Moderating Influence of Intervention Programs on the Relationships between Psychosocial factors and Therapeutic Behaviour of Obstetric Fistula Patients in North-west Nigeria: A Proposed Conceptual Framework
- February 27, 2020
- Posted by: RSIS
- Categories: IJRSI, Nursing
International Journal of Research and Scientific Innovation (IJRSI) | Volume VII, Issue II, February 2020 | ISSN 2321–2705
Faruk U. Abubakar, Muhammad Anka Nasiru
Department of Nursing Sciences, College of Health Sciences, Usmanu Danfodiyo University Sokoto, Nigeriaria
Abstract—The strategic objective of this study is to make available a visual framework that graphically describes some selected constructs of intervention programs, psychosocial factors, and therapeutic behavior among obstetric fistula patients in northern Nigeria. Explicitly, this study proposed a research framework that, when authenticated, it will go further to assess the seeming association among the key constructs under study. In order to offer a solution to the research problem stated by this paper, this study will, in due course, employ mixed methods research design (pragmatism). The research consists of five basic constructs in the proposed framework that, when validated, the constructs will be used to evaluate the influence of intervention programs, combined with psychosocial factors in motivating obstetric fistula women to participate in therapy. In the proposed conceptual framework, the key constructs that strive for validation comprise therapeutic behavior, intervention programs, decision-making, the attitude of health personnel, and social support.
Keywords: Therapeutic behavior, intervention programs, decision-making, attitude of health personnel, social support. Obstetric fistula
I. INTRODUCTION
Obstetric fistulas come about mainly because of prolonged obstructed labor ([35]-[39]). Labor becomes prolonged when a woman takes longer than 24 hours to deliver a child [35]. A significant complication of prolonged labor is the occurrence of birth-related injury communicating the vagina and urinary bladder (VVF or vesicovaginal fistula) or vagina and rectum (RVF or rectovaginal fistula), leading to uncontrolled escape of urine and feces through the vagina, aggressive odor, and other social, physical, medical, and psychological problems ([6], [12]-[35]).