ORIGINAL_ARTICLE
Assessment of Quality of Life for Women Undergoing in Vitro
AIM: To assess the quality of life for women undergoing in vitro fertilization. SETTING:The study was conducted at Hawaa private center at Benha city. DESIGN:A descriptive designwas used. A purposive SAMPLE of 60 women undergoing in vitro fertilization in the stage ofsucceeded controlled ovarian hyper-stimulation. TOOLS of data collection consisted of aninterviewing questionnaire sheet and Hopkins symptom checklist for measuring quality of life.RESULTS: More than two thirds of studied women were unsatisfied regarding physical fitness inthe stage of succeeded controlled ovarian hyper-stimulation. Also in this stage, there wassignificant difference between age groups as regards the score percent of physical, social andpsychological fitness. Also two thirds of the studied women were satisfied regarding social fitnessduring the stage of embryo transfer. CONCLUSION: In vitro fertilization had a bad effectregarding all domains in stage of succeeded controlled ovarian hyper-stimulation but studiedwomen were more satisfied regarding physical, social and psychological fitness in stage ofembryo transfer than stage of succeeded controlled ovarian hyper-stimulation.RECOMMENDATION: Developing training programs by faculty of nursing staff regarding invitro fertilization for nurses who are working in fertility clinics to provide proper counselingservices for the infertile couples.
https://ejhc.journals.ekb.eg/article_104672_5af48e38e6a7aa640fc306ff1c8726fc.pdf
2016-12-01
1
14
10.21608/ejhc.2016.104672
in vitro fertilization
quality of life
Amany
Fikry Ali
1
Maternal and Newborn Health Nursing Department – Faculty of Nursing Fayoum University,
AUTHOR
Nadia
Mohammed Fahmy
2
Maternal and Newborn Health Nursing Department Faculty of Nursing , Ain-Shams University
AUTHOR
Amel
Ahmed Hassan
3
Maternal and Newborn Health Nursing Department – Faculty of Nursing Benha University
AUTHOR
Eman Mohammed
Abd-Elhakam
4
Maternal and Newborn Health Nursing Department – Faculty of Nursing Benha University
AUTHOR
ORIGINAL_ARTICLE
Effect of pregnancy lifestyle on maternal body mass index
Maternal obesity has become one of the most commonly occurring obstetric risk factors formaternal mortality in developed countries. The study was aimed to assess the effect of pregnancylife style on maternal body mass index Design: Descriptive study. Setting: This study wasconducted at out patient antenatal clinics in Ain Shams Maternity University Hospital. Subject:A Purposive sample included (86)woman, was selected in the study according to certain criteria(BMI 30Kg) and at the end of 1sttrimester Tools: 1) A Structured interviewing questionnaire,which included two parts, a) Socio-demographic characteristics ,previous medical, obstetric,surgical ,family, and present pregnancy history b) Maternal lifestyle assessment sheet . Results:The main results showed that, There was statistically significant relation between pregnancy lifestyle and maternal body mass index and highly significance difference in terms of activities ofdaily living ,numbers of meals ,exercises ,daily personal hygiene and housing sanitation p = 0.001, while significance difference in meals component p = 0.019Conclusion: The present studyshows that maternal obesity during pregnancy body mass index are associated with, lifestylefactors Recommendation: raising awareness and education about maternal obesity amongpopulations at greater risk for maternal obesity and excessive gestational weight gain
https://ejhc.journals.ekb.eg/article_104675_7e6d3894397104857bc47058dd5670ba.pdf
2016-12-01
15
24
10.21608/ejhc.2016.104675
pregnancy lifestyle
Obesity
maternal body mass index
Eman Mostafa
Sayed Ahmed
1
Obstetric Nursing Department – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Aziza
Ahmed Attia
2
Obstetric Nursing Department – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Azza Abd
Elhameed Mohamed
3
Obstetric Nursing Department – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
ORIGINAL_ARTICLE
Counseling Intervention for Enhancing Physical Health and Subjective Well-Being Among Elderly With Chronic Illness at Geriatric Homes
Objective: The aim of this study was to determine the efficacy of counseling intervention
in improving physical health and subjective well-being among elderly with chronic illness at
geriatric homes. The study was conduct in four geriatric homes affiliated with social solidarity
agency .The sample of this study 102 elderly individuals . data were collected through an
interview questionnaire sheet , KATZ Activities of Daily Living scale, Personal Health
Inventory, The Modified Subjective Well-Being Scale and Medication Adherence Self-Efficacy
Scale (MASES).The result of the present study showed a highest proportion of old age have
Independence level of Daily activity . there was a significant improvement in a neutral zone of
health behavior and subjective well –being after implementing counseling sessions . The present
study recommended that future research to assesses an impact of health-promoting life-style
behaviors on life satisfaction among elderly individual with chronic illness at geriatric homes.
https://ejhc.journals.ekb.eg/article_104676_d41d8cd98f00b204e9800998ecf8427e.pdf
2016-12-01
25
39
10.21608/ejhc.2016.104676
old age
health status
subjective wellbeing
Self efficacy
Sahar
Mahmoud
1
Psychiatric Nursing, Faculty of Nursing, Ain Shams University, Cairo. Egypt
AUTHOR
Nahla Ahmed
Abd Elaziz
2
Community Health Nursing, Faculty of Nursing, Ain Shams University, Cairo. Egypt
AUTHOR
ORIGINAL_ARTICLE
Nutrition Role in The Management of Psychiatric Disorders
The Aim of the current study is to investigate nutrition role in the management ofpsychiatric disorders. Research Design: A quasi- experimental research design was utilized forthis study. Setting The study was conducted at outpatient clinic at Institute of Psychiatryaffiliated to Ain Shams University hospitals, using a convenient sample of 50 psychiatric patientswith depression, schizophrenia, bipolar disorders, and obsessive compulsive disorders. Tools:data were collected through; an interviewing questionnaire covering socio-demographiccharacteristics, ,nutrition assessment tools, nutrition risk assessment, and nutrition managementprogram Results showed that, there were highly statistically significant improvements inmodified nutritional supplements for patients with depression, schizophrenia, bipolar disorders,and obsessive compulsive disorders, after conducting the nutrition management program.Regarding psychiatric patients’ knowledge about healthy food, healthy nutritional habits, andpatients’ awareness & readiness for change, there were highly statistically significantimprovements. Concerning signs and symptoms of psychiatric disorders there were highlystatistically significant improvements for depression, schizophrenia, bipolar disorders, andobsessive compulsive patients after conducting the management program. In conclusion, thenutrition management program was effective in improving symptoms associated with, depression,schizophrenia, bipolar disorders, and obsessive compulsive disorders. The study recommendedthat nurses should have more contribution in counseling psychiatric patients, and their familiesabout healthy diet and healthy food habits. Further research should recommend studying theeffectiveness of herbs on enhancing mental health for psychiatric patients.
