ORIGINAL_ARTICLE
Assessment of Nursing Care for Children Undergoing Open Heart Surgery
This study aimed: to assess the pediatric nurses' knowledge and skills regarding care of children undergoing open heart surgery. Design: A descriptive deign was utilized in conducting the study. Setting`: This study was conducted at Abou El-Resh Talabah Hospital Affiliated to health insurance and Cardiac Surgery Academy affiliated to Ain Shams University Hospitals. Subject: A purposive sample of nurses who give care to children undergoing open heart surgery, they were all (80) nurses . Tools of data collection: questionnaire sheet and observational checklists. Results: This study revealed that more than half of the studied nurses in the age between 20-30 years and married also, not attended any training programs, more than half of them (61.3%) had unsatisfactory knowledge, while the majority of them (77.5%) had competent performance regarding caring of children undergoing open heart surgery. Conclusion: this study concluded that more than half of the studied nurses had unsatisfied knowledge although the majority of them have competent practices during providing nursing care for children undergoing open heart surgery. Recommendation: Educational program should be carried out in order to currence quality of care that was provided to children undergoing open heart surgery .
https://ejhc.journals.ekb.eg/article_23424_efe12e0beebf9760fccb38279dd63ca4.pdf
2017-09-01
234
240
10.21608/ejhc.2017.23424
Open heart surgery
Congenital heart disease
congenital heart defects
nurses knowledge and skills
Safy
Salah Eldien
1
Pediatrics Nursing Department, Ain Shams University
AUTHOR
Hyam
R. Tantawi
2
Pediatrics Nursing Department, Ain Shams University
AUTHOR
Nariman
Farid Eltahan
3
Pediatrics Nursing Department, Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Nurses´ Expectations toward Toxoplasmosis during Pregnancy
The protozoan parasite Toxoplasma gondii (T. gondii) causes infection in humans all around the world .Infection with T. gondii is often acquired by ingesting food or water contaminated with oocyst shed by cats or by eating raw or undercooked meat containing tissue cysts. AIM: Aim of the study was to investigate nurses' expectations toward toxoplasmosis during pregnancy.Setting: the study was conducted at obstetric department at Benha University and Benha Teaching hospital. Design: was descriptive. Sampling Type: Convenient sample consisted of 110 nurses. Tools of Data Collection: three tools were used for collecting data; Structured interview questionnaire, likert scale and expectation tool. Results: more than two thirds of the studied nurses had incorrect knowledge toward toxoplasmosis during pregnancy, nearly half of the studied nurses had not expected and more than half of the studied nurses had negative attitude toward toxoplasmosis during pregnancy. The present study findings illustrated that there was a positive statistically significant correlation between total expectations scores, total attitude and total knowledge. Conclusion& Recommendations: the majority of nurses had incorrect knowledge and negative attitude toward toxoplasmosis during pregnancy. Continuous pre –service, in service and on job training should be designed to improve nurses` knowledge, expectations and attitude.
https://ejhc.journals.ekb.eg/article_44972_1222df8d4dad3edc4baba14de7a4badb.pdf
2017-09-01
1
13
10.21608/ejhc.2017.44972
Toxoplasmosis
Knowledge
Attitude
expectations
Eman G.
Abd El-Rahaman
1
Obstetrics and Woman Health Nursing Department, Faculty of Nursing, Benha University
AUTHOR
KamiliaR.
Abo shabana
2
Maternal and Neonatal Health nursing, Faculty of nursing, Ain Shams University
AUTHOR
Amel
A. Omran
3
Obstetrics and Woman Health Nursing Department, Faculty of Nursing, Benha University
AUTHOR
Hend
A.ELSayed
4
Obstetrics and Woman Health Nursing Department, Faculty of Nursing, Benha University
AUTHOR
ORIGINAL_ARTICLE
Impact of Neck Pain on Self Care Abilities among Patients With Cervical Disk at A university Hospital
Back ground: Cervical disc disorder is the most common medical conditions with significant impact on health related quality of life, self care abilities like bathing, wearing clothes, feeding; use of health care resources and socio-economic costs. Purpose: is to assess impact of neck pain on self care abilities among patients with cervical disc. Research design: A descriptive exploratory design was utilized in the current study. Sample: purposive sample of (80) adult. Setting: Rheumatology and Rehabilitation out-patient clinics patients in El- Manial Hospital.Tool of data collection: 1) Demographic and medical data tool, 2) Structured Arabic version of Neck Disability Index scale (NDI). Results: samples age ranged from 23years to 60 years with mean of 46.61 ± 9.86. The overwhelming majority of samples were female (77.5%). The vast majority of the samples were married (91.3%). Regarding cervical disc problems as reported by the study subjects were neck tightness, shoulder pain, weakness of upper limb, numbness and presence of headache (78.8%, 98.8%, 50%, 90% and 91.3%) respectively. Regarding period of neck pain the overwhelming majority of samples have neck pain since more than 3months (77.5%). Also it was shown that pain intensity was ranged between(1.3%- 48.8%) and less than bare majority were (48.8%) reported that the pain is fairly sever at the moment. Regarding self care ability, it was ranged between (2.5%-47.5%) and less than bare majority were (47.5%) stated It is painful to look after myself and I'm slow and careful. Conclusion: The study concluded that patients with cervical disc disorders suffer from problems as neck pain which affect patients self care abilities. Recommendation: Based on the findings suggested follow up for all patients with cervical disc disorders to assess their health conditions and to detect early complication. Adequate necessary skills and information about coping with pain and performance of self care must begiven to the patients and their families.
https://ejhc.journals.ekb.eg/article_44973_a44a91de63f22ac67be3da82f7474a9a.pdf
2017-09-01
14
27
10.21608/ejhc.2017.44973
Cervical Disc Disorders
Neck pain
Self Care
Sara
Mohamed Yousef
1
Medical Surgical Nursing, Faculty of Nursing Cairo University.
