Hom Nath Chalise

Publications (11) View all

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  Available from: Hom Nath Chalise

  Article: Self-Care Practices and Their Perceived Effectiveness among Fatigued Cancer Patients in Nepal

  Pratibha Chalise, Radha Acharya Pandey, Hom Nath Chalise
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  ABSTRACT: Nepal continues to record and report new human cases of cancer. Fatigue, a complex and multi-dimensional phenomenon, is a significant problem for patients with cancer, even for those who are newly diagnosed. Self-care practices are taken by cancer patients to alleviate their fatigue from cancer and treatment-related symptoms. In Nepal, empirical knowledge of the self-care practices among cancer patients is scarce but needed in order to inform modern medical service provision. This study examined self-care behaviors and their perceived effectiveness among 100 patients diagnosed with cancer in B.P. Koirala Memorial Cancer Hospital, one of the largest cancer hospitals in Nepal. Prior to the conduct of the study, the researchers sought permission from hospital authorities to access the medical records of and to interview cancer patients. Data suggests that the local cancer patients interviewed had utilized an array of self-care behaviors involving psychological, nutritional, physical and alternative medical practices; in general, they perceived these practices as partially effective. In Nepal, there is a need to know how much of the information on self-care practices and their efficacy is supplied by modern medical professionals. In turn, the modern medical providers will be able to identify the ways in which the use of self-care practices among patients with cancer can be optimized.
  Asia-Pacific E-Journal of Health Social Science. 12/2012; 1(2).
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  Article: Life style of patient before and after diagnosis of hypertension in Kathmandu

  Radha Acharya, Hom Nath Chalise
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  ABSTRACT: Hypertension is an important public health-challenge in the developing and the developed world alike. However, hospital-based studies on cardiovascular diseases including hypertension in a developing country like Nepal have been limited. Objective: The objective of the present study was to determine the life style of patients before and after diagnosis of hypertension. Me-thods: A total of 100 adult hypertensive pa-tients over 30 years of age who were attending in medical out patients department within 6 month to 2 years after first diagnosis of hyper-tension in Shahid Gangalal National Heart Cen-tre and Tribhuvan University Teaching Hospital, in Kathmandu, Nepal, in April 2009, were in-cluded using a descriptive research design. The data was collected by interview using a ques-tionnaire consisting of a combination of struc-tured and semi-structured questions. The data was analyzed by using SPSS 11.5 version. Re-sults: This study found the respondents' knowledge regarding hypertension was poor. Regarding life style of hypertensive patients, majorities (90%) of them were non-vegetarian before diagnosis but after diagnosis of hyper-tension the percentage of non-vegetarian was reduced by 10%. Similarly, the reduction in consumption of meat, eggs, ghee and oil (mus-tard, sunflower) by hyperten-sive patients was statistically significant dif-ference (p = 0.000) after the diagnosis of hypertension. Regarding soya-bean oil consumption, additional salty food and amount of salt intake there was no statistical significant difference before and after the diagnosis of hypertension. Likewise, physical exercise and stress reduction activities performed by hypertensive patients and change in drinking alcohol and smoking was found to be statistically significant difference (p = 0.000) after the diagnosis of hypertension. Conclusion: The adverse consequences of hypertension can be reduced by modifying the life style. Therefore more focus should be given in increasing the awareness about hypertension by developing information, education and communication ma-terials on hypertension and setting up hyper-tensive counseling clinic in each hospitals.
  Health. 01/2011; 3(3-3(8)):490-497.
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  Article: Social support and its correlation with loneliness: a cross-cultural study of Nepalese older adults.

  Hom Nath Chalise, Ichiro Kai, Tami Saito
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  ABSTRACT: The aim of this study was to analyze the situation of social support exchange among elderly men and women and to study the cross-cultural validity of predictors of loneliness in two Nepalese castes/ethnicities of older adults. Data for this study were taken from a cross-sectional study of the elderly at least 60 years old living in one ward of Kathmandu City, conducted in 2005. Loneliness was measured using a three-item loneliness scale based on the University of California at Los Angeles (UCLA) Loneliness Scale. Sources of social support were classified as spouse, children living with their elders, children living apart, and friends/neighbors. Study findings indicate that the main social support exchange for the elderly was with adult children living together, spouse, and friends/neighbors. Results also show gender difference in social support. Significant variables of loneliness were social support received from spouse, social support provided to spouse, and children living together with both elderly parents. This finding shows there is a high degree of cross-cultural invariance in the predictor sources of social support on loneliness among two Nepalese castes/ethnicities older adults.
  The International Journal of Aging and Human Development 01/2010; 71(2):115-38. · 0.62 Impact Factor
• Conference Proceeding: An analysis of informal care across six Asia-Pacific countries: A policy makers perspective. Poster presented at the 9th IAGG World Congress of Gerontology and Geriatrics

  Bridge, Iwakuma M, Kiata L, Qiao N, Takehashi E, Ibrahim R, Chalise H. N, Ono M, Wada T
  9th IAGG World Congress of Gerontology and Geriatrics, Paris, France, 5-9 July 2009; 07/2009
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  Article: Self-reported health: a study of older adults from a developing country--Nepal.

  Hom Nath Chalise, Tami Saito, Ichiro Kai
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  ABSTRACT: Self-reported health is an easy measure of overall health and is useful in identifying persons at risk of a decline in health and the risk of disability in older adults. The purpose of this paper is to identify the correlates of self-reported health for older adults in Nepal. The subjects (N = 137) were members of the Chhetri caste who were 60 years or older (mean age 69.1 +/- 7.2 years; 54% women) and living in Katmandu City. Data were collected by face-to face interviews using three self-reported health questions. A single scale was developed from the three self-reported questions. Bivariate analysis and multiple regression analysis were used to analyze the results. The findings show a correlation between self-reported health and sex, household status, living arrangements, social participation, chronic health problems, functional disability in activities of daily living (ADL), employment status, and economic satisfaction. Results of multiple regression analysis indicate that factors for self-reported health among older adults are chronic health problems, economic satisfaction, functional disability in ADLs, and social participation.
  Bioscience trends 10/2007; 1(2):102-7. · 0.97 Impact Factor