https://ejhc.journals.ekb.eg/article_104677_6452e7017fb9191161b4d4691e9a7188.pdf
2016-12-01
40
59
10.21608/ejhc.2016.104677
Nutrition Role
Management- Psychiatric Disorders
Abeer
Mohammed
1
Imbaba Institute
AUTHOR
Nevein
Mustafa Elashery
2
Psychiatric/Mental Health Nursing, faculty of Nursing
AUTHOR
Mona
Hassan Abdel Aal
3
Psychiatric/Mental Health Nursing, faculty of Nursing
AUTHOR
Ereny
Wilson Nagib
4
Home Economics Department. Faculty of Specific Education .Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Program on Nurses' Performance Caring for Patients with Cerebrovascular Stroke
Cerebrovascular stroke (CVS) is the third leading cause of death in the United States ofAmerica (USA), and the most common cause of long-term disability in adults. Experts estimateup to 30% of all patients with stroke will deteriorate in the first 24 hours. This statistic supportsthe need for intensive monitoring by nurses specifically trained in acute stroke care in intensivecare unit (ICU). Aim of this study: assess the effect of an educational program on nurses'performance regarding caring for patients with cerebrovascular stroke in intensive careunit.Research Design: A quazi experimental design was used. Setting: This study was conductedin Emergency Medicine ICU, Geriatric ICU and Neurological ICU at Ain Shams UniversityHospital. Study Subjects: A convenient sample of all available nurses (n =37 nurses) wereincluded in this study. Data collection tools: self-administered questionnaire sheet and nurses'practice observational checklist. Results: the present study revealed that, most of the nurses hadgot satisfactory level of performance (knowledge & practice) regarding caring of patients withCVS pre the program implementation (8.1% and 10.8% respectively). Meanwhile most of thestudy sample had got statistically significant improvement in their knowledge and practiceregarding caring of patients with CVS post program implementation (89.2% and 78.4%respectively). While this improvement lowered slightly post 3 months at follow up (83.8% and62.2% respectively). Conclusion: inadequacy of the nurses’ performance regarding caring ofpatients with CVS pre the program implementation. Meanwhile most of the study sample had gotstatistically significant improvement in their performance post the program implementation;while this improvement lowered slightly post 3 months at follow up. Recommendations: theimportance of establishing booklet guideline for neurointensive nurses caring of patients withCVS based on evidence based practice.
https://ejhc.journals.ekb.eg/article_104679_0d51db78320693993bb038d746d41788.pdf
2016-12-01
60
80
10.21608/ejhc.2016.104679
Brain attack
cerebrovascular accident
Training program & Performance
Kamelia
Fouad Abd-Alla
1
Medical Surgical Nursing, Faculty of Nursing, Ain Shams University,
AUTHOR
Soheir
Tawfeek
2
Medical Surgical Nursing, Faculty of Nursing, Ain Shams University,
AUTHOR
Mamdoh
Mahmoud Mahdy
3
Internal Medicine, Faculty of Nursing, Helwan University,
AUTHOR
Mona
Nadr Ebraheim
4
Medical Surgical Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Enas
Ibrahim Elsayed
5
Medical Surgical Nursing, Faculty of Nursing, Helwan University
AUTHOR
ORIGINAL_ARTICLE
An Intervention Program for Improving Sleep Quality among Patients with Schizophrenia
Sleep disorders are frequent symptoms described in psychiatric patients with schizophrenia.The aim of this study was to evaluate the effect of intervention program for improving sleepquality among patients with schizophrenia. The study was at the inpatient department of ElAbassia Governmental Hospital for Psychiatric Mental Health in Cairo affiliated to Ministry ofHealth conducted on 40 patients with schizophrenia. Data were collected using:1) interviewingquestionnaire to assess a-Socio- demographic characteristics (age, gender, marital status, ,address, educational level, work, occupation position, monthly income -Medical history (physicalillness, duration of psychiatric illness, number of hospital admissions, beginning of the diseaseand type of treatment. 2)Pittsburgh Sleep Quality Index.3) Sleep Hygiene Practices Scale. 4)Insomnia Severity Scale. The result showed that there is a highly statistically significantimprovement in Levels of Dimensions Reflecting Pittsburgh Sleep Quality Index in the postintervention. In addition, there is a highly statistically significant improvement in Levels of sleephygiene practices in the post intervention. More over there is a highly statistically significantimprovement in Items Reflecting ―Insomnia Severity Index. Finally study reveals that, there is ahighly statistically significant Positive Correlation between Global PSQI Percent Score, SleepHygiene Percent Score and Insomnia Severity Index Percent Score (P<0.01).In conclusion, thatthe implementation of the intervention program had a positive effect on sleep quality amongpatient with schizophrenia. It was recommended that the study highlighted to incorporating theconcepts of sleep quality into the nursing curricula at all levels of nursing education withemphasis on practice of sleep hygiene. Further studies are proposed to assess the long-termeffects of the present study program and similar ones.
https://ejhc.journals.ekb.eg/article_104680_0556ba6a8124a5bef10c1d7ad3ff5488.pdf
2016-12-01
80
98
10.21608/ejhc.2016.104680
Sleep quality
Sleep Hygiene
Patient with Schizophrenia
Shimaa
Saied Adam
1
Psychiatric/Mental Health Nursing Department, Faculty of Nursing / Ain Shams University,
AUTHOR
Galila
Shawky El-Ganzoury
2
Psychiatric/Mental Health Nursing Department, Faculty of Nursing / Ain Shams University,
AUTHOR
Amal
Elias Abdel-Aziz.
3
Psychiatric/Mental Health Nursing Department, Faculty of Nursing / Ain Shams University,
AUTHOR
Tarek
Asaad Abdo Ahmed
4
Psychiatric/ Medicine Department, Faculty of Medicine, Ain Shams University.
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nurses' Practical Skills Regarding Emergency Situations in The Delivery Unit
AIM: Aim of the study was to assess nurses' practical skills regarding emergency situationsin the delivery unit.SETTING: The study was conducted at labor unit of Benha UniversityHospital and Benha Teaching Hospital, Ministry of health. DESIGN:A descriptive study designwas utilized. SAMPLING:A convenient sample included 60 nurses.TOOLS:Interviewingquestionnaire schedule, likert scale and observational checklist. RESULTS: The present studyrevealed that more than half of the studied nurses had incorrect knowledge, nearly three quartershad incorrect practices and more than half of the studied nurses had negative attitude duringemergency situations in the delivery unit also, there was highly statistical significant relationbetween total nurses' knowledge and their general characteristics (P ≤ 0.001), while there was nostatistical significant relation between nurses' practices and their level of education (P ≥ 0.001).CONCLUSION: The present study showed that there was highly statistical significant relationbetween total practices score and general characteristics of the studied nurses also, there was apositive statistically significant correlation between total knowledge, total attitude and totalpractices scores additionally, there was highly statistical significant relation between totalpractices score, total attitude score and number of available nurses as one of the main barriers thataffect on nurses' practices and attitude.
https://ejhc.journals.ekb.eg/article_104681_91a8ea056023779e560924eb0d968bf7.pdf
2016-12-01
99
114
10.21608/ejhc.2016.104681
Obstetrical emergencies
Emergency Obstetrics Care
Zeinab
R. A
1
Maternal and Newborn Health Nursing Department, Faculty of Nursing, Benha University
AUTHOR
Amel
A. H
2
Maternal and Newborn Health Nursing Department, Faculty of Nursing, Benha University
AUTHOR
Eman
M. A
3
Maternal and Newborn Health Nursing Department, Faculty of Nursing, Benha University
AUTHOR
Kamilia
R. A
4
Obstetrics and Gynecological Health Nursing Department, Faculty of Nursing,Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nurse's Knowledge, and Perception Regarding Emergency Contraception
Background: Use of emergency contraceptive methods, provides a second chance toprevent unintended pregnancy and reduce maternal morbidity and mortality. Aim: The aim of thestudy was to assess nurses' knowledge and perception regarding emergency contraception.Setting: The study was conducted at obstetrics and gynecology departments at both benhauniversity hospital and benha educational hospital. Design:A descriptive study design wasutilized. Sampling:A convenient sample included 105 nurses. Tools: Structured selfadministered questionnaire and modified likert scale. Results: The present study revealed that78.5% of studied nurses had poor knowledge regarding ECPs, 73.1% had poor knowledgeregarding emergency contraceptive IUD, moreover, 59.1% had poor knowledge regardingefficiency of emergency contraception, 72% of them did not receive any training courses in thelast two years, and 100% didn’t use EC. Conclusion: More than half of the studied nurses hadpoor knowledge regarding emergency contraceptive methods, nearly two-fifth of the studiednurses had negative attitude regarding emergency contraceptive methods. Recommendations:Implementation of training programs regarding emergency contraception and in-service trainingare recommended to improve nurses knowledge and perception regarding EC.
