IMPACT OF LEISURE ACTIVITIES ON WELL-BEING IN COVID-19 PANDEMIC SITUATION, A CROSS SECTIONAL SURVEY

Aims Of Study: During COVID-19 people were forced to stay home and this increased the risk of limiting their PA and adaptation of sedentary behaviour hence our objective is to measure the impact of leisure activities on well-being during COVID-19. Methodology: 366 participants were selected, using Non-probability convenient sampling from UOL and PGC. PA and well-being were assessed using IPAQ-short form and WHO-5 well-being questionnaire. Results: IPAQ-short form with well-being Pearson Chi square was 638.012, Spearman correlation was 0.956 and p-value Asymptotic significance (2 sided) was .000 which means there is positive strong correlation between variables. Limitations and Future Implication: Adults having ages 18-40yrs volunteered due to short time period and since our study limited to only 2 settings so to generalize our outcomes for mass population was not feasible. During lockdown gaining past medical history in data collection was impacted, it is suggested to include the role of Physiotherapist in improving health status by PA, create awareness among common population about role of PA and their relation with well-being also including diversity in age groups, ethnicity and localities is suggested. Originality: Strong positive correlation between PA and well-being. Conclusion: This study shows that during Covid-19 pandemic, those individuals who remained physically active had good impact on their health. Being physically active not only improves an individual’s physical fitness level but also helps to cope with psychological problems degrading one’s mental health so our study found out direct relation between physical activity levels and health status.

Chronic Post Mastectomy Pain in Adult Female Patients at Aga Khan University Hospital Nairobi

Introduction: Breast cancer is a major cause of morbidity and mortality worldwide among women. The improvement in diagnostic and treatment strategies has led to a larger number of survivors who have breast cancer. However, there are complications attributed to breast cancer treatments, including chronic post mastectomy pain (CPMP). CPMP causes physical, social, emotional and functional disability. Once established, it is difficult to treat and negatively impact quality of life of the affected patients. Despite the big number of patients with breast cancer who undergo mastectomy at AKUHN, the burden of CPMP and factors associated with it remain unknown. Objectives: To determine the burden of CPMP and its associated risk factors in adult female patients at AKUHN. Study design: A descriptive cross-sectional study. Study setting: The AKUHN. Study population: Female breast cancer patients who underwent mastectomy at AKUHN between January 2008 and December 2017. Sampling process: Stratified sampling with subgroups based on year of surgery. Sample size: Assuming a CPMP prevalence of 10% and an attrition rate of 10% in the study population, a sample of 370 patients would be required to detect an odds ratio of developing CPMP of 2.5 with a p-value< 0.05. Statistical analysis: By the use of SPSS version20. The study outcome: A total of 480 patients’ contacts were successful, of which 49 declined the interview, 22 were deceased, while 409 patients were alive and responded to the study interview. The prevalence of PMCP was 14.4% with 9.3% who also had arm pain. The severity of pain was distributed as mild, moderate and severe at 55.9% (33), 40.7% (24) and 3.4% (2) respectively. The only predictor of CPMP which was statistically significant in this current study was age while the rest were not. Conclusion: The prevalence of CPMP in the current study in our institution is relatively low compared to other studies. In the study, the only associated factor with CPMP that is statistically significant is age; which corresponds with the studies reviewed. Recommendation: We recommend a closer follow up of patients under the age of fifty years as they are more prone to develop CPMP. We also recommend a multicenter study which will give a larger sample size with a population of diverse demographic profiles; subjected to different types and techniques of breast surgeries, different surgical set-ups; different post-operative care; and different post-operative pain management for a more conclusive outcome.