Beliefs and Perception of Stroke among Adult Inhabitants of Calabar South Local Government Area, Cross River State-Nigeria

Download Article

DOI: 10.21522/TIJNR.2015.SE.19.01.Art004

Authors : Umoh, Edet Okon, Umoh, Edet Okon

Abstract:

This study was conducted to determine beliefs and perception of stroke among adults in Calabar South Local Government Area of Cross River State. Four research questions were raised and one hypothesis formulated to direct the course of the study. A descriptive cross-sectional design was adopted and participants selected from five wards in the LGA using multi-stage sampling technique. The instrument for data collection was structured questionnaire with high reliability coefficient. Data collected were presented and analyzed using frequency table, charts and simple percentages. Weighted mean scores were computed and used to decide whether or not item is significant based on cut-off weighted score of 3.0. Research hypothesis was tested using chi-square statistical analysis significant at 0.05. Findings revealed that people in the area significantly belief stroke is caused by witchcraft (3.94±1.16), and cause could be revealed by consulting traditional oracle (3.74±1.36). Significant belief exist that treatment is best offered by traditional healers (3.94±1.16); and cause is from curse from the gods and/or ancestors (3.15±1.28). Regarding religious beliefs, that lack of faith and trust in God is why people become sick with stroke (3.96±1.04); and that patients with stroke are possessed by the devil (3.05±1.34). Findings further revealed that there’s poor perception regarding stroke as influenced by individual characteristics like sex, age, ethnicity, religion and educational status. It was recommended that Government through Public Health Department should embark on enlightenment of public on clinical causes of stroke, need for regular blood pressure check, avoidance of stress and stress provoking situations.

Keywords: Stroke: A sudden clinical manifestation challenging cerebral functioning for a period more than 24 hours arising from interference in client’s normal vascular system.

Beliefs: This is an acceptance that something is true and real even without evidence and proof.

Perception: A way of regarding, understanding or interpreting something.

Adult: In the context of this study, adults refer to humans who are more but not less than 18 years of age.

References:

[1].     Agbanusi, A. (2016), Witchraft in West African Belief System—Medical and Social Dimensions, Department of Philosophy, Nnamdi Azikiwe University, Awka, Mgbakaigba, Journal of frica Studies, Vol. 5 No. 2

[2].     Alqahtani, M. (2015), Understanding the socio-cultural Health Belief Model Influencing Health Behaviors among Saudi Stroke Survivors, King Khalid University, Kingdom of Saudi Arabia, Neuroscience & Medicine, 6, 149-159, http://www.scirp.org/journal/nm, http://dx.doi.org/10.4236/nm.2015.64023

[3].     American Heart Association (2011), Stroke patients benefit from family involvement in exercise therapy, Best Neuro Surgery Hospital, ScienceDaily

[4].     Bell - Gam, H., Onwuchekwa, A. & Iyagba, A. (2012), Improving Stroke Management through Specialized Stroke Units in Nigeria: A situational Review, Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria, The Nigerian Health Journal, Vol. 12, No 2, April — June, 2012

[5].     Berman, A. & Snyder, S. (2012), Fundamentals of Nursing concepts, process and practice, 9th ed. P. 320, Pearson Education Incorporated, Upper Saddle River, New Jersey 07458, Printed in United State of America.

[6].     Berkowitz, A. (2015), Managing stroke in low-resource settings, Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02445, United States of America, World Health Organization, 2016;94:554-556. doi: http://dx.doi.org/10.2471/BLT.15.162610

[7].     Burkman, K. (1998), The Stroke Recovery Book: A Guide for Patients and Families, Nebraska: Addicus Books, Inc., May, 1998.

[8].     Calvin, M., Sharon, C. and Nova, C., (2016), Stroke among African-Caribean women: lay beliefs of risks and causes, https://doi.org/10.1111/jocn.13061

[9].     Charles, E. (2014), Business owners groan under heavy taxation in C/River, Daily Trust, May, 2018.

[10]. Dubovsky, S.L. (1983) Psychiatry in Saudi Arabia. American Journal of Psychiatry, 140, 1455-1459,http://dx.doi.org/10.1176/ajp.140.11.1455

[11]. Edem, E, (2018), How cult killed 20 year-old boy in Cross, River, Daily Post-Nigeria News, published 4th March, 2018.

[12]. Feigin, V., Norrving, B. & Mensah, G. (2017), Global Burden of Stroke, Circulation Research, https://doi.org/10.1161/CIRCRESAHA.116.308413

[13]. Galvin, R., Cusack, T. & Stokes, E. (2009), To what extent are family members and friends involved in physiotherapy and the delivery of exercises to people with stroke, Indexed for MEDLINE, Disabil Rehabil, 2009;31(11):898-905. doi: 10.1080/09638280802356369.

[14]. Giaguinto, S., Sarno, S., Dall’Armi, V. & Spiridigliozzi, C. (2010), Religious and Spiritual Beliefs in Stroke Rehabilitation, Clin Exp Hypertens, 2010;32(6):329-34, doi: 10.3109/10641960903443566.

[15]. Heart and Stroke Foundation (2013), Statistics [Internet] The Foundation https://books.google.com.ng/books?isbn=1365957950

[16]. http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.3483991/k.34A8/Statistics.htm.

[17]. Janz, Nancy K.; Marshall H. Becker (1984). "The Health Belief Model: A Decade Later", Health Education & Behavior. 11 (1): 1–47. doi:10.1177/109019818401100101.

