General information (5)

Socio-Demographic
Characteristics (5)

1.     
Gender

·                    
Male

·                    
Female

2.     
Age

·        
21-30 years

·        
31-40 years

·        
41-50 years

·        
51-60 years

 

3.     
Qualification

·        
MSN (or equivalent)

·        
BSN

·        
Diploma nursing

·        
Post basic specialty nursing

 

4.     
Experience

·        
1-12 years

·        
13-24 years

·        
25-36 years

·        
37-48 years

 

5.     
Hospital Name
———————– ,  Unit:
————————

 

Knowledge
related to Dengue fever. (8)

 

1.     
Can u identify the Aedes mosquito?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)

 

2.     
Do you know where Aedes mosquito comes from?

·        
 No

·        
Often

·        
Some time

·        
Once

3.     
When is usually Aedes active to bite?

·        
6am – 8am only

·        
6pm- 12pm only

·        
6am – 8am & 7pm – 9pm

·        
Other times or don’t know

 

4.     
Do you know what the first symptoms of dengue fever
are?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)
 

5.     
Do you know what the classical
symptoms of dengue fever are?

·        
Fever only

·        
Fever with rash& Headache

·        
Abdominal pain

·        
Bleeding from nose

 

6.     
Do you know Dengue can cause serious illness even
ending the life?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)

 

 

7.     
Did you get involved in health promotion activities
on dengue during the last outbreak?

·        
No

·        
Often

·        
Some time

·        
Once

 

8.     
What type of health promotion activities did you get
involved during this outbreak?

         (More than one answers possible):

·        
Public Lecture                          

·        
Small Group Discussion

·        
Demonstration Individual Advice

·        
Others:

9.     
Have you heard about the vaccine of
dengue fever?

·        
 No

·        
Often

·        
Some time

·        
Once

 

10.  For
how long you worked with dengue fever patients?

·     
01 outbreak

·     
02 outbreak

·     
03 outbreak

·     
None

 

On
Dengue Management (10)    

1.      .Do you
perform a dengue diagnostic test if you suspect dengue?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)

2.       Which ONE of the following dengue diagnostic
tests do you most frequently use?

·        
Dengue serology (IgM/IgG) & Dengue
duo kit with NS1

·        
Dengue non-structural antigen 1 (NS1) assay

·        
Other

·        
I do not
perform dengue test

3.      Do you
perform a full blood count when suspecting dengue?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)

4.      Do you
monitor confirmed or suspected dengue cases on a daily basis?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)

 

 

5.      Do you ask
for fluid intake and/or urine output in patients with suspected or confirmed
dengue?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)
 
 
 

6.      Do you
measure postural blood pressure in patients with suspected or confirmed dengue?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)

 

 

Do you routinely check for
normalization of laboratory tests such as platelet count and liver enzymes
after a patient has recovered from dengue?

·        
Always

(100%)

·        
Often

(51-99%)     

·        
Sometimes

(1-50%)

·        
Never

(0%)
 

 

8.      Do you
perform assessing and checking of vital sign of a patient of dengue?

·        
Always

(100%)

·        
Often

(51-99%)

·        
Sometimes

(1-50%)

·        
Never

(0%)

9.      Do you find
monitoring hematocrit important in patients with suspected or confirmed dengue?

·        
Yes

·        
No

·        
Not sure

·        
Can’t say anything

 

10.  Do you know
the ratio of death and recovery of patients among all additions?

·        
Yes

·        
No

·        
Not sure

·        
Can’t say anything

 

 

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