https://ejhc.journals.ekb.eg/article_104682_a8fdd4b8cf5f6c2702cdc0fea9c84462.pdf
2016-12-01
115
130
10.21608/ejhc.2016.104682
Emergency Contraception
Nurses knowledge and perception
Unintended pregnancy
Mai
M.H
1
Maternal and Newborn Health Nursing, Faculty of Nursing, Benha University,
AUTHOR
Soad
A.R
2
Maternal and Newborn Health Nursing, Faculty of Nursing, Benha University,
AUTHOR
Somaya
O.A
3
Maternal and Newborn Health Nursing, Faculty of Nursing, Benha University,
AUTHOR
Galal
A.E
4
Obstetrics and gynecology, Faculty of Medicine, Benha University
AUTHOR
ORIGINAL_ARTICLE
Mothers' Care for their Infants with Congenital Heart Anomalies
Background mothers' care during infancy period is important to prevent complicationsespecially with congenital heart anomalies infants. The aim of the study to evaluate mothers' carefor their infants' with congenital heart anomalies. Research design descriptive research designwas used. Setting the study was conducted at Cardiac Out Patient at Abo Erish Hospital at CairoUniversity Hospitals. The sample convenience sample of 100 infants with congenital heartanomalies and their mothers'. Tools two tools were used to collect the research data Aninterviewing questionnaire which consisted of four parts Part (I) socio-demographiccharacteristics of the studied mothers, and Infants'. Part (II) family history and Infants' medicalhistory. Part (III) mothers' knowledge regarding congenital heart anomalies. Part (IV) mothers'practices regarding infant's nutrition, hygiene, protection from infection, immunization. PhysicalAssessment tool to measure the infant's physical growth. Result 54% of the studied mothers theirage ranged between 25-35, the studied mothers had poor knowledge regarding congenital heartanomalies, and only 3% had good knowledge. 71% of the studied mothers general total practiceswere satisfactory. Conclusion the present study revealed that majority of the studied mothers hadpoor knowledge regarding congenital heart anomalies, and there was statistically significantrelation between mother's knowledge and practices regarding their infants care P<0.001.Recommendations Health education program regarding congenital heart anomalies andimportance of mother's care for their infants to prevent further complication according to guideline.
https://ejhc.journals.ekb.eg/article_104684_76fb69f14ab7f1a3c57c073a87d032d8.pdf
2016-12-01
131
144
10.21608/ejhc.2016.104684
Congenital heart anomalies
Infancy period Nursing role
Mothers' care
Hend Abd Elrazik
Mohamed Emam
1
Community Health Nursing – Faculty of Nursing, Benha University
AUTHOR
Ebtisam Mohamed
Abd Elaal
2
Community Health Nursing – Faculty of Nursing, Benha University
AUTHOR
Dr. Samah
Said Sabry
3
Community Health Nursing – Faculty of Nursing, Benha University
AUTHOR
ORIGINAL_ARTICLE
Psychological distress and Coping Strategies among Women with Breast Cancer receiving Chemotherapy at Assiut university Hospital
The study aimed to assess depression, anxiety symptoms as psychological distress andcoping strategies among women with breast cancer receiving chemotherapy, and to investigatethe relationship between them. A descriptive research design was utilized. The study was carriedout in the oncology unit at Assiut University Hospital and South Egypt Cancer Institute. Thesample comprised of all women with breast cancer receiving chemotherapy attending theoncology unit and South Egypt Cancer Institute during three months period from January toMarch 2015. Methodology: comprised of personal data questionnaire, the Hospital AnxietyDepression Scale (HADS), developed by, Zigmond and Snaith (1983); contains seven items thatassess anxiety and seven items that assess depression rated on a four-point Likart scale (0 to 3)and Brief COPE scale developed by, Carver, (1997). It consists of 28-item self report measure ofboth adaptive and maladaptive coping skills .Individuals respond to each item on a four-pointLikart scale, indicating the frequency with which each strategy is used (1to4 ). Results: 62.2%,32.4% of the studied group were had high level of symptoms of anxiety, and depressionrespectively. The highest mean scores of coping strategies were related to religion use ofemotional support, active coping, use of instrumental support, planning, and positive reframing.Conclusion: The highest mean score of the studied group used Problem-focused Strategies andemotional focused strategies, as a method of coping with anxiety and depression symptoms.Recommendations: Designing and implementing psycho-educational programs about stressorsrelated to patients with breast cancer.
https://ejhc.journals.ekb.eg/article_104685_405d65307c7a4ffab166ea092daa33c4.pdf
2016-12-01
145
156
10.21608/ejhc.2016.104685
Psychological Distress
Coping strategies
breast cancer
Chemotherapy
Nadia
Ebraheem Sayied
1
Psychiatric Nursing Department
AUTHOR
Sahar
Ali Abd Elmohsen
2
Adult Nursing Department, Faculty of Nursing, Assiut University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Learning Needs of Nursing Staff Working in Kidney Transplantation Unit at a University Hospital
The knowledge of healthcare workers towards kidney transplantation (KT) are fundamentalin the development and sustainability of transplant programs. Healthcare workers can influencethe willingness to improve their competences and nursing care of kidney transplantationrecipients. The aim of this study was to assess the learning needs of nursing staff working inkidney transplantation unit at a university hospital. The research question was formulated: Whatare the learning needs of nursing staff working in kidney transplantation unit at a universityhospital? A sample of convenience included all (sixty nurses) working in the kidneytransplantation unit at New Kasser El-ainy teaching hospital which affiliated to Cairo University.Two tools were designed and utilized to collect data pertinent to the study: (a) Back ground datatool which contained sociodemographic and work related data. (b) Learning needs assessmentquestionnaire which include questions that assess nurse’s knowledge regarding preoperative carefor patient undergoing kidney transplantation. The study results revealed that the studied subjectshad unsatisfactory level of knowledge about kidney transplantation (basic, preparatory care beforeKT., and preparatory care for discharge). On the other hand they had satisfactory level ofknowledge about care during the operation of KT. and post transplantation care. Conducting anin-service training program for nurses who works at the kidney transplantation unit isrecommended.
https://ejhc.journals.ekb.eg/article_104688_e6eb044a2980fcb8c3d53849e741f4d9.pdf
2016-12-01
157
169
10.21608/ejhc.2016.104688
Learning needs assessment
Kidney transplantation
Fatma,
A Abed
1
Medical surgical nursing department, Faculty of Nursing- Cairo University
AUTHOR
Hanaa
, Y. Hashem
2
Medical surgical nursing department, Faculty of Nursing- Cairo University
AUTHOR
Farida,
A. Hiba
3
Medical surgical nursing department, Faculty of Nursing- Cairo University
AUTHOR
ORIGINAL_ARTICLE
Effects of Counseling Intervention on Awareness and Burden of Family Caregivers of Patients with Bipolar Disorder
Bipolar disorder is a recurrent and long term mental illness that can seriously affect the livesof patients and their families. This study aimed to investigate the effect of counseling interventionsessions on caregivers' awareness and burden regarding their patients with bipolar disorder;through improving their knowledge, attitudes and practices toward their patients with bipolardisorder and reducing their burden. The sample included 100 caregivers' accompanying theirpatients with bipolar disorder, who attended to the Out-Patient Clinic in Al-Abbassia MentalHealth Hospital. The tools used in the study were 1) Interviewing questionnaire to assess thecaregivers' awareness, which covered socio demographic data about caregivers and their patientswith bipolar disorder, patient history of illness, questions to assess the knowledge of caregiversabout bipolar disorder; questions to assess caregivers' positive and negative attitudes toward theirpatients with bipolar disorder; and questions to measure their practices toward patients withbipolar disorder. 2) Burden Interview Questionnaire to assess the level of burden of caregivers'(physical, psychological, social and financial). This questionnaire was applied before and after thecounseling sessions. The results of this study showed improvements, with highly statisticallysignificant differences between before and after application of the counseling interventionprogram regarding to caregivers' awareness (knowledge, attitudes and practices) and their burdentoward their patients with bipolar disorder. The study recommended that counseling clinic forfamily caregivers of patients with bipolar disorder is needed to offer appropriate information andsupport through open dialogues between caregivers and health professionals in order to plan forintervention and guide families to know how to deal with their patient’s problems and disabilities.
