School of Nursing

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Browsing School of Nursing by Author "Opemo, Damian Otieno"

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    Early mobilization and physical activity improve stroke recovery: a cohort study of stroke inpatients in Kisumu County referral hospitals, Kenya
    (Science and education publishing ; AJPHR, 2016-01-01) Ogolla, Maurice M.; Opemo, Damian Otieno; Asweto, collins otieno
    Early mobilization in acute stroke care is highly recommended in a range of developed countries policy; however, in developing countries like Kenya, lack of evidence seems to hinder formulation and implementation of policy guideline on early mobilization in acute stroke care. Therefore, to estimate the safe optimal time for early mobilization of stroke patients in Kenya, we conducted a prospective cohort study in two purposively selected health facilities in Kisumu County, Kenya. About 100 stroke patients admitted in medical wards (mean age 59.1±2.3 years, females 61%) were recruited. Barthel Index’ tool was used to assess recovery and physical activity levels. It comprised of scoring scale ranging from 0-100. The participants were categorized as follows: Patients who score between 0 – 30 were considered as mildly recovered, 31 - 60 as moderately recovered and patients who score from 61 – 100 were regarded as fully recovered. Multiple logistic regression model was used to compute adjusted ORs (AOR) of early mobilization and Barthel Index variable, adjusting for age, gender and type of stroke. Early mobilization improves patient recovery. Participants in early mobilization group were more like to independently feed, groom, dress, use toilet, use wheel chair and climb stairs with help compared to late mobilization (p <0.05). Most (76%) participants who were exposed to high physical activity had full recovery than the (5%) bones in low physical activity (p< 0.001). This study provides evidence that early mobilization and high physical activity improves stroke patient recovery.
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    Logistic regression analysis of mortality among fishermen in the riperian counties of Lake Victoria, Kenya
    (Science Publishing Group, 2019-01-21) Opemo, Damian Otieno; shem, Godfrey Juma
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    A study of common causes of mortality among Fishermen in Lake Victoria, Kenya
    (KEMRI : AJHS, 2014-01-01) Opemo, Damian Otieno; ALoo, Peninah A.; Arudo, John A.; Mbithi, John N.
    The fishing industry in Kenya plays an integral role in the socio-economic development of Kenya. However, the working environment of fishermen is characterized by a wide variety of occupational hazards and mortality attributed to work related diseases or accidents and injuries, which, are poorly reported. Most of the reported cases are in the formal sector, while the informal sector such as fishing, where most people are employed, are largely ignored. The objective of this study was to determine the causes of mortality and identify factors that influence mortality among fishermen in Lake Victoria. A two-year retrospective mortality survey using verbal autopsy was carried out among fishermen in eight riparian districts of Lake Victoria in Kenya. The study successfully followed up a total of 3058 deceased fishermen. The mean age at death was 33 years (SD: ± 9.5) and a median of 32 years ranging between 15 – 54 years. Peak mortality reported among fishermen aged 25 - 29 years (19.8%) and 30 – 34 years (19.3%) was comparable. The findings revealed that the major causes of death were HIV – related infections (33.8%) followed by drowning (14.3%), pulmonary tuberculosis (12.4%), and malaria (10.4%). Results of this study show that there is an urgent need to identify strategies that would prevent HIV – related infections and drowning among the fishing community.