AUTHOR
Nagaat
El-Morsy
2
Medical Surgical Nursing, Faculty of Nursing Cairo University.
AUTHOR
Hanan
Darwish
3
Rheumatology &Rehabilitation, Faculty of Medicine Cairo University
AUTHOR
Amel
Saied
4
Medical Surgical Nursing, Faculty of Nursing Cairo University.
AUTHOR
ORIGINAL_ARTICLE
Planned versus unplanned pregnancy and it’s Effect on Labor and Fetal Outcome
Aim of the study: the study aimed toAssessment the effect of planned versus unplanned pregnancy on labor and fetal Outcome among women. Setting: The study was conducted in labor unit, recovery room atobstetrics and gynecology department, in banha university hospital.Design: descriptive study design. Sampling: APurposive sample included 200 women were recruited in the current study. Tools:Structured interviewing questionnaire: It was developed by researcher after reviewing relevant literature. It was included parts. Part (1):includeSocio demographic data of the women,Part (2) include Obstetric history, part (3) include healthy behavior during pregnancy,Part (4):includeLabor and neonatal condition, andPart (5)includeLondon measureof Unplanned Pregnancy. Results: Unplanned pregnancy rate increase between women aged old. Unplanned pregnancy was associated with mother’s socioeconomic status as age, education, number of live children. There were significantly increase odds of low birth weight and preterm birth among unplanned pregnancy. Also our results indicate significant association between unplanned pregnancy and delayed antenatal care. The majority of women with unplanned pregnancy were used contraception incorrectly and inconsistently before pregnancy than women with planned pregnancy. Conclusion: Unplanned pregnancy was more likely to delay antenatal care, to develop pregnancy complication as gestational diabetes, hypertension during pregnancy. In addition delivered by cesarean, preterm labor and their infants were at risk to low birth weight, respiratory distress and admitted to intensive care unit. Recommendation:Design awareness program for women regarding important of planning pregnancy and risk of unplanned pregnancy and distribute guidelines for women about safe practice of family planning, further researches should develop strategy to reduce its occurrence.
https://ejhc.journals.ekb.eg/article_44974_bfdba3a8d921ebb028a62d180c2ecc0d.pdf
2017-09-01
28
37
10.21608/ejhc.2017.44974
planned pregnancy
unplanned pregnancy
preconception care
Sahar
Abdelrasol Mohammed Bahnasawy
1
technical nursing institute Benha University B.SC. Nursing
AUTHOR
Shadia
Hamido Mehaseb
2
Maternal and newborn health nursing Faculty of Nursing Ain shams University
AUTHOR
Soad
Abd Elsalsm Ramadan
3
Maternal and newborn healt hnursing Faculty of nursing Benha university
AUTHOR
Rehab
Mohammed Abd Elhady
4
Maternal and newborn healt hnursing Faculty of nursing Benha university
AUTHOR
ORIGINAL_ARTICLE
Quality of life of Hepatitis "C" Patients undergoing Interferon Therapy in Benha City
Hepatitis C virus is an important public health problem in both developing and developed countries. Egypt has the highest prevalence of hepatitis C in the world. The study aimed toassess the quality of life of hepatitis "C" patients undergoing interferon therapy in Benha City. Research design: Descriptive research design was utilized to conduct this study. Setting: the study was conducted at Hepatic Center at Fever Hospital in Benha City. The sample: Simple random sample was used to choose 150 patients with chronic hepatitis C receiving interferon therapy regardless their age &sex. Tools of data collectionI: A structured interviewing questionnaire to assess patients' socio-demographic characteristics, present and past medical history, Knowledge and practices related to chronic hepatitis C and interferon therapy. II: Quality of life scale of hepatitis "C" patient's undergoing interferon therapy. Results: Hepatitis C was more prevalent among males than females in the study sample, 74.0% of the studied sample were males, 44.7% of patients had good total knowledge score about hepatitis C and interferon therapy, 76% had satisfactory total practices, 21.3% of them had good total quality of life score. Conclusion: There was statistically significant difference in relation to marital status among studied sample, there was no statistically significant difference between patients' total practices and their total quality of life. Also there was no statistically significant difference between patients' total knowledge and their total practices. Recommendations: Health education program should be conducted at Hepatic Center to improve knowledge, practice and their quality of life of hepatitis C patients.
https://ejhc.journals.ekb.eg/article_44975_b0edf7e0062aa7727ae149fd272f7a8f.pdf
2017-09-01
38
52
10.21608/ejhc.2017.44975
hepatitis C
quality of life
interferon
side effects
Asmaa
Abd El Gaber Abd El Aziz Awad
1
B.Sc. Nursing, Ain Shams University, Investigator of Community Health Nursing, Benha University
AUTHOR
Hanaa Abd El Gawad
Abd El Mageed
2
Community Health Nursing, Faculty of Nursing, Benha University
AUTHOR
Samah
Said SabryHasanin
3
Community Health Nursing, Faculty of Nursing, Benha University
AUTHOR
ORIGINAL_ARTICLE
Students' Perception of Disaster Management in Benha University
Background: Disaster is a serious disruption of the functioning of a community or a society involving widespread human, material, economic or environmental losses and impacts. The aim: the study aimed to evaluate students’ perception of disaster management in Benha University. Research design: Descriptive research design was utilized to conduct this study. Setting: The study was conducted at 14Faculties at Benha University in Qaliubya Governorate. The Sample: A systematic random sample was used in this study, it includes400 students from 4627. Tools: A structured interviewing questionnaire to assess the socio- demographic characteristics. Students' knowledge about the disasters, Students attitude about disaster, an observation checklist to measure A: observe the presence of facilities and precautions for preventing the disaster. B: Observe the plan used for preventing disaster in the faculty. Results: 65.5% of the students were aged 18- < 20 years, 56.8% of them were female, 40.3% of the students had incorrect knowledge about meaning of the disaster, 50.5% of the students had average knowledge, 56.5% of them had average attitude, 42.8% of them had an average practice, 54.5% of the facilities had good facilities, and 53.3% of them had a good plan. Conclusion: There was a highly statistically significant relation between knowledge, practices and attitude and general characteristics in age and sex, but there were no statistically significant relation between knowledge and general characteristics in exposed to the crisis. There was no statistically significant relation between the knowledge and the practices, but there was a highly statistically significant relation between the knowledge and the attitude. Recommendations: Health education program should be given to students about the disaster, its causes, classification and disaster management.