https://ejhc.journals.ekb.eg/article_104689_04e6c7cec39212aadde57a7df4772fd6.pdf
2016-12-01
170
188
10.21608/ejhc.2016.104689
Bipolar Disorder
Caregivers' awareness
Burden
counseling
Ghada
Mohamed Moura
1
Psychiatric / Mental Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Fatma
Ata Abd El- Salihen
2
Psychiatric / Mental Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses' performance regarding the use of physical restrain among Intensive Care Units (ICUs) at Port Said City Hospitals.
The use of physical restraints (PR) is a common practice in various clinical settings;especially in intensive care units (ICUs).There is still great controversy about the potentialbenefits, side effects and ethical issues associated with physical restraint (PR) use in critical caresettings. Nurses‟ views and attitudes toward the use of PR in controlling patients‟ behavior andensuring patient safety may create conflicts with patients‟ rights, including their autonomy inmaking decisions for their own care. This study aimed toassess ICU nurses' knowledge, attitudeand practice regarding the use of physical restrain in the ICU and factors influencing it.Researchdesign: descriptive study design was used .Settings: this study was implemented at Port Saidgeneral hospital, Port Fouad general hospital and ALzohor general hospital. Sample:Aconvenient sample of 48 nurses working in ICU settings in the previous mentioned setting wasselected for this study. Study tools:A self-administered structured questionnaire was used todetermine ICU nurses' knowledge, attitude and practice regarding use of physical restrain andfactors influencing it. Results: the majority of nurses had unsatisfactory knowledge, 62.5% ofnurses had negative attitude and 83.3% of nurses had adequate practice regarding the use ofrestrain with.There were no correlation between nurses' practice score regarding the use ofphysical restrain and their knowledge and attitude score. Conclusions: Nurses‟ knowledge,attitude and practice are in need for improvement. Recommendations: Development of localpolicies for physical restrain use including detailed descriptions of conditions requiring its useandperiodic in service–training advanced care programs based on best practice guidelines for nursesworking in ICU is essential to improve nurses' practice regarding use of PR.
https://ejhc.journals.ekb.eg/article_104690_60dc8444c31e22f60a65a62e74dfbf63.pdf
2016-12-01
189
197
10.21608/ejhc.2016.104690
Physical Restraint
ICU
Knowledge
Practice
Attitude
Dena
Eltabey Sobeh
1
Medical Surgical Nursing, Faculty of Nursing, Port Said University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Association between Psychosocial Factors and Memory Problems among Elderly
The older age group is increasing in size relative to the younger generation. The trend isexpected to continue, a time associated with increasing health complications, includingdepression and cognitive impairment. This study aimed to assess association between memoryproblems and psychosocial factors among elderly resident in geriatric home. A descriptive designwas used. Data were collected from two residential homes (Dar Elamal and El Noor (privatehome), Dar El Helal (governmental home)atBenisuef(East and North).a purposive sample of 50elderly was included in this study. Data were collected through: 1) an interview questionnairesheet to assess socio-demographic characteristics of the elderly. It included socio-demographicdata of elderly such as age, sex, and level of education, 2) Mini mental state examination to assesscognitive function and memory problems of the studied sample. 3) Psychosocial conditionassessment. Results showed that the majority of the sample had inappropriate psychosocialcondition and it showed that more than half of subjects have appropriate memory. Results of thisstudy concluded that, there was no significant relationship between memory problems andpsychosocial condition of elderly. The study highlighted the need for further research to assesspsychosocial needs of the elderly.
https://ejhc.journals.ekb.eg/article_104691_2a6cea995a56cec5c2f86a26dc1b148d.pdf
2016-12-01
198
207
10.21608/ejhc.2016.104691
Psychosocial factors
memory problems
Elderly
Elshimaa
Atta Hassa
1
B.Sc. Nursing,
AUTHOR
Nevein
Mostafa
2
Psychiatric/Mental Health Nursing Faculty of Nursing, Ain Shams University.
AUTHOR
Mona
Hassan
3
Psychiatric/Mental Health Nursing Faculty of Nursing, Ain Shams University.
AUTHOR
Omima
Ezzat
4
Psychiatric/Mental Health Nursing, Lecturer of Psychiatric/Mental Health Nursing.
AUTHOR
ORIGINAL_ARTICLE
High Risk Obese Pregnancy: Nutritional Program on Maternal Health for Controlling Obesity
Background: The incidence of maternal obesity (BMI>30kg/m²) at the start of pregnancyhas been rising over the last world. Obesity during pregnancy represents an important preventablerisk factor for adverse pregnancy outcomes and is associated with negative long-term healthoutcomes for both mothers and off springs. Aim: The aim of this study was to evaluate the effectof a nutritional program on maternal health for controlling obesity. Design: A quasi-experimentaldesign was used. Setting: The study was conducted in two MCH centers, MCH of north Gizaand MCH of El-Moneab. Sampling: Purposive samples of 100 obese pregnant women wereincluded; attended MCH centers for their first visit. Those women were divided randomly into 50women for study group; those chosen randomly and received the nutritional program; and 50women for the control group; who did not receive the program, with, inclusion criteria; pregnant,obese (BMI ≥ 30 kg/m²) and in the first trimester of pregnancy. Exclusion criteria included severecomplications of pregnancy and sever co–morbidities not enabling the women to follow theprogram. Tools for data collection three tools were used. 1) An interviewing questionnaire whichincludes five parts; socio-demographic characteristics, obstetric history and medical history,obese pregnant women's knowledge, obese pregnant women's lifestyle practices, and daily intakeof various food groups and types. 2) Physical assessment to record initial and follow –up weightassessment of the pregnant women. 3) Pregnancy outcomes records including maternal andneonatal outcomes. Results: The study showed that, obese pregnant women's knowledge ofdietary and healthy practices life style issues is low, as well as their practices towards diet,exercises, and rest. Their dietary practice during pregnancy is inadequate. Conclusion: The studyanswered the research hypothesis stating that nutritional program will improve the health ofmaternal obesity and their newborn without complications, the nutrition program was effective inimproving their dietary and healthy lifestyle knowledge and practices. This is associated withsignificant improvement in lowering body weight throughout follow-up visits during pregnancy,in addition, the nutrition program led to better maternal outcomes as lower rates difficult laborwith fetal distress. Fetal outcomes are also improved in terms of better Apgar scores and less needfor NICU admissions. Recommendations: The developed nutritional program should be madeavailable at similar MCH centers, and the maternal nurses should use it in educating attendantobese pregnant women.
https://ejhc.journals.ekb.eg/article_104692_45c0cd24b5fcff59506c80f683636cfc.pdf
2016-12-01
208
234
10.21608/ejhc.2016.104692
Maternal obesity
Pregnancy
Nutritional Program
Maternal Health
Nadia
Hamed Farahat
1
Community Health Nursing, Faculty of Nursing Ain Shams University
AUTHOR
Nawal
Mahmoud Soliman
2
Community Health Nursing, Faculty of Nursing Ain Shams University
AUTHOR
Howayda
Farouk Zidan
3
Physical Medicine, Rheumatology & Rehabilitation Department Faculty of Medicine, Ain Shams University
AUTHOR
Eman
Mostafa Abbas
4
Directorate of Health Affairs in Giza
AUTHOR
ORIGINAL_ARTICLE
Domestic Violence Endured by Pregnant Women and Their Effect on Maternal and Neonatal Outcome.
