevalence of psychoactive substance disorder in de-addiction unit at Centre for Mental Health (Chautari Nepal Health Foundation) in Rupandehi district of province-5, Nepal. All patients who were admitted during the study period with psychoactive substance use Disorder were interviewed by using semi structured performa for addiction. Total 387 patients with psychoactive substance dependence (according ICD-10) were enrolled in the study after providing written informed consent. The data was analyzed by using descriptive and inferential statistics with SPSS software version 16. Results: Among 387 psychoactive substance users, majority of them (34.1%) were in the age group 35 years and above, 57.1% were belonged to Brahmin/ Chhetri ethnic group. Greater proportion 44.4% of psychoactive substance abuser had started taking the drugs between the age of 16-20 years of age. Alcohol was most commonly used psychoactive substance as 47.5% were dependent to alcohol. Conclusion: Based on the study findings, it is concluded that addiction is a global burden. Youth is a vulnerable group. Therefore, special attention, Psycho education related to psychoactive substance should be started before adolescent.

Community diagnosis is defined as a comprehensive assessment of the state of an entire community in relation to its social, economic, physical and biological environment. It is a process of examining the patterns of disease or health status in the community in order to promote health, prevent disease and manage health services for the community people. As per the curriculum of Tribhuwan University, B.Sc. Nursing first year, we were provided an opportunity to fulfill the practicum of community health nursing in the assigned area Shanti Tole and Teentara Tole, Pokhara, Lekhnath, Ritthepani-27 from 18th June to 14th July 2017. Total population of Ritthepani was 4529, male population was 2100 and female population was 2429. Each of the 13 students was assigned with 10 different families for community diagnosis in order to promote the health of the individual, family and community. The main objective of community diagnosis was to find out the health related aspects and to provide preventive, promotive, curative and rehabilitative services to the individual and the community as a whole. All the findings were presented among the key members of the community. On survey, total population of 130 houses was found 565, among them 296 were male population and 269 were female population. Sanitation of the community was inappropriate. People were not using the health facilities effectively so they were found suffering from different kinds of diseases most commonly gastritis. The common health seeking practice was going to governmental hospital and traditional healers.