https://ejhc.journals.ekb.eg/article_44976_93abcc58def3a6e47ce1f72ba6c362a2.pdf
2017-09-01
53
67
10.21608/ejhc.2017.44976
Disasters
Students
Knowledge
Practices & Attitude
Ghada
Elsayed Abd El-Aziz
1
Community Health Nursing Faculty of Nursing, Benha University
AUTHOR
Howyida Sadek
Abd El-Hamed
2
Community Health Nursing Faculty of Nursing, Benha University
AUTHOR
Hanaa Abdel
Gawad bdel Megeed
3
Community Health Nursing Faculty of Nursing, Benha University
AUTHOR
ORIGINAL_ARTICLE
Barriers Affecting Utilization of Partogram In Labor Unit at Benha University Hospital
Aim: The study was to assess the barriers affecting utilization of partogram in labor unit at Benha University Hospital. Design: A descriptive design. Setting: The labor unit in the obstetrical and gynecological department at Benha University Hospital. Sample: Convenient sample of doctors and nurses who are working at the study setting, sample size was 40 nurses and 30 doctors. Tools: The tools of data collection were self-administrated questionnaire sheet& modified likert scale. Results: Showed that, the majority of the studied doctors had good knowledge about the use of partogram and nearly three quarters of them had positive attitude regarding partogram. All of the studied doctors reported lack of time and increased number of cases considered as barriers for the utilization of partogram. As regards the studied nurses, more than half of them had poor knowledge about the partogram and the majority of them had negative attitude regarding the partogram. Also, the majority of the studied nurses reported lack of knowledge about partogram and absence of training related to the use of partogram as barriers for its effective utilization. Conclusion: There were barriers affecting utilization of partogram at Benha university hospital, the main barriers for doctors were lack of time and increased number of cases. Meanwhile,the main barriers for nurses were lack of knowledge about partogram and absence of training related to its use. Recommendedations: Developing training programme for nurses working in labor unit regarding use of partogram to improve their knowledge, practice and attitude
https://ejhc.journals.ekb.eg/article_44979_a94427d0421dfe6d86f275c54ab4fab8.pdf
2017-09-01
77
85
10.21608/ejhc.2017.44979
partogram
barriers
Knowledge
Attitude
Asmaa
A.M
1
Maternal and Newborn Health Nursing, Faculty of Nursing, Benha University
AUTHOR
Nadia
M.F
2
Maternity and Neonatal Health nursing, Faculty of Nursing, Ain shams University
AUTHOR
Amal
A.H
3
Maternal and Newborn Health Nursing, Faculty of Nursing, Benha University
AUTHOR
Afaf
M.E
4
Maternal and Newborn Health Nursing, Faculty of Nursing, Benha University
AUTHOR
ORIGINAL_ARTICLE
Effect of Cold–Gel Packing on Episiotomy Pain among Postnatal Mothers
The aim of this study: was to evaluate the effect ofusing cold-gel packing on episiotomy pain among postnatal mothers. The Design: Quasi-experimental design was used to conduct the study. Setting: The study was conducted at thepostpartum unit of obstetrics and gynecology department in Benha University Hospital. Sample: A simple random sample was comprised of 104 postnatal mothers (52study group and 52 control group) who had an episiotomy recruited in this study. Tools of data collection: Three main tools were used: structured interview questionnaire, Visual analogue scale (VAS) &follow up sheets. Results:the present study revealed that women in the study group reported significantly lower level of pain than the control group immediate post and follow up application of cold gel pack than pretest (p <0.001).Conclusion: The study concluded that, episiotomy pain for study group (cold gel pack) was relieved better than control group (Routine care). Recommendations: Increase awareness of maternity nurses to apply a cold gel pack on episiotomy incision immediately postpartum for all women with episiotomy to enhance relieves of episiotomy pain, Cold gel pack should be available in the postpartum unit for mothers to use immediately after birth
https://ejhc.journals.ekb.eg/article_44980_cdb6921087b9e1ba979acc1a7fbdc449.pdf
2017-09-01
86
102
10.21608/ejhc.2017.44980
Cold gel pack
Episiotomy
Perineal pain
Postnatal mothers
Maha S
Shehta
1
Technical Nursing Institute - Benha University
AUTHOR
Nadia M.
Fahmy
2
Maternal and Newborn Health Nursing - Faculty of Nursing - Ain Shams University
AUTHOR
Soad A.
Ramadan
3
Maternal and Newborn Health Nursing-Faculty of Nursing-Benha University
AUTHOR
Somaya O.