[18]. Jauch, E.; Saver, J.; Adams, H.; Bruno, A.; Connors, J. & Demaerschalk, B. (2013), American

[19]. Heart Association Stroke Council; Council on Cardiovascular Nursing; Council on Peripheral Vascular Disease; Council on Clinical Cardiology. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association, Stroke: 2013 Mar;44(3):870–947. http://dx.doi.org/10.1161/STR.0b013e318284056a pmid: 23370205

[20]. Kazui, S.; Naritomi, H.; Yamamoto, H.; Sawada, T. & Yamaguchi, T. (1996), Enlargement of spontaneous intracerebral hemorrhage. Incidence and time course. Stroke. 1996 Oct;27(10):1783–7. http://dx.doi.org/10.1161/01.STR.27.10.1783 pmid: 8841330

[21]. Komolafe, M., Olaogu, M., Adebiyi, A., Obembe, A., Fawale, M. & Adebowale, A. (2015), Stroke risk factors, among participants of a world stroke day awareness program in South-Western Nigeria, Department of Medicine, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria, Nigerian Journal of Clinical Practice, vol. 18, issue 6, page 807-809

[22]. Korpelainen, J., Nieminen, P. & Myllylä, V. (1999), Sexual functioning among stroke patients and their spouses, Stroke 1999;30:715–9. [PubMed]

[23]. Mapulanga, M., Nzala, S. & Mweemba, C. (2014), The Socio-economic Impact of stroke on Households in Livingstone District, Zambia: A Cross-sectional Study, Ann Med Health Sci Res. 2014 Jul-Aug; 4(Suppl 2): S123–S127, doi: 10.4103/2141-9248.138030, PMCID: PMC4145508, PMID: 25184078

[24]. Mukhejee, D. & Patil, C. (2011), Epidemiology and the Global Burden of Stroke, Maxine Dunitz

[25]. Nakibuuka, J., Sajatovic, M., Katabira, E., Ddumba, E., Byakika-Tusiime, J., and Furlan, A., (2014), Knowledge and Perception of Stroke: A Population-Based Survey in Uganda, Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7051, Kampala, Uganda, Academic Editors: H. McNaughton and M. Paciaroni, ISRN Stroke, http://dx.doi.org/10.1155/2014/309106

[26]. National Stroke Association (2o18), All Rights Reserved. Neurosurgical Institute, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA, Epidemiology and the Global Burden of Stroke DOI: https://doi.org/10.1016/j.wneu.2011.07.023

[27]. Nerosky, (2012), True Life Confession of a Witch Woman, Nairaland Forum, www.nairaland.com/1007684/true-life-confession-witch-woman

[28]. Nyabwari, B. (2014), The impact of magic and witchcraft in the social, economic, political and spiritual life of African communities, Chuka University, Faculty of Arts and Humanities, Kenyatta University, Kenya, International Journal of Humanities Social Sciences and Education (IJHSSE) Volume 1, Issue 5, May 2014, PP 9-18 ISSN 2349-0373 (Print) & ISSN 2349-0381 (Online) www.arcjournals.org

[29]. Oku, A. (2015), Prevalence of Stress, Stressors and Coping Strategies among Medical Students in a Nigerian Medical School, DOI: 10.4103/2384-5589.153384, https://www.researchgate.net/.../273760384_Prevalence_of_stress_stressors_and_copi...

[30]. Omu, O. & Reynolds. F. (2014), Religious faith and self-efficacy among stroke patients in Kuwait: health professional’s views, Disabil Rehabil, 2014;36 (18):1529-35. doi: 10.3109/09638288.2014.892641, Epub 2014 Feb 25.

[31]. Pathak, N. (2017), 10 top causes of stroke, WebMD Medical Reference, © 2017 WebMD, LLC. All rights reserved.

[32]. Pieroni, A. and Quave, C. (2005) Traditional Pharmacopoeias and Medicines among Albanians and Italians in Southern Italy, Journal of Ethnopharmacology, 101, 258-270, http://dx.doi.org/10.1016/j.jep.2005.04.028

[33]. Rosenstock, Irwin (1974). "Historical Origins of the Health Belief Model". Health Education & Behavior, 2 (4): 328–335. doi:10.1177/109019817400200403.

[34]. Simon O. Ering (2010), "The Population Situation in Cross River State of Nigeria and Its Implication for Socio-Economic Development: Observations from the 1991 and 2006 Censuses" (PDF). Archived from the original (PDF) on 2 April 2012.

[35]. Stoddard, Ed (2007), Religious faith may help stroke victims: study, Reuters

[36]. Wahab, K.W. (2008), The Burden of Stroke in Nigeria, Int J Stroke, 2008 Nov;3(4):290-2. doi: 10.1111/j.1747-4949.2008.00217.x.

[37]. Williams, R. (2015), How to prevent stroke in middle age, The Guardian, © 2018 Guardian News and Media Limited or its affiliated companies. All rights reserved.

[38]. Wedro, Benjamin (2016), stroke signs, symptoms, warning signs and treatment, MedicineNet.com.

[39]. World Health Organization Preventing Chronic Diseases (2005), A Vital Investment, WHO, Geneva

[40]. www.informationng.com/.../shocking-confessions-of-wizards-how-five-men-confesse

[41]. www.who.int/mediacentre/factsheets/fs323/en/

[42]. Z. Bham and E. Ross, (2005),“Traditional and Western medicine: cultural beliefs and practices of South African Indian Muslims with regard to stroke,” Ethnicity and Disease, vol. 15, no. 4, pp. 548–554, 2005. View at Google Scholar · View at Scopus.