Violence against pregnant women is a significant social and a major health problem in theworld. It was estimated that 25.0% of women worldwide have been victims of intimate partnerviolence. This study was aimed to assess the effect of domestic violence endured by pregnantwomen on maternal and neonatal outcomes. A prospective study was carried out at ante-natalclinics in 5 health centers in Port-Said city. The study subjects were 400 users of antenatal careservices. An interview questionnaire and assessment sheet were designed and utilized to collectthe necessary data. The results of the current study revealed that (39.5%) of women wereexposed to domestic violence in the current pregnancy, and domestic violence can take manyforms including physical (38.6%), emotional (95.6%), sexual (13.9%), and economic violence(65.1%). It was found that in abused exposure group, the gestational age was 38.14 weeks,premature rupture of membrane( PROM) was 28.6%, and premature birth 14.1% ,while, in notabused group, was 38.85 weeks, 5.7% and 2% respectively with statistically significantdifferences (p- value < 0.001). Also using the odds ratio shows that the risk of PROM in abusedexposure group was 6.6 times more than those who are not in abused exposure group, and risk ofpremature birth in abused exposure group was 7.95 times more than those who are not in abusedexposure group. Regarding newborns parameters, the mean length of infants, in abused was lessthan that in not abused exposure group with statistically significant difference (p- value < 0.001).It was concluded that violence during pregnancy may be more common than many conditions forwhich women are routinely screened or evaluated during pregnancy including preeclampsia,placenta previa, and gestational diabetes. Also it has an adverse effect on mothers and neonates,therefore, the study recommended the importance of development and dissemination of trainingcourses and education programs for the decision makers, workers in health care settings andantenatal clinics to raise awareness of the seriousness of domestic violence facing pregnantwomen and how to address and manage it.
https://ejhc.journals.ekb.eg/article_104742_a05a4b6537af2a1f30910ba096668386.pdf
2016-12-01
235
249
10.21608/ejhc.2016.104742
Domestic violence
maternal and neonatal Outcome
Inaam
Hassan abd El-Ati
1
Department of Maternity, Gynecology & Obstetric Nursing, Faculty of Nursing, Port Said University, Egypt
AUTHOR
Nahed
abd elazeem
2
Department of Maternity, Gynecology & Obstetric Nursing, Faculty of Nursing, Port Said University, Egypt
AUTHOR
Maha
Mahmoud saadoon
3
Department of Maternity, Gynecology & Obstetric Nursing, Faculty of Nursing, Port Said University, Egypt
AUTHOR
Seham
Shehata Ibrahim
4
Community Nursing Department, Faculty of Nursing, Port Said University, Egypt Pediatric Nursing Department, Faculty of Nursing, Port Said University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Effectiveness of Educational Sessions on Reproductive Health among Blind and Deaf Students at Zagazig City
Both deaf and blindness are devastating physical condition with deep emotional andeconomic implications. The aim of this study was to evaluate the effectiveness of educationalsessions on reproductive health among blind and deaf students at Zagazig city. Subjects andmethods; A quasi-experimental design was used in the setting at El-Amal School for Deaf andHard for Hearing, and El-Nour School for Blind at Zagazig City of 63 students. Two tools wereused; I. A questionnaire consisting of two parts: Part A: Socio-demographic characteristics of thestudent. Part B: Student's knowledge about reproductive health. II. An observational checklist toassess the student's practice to breast self-examination. Results showed that the total score valueof total knowledge among blind and deaf student’s improved from 9.15% and 8.28% respectivelyin preprogram, to 90.23% and 91.38% respectively immediately post program, and decreasedslightly to 88.08%, and 88.5% respectively at follow up 3 months’ post program. Conclusion:This study results provided evidence that after implementation of educational program students'knowledge and practice regarding reproductive health improved. Therefore, it is recommendedthat a health education and training program about reproductive health to be provided to allstudents in the special schools, and continuing training programs to be provide to all students toupdate their knowledge and practices.
https://ejhc.journals.ekb.eg/article_104743_ac460c96ecb96203c75cab6126ff9632.pdf
2016-12-01
250
267
10.21608/ejhc.2016.104743
Reproductive health
Adolescents
blind
Deaf
Educational Sessions
Samia
Farouk Mahmoud
1
Department of Community Health Nursing, Faculty of Nursing, Zagazig University
AUTHOR
ORIGINAL_ARTICLE
Effect of Pronurturance Plus on Labor Outcomes of Women at Risk to Postpartum Hemorrhage
Background: Postpartum hemorrhage is still the leading cause of death of birthing mothersin the world today. Pronurturance plus evidence-based practice which includes early skin-to-skincontact and breastfeeding has a significant positive effect to improve the labor outcomes anddecrease the occurrence of postpartum hemorrhage. Aim: was to study the effect of pronurturanceplus on labor outcomes of women at risk to postpartum hemorrhage. A Quasi-experimentalresearch study carried out at the Delivery Room and Postpartum Department in one of theHospital that affiliated to the Ministry of Health, Fayoum, Egypt. Sample: A purposive sampleof 90 laboring women at risk for postpartum hemorrhage was divided into the study and controlgroups (45 for each). The control group received routine hospital care and the study groupreceived the pronurturance plus practice. Seven women were excluded from the study group dueto that some babies failed to initiate breastfeeding after delivery and some mothers didn‟tcomplete the duration of skin to skin contact. Finally, the sample size reached 45 & 38 women inthe control and study groups respectively. Four tools were used: 1) Laboring women‟s‟demographic data assessment tool,2)Risk factors‟ to postpartum hemorrhage assessment tool 3)Labor outcomes assessment tool, and 4) Women‟s‟ satisfaction assessment tool. The results:There were statistically significant differences between the study and the control groups withregard to the labor outcomes in third and fourth stage of labor. The study group exhibited lessduration of 3rdstage of labor, efficient uterine contraction, less amount of blood loss, lessoccurrence of primary postpartum hemorrhage, and high satisfaction level regarding to the applyof pronurturance plus. Conclusion: The pronurturance plus practice had a positive effect inimproving labor outcomes and reducing the occurrence of primary postpartum hemorrhageamong women at risk to postpartum hemorrhage. Recommendations: The practice ofpronurturance plus should be a part of routine 3rdand 4thstage care for all birthing womenregardless of their level of risk.
https://ejhc.journals.ekb.eg/article_104744_c90e193458f79a33f65cf0d8cbaeb41f.pdf
2016-12-01
268
282
10.21608/ejhc.2016.104744
Pronurturance practice
labor outcomes
postpartum hemorrhage (PPH)
Rania
Eid Farrag,
1
Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Fayoum University,
AUTHOR
Sharbat
Thebet Atea
2
Community Health Nursing Department, Faculty of Nursing, Fayoum University
AUTHOR
ORIGINAL_ARTICLE
Effect of Oral Stimulation and Non-Nutritive Sucking Program on Feeding Readiness of Preterm Infants
Postpartum The aim of this study was to assess the effect of oral stimulation and nonnutritive sucking program on: The feeding readiness (sucking and feeding ability) of preterminfants, the behavioral states of preterm infants, and the feeding-related physiological changes ofpreterm infants. A quasi experimental (intervention) study design was utilized to achieve theaim of this study. The study was conducted at NICU in Benha University Hospital, and NICUsat Benha Specialized Pediatric Hospital affiliated to Ministry of Health. Sample consists of 52preterm infant. The tools of data collection were a structured interviewing questionnaire sheet forthe preterm infant, and preterm infant oral feeding readiness assessment scale. The resultsrevealed that, there were statistical significant differences between pre and post application of oralstimulation and non-nutritive sucking program for preterm infants regarding their readiness tooral feeding. It was concluded from the study that applying oral stimulation and non-nutritivesucking program had a positive effect on enhancing sucking and feeding readiness of preterminfants, in addition, improving the oral feeding performance. The study recommended thatemphasizing the importance of applying oral stimulation and non-nutritive sucking program, onfeeding readiness and transition to gavage and oral feeding, which is effective and safe noninvasive intervention in all NICUs as a standard of care for all preterm infants.