Abd Almeniem
4
Maternal and Newborn Health Nursing-Faculty of Nursing-Benha University
AUTHOR
ORIGINAL_ARTICLE
Effect of High-Fidelity Simulation Training on Pediatric Nursing Student's Knowledge, Practice and Attitude Regarding Cardiopulmonary Resuscitation
High-fidelity simulation is a learning method consisting on reproduction of medical scenarios through the use of a computerized manikin that can be programmed to recreate clinical conditions and to react to learners’ actions in a controlled and safe setting. Aim of the study: The aim of the study is to assess effect of high-fidelity simulation training on pediatric nursing student's knowledge, practice and attitude regarding cardiopulmonary resuscitation. Design: A quasi-experimental research design was used to conduct the study. Settings: This study was carried out in clinical pediatric laboratory skills for third year student’s and teaching hall of Faculty of Nursing / Benha University. Sample: A systematic random sample of 100 pediatric nursing students from pediatric nursing department, third year. Tools of data collection: three tools were used: tool (1) A structured interviewing questionnaire that was constructed by the researcher including two parts and tool (2) observational check list sheet and tool (3) attitude of pediatric nursing student’s regarding cardiopulmonary resuscitation. Results: The results showed that, there was a highly statistical significant difference in the studied student’s total knowledge, attitude and practice scores in favor of post training. Conclusion: The study concluded that, our study finding add more support in favor of high-fidelity simulation evidence by an obvious improvement of studied students' knowledge, practice and attitude scores after training.Recommendations: The study recommended that nursing education programs should adopt high fidelity simulation in undergraduate education.
https://ejhc.journals.ekb.eg/article_44982_bc827638f15a77167973833e67f1b4f8.pdf
2017-09-01
103
113
10.21608/ejhc.2017.44982
Cold High fidelity simulation
Cardiopulmonary Resuscitation
Knowledge
Attitudes
Practice
Nursing students
Fatma.I.
Mohamed
1
Pediatric Nursing/Faculty of Nursing/Benha University
AUTHOR
Faten.S.
Mahmoud
2
Pediatric Nursing/Faculty of Nursing/Benha University
AUTHOR
Amal.A.
Abdel-Salam
3
Pediatric Nursing/Faculty of Nursing/Benha University
AUTHOR
ORIGINAL_ARTICLE
Intraoperative Nurses' Safety Practices: Its Effect on Postoperative Adverse Events among Surgical Patients undergoing General Anesthesia
Improving intra operative nurses' safety practices regarding surgical patients can be achieved through assessing how patients can be harmed or experienced further adverse events as result of improper practices and errors. Therefore, the study aimed to assess the effect of intraoperative nurses' safety practices on postoperative adverse events among surgical patients undergoing general anesthesia. Convenient Sample of two different groups (19 operating room nurses who assigned for caring of intraoperative general surgical patients &78 surgical patients who had major general surgery undergoing general anesthesia and experienced adverse events in postoperative care departments) had been recruited in the study. Two tools were used to collect data (1) observational checklist (adapted by investigator), (2) global trigger tool (developed by investigator).The Results revealed that total practice score of studied nurses was unsatisfactory (78.9%) along three phases of surgery so one half of studied patients (50%) experienced surgical wound infection or sepsis as adverse event in post-operative departments. In addition, more than two thirds of studied patients (70.5%) had experienced prolonged hospitalization as result of occurrence of adverse events '' moderate level of harm'' (category F).Conclusion. When intraoperative nurses' safety practices regarding surgical patients was unsatisfactory along three phases of surgery (sign in, time out, sign out), those patients had experienced adverse events and harm in post-operative departments regardless their age, gender, type of operation, and pervious surgical and general anesthesia history. the study recommended that strict observation and evaluation of nurses` performance during their work as well as correction of poor practices is essential, the need for continuous educational programs for operating room nurses to improve their practices regarding patient safety, and establishing a data base for patients who experienced adverse events in postoperative departments is necessary
https://ejhc.journals.ekb.eg/article_44984_1851eab8518d5fb43df1fd61d33b573a.pdf
2017-09-01
114
129
10.21608/ejhc.2017.44984
Adverse events
general anesthesia
safety practices
surgical patients
Nora
Fares Mohamed
1
Medical Surgical Nursing Department, Benha University
AUTHOR
Mostafa
Mostafa Rezk
2
General Surgery, Faculty of Medicine, Benha University
AUTHOR
Hanaa
Youssry Hashem
3
Medical Surgical Nursing, Faculty of Nursing, Cairo University
AUTHOR
Marwa
Mosaad Ali
4
Medical Surgical Nursing Department, Benha University
AUTHOR
ORIGINAL_ARTICLE
Massage Therapy Guidelines for Nurses Regarding Improving Weight of Preterm Neonates
Aim : this study was aimed to assess massage therapy guidelines for nurses regarding improving weight of preterm neonates through; ass nurses’ knowledge and practice regarding massage therapy and evaluate effect of massage therapy on preterm’ weight .Design:A quasiexperimental design was used to conduct the study .Setting :The study was carried out at neonatal intensive care units (NICU) of Benha University Hospital ,Benha Teaching Hospital and Specialized Pediatric Hospital .Sample :A simple random sample of 60 preterm neonates admitted to the NICU and 60 nurses in the previously mentioned settings .Tools of data collection :Two tools were used: tool (1) interviewing questionnaire including three parts and tool (2) including three parts .Results :The results revealed that. Total knowledge was higher in posttest than pretest. Total practice was higher on posttest than pretest. There was positivecorrelation between total nurses' knowledge and their total practice on pretest and posttest. There was a statistical significance correlation between total nurses' practice and total weight of preterm neonates. Preterm neonates' weights improve at posttest than pretest .Conclusion :The study concluded that, the guidelines were effective in improving nurses’ knowledge and practice regarding preterm neonates massage therapy .Recommendations :the study recommended that nurses need continuous training programs to improve their knowledge and practice regarding preterm neonates massage therapy.