https://ejhc.journals.ekb.eg/article_104745_6cba92953226ec12db111e688f743e2a.pdf
2016-12-01
283
302
10.21608/ejhc.2016.104745
Oral stimulation
Non-nutritive Sucking, Feeding Readiness, and Preterm infant
Khadiga
Mohamed Said
1
Pediatric Nursing, Faculty of Nursing Benha University
AUTHOR
Faten
Shafik Mahmoud
2
Pediatric Nursing, Faculty of Nursing Benha University
AUTHOR
ORIGINAL_ARTICLE
Neoadjuvent Radiotherapy: Health Education and Quality of Life for Patients with Rectal Cancer
Aim: This study aimed to evaluate the effects of health education on quality of life for
patients with rectal cancer undergoing neoadjuvant radiotherapy. Methods: A quasi
experimental design was used for the conduction of this study in the Radiotherapy and Nuclear
Medicine Department and Surgical Outpatients` Clinics at El Demerdash Hospital affiliated
to Ain Shams University Hospitals . A purposive sample composed of 70 adult curative
patients from both sexes with rectal cancer undergoing radiotherapy were recruited from the
above mentioned settings. Tools: (1) Patients' interviewing questionnaire to assess knowledge of
patients about radiotherapy sessions (pre/post health education ). (2) Quality of Life Scale to
assess the impact of radiotherapy on the following dimensions: physical, psychological, social
and spiritual (pre/post health education ). 3) An observation checklist to evaluate the practice of
patients as regards radiotherapy sessions (pre/post health education ). (4) Psychometric
assessment: Pain, anxiety and fatigue levels (pre/post health education). Results: There were
statistical significant differences between pre/post health education program as regards studied
patients` knowledge, practice and quality of life domains , whereas more improvement was
noticed post program. Moreover, significant reduction was indicated in the anxiety, pain and
fatigue levels post health education program, added to an obvious improvement post radiotherapy
sessions. Conclusion: Overall, the study has indicated that health education program had a
positive effect on the improvement of quality of life for patients with rectal cancer undergoing
radiotherapy, which is attributable to better effect of patients` condition . Recommendations:
Further studies should be done to assess the long term success of radiotherapy and follow - up
patients` quality of life.
https://ejhc.journals.ekb.eg/article_104746_d41d8cd98f00b204e9800998ecf8427e.pdf
2016-12-01
303
319
10.21608/ejhc.2016.104746
Rectal Cancer
quality of life
health education
neoadjuvant radiotherapy
Dalia
A. Abdelatief
1
Medical – Surgical Ain Shams University .
AUTHOR
Basma
M. Khalil
2
Medical – Surgical Ain Shams University .
AUTHOR
Wafaa
Kh. Ibrahem
3
Community Health Departments, Faculty of Nursing,
AUTHOR
Hatem
M. Abdalla
4
Radiation and Nuclear Medicine Department, Faculty of Medicine, Ain Shams University .
AUTHOR
ORIGINAL_ARTICLE
Social Functioning Problems As Perceived By Institutionalized Elderly
Aim: Ageing is a universal phenomenon and natural biological process of the life cycle. Aspeople enter old age, they begin to experience associated changes in their physical, mental &social health. Therefore, elderly people are vulnerable to physiological, mental and social crisis.Moreover, the aim of this study was to assess social functioning as perceived by institutionalizedelderly, utilizing a descriptive exploratory research design. Sample of convenience of 90 elderlywas recruited from Hedaya Barakat geriatric home in El-Dokki district, Giza city, Egypt. Sociodemographic sheet, social functioning for elderly scales was used to achieve the purpose of thisstudy. The findings revealed that; half of the studied institutionalized elderly (50%) had moderatelevels of social functioning. The study concludes that, the current study revealed that, statisticallysignificant relation was found between social relation and their age among the studied elderly.
https://ejhc.journals.ekb.eg/article_104834_e2732c9a2577f61e6e4eb42c75a8175f.pdf
2016-12-01
320
328
10.21608/ejhc.2016.104834
Rectal Social functioning
institutionalized
and elderly people
Zeinab,
AOsman
1
Psychiatric and Mental health nursing Department, Faculty of Nursing, Cairo University
AUTHOR
Sayeda
A Abd El-Latif
2
Psychiatric and Mental health nursing Department, Faculty of Nursing, Cairo University
AUTHOR
Naglaa M.,
Gaber
3
Psychiatric and Mental health nursing Department, Faculty of Nursing, Cairo University
AUTHOR
Walaa,
H. Ragab
4
Psychiatric and Mental health nursing Department, Faculty of Nursing, Cairo University
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing Intervention on Stressors and Coping Patterns of Children Suffering from Cancer and their Mothers
Background: Children suffering from cancer and their mother are facing many stressorsresulting from cancer and its treatment, these stressors are physical, psychological, social andfinancial. Nurses play a vital role in caring and educating those children and their mothers toimprove their knowledge, alleviate their stressors and promote their positive coping patternstoward cancer and its treatment. Aim: The aim of the study was to study the effect of nursingintervention on stressors and coping patterns of children suffering from cancer and their mothers.Subject and methods: Design: A quasi-experimental design. Sample: A purposeful studysubject of 150 children suffering from cancer and their accompanying mothers, which dividedrandomly into two equal matched groups' the study and control groups. Setting: The study wasconducted at inpatient Pediatrics Medical Departments and Outpatient Oncology Clinics ofChildren's Hospital affiliated to Ain Shams University Hospitals over 6 months. Tools for datacollection: The study involved a pre designed interviewing questionnaire to assess characteristicsand knowledge of cancer children and their mothers, Stressors' Scale by Miles and Brunsser,1998 to assess stressors of the studied subjects and Coping Patterns Scale by Jalowiec andPowers, 1991 to assess their coping patterns in two phases (pre, post ) for both groups. Results:of the study revealed that, nursing intervention had a positive impact on the studied subjects'knowledge, decreased levels of stressors and promoted positive coping patterns toward stressorsrelated to cancer. Conclusion: Children suffering from cancer and their mother are facing manystressors resulting from cancer and its long lasting consequences and prolonged continuoustreatment. These stressors include all aspects of life as physical, psychological, social andfinancial that increases the burden imposed on the affected children and their mothers. Based onresults of the current study, it was concluded that, nursing intervention had a positive impact onthe studied subjects' knowledge regarding cancer, stressors and coping, lowered the studiedsubjects' levels of stressors and promoted their positive coping patterns toward stressors related tocancer. Recommendations: The study recommended that, health education programs must beprepared, regularly presented and directed toward children suffering from cancer and theiraccompanying mothers to teach and help them manage and cope with cancer treatment and itsrelated side effects and stressors..