https://ejhc.journals.ekb.eg/article_47302_d8d7844d628d1838697bea546bda4533.pdf
2017-09-01
130
140
10.21608/ejhc.2017.47302
nursing care
Preterm neonates
Massage therapy
Yara Mohamed
Hassan Elsorat
1
Technical Nursing Institute, Faculty of - Benha University
AUTHOR
Faten
Shafik Mohmoud
2
Pediatric Nursing, Faculty of Nursing, Benha University Lecturer of Pediatric Nursing ,Faculty of Nursing , Benha University
AUTHOR
Samah
Mostafa Khalaf
3
Pediatric Nursing, Faculty of Nursing, Benha University Lecturer of Pediatric Nursing ,Faculty of Nursing , Benha University
AUTHOR
ORIGINAL_ARTICLE
Effect of Adaptation Program about Sexual Dysfunction for Diabetic Women
Background: Sexual dysfunction is a chronic complication of diabetes mellitus. Sexual issue and sexuality are a taboo in Egypt. Educational programs about specific sexual issue help in improvement of sexual functioning of diabetic women. Aim of the study: Evaluate the effectiveness of adaptation program on sexual functioning for women with diabetes mellitus. Subjects and methods A quasi-experimental design was used. The study was conducted at diabetic outpatient clinic at Ain Shams University Hospitals, Cairo, Egypt. A purposive sample of 105 women with sexual dysfunction, Tools: Two tools were used by the researcher to collect data consisted of Arabic Structured interview questionnaire, and Female Sexual Function Index (FSFI). Results: FSFI total mean scores increased significantly after application of adaptation program.Conclusion: Adaptation program has a positive effective on sexual function improvement among women with diabetes. Recommendations: Increase awareness of diabetic women through classes, sessions, and educational programs to discuss sexual dysfunction related to diabetes mellitus.
https://ejhc.journals.ekb.eg/article_47303_c90d6d40e956a6cb0487c6d0ead1c4a5.pdf
2017-09-01
141
154
10.21608/ejhc.2017.47303
Nursing
sexual dysfunction
Diabetes mellitus
PLISSIT model
Shahdan
Abdel-Rahman Moslehy
1
Technical Health Institute in Nasser city hospital, Cairo, Egypt
AUTHOR
Shadia
Hamido
2
Maternal and gynecological Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Nevin
Samir Metwally
3
Maternal and gynecological Nursing Department, Faculty of Nursing, Ain Shams University
AUTHOR
Ahmad
Husseiny Salama
4
Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University Cairo, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Factors Affecting Quality of Life of Women Suffering from Gynecological Cancer
Cancer and its treatment can have a dramatic effect on women's quality of life. Aim: The aim of this study was to determine the factors that affect the quality of life of the women suffering fromgynecological cancer. Study Design:A descriptive study design. Sample size:Involved 60 women that aremedicallydiagnosed with gynecological cancer.Data collection started from November 2014 and ended at April 2015. Setting: The study was conducted at The National Cancer institute. TheToolsfor Data Collection: Involved Socio-demographic Data Assessment Tool and Quality of Life Assessment Tool (WHO, 2012) which was used to assess thefactors affectingthequality of life of women with gynecological cancer, PLISSIT model was used to collect data concerning women’s response to questions. TheResults: The study results revealed that three quarters of the women had uterine cancer and the majority of the women were received management from 7months up to 5years. The most of the women in the study sample were treated by more than one type of treatment and there was a highly significant relation between the physical, psychological, social & sexual factors and the women’s Quality of Life. Conclusion: The quality of life of the gynecological cancer’s women is affected by physical, social, psychological & sexual factors. Recommendation:The study recommended that; a coping program should be designed and adopted for gynecological cancer's women to help them to control of the factors which affect their quality of life.
https://ejhc.journals.ekb.eg/article_47304_8e0c25429e2f5f4964a435d3476dd216.pdf
2017-09-01
155
165
10.21608/ejhc.2017.47304
Gynecological Cancer
quality of life
The Quality of Life Assessment Tool
Rehab
Fathy Hussein
1
Maternity and Neonatal Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Safaa
AbdEl Roof Hashim
2
Maternity and Neonatal Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Amal
TalaatAbd-El Wahed
3
Maternity and Neonatal Health Nursing, Faculty of Nursing, Ain Shams University
AUTHOR
Dr. Reem
Mohamed Emad El Din
4
Radiation Oncology Department, National Cancer Institute, Cairo University.
AUTHOR
ORIGINAL_ARTICLE
Recent Trends in Management of Inguinal Hernia
https://ejhc.journals.ekb.eg/article_47305_5865cd764d6aedcc44bf347db1788ea1.pdf
2017-09-01
166
179
10.21608/ejhc.2017.47305
Nader
Nashaat Monir
1
M.B.B.Ch Faculty of Medicine- Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Impact of an Educational Program on Improving Nurses Knowledge and Practice concerning caring for Childrenwith Meningitis
Background:- Meningitis is a kind of Central nervous system infection that can be associated with high morbidity and mortality rates. Because of the high mortality rate and longterm sequels, fast and accurate diagnosis and appropriate treatment of meningitis are fundamental for a good outcome. There are several unique aspects in the clinical assessment and management of childhood meningitis that need to be considered. So, the aim of this study was to assess the impact of an educational program on improving nurses knowledge and practice among children with meningitis. Design. A quasi-experimental study design was carried out. The subjects included 30 nurses working at emergency unit in Assuit University Children Hospital. Data collection tools were a structured questionnaire interview sheet and an observation checklist, used in pre-post testing to measure the effect of an educational program. Results, The study revealed deficiency in pre-intervention knowledge and practices. Statistically significant improvements of knowledge and practices were demonstrated at the post-intervention assessment of the studied nurses. Statistically significant relations were shown between knowledge and practices among studied nurses., the program was successful in correcting the deficiency of nurses'. The study concluded that implementation of the program was associated with significant improvements of nurses’ knowledge and practice. More experienced and aged nurses had better knowledge. So, the researchers recommended that the booklet program should be applied in similar settings to validate and improve nursing care in children hospitals
https://ejhc.journals.ekb.eg/article_47306_77fcc025df55bd9d9f9bb27c39090e57.pdf
2017-09-01
180
194
10.21608/ejhc.2017.47306
Educational Program
Nurses
Knowledge
Practice
children
Meningitis
Nora
Abd- Elhamid Zaki
1
Lecturer of Pediatric Nursing, Faculty of Nursing, Assiut University
AUTHOR
Amal
Abdrbou Hussien
2
Lecturer of Pediatric Nursing, Faculty of Nursing, Assiut University
AUTHOR
ORIGINAL_ARTICLE
Effect of Nursing Teaching Program on Awareness and Adherence among Patients with Chronic Heart Failure Disease.
Chronic heart failure (CHF) is a major health care problem not only for patients but for their family and also for society, as it significantly contributes to the large costs associated with the care of CHF patients (Ghali,et al. 2016). Aim: to evaluate the effectiveness of nursing teaching program on awareness and adherence among patients with chronic heart failure. Setting: the study was carried out in the internal medicine departments and cardiac outpatient clinics at Assiut University Hospital. Samples: Total coverage sample of older adult patient include (100 patients), from both sex their age ranged from (55-75) year. Tools: three tools were used for data collection of this study; patient interviewing sheet, Atlanta heart failure knowledge test (Carolyn et al., 2009), and Adherence questionnaire. Results: the age range (60-75) year, mean age was (65.5+5.3), 51.0 % were male and more than two third of them (65.0%) from urban areas. Also, more than three-quarter of them (77.0 %) was married and the majority of them (80.0 %) were not worked. There is a highly statistically significant difference between pre & posttest as regarding awareness and adherence for patients. Conclusion: the nursing teaching program was effective on awareness and adherence for patients. Recommendations: The further studies to improve awareness and adherence for all ages of patients with chronic heart failure to prevent complication.
https://ejhc.journals.ekb.eg/article_47307_23e74f9d4ae84051f3062294a634fa37.pdf
2017-09-01
195
207
10.21608/ejhc.2017.47307
adherence
Awareness
chronic heart failure
Nursing Teaching Program
Nermeen
Mahmoud Abd Elaziz
1
Lecturer of Gerontological Nursing, Faculty of Nursing, Assiut University.
AUTHOR
Soheir
Mustafa Kasem
2
Lecturer of Internal Medicine, Faculty of Medicine, Assiut University
AUTHOR
Sahra
Zaki Azer
3
Lecturer of Adult Nursing, Faculty of Nursing, Assiut University.
AUTHOR
ORIGINAL_ARTICLE
Effect of Educational Program about Accident Prevention and First Aids on knowledge and practice of Elderly
Injury among elderly people is usually associated with high morbidity and mortality, and is thus a public health concern. It requires longer hospitalization and more extensive medical attention. This study aims to assess the effect of educational program about accidents prevention and first aids on knowledge and practice of elderly. Subjects & method: Quazi-experimental research design was used in this study. The study was carried out at some outpatient clinics at Main Assiut University Hospital on 50 elderly people, were selected through total coverage sample technique. Data were collected using Structure interview questionnaire to test elderly's' knowledge about accidents and to assess the reported practices of elderly` about first aid to all types of accident; fracture, bleeding from cutting, burn, electric shock, suffocation, poisoning and drowning. Results: more than three quarters (78.0%) of the studied elderly aged (60-<70) years, more than two thirds of studied elderly (68.0 %) was females, while more than three quarters of them (76.0%) was illiterate. The majority of studied elderly (96.0%) had unsatisfactory knowledge about accident before the program implementation, while 72.0% of them had satisfactory knowledge about accident after the program implementation. Regarding to elderly reported practice about first aids it was found that, the majority of (94.0%) of studied elderly had satisfactory practice after the program implementation. Conclusion: based on the results of the present study it can be concluded that; there is lack of knowledge among studied elderly regarding accidents and reported practice regarding first aids on pretest, while after the implementation of the educational program the elderly knowledge and reported practice are improved. Recommendations: Encourage multidisciplinary researches in the same study in order to cover large sample in different places
https://ejhc.journals.ekb.eg/article_47308_64dbe95993662cf168e2421db8e57ae7.pdf
2017-09-01
208
218
10.21608/ejhc.2017.47308
Accident - first aid – elderly
Educational Program
Soad
A Sharkawy
1
Community Health Nursing Department- Faculty of Nursing- Assiut University
AUTHOR
Naglaa
S Abd El-aty
2
Community Health Nursing Department- Faculty of Nursing- Assiut University
AUTHOR
Nermeen
M Abd Elaziz
3
Gerontological Nursing Department- Faculty of Nursing- Assiut University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nurse's Practical Skills Regarding avoidance of Postpartum Hemorrhage
Background: Postpartum hemorrhage is the most common cause of maternal mortality worldwide, AIM: of this study was to assess nurses's practical skills regarding avoidance of postpartum hemorrhage. Design: descriptive design. Setting: The study was conducted in obstetrics and gynecology department of Benha university hospital .Sample: A convenient sample of 50 nurses. Tools: The tools of data collection were: self administrated questionnaire sheet, modified likert scale and observation checklist for avoidance of postpartum hemorrhage. Results: The present study showed that, two thirds of nurses had average knowledge regarding postpartum hemorrhage. And ante natal prevention of postpartum hemorrhage, three quarters of nurses had poor knowledge regarding intra-partum care ,more than half of nurses had average knowledge regarding postpartum care , more than two thirds of nurses had uncertain attitude , more than three quarters of nurses had incorrect practices ,All nurses of this study don't perform some practices such as : wound care , enema and urinary catheter insertion . Conclusion : The present study showed that ,more than three quarters of nurses had average knowledge about avoidance of postpartum hemorrhage ,more than two thirds of nurses had uncertain attitude regarding avoidance of postpartum hemorrhage , less than three quarters of nurses had incorrect performance of practices regarding postpartum hemorrhage .Recommendation: Educational programs regarding avoidance of postpartum hemorrhage are recommended for nurses working at obstetrics and gynecology department of Benha university .