https://ejhc.journals.ekb.eg/article_104835_93abc1ead9c2ec16c7984aeda51179a8.pdf
2016-12-01
329
345
10.21608/ejhc.2016.104835
Cancer
stressors
coping patterns
children
Nursing intervention
Nour
El Huda Hobashy
1
Pediatrics Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Wafaa
El -Sayed Ouda
2
Pediatrics Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Safy Salah El-Din
El-Rafey
3
Pediatrics Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Asmaa Nasr
El- Din Mosbeh
4
Pediatrics Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Self-care Guideline for Diabetic Patient for Improving Knowledge and Practice toward Preventing Development of Diabetic Foot
Background: Children Diabetic foot is one of the serious health problems for patients withdiabetes. In order to reduce the risk of developing diabetic foot, patients are encouraged to followspecific self-care and preventive guideline to control the occurrence of diabetic foot. This studyaimed to evaluate the effect of the recommended self-care guideline on knowledge and practiceof diabetic patient toward preventing development of diabetic foot. Method: Quasi experimentaldesign was used to conduct this study in medical wards in El Salam Hospital. A purposefulsample technique was used according to the inclusion and exclusion criteria, fifty diabeticpatients were agreed to participate in the study. Data Collection Tools two tools were used in thecurrent study as follow: first tool was patient's demographic data assessment tool; second tool wasinterview questionnaire for assessing knowledge and practice of diabetic patients about self-careand foot care. Results: revealed that, there is statistical significant difference in the patients'knowledge and practice toward self-care guideline and foot care before and after implementingself-care guideline and foot care. Conclusion: implementation of self-care guideline for diabeticpatients had statistically significant effect on their knowledge and practice toward preventingdevelopment of diabetic foot. Recommendation: Finally, it is recommended to establish asystem to increase the awareness of patients with a follow up policy on how to improveknowledge and practice to prevent development of diabetic foot.
https://ejhc.journals.ekb.eg/article_104836_c0a3cb5b7184de71441d1ed2fa1053e2.pdf
2016-12-01
346
360
10.21608/ejhc.2016.104836
diabetic
foot knowledge
Practice
Self
Care
Mona Mohamed
Mayhob
1
Adult Health Nursing–Faculty of Nursing – British University in Egypt
AUTHOR
ORIGINAL_ARTICLE
Effect Of Safety Measures Instructional Guidelines on Nurses Compliance at Labor Room
The present study aimed to investigate nurses’ compliance to safety measures at laborroom. Research hypothesis: Utilization of instructional guideline for safety measures willenhance a positive impact on nurse’s knowledge and practices at labor room. Subjects andmethods: A quasi experimental study design was used and conducted at labor room in Ainshams Maternity University Hospital. Convenient sample was used to recruit 45 nurses withdifferent ages, qualifications and experiences) during the morning shift. Three tools were used fordata collection. First tool A Structured interview questionnaire sheet. Part (1), assessed thedemographic characteristics of study sample, part (2,) assessment of knowledge regarding safetymeasures compliance and nursing care for labor and part (3) barriers in application of safetymeasures at labor room. Second tool: An observational checklist to assess nurses practices bothsafety measures compliance and nursing care in labor. Third tools: Likert scale to assess nurses’satisfaction regarding utilization of the instructional guidelines. Results: revealed highlysignificant differences between the pre and post knowledge level and nursing practices also therewere significant correlation between socio demographics characteristic with their both nurseknowledge and practices pre and post intervention. Conclusion: It was concluded that, there wererelation between nurse's knowledge and their practices regarding to both safety measures andnursing care at labor room (post intervention), there was positive impact on nurse’s knowledge,practices and compliance at labor room. Recommendation: it was recommended that, there wasneeded training program to overcome barriers as nurse's performance and compliance regardingsafety measures in all maternity care units.
https://ejhc.journals.ekb.eg/article_104837_e11e0a3d3fbabf72e0b11136e09e813c.pdf
2016-12-01
361
373
10.21608/ejhc.2016.104837
Safety measures
labor room
Compliance
Nadra
M. Ibrahiem
1
Ismailia Technical Institute Of Health-Ain shams Faculty Of Nursing.
AUTHOR
Aziza
Attia Ahmad
2
Maternity and Gynecological Nursing-Ain shams Faculty Of Nursing.
AUTHOR
Amal Talaat
El sharkawy
3
Assist. Prof. Of Maternity and Gynecological Nursing-Ain shams Faculty Of Nursing.
AUTHOR
ORIGINAL_ARTICLE
Awareness of Blind Adolescent Girl Students Regarding Premenstrual Syndromes: Outcomes of Educational Guideline
Aim: This study aimed to evaluate the outcomes of educational guideline on awareness ofblind adolescent girl students regarding premenstrual syndromes. Subjects and Methods: Aquasi-experimental design was utilized in this study, that was conducted at Blind School in BenhaInstitute. A purposive sample of 80 blind adolescent girl students from the previously mentionedsetting. The following study tools were used(pre/posttests): 1) Students‘ interviewingquestionnaire to assess their knowledge as regards premenstrual syndromes. 2) An observationalchecklist to evaluate studied students‘ practices such as perineal care. 3) Numerical pain scale toassess pain severity level. 4) Hamilton Anxiety Rating Scale to assess anxiety level. Results: Themean age of adolescent girls was 15.9 ± 2.3 years. There was significant differences regardingknowledge and practices (perineal care, methods of cleaning, use of pads, dispose of pad andmethods of drying), pain and anxiety relieve (e.g warm compress and exercises) aboutpremenstrual syndromes between pre, post and follow up educational guideline. Conclusion: Thepresent study concluded that, the educational guideline had a positive effect on awareness of blindadolescent girl students regarding premenstrual syndromes. Recommendations: Further studiesshould be carried out on a large number of such group of students for evidence of the results andgeneralization.
https://ejhc.journals.ekb.eg/article_104838_90ccc1d86461785d17dcabd50961ff0e.pdf
2016-12-01
374
391
10.21608/ejhc.2016.104838
Premenstrual syndrome
Awareness
Blind Adolescents
educational guideline
Asmaa
N. Mosbeh
1
Pediatric Nursing-Faculty of Nursing-Ain Shams,
AUTHOR
Sahar
S. Faheim
2
Pediatric Nursing-Faculty of Nursing-Beni-suef
AUTHOR
Rasha M.
Hassan.
3
,Woman Health and Maternity Nursing-Kafr El-Sheikh Universities
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Nurses' Performance In Emergency Unit
Emergency Unit is also called Emergency Room ( ER), the department of hospital
responsible for the provision of medical and surgical care to patients arriving at the hospital in
need of immediate care. Emergency personnel may also respond to certain situations within the
hospital such cardiac arrests. Nurses' knowledge and practice play important roles in provision of
supportive care to decrease morbidity and mortality of patient who arrive Emergency and need
immediate care. Aim of the study to assess Factors affecting nurses' performance in Emergency
unit. Study design: a descriptive exploratory design. Subject: Convenience sample of 40 nurses
were recruited from Emergency unit Unit at Ain Shams University Hospital within 6 months
duration. Tools: consisted of (1) Self-administered questionnaire sheet to assess nurses'
knowledge regarding Emergency unit, ,and Self-administered questionnaire sheet to assess factors
affecting nurses' performance in Emergency unit (2) Nurses' practice observational checklists to
assess nurses' practice regarding most common procedure in Emergency unit. The Results of this
study revealed that; 55 % of the nurses were under the age of 40 years, 60.5 % of nurses had
unsatisfactory level of knowledge, 90.0 % of them had inadequate level of practice, 100.0 % of
them agreed on personnel factors negatively affecting their performance in Emergency unit .