https://ejhc.journals.ekb.eg/article_47309_dbd69cdd7e6518efabbabad02e550c2e.pdf
2017-09-01
219
233
10.21608/ejhc.2017.47309
Postpartum Hemorrhage
avoidance
Skills
Practice
Nurses
Galal
Ahmed Elkholy
1
Obstetrics and Gynecology Faculty of Medicine – Benha University of Obstetrics
AUTHOR
Soad
Abd Elsalsm Ramadan
2
Gynecological nursing Faculty of nursing – Benha university
AUTHOR
Somaya
Ouda
3
Gynecological nursing Faculty of nursing – Benha university
AUTHOR
Azza abd elhamied
Abdel Fatah Ahmed
4
Technical institute of Nursing, Benha university.
AUTHOR
ORIGINAL_ARTICLE
Health Needs and Self - Efficacy among Patients Post Kidney Transplantation: Outcomes of Intervention Guidelines
Aim: This study aimed to evaluate the outcomes of Intervention guidelines on health needs and self - efficacy among patients post kidney transplantation. Subjects and Methods: A quasi-experimental design was utilized in this study, that was conducted in the Kidney Transplantation Department and Outpatients` Clinics at Naser Institute and Ain Shams SpecializedHospitals. A purposive sample of (60) adult patients post kidney transplantation were taken from the above mentioned settings. The study tools were: 1) Patients,interviewing questionnaire (pre / post tests) to assess the studied patients health needs (physical, psychological, social, spiritual and educational) .2).Hamilton Anxiety Rating Scale (pre / posttests )to assess anxiety level. 3) General self-efficacy scale (pre / post tests) to predict coping with daily hassles. Results: More than half of the studied patients were male with secondary education and the majority of them had the age above 35 years. Pre guidelines there were a higher health needs and lower self - efficacy among them post kidney transplantation. Conclusion: The present study concluded that, the intervention guidelines had a positive effect on meeting the health needs (physical, social, psychological, spiritual and educational) among the studied patients post kidney transplantation. In addition , significant improvement was indicated in their self efficacy and reducing anxiety levels in post and follow – up tests .Recommendations: Further studies should be carried out on a large number of patients with kidney transplantation for generalization of the results.
https://ejhc.journals.ekb.eg/article_47310_e4ad4ef67455e50d0921e55ab09f841a.pdf
2017-09-01
234
247
10.21608/ejhc.2017.47310
Kidney transplantation
health needs
self - efficacy
intervention guidelines
Asmaa
M. Khorais
1
Medical – Surgical-Faculty of Nursing-Ain Shams University
AUTHOR
Basma
M. Khalil
2
Medical – Surgical-Faculty of Nursing-Ain Shams University
AUTHOR
Shimaa
F. Miky
3
Community Health Departments, Faculty of Nursing-Ain Shams University
AUTHOR
Wafaa
Kh. Ibrahim
4
Community Health Departments, Faculty of Nursing-Ain Shams University
AUTHOR
Mohamed
M. Yassin
5
Urology Department , Faculty of Medicine , Ain Shams University
AUTHOR
ORIGINAL_ARTICLE
Evaluation the Gap between Knowledge and Practice in Open System Endo-Tracheal Suctioning among Critical Care Nurses
Although endotracheal suctioning (ETS) is essential, the procedure, however, is not free of risks and complications especially when performed incorrectly. These risks and complications can seriously affect the stability of critically ill patients. Therefore, it is very important to perform this procedure with professional competence, which means not only having the necessary skills, but also knowledge based on recent scientific evidence, and ensures efficiency and the safety of the patient.The aim of this study is to evaluate the gap between knowledge and practice in open system ETS among critical care nurses (CCNs). Methodology: Sixty CCNs working at the Intensive Care Units (ICUs) of Alexandria Main University Hospital ( AMUH) and providing direct care for patients with an artificial airway were included in the study. Two different tools were used to collect the data; Endotracheal suctioning knowledge 'structured questionnaire, and Endotracheal suction observational checklist. Results: more than two thirds of the study sample were female, and had bachelor degree either intern or staff nurses. 63.3 % of them had working experience of less than 5 years. Knowledge of CCNs regarding ETS was higher than their performance. Conclusion & recommendations: it can be concluded that CCNs had inadequate knowledge and poor performance in relation to ETS and there was a gap between knowledge and practice of CCNs in relation to ETS. These findings suggest that CCNs should be continuously assessed for their knowledge and practices regarding ETS and CCNs' performance in relation to ETS should be improved. In service educational programs should be conducted for critical care nurses regarding ETS.
https://ejhc.journals.ekb.eg/article_47311_1826c87e3f6687ce4aef991d07de044f.pdf
2017-09-01
248
260
10.21608/ejhc.2017.47311
endotracheal suctioning
Knowledge
Practice
critical care nurses
Masouda Hassan
Abd El-Hamid Atrous
1
Critical Care and Emergency Nursing, Faculty of Nursing/ University of Alexandria / Egypt.
AUTHOR
ORIGINAL_ARTICLE
The Effect of Psycho Educational Nursing Program on Coping and Quality of Life of Patients Undergoing Chemotherapy
Although Treatment of cancer can cause social, intellectual, emotional, developmental, and financial stress. This stress effects on patients quality of life dimensions with negative ways and also effects on their coping styles. Therefore, this study aimed to evaluate the effect of psychoeducational nursing program on coping and quality of life among patients undergoing chemotherapy. A quasi experimental research design was utilized in this study. A sample of convenience of fifty patients undergoing chemotherapy was recruited for this study. Data were collected by using, Semi-structure interview schedule, Adaptive Coping Strategies Questionnaire and Quality of life index. Finding of this study revealed that, statistically significant differences were found between Quality of life at post interview than pre. To conclude, psycho-educational program have useful effect in Improving Quality of life and coping of patients undergoing chemotherapy. Educational program should be developed to support cancer patients emotionally, financially and family relation to minimize patient stress.
https://ejhc.journals.ekb.eg/article_47313_dde6143408b2dae41e50a6ae169121eb.pdf
2017-09-01
261
275
10.21608/ejhc.2017.47313
psycho-educational Nursing
Cancer
Chemotherapy
quality of life
Coping
Shimaa
Mohamed Hassan Ali
1
Psychiatric-Mental Health Nursing Faculty of Nursing-Beni seuief University
AUTHOR
Zeinab
Abd El Halim
2
Psychiatric-Mental Health Nursing Faculty of Nursing-Cairo University
AUTHOR
Maaly
Ibrahim El-malky
3
Psychiatric-Mental Health Nursing Faculty of Nursing-el-menofya University
AUTHOR
Mawaheb
Mahmoud Zaki
4
Psychiatric Mental Health Nursing Faculty of Nursing- Benha University
AUTHOR
ORIGINAL_ARTICLE
Nurses' Performance Regarding Caring of Patient with Diabetic Ketoacidosis
Diabetic ketoacidosis is an acute, major, life-threatening complication of diabetes, may be fatal if not treated quickly and appropriately. Nurses' knowledge and practice play important roles in provision of supportive care to decrease morbidity and mortality secondary to diabetic ketoacidosis.Aim of the study to assess nurses' performance regarding caring of patient with diabetic ketoacidosis. Study design: a descriptive exploratory design. Subjects and methods: Convenience sample of 40 nurses were recruited from Medical Intensive Care Unit at Ain Shams University Hospital within 6 months duration. Tools: consisted of (1) Self-administered questionnaire to assess nurses' knowledge regarding caring of patients withdiabetic ketoacidosis, (2) Nurses' practice observational checklists to assess nurses' practice regarding caring of patients with diabetic ketoacidosis. The Results of this study revealed that, 75% of nurses had unsatisfactory level of knowledge as regards diabetic ketoacidosis and 85% of them had unsatisfactory level of practice. Conclusion This study concluded that, the majority of nurses had unsatisfactory level of knowledge and practice regarding caring of patients with diabetic ketoacidosis. It was elicited that there was no statistically relation between overall nurses' knowledge and practice and demographic characteristics, also there was no statistically relation between total nurses' knowledge and practice. Recommendations: this study recommended;the importance of conducting In-service trainingadvancing educational program for nurses caring of patients with diabetic ketoacidosis for improving their performance & quality of care provided for such group of patients
https://ejhc.journals.ekb.eg/article_47312_9c441a3346cd4ed9f0cf71f90cc0a235.pdf
2017-09-01
276
290
10.21608/ejhc.2017.47312
Diabetic ketoacidosis
performance
Amany
Shaaban Ibrahim Ali
1
B.Sc. Nursing-Faculty of Nursing- Ain Shams University
AUTHOR
Manal
Salah Hassan
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 Self Care for Patients Post Kidney Transplantation
Self-care for patient post kidney transplantation is very important to avoid late rejectionepisode, maintain patients' compliance with therapeutic management and improve quality oflife. Aim: This study aimed to evaluate the effect of educational guidelines on self-care forpatients with post kidney transplation through the following: - 1- Assess the self-care forpatients with post kidney transplation.2-Develop and implementing self-care guidelines forpatients based on need assessment. 3-Evaluate the effect of the educational guidelines onself-care for patients with post kidney transplantation. Design: A quesi experimental designwas used to utilize this study. Setting: The study was conducted at Kidney transplantationunit and nephrology and urology outpatient clinic at Nasser Institute hospital. Sample:Purposive sample composed of 60 clients from the previous mentioned setting divided intotwo groups. Tools: Two tools are used for data collection; first tool, an interviewingquestionnaire designed by the researcher to assess a) socio-demographic data, b) medicalhistory past, present. Second tool, Self Care questionnaire consisted of A) knowledge, b)practice. Results: There was satisfactory level of total knowledge and practice related toself care in the study group post implementation of the educational guidelines, Conclusion:There is highly statistically significant relation between knowledge, practice and selfcare after kidney transplantation. Recommendations: Establishing a special educationalprogram to provide patients with adequate knowledge and training to overcome patients'problems.
https://ejhc.journals.ekb.eg/article_81285_871433df28418862288743d8d3bfa643.pdf
2017-09-01
291
306
10.21608/ejhc.2017.81285
quality of life
Hip joint replacement
Zeinab
Hussein Bakr
1
Lecturer of medical Surgical Nursing Faculty of nursing Ain Shams University
AUTHOR