Recommendation: this study recommended; Continuous evaluation of nurses' knowledge and
practice is essential to identify nurses' needs and factors affecting their performance in
Emergency unit. Close supervision and teaching on spot during work is needed to ensure that
quality of care is provided by nurses in Emergency unit. Developing continuing educational
programs including evidence based guidelines based on needs assessment for nurses to improve
their performance and quality of care regarding work in Emergency unit.
https://ejhc.journals.ekb.eg/article_104839_d41d8cd98f00b204e9800998ecf8427e.pdf
2016-12-01
392
405
10.21608/ejhc.2016.104839
Emergency Unit
performance
Wessam Abdel-Moniem
Mohammad
1
B.Sc. Nursing, 2010-Faculty of Nursing- Ain Shams University
AUTHOR
Manal
Housien
2
Medical Surgical Nursing Department Faculty of Nursing- Ain Shams University
AUTHOR
Asmaa
Said Ali
3
Medical Surgical Nursing Department Faculty of Nursing- Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Guidelines on Cardiac Self Efficacy, Health Complaints and Anxiety Level among Patients with Coronary Artery Disease
Coronary artery disease is one of the most prevalent cardiovascular diseases. Promotion ofcardiac self-efficacy after a cardiovascular event is the outcome that plays a pivotal role inincreasing rehabilitation skills to modify healthy behaviors. Aim of this study: was to evaluatethe effect of educational guidelines on level of knowledge, self efficacy, health complaint,anxiety level of patients with coronary artery diseases. Four tools were used in this study;Patient structured interview questionnaire. Self efficacy scale. The somatic health complaintsquestionnaire (SHCQ) and Beck Anxiety Inventory. This study was conducted at cardiologyunit & CCU at Ain shams university hospitals. A Purposive sample of (104) adult patientsdiagnosed with CAD, was selected and equally divided into study & control group, (52) patientsfor each one. The finding of this study revealed that there were highly statistically significantdifferences between study and control group regarding total mean scores of knowledge, selfefficacy symptoms, all dimensions of health complaints and anxiety level scores (p >0.001) atpost and follow up guidelines intervention phases. The study concluded that, there was highlystatistically significant improvement regarding the total post and follow up test satisfactoryscores of knowledge, cardiac self efficacy, and cardiac exercise self efficacy, somatic healthcomplaints and anxiety level for the study group subjects after implementation of theeducational guidelines. This study recommended Provision of study educational guidelines inall health care settings providing services to CAD patients particularly address the patients withlow educational attainments.
https://ejhc.journals.ekb.eg/article_104841_dbea8248ed1c5f5c236e9c5b75935c0c.pdf
2016-12-01
406
431
10.21608/ejhc.2016.104841
Coronary Artery Disease
Cardiac self efficacy
Mona Nadr
Ebraheim
1
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Asmaa Mohamed
Khorais
2
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Effect of Teaching Guidelines on Patient Knowledge Post Liver Transplantation after Hospital Discharge
hat help in minimizing postoperative complications and make the recovery easier. Aim: To assessthe effect of teaching guidelines on patient knowledge post-LT after hospital discharge. Subjectsand method: Design: A quasi-experimental research design was used. Setting: The study wasconducted at Gastrointestinal Surgery Center and Liver Transplantation at Mansoura UniversityHospital. Subjects: A convenient sample of 60 patients post-liver transplantation was involved inthe study from the previously mentioned setting. Tools for data collection: It included astructured interviewing questionnaire which consisted of two parts; (1) demographic data and (2)patients’ knowledge regarding post-liver transplantation after hospital discharge. Results: Therewas a statistically significant difference regarding the level of knowledge pre and post-teachingguidelines about liver transplantation. There were significant associations between patients’knowledge regarding liver transplantation and their demographic characteristics. Conclusion: Therewas a satisfactory level of knowledge post teaching guidelines among LT patients. Teachingguidelines for patients post LT proved positive changes and improvements in their knowledgeregarding LT. Recommendations: Teaching guidelines about liver transplantation should beprovided for patients undergoing liver transplantation from hospital admission until discharge.
https://ejhc.journals.ekb.eg/article_171367_9a227fa77826890ee8e0e54177e7634e.pdf
2016-12-01
432
440
10.21608/ejhc.2016.171367
Awareness
Liver transplantation
Teaching guidelines
Hospital discharge
Reham
El Ashery Ashery Asker
1
Lecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum University
AUTHOR
Hanan
Ali Ibrahim Almanzlawi
2
Lecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura University
AUTHOR
Hoda
Attia Abdel Naby Raslan
3
Lecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Quality of Life for Patients with Lung Cancer
Lung cancer is one of the most common cancer types in the world among men and women. In view of the high-symptoms burden and sever morbidity, evaluation of quality of life (QOL) becomes important for these patients Aim: of this study was to assess the factors affecting quality of life for patients with lung cancer. Methods: This study was conducted at the outpatient clinics in Eldemerdash oncology center, affiliated to Ain Shams University. Sample: A purposive sample of (50) Adult patients, from both sex and free from others chronic diseases were recruited for the conduction of this study. Tools: 1- Patient's socio demographic characteristics sheet 2- Patient's clinical data sheet 3-An interview questionnaire sheet to assess patients’ knowledge about lung cancer .4- quality of life assessment sheet and 5- patients' functional performance assessment sheet. Results: the present study revealed that more than half of the studied patients had moderate quality of life. There were statistically significant relations between the patient's Quality of life and their age, gender and educational level. There was a highly statistically significant relation between physical dimension of Quality of life and functional performance among studied patients Conclusion: Significant relation was found between patients QOL and their age, gender, educational level, functional performance &some aspect of present history. Recommendations Health education programs about disease and its treatment modalities should be provided for lung cancer patients.
https://ejhc.journals.ekb.eg/article_190472_fa5e93237c4958c71ec175fdafcd671f.pdf
2016-12-01
441
458
10.21608/ejhc.2016.190472
Lung Cancer
quality of life
Ola
Ahmed Abd –Elatay
1
Professor of Medical Surgical Nursing – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Naglaa
El Said Mahdi
2
Professor of Medical Surgical Nursing – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
Asmaa
Mohamed Elsayed
3
Assistant Professor of Medical Surgical Nursing – Faculty of Nursing, Ain Shams University – Egypt
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Quality of Life for Patients with Cerebrovascular Stroke
Background: Patients with cerebrovascular stroke experience long-lasting physical and social limitations and can lose their jobs, independence, social status and self respect. There are several factors affecting patient's quality of life Aim: Identify factors affecting quality of life for patients with Cerebrovascular stroke including Physical, Social, and Psychological and Spiritual dimension. Methods: This study was conducted at the Neurology and Physiotherapy Outpatient clinics at Ain Shams University Hospital. Design: A descriptive exploratory design used in carrying out the study. Sample: A purposive sample of 100 adult patients, with old Cerebrovascular stroke, After 3 months post Stroke and further more. As well the patients able to communicate with others. Tools: 1) Patient’s interview questionnaire to assess factors affecting quality of life. 2) The quality of life scale (stroke impact scale) to assess patient's quality of life. Results: the present study revealed that more than three fifth of the sample (70%) had poor quality of life in physical domains and (50%) poor quality of life in social domains. Furthermore, there were significant relation between patient’s quality of life and age, sex, educational level, residence and income, co-existing disease, type of stroke and duration of disease, patients’ level of knowledge, While, there were highly significant relation between patient’s quality of life and dependency in activity of daily living. Conclusion The results of this study concluded that the factors that significantly affect quality of life for patients with cerebrovascular stroke were (age, sex, educational level, level of patient’s dependency, residence, patient’s income) and presence of co-existing diseases, type of stroke, duration of stroke and level of knowledge. As well, there were statistically significant differences between the studied patients sample quality of life and the socio demographic variables especially level of patient’s dependency as regard Cerebrovascular stroke. Recommendations: Designing Patient’s educational program to improve their knowledge for cerebrovascular stroke.
https://ejhc.journals.ekb.eg/article_190473_42fffec09a50a71e7a58d29dd4e30bc0.pdf
2016-12-01
459
473
10.21608/ejhc.2016.190473
quality of life
stroke survivors
Mabrouka
Ahmed Abd- Ella
1
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Magda
Abd-El Aziz Mohammed
2
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Hanan
Sobeih Sobeih
3
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Howayda
Ahmed Mohammed
4
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR