Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Knowledge and practices among Mothers about Care of their children with Beta Thalassemia Major: A descriptive Study
1
12
EN
Seirin Mohammad
Khresheh
Department of Community Health Nursing, Faculty of Nursing, Mutah University, Jordan
Sara Lavinia
Brair
Department of Community Medicine, Faculty of Medicine, Al Neelain University, Sudan
10.21608/ejhc.2020.106962
Background: Thalassemia is a major health problem in Jordan that requires extensive<br />attention and management. Aim of the study: to assess the current knowledge and care<br />practices of mothers of thalassemia children about thalassemia. Design: A descriptive design<br />was used. Subjects: A purposive sample of mothers with thalassemic children (45 mothers)<br />was used. Tools: A structured questionnaire to assessed demographic data, knowledge, and<br />care practices of mothers regarding thalassemia. Results:The majority of mothers had low<br />levels of knowledge regarding thalassemia and the majority practiced the administration of<br />Desferal tablets incorrectly. No significant association was found between knowledge and<br />care practices of mothers and their socio-demographic characteristics. Conclusion:<br />Jordanian mothers of thalassemic children do not have adequate knowledge on thalassemia<br />and their practice towards their children in dealing with thalassemia was very poor.<br />Recommendations: Health education programs on knowledge and care practices about<br />thalassemia be introduced for mothers of thalassemic children in every public hospital in<br />Jordan
Knowledge,Care Practices,thalassemia
https://ejhc.journals.ekb.eg/article_106962.html
https://ejhc.journals.ekb.eg/article_106962_026ffdfd8d3af912f6a75eef88456def.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Assessment of Diabetic Children’s Problems Related to Insulin Injection
13
26
EN
Shimaa Mohamed
Elsayed
Pediatric Nursing Department, Faculty of Nursing-Ain Shams University
Wafaa Elsayed
Ouda
Pediatric Nursing Department, Faculty of Nursing-Ain Shams University
Mona Mohamed
Hafez
Pediatric Nursing Department, Faculty of Nursing-Ain Shams University
Rasha Adel Fathy
Thabet
Pediatric Medicine Department
Faculty of Medicine - Ain Shams University
10.21608/ejhc.2020.106965
Background: Diabetes mellitus is one of the most common chronic disorders in the<br />world. This study aimed to assess the diabetic children’s problems related to insulin<br />injection. Study Design: Adescriptive design was conducted at diabetic outpatient<br />clinic/children’s hospital affiliated to Ain Shams University Hospitals. Study subjects: A<br />purposive sample of 100 diabetic children from both genders and aged from 6-18 years<br />(accompanying mothers were interviewed when necessary). Data collection tools: I.<br />Structured interviewing questionnaire to gather data concerning characteristics of the studied<br />diabetic children and their parents, medical history, follow up and self care, children's<br />knowledge regarding diabetes and the problems related to insulin injection. II. Observational<br />checklist of insulin injection to assess the studied children's reported practice of insulin<br />injection. Results: The study revealed that, more than half of the studied children had<br />unsatisfactory total knowledge regarding type1 diabetes and insulin injection and more than<br />half of them had moderate problems related to insulin injection, also more than half of the<br />children practiced insulin injection correctly and there was highly statistical significant<br />difference between problems related to insulin injection and children's total knowledge<br />related to diabetes and practice of insulin injection. Conclusion: The study concluded that,<br />most of the studied diabetic children had moderate and mild problems related to insulin<br />injection. The study revealed an inadequate knowledge related to diabetes and insulin<br />treatment. Recommendations: The study recommended continuous health education for the<br />diabetic children and their parents regarding insulin injection technique, dose calculation,<br />possible complications, injection problems and its management.
Knowledge,Practice,diabetic children's problems,insulin injection problems,Nursing
https://ejhc.journals.ekb.eg/article_106965.html
https://ejhc.journals.ekb.eg/article_106965_b42ba88a2e6275c46e760d072137c1d7.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Teaching Program for Nurses on Quality of Care for Brucellosis among Children in Benha Fever Hospital
27
36
EN
Marwa A.
Afify
Pediatric Nursing depratment- Faculty of Nursing - Benha University.
Basma R.
Abd El-Sadik
Pediatric Nursing depratment- Faculty of Nursing - Benha University.
Khadiga M.
Said
Pediatric Nursing depratment- Faculty of Nursing - Benha University.
10.21608/ejhc.2020.106968
Background: Brucellosis in children, "undulant fever" or "Mediterranean fever", or<br />"Malta fever" is a systemic infection and may present in many atypical forms, from mild to<br />severe acute infections in about half of the cases. Aim of the study is to assess the effect of<br />teaching program for nurses’ knowledge, quality of care for brucellosis among children<br />Research Design A quasi - experimental study was utilized. Setting: The study was<br />conducted in Benha Fever Hospital affiliated to Egyption Health and population minstry.<br />Subject: Aconvient sample of 100 nurses, all who are dealing with brucellosis cases and 36<br />children hospitalized with brucellosis from the previously mentioned setting during 6<br />months. The tools of data collection: Three tools were used for data collection, the first tool<br />was a structured interviewing questionnaire sheet, to assess nurses’ knowledge regarding<br />brucellosis.The second tool was a child health assessment sheet and the third tool was an<br />observational Checklist to assess nurses practice toward care of children with brucellosis.<br />Results : less than one third of the studied nurses had good knowledge related to total<br />knowledge about brucellosis pre-program implementation, while more than two thirds of<br />them had good knowledge post program and there was a positive statistical correlation<br />between total knowledge and total practice scores regarding care of children with brucellosis.<br />Conclusion: It can be concluded that before implementation of teaching program the studied<br />nurses had a deficit knowledge and inadequate performance level related to care of children<br />with brucellosis. Meanwhile, after the teaching program, nurses’ performance is significantly<br />improved that reflects the importance of continuous education for nurses working at hospital.<br />Recommendation: Periodical educational programs for nurses to improve nurses’<br />performance for care of children with brucellosis and standardized nursing guidelines about<br />infection control.
Brucellosis,Quality of care and Teaching program
https://ejhc.journals.ekb.eg/article_106968.html
https://ejhc.journals.ekb.eg/article_106968_47703550fdcc62600587f8c0e25539e2.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Application of Management Development Strategy for Developing Nurse Intern’s Managerial Skills
37
49
EN
Mona F.
Mohamed
Nursing Administration Department-Faculty of Nursing, Beni-Suef University.
Rabab M.
Hassan
Nursing Administration Department- Faculty of Nursing, Ain-Shams University.
Hemat A.
Mostafa
Nursing Administration Department- Faculty of Nursing, Ain-Shams University.
10.21608/ejhc.2020.106970
Background: Developing nurse interns’ managerial skills is crucial to increase their<br />confidence, autonomy, and satisfaction that has proven to result in increased quality of<br />patient care and increased patient safety. Aim: The current study aimed at developing<br />managerial skills of nurse interns by application of management development strategy.<br />Subject and Methods: Quasi experimental design was used. The study was conducted at<br />Beni-Suef university hospital where the nurse interns spending their internship year. A<br />convenient sample of nurse interns (184) who spend the internship year at Beni-Suef<br />university hospital at academic year 2016-2017 were agreed to participate in the study. Data<br />were collected using three tools; Nurse Interns’ knowledge questionnaire sheet, Observation<br />checklist, and Nurse Interns’ needs assessment questionnaire Sheet. Results: The results<br />showed that Nurse interns’ total knowledge related to managerial skills was unsatisfactory in<br />the pre intervention, and improved in the post and follow up phases to satisfactory levels.<br />Nurse interns’ total performance related to managerial skills was at inadequate in the pre<br />intervention, and improved in the post and follow up phases to adequate levels. Conclusion:<br />Nurse interns’ managerial skills were statistically significantly improved after implementing<br />of the training intervention, and were still improved in the follow up phase.<br />Recommendations: The study recommends conducting in-service education and<br />professional development programs regularly based on need assessment. Further studies are<br />needed to examine the effect of developing nurse interns’ managerial skills on organization<br />outcomes.
Management,development strategies,Managerial Skills,Nurse interns
https://ejhc.journals.ekb.eg/article_106970.html
https://ejhc.journals.ekb.eg/article_106970_6c6b51bd5a5cf3327f8f3e5c138171ff.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Assessment of Health Promoting Behaviors among Faculty of Nursing Students
50
65
EN
Ahmed
Abozeid
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
Susan Mohamed
Dessowky
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
Magda Abdel Aziz
Mohamed
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
Eman Talaat
Mohamed
Medical Surgical Nursing – Faculty of Nursing – Ain Shams University
dreman_2011@hotmail.com
10.21608/ejhc.2020.106973
Background: Nursing students are considered as health care providers and role models in
society and their behavior influence the quality of care that is provided by them. In addition, Health
promoting behaviors among the nursing students may affect the quality of patient education. Aim of
the study was to assess the health promoting behaviors among faculty of nursing students.
Research design: A descriptive research design was utilized. Setting: The study was carried out at
Faculty of Nursing affiliated to Ain Shams University. Study subjects: A stratified random sample
of faculty of nursing students (282). Data collection tools: Socio-demographic data questionnaire
and Health Promoting Lifestyle Profile II (HPLP-II) scale. Results: more than two third of nursing
students were female and the majority of them were single. Slightly less than two third and more
than half of nursing students had a good score in interpersonal relationship and spiritual growth,
respectively. Moreover, about two fifth of them had a good score in health responsibility. While,
half, slightly less than half and more than two fifth of nursing students had a poor score in nutrition,
stress management and physical activity, respectively. Conclusion: Less than half of nursing
students had a poor score in total health promoting behaviors scores. Also, about fifth of them had
average score. While, more than one third of them had a good score. Recommendation: The study
recommended that health promoting and improvement courses should be included in the curriculum
of all departments at faculty, the study should be replicated on larger sample and in different
universities in order to generalize the results.
Health promoting behaviors,Nursing students
https://ejhc.journals.ekb.eg/article_106973.html
https://ejhc.journals.ekb.eg/article_106973_d41d8cd98f00b204e9800998ecf8427e.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Home Health Care for the Children with Pneumonia
66
80
EN
Hanan Mohamed
Mohamed
B.Sc. in Nursing-Departement Faculty of Nursing,
Ain Shams University.
Faten khayrat
El Guindi
Community Health Nursing, Departement Faculty of Nursing,
Ain Shams University.
Shimaa Fathi
Miky
Community Health Nursing, Departement Faculty of Nursing,
Ain Shams University.
10.21608/ejhc.2020.108122
Pneumonia is an Inflammation of the lung parenchyma and it is one of the leading<br />cause of mortality in children aged less than five years. Aim: assess home Health Care for<br />the Children with Pneumonia. Research design: A Descriptive design was conducted for<br />this study. Setting: pediatric outpatient clinicat el Rahmanya hospital at el Bauhira<br />Governorate, M.C.H center affiliated to hospital and home visiting. Sample: a purposive<br />sample composed of 315 children diagnosed with pneumonia. Tools: first tool: An<br />interviewing questionnaire to assess a) socio demographic characteristics of mothers, b)<br />demographic characteristics of children c) mothers’ knowledge d) mothers’ behavior e)<br />mothers’ practice. Second tool, consisted of Home environmental observational checklist.<br />Third tool, physical assessment sheet to assess growth and development and vital signs.<br />Results: More than two fourths of studied mothers had poor knowledge. More than three<br />fourths of studied mothers had a negative behavior. More than half of studied mothers had<br />unsatisfactory level of practice .About three fourths of families had problems in home<br />environment. Conclusion: there was highly statistically significant relation between<br />mother’s knowledge about pneumonia and their socio demographic characteristics (age,<br />educational level and occupation). Also, there was highly statistically significant relation<br />between mother’s knowledge and their practice. Moreover, there was highly statistically<br />significant relation between mother’s knowledge and their environmental health problems.<br />Recommendations: Use of active teaching and learning strategies for mothers and Training<br />needs could be extended to nursing staff
pneumonia,children,Home healthcare
https://ejhc.journals.ekb.eg/article_108122.html
https://ejhc.journals.ekb.eg/article_108122_e9546e99c7b036b4ad366280bc02dc4c.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Comparative Study between Different Acupressure Points on Relieving severity of Primary Dysmenorrhea
81
91
EN
Naglaa Moslhi
ABD EL-azeem
(M.Sc. Nursing, Tanta University)
Aziza Ahmed
Atia
Obstetrics and Gynecology Faculty of Nursing Ain
Shams University
Mohamed
Abd El Salam
Obstetrics and Gynecology Faculty of medicine Benha University
Soad Abd EL Salam
Ramadan
Obstetrics and Gynecology of Nursing Faculty of Nursing Benha University
10.21608/ejhc.2020.108124
Background: Dysmenorrhea constitutes one of the most frequent disorders in women<br />of a fertile age. The objective of this research was to Comparative Study between Different<br />Acupressure Points on Relieving severity of primary dysmenorrhea. Research Design :<br />Prospective experimental design was utilized, Setting: at Faculty of Nursing, Benha<br />University Sampling: convenience sample 120 females aged 18–25 years old who met the<br />study criteria. were randomly assigned to one of two groups and evaluated during three<br />menstrual cycles. Tools: four tools were used for data collection, first tool, was An<br />interview questionnaire (a) Socio-demographic data (b)Menstrual history Second tool, Pain<br />responses sheet, (a) Physiological responses to pain, (b) Behavioral responses to pain, Third<br />tool, a modified version of "Johansson pain-o-meter ,Fourth tool, a follow up chart.<br />Results: main results of this study revealed that the severity of dysmenorrhea pain<br />diminished significantly following treatment with acupressure at the SP6 and SP8 points (P <<br />0.001). Furthermore, Significant differences was observed between usage the SP6 and SP8<br />regarding the effect on physical condition and regarding the effective words (pain severity)<br />which was reduced significantly further with SP6 point compared to SP8 point (*p<0.05).at<br />the first day and second day Conclusion: Acupressure on SP6 had statistically significant<br />effect than SP8 in female in age of 18-25 years old, suffered from primary dysmenorrhea.<br />Recommendation: acupressure management especially on SP6 for dysmenorrea should be<br />considered an integral part of nursing care, Mass media should be utilized for dissemination<br />of simple, correct and relevant information about Acupressure management of<br />dysmenorrhea, Studies to find out and assess effectiveness of acupressure on SP6 with<br />another acupressure point..
Primary dysmenorrhea,different acupressure,SP8 point,SP6 point,pain severity
https://ejhc.journals.ekb.eg/article_108124.html
https://ejhc.journals.ekb.eg/article_108124_a6f78ef94e3b7d938f095509ca79192c.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Nurses' Work Environment and Psychological Capital: Predictors of Workplace Bullying
92
103
EN
Ibrahim Abdullatif
Ibrahim
Nursing Administration, Faculty of Nursing, Mansoura University.
NehadSaad
Elwekel
Nursing Administration, Faculty of Nursing, Mansoura University.
Zeinab Hassan
Osman
Psychiatric Mental Health Nursing Faculty of Nursing, El-Fayoum University.
Abdel-Hady
El-Gilany
Public Health and Preventive Medicine, Faculty of Medicine, Mansoura University
10.21608/ejhc.2020.108126
Background: Predictors of workplace bullying should be identified and eradicated to<br />reduce negative consequences on patients, staff, and health care organizations. Aim: To<br />explore the effect of the work environment and psychological capital on nurses' perception of<br />workplace bullying. Methods: Descriptive correlational design was used. Nursing work<br />environment scale, psychological capital scale, and negative acts- revised scale were used for<br />collecting data from nurses. Results: Stepwise linear regression analysis showed that<br />Psychological capital, nursing work environment, experience, and educational level are<br />independent predictors of workplace bullying score with R2of 0.26, 0.06, 0.03, and 0.02<br />respectively. Conclusion: Nurses' work environment and psychological capital were<br />negatively correlated with workplace bullying. Recommendations: To reduce workplace<br />bullying among nurses, nursing managers should create a positive work environment<br />characterized by a quality of leadership, effective work system, low interpersonal conflict,<br />and provides support for nurses. Psychological capital training programs should be<br />developed to reduce the probability of victimization of the workplace bullying, increase<br />nurses’ ability to cope with adversity, and help nurses to face challenging situations with<br />positivity.
work environment,Psychological Capital,Workplace.bullying
https://ejhc.journals.ekb.eg/article_108126.html
https://ejhc.journals.ekb.eg/article_108126_b0a618871986a252ddc849442206c934.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Health Related Problem among Agricultural child Labor
104
113
EN
Mostafa Mahmoud Mohamed
kassab
Community Health Nursing department- Faculty of Nursing-Ain Shams University.
Nadia Hamed
Farahat
Community Health Nursing department- Faculty of Nursing-Ain Shams University.
Asmaa
Talaat
Community Health Nursing department- Faculty of Nursing-Ain Shams University.
10.21608/ejhc.2020.108127
Background: Child labor is a worldwide phenomenon, which considered inhumane<br />by many international organizations. Aim: the aim of study to assess Health related<br />Problems among Agricultural child Labor. Subjects and methods: this study was<br />descriptive, Multi stage sample for children in school The subjects of this study were<br />composed of 240 students enrolled in preparatory schools and labor in agriculture selected<br />from the highest density from each grade in the previously mentioned settings with the<br />following inclusion criteria (male students labor in agriculture and their age between 12 to 14<br />years). Results: the results of this study showed that less than half of child 13 years old, as<br />regarded educational grades, more than one third of them ware 2nd Preparatory, also less than<br />one third of them was second child, more than half of them live with their parents, more<br />than two third of them live in shared house As regarded family member, more than one third<br />of them was 3 individuals, less than two third of agricultural child labor had unsatisfactory<br />knowledge about Agricultural hazards and more than one third of them had satisfactory<br />knowledge about agricultural hazards and more than two third of agricultural child labor had<br />unhealthy reported practices about Agricultural hazards and more than one third of them had<br />healthy reported practices about Agricultural hazards. Conclusions: there were positive<br />significance correlation between Exposure to agriculture hazards score of agricultural child<br />labor and their total reported practices score. Recommendations: Preparation of a training<br />program for ACL to increase awareness of health hazards and periodic checkup of health<br />status for children early detection of occupational hazards to monitor their health status<br />physically and psychologically.
Agricultural,Childlabor,Hazard
https://ejhc.journals.ekb.eg/article_108127.html
https://ejhc.journals.ekb.eg/article_108127_c42a962d880d277fb76a0b4125a6e16a.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Responsiveness of Pain and Associated Health Issues of Patients with Knee Osteoarthritis to the Revulsive Compresses
114
143
EN
Naglaa Abd ElKareem Moghazy
Basuny
Medical-Surgical Nursing, Faculty of Nursing, Zagazig University,
Howida Kameel
Zatton
Medical-Surgical Nursing, Faculty of Nursing, Zagazig University,
Maged Mohamed Maher
Abo- Hashem
Drugs and Medicinal Plants, Faculty of Pharmacy, Zagazig University
10.21608/ejhc.2020.108130
Background: Osteoarthritis disease (OA) is a major public health problem globally,<br />affecting the cartilage of joint and contributing to reduced function that affects the quality of<br />life. Knee Osteoarthritis disease (KOA) is considered the most frequent reason for knee pain in<br />both adult and elder people. Although pain is the main and most common disabling symptom<br />for KOA patients; however, knee stiffness, oedema, disfigurement, and decreased functional<br />ability such as walking, are widespread associated health issues of those patients. Since there is<br />no cure for OA, the aim of therapy is generally to reduce pain, manage symptoms, improve<br />joint function, and minimize disability. Revulsive compresses are a hydrotherapy procedure<br />commonly used to eliminate or reduce pain and related KOA effects. Study aim: evaluate the<br />responsiveness of pain and associated health issues of patients with knee osteoarthritis to the<br />revulsive compresses. Study Design: a quasi-experimental design. Setting: Orthopedic and<br />Rheumatology Outpatient clinics at Zagazig University Hospitals, Egypt. Subject: a purposive<br />sample included 60 adult patients with knee osteoarthritis. Tools: A structured interview<br />questionnaire; 0-10 Numeric pain rating scale; and Knee Injury and Osteoarthritis Outcome<br />Score were used to collect data. Results: there was a statistically significant reducing and<br />improving the pain intensity level and knee OA associated health issues as pain; other<br />symptoms; difficulty in performing activities of daily living functions, activities of sports and<br />recreational functions and quality of life-related to the knee after applying of revulsive<br />compresses compared to before applying it. Conclusions: the pain and associated health<br />issues of patients with knee osteoarthritis have positive responsiveness to Revulsive<br />compresses, this leads us to conclude that the Revulsive compresses are effective in reducing<br />and improving both pain and associated health issues of those<br />patients. Recommendations: The early strategies for managing patients with knee<br />osteoarthritis should include revulsive compresses to reduce pain and improve the associated<br />health issues for those patients.
Knee osteoarthritis,Pain,Associated health issues,Revulsive compresses
https://ejhc.journals.ekb.eg/article_108130.html
https://ejhc.journals.ekb.eg/article_108130_07fa79469cfae5225f9eb1967b0b91f1.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Assessment of Parents' Knowledge, Practices and Attitude Toward Care for Their Epileptic Children
144
162
EN
Rasha Ibrahime Bakier
Elmohalem
Researcher
Safaa Salah
Ismail
Pediatric Nursing Department, Faculty of Nursing- Helwan University
Madiha Hassan
Bayomi
Pediatric Nursing Department, Faculty of Nursing- Banha University
10.21608/ejhc.2020.109226
Background Epilepsy is the commonest serious neurological condition of childhood. It is<br />a group of chronic disorders in which the indispensable feature is recurrence of seizure. Parents<br />play the most significant role in caring for their children and helping them adapt to their<br />conditions ,especially mothers. The aim of the present study was to assess parents` knowledge,<br />practice and attitude toward care for their epileptic children at Helwan General Hospital, and<br />Helwan fever Hospital. A descriptive design was conducted on a sample of 100 parents of<br />children with epilepsy at the pediatric neurology outpatient clinic and in-patient units at Helwan<br />General Hospital, Helwan Fever Hospital in Elkahera Governorate, Egypt .Three tools were used<br />in this study, the first was a questionnaire interview sheet to collect data about studied parents and<br />their children, and to assess parents` knowledge about epilepsy .The Second was seizure severity<br />scale. The Third tool was a questionnaire sheet about parents`s knowledge regarding practices in<br />caring for their epileptic children. Results indicated that the majority of the studied parents`<br />(mothers) had a poor knowledge score about epilepsy while ,75/ had moderate knowledge score<br />(Satisfactory level). Most of the studied parents` total care practices score was incompetent.<br />More over there was a positive correlation between parents` total knowledge score and their total<br />knowledge about care practices score with person`s correlation coefficient (r= 0.43, p= 0.001).<br />Based n the result of the present study.it could be recommended that the educational programs<br />for parents of epileptic children about epilepsy and its care should be conducted and establishing a<br />standard of care for children with epilepsy in hospital and clinics is essential.
Epilepsy,children,Parents knowledge about epilepsy,Parents care
https://ejhc.journals.ekb.eg/article_109226.html
https://ejhc.journals.ekb.eg/article_109226_df34a641e6cd53bc564e9e64d9dcb239.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Nursing Care Guideline on Nurses Knowledge and practice about Pregnant Women Suffering from Heart disease
163
184
EN
Walaa K.
Gooda
Maternity &Neonatal health Nursing, Faculty of Nursing –Beni-suef University
Amal R.
Ahmed
Maternity &Neonatal health Nursing, Faculty of Nursing –Beni-suef University
Sabah M.
Mohamed
Maternity & Gynecological Nursing, Faculty of Nursing –Ain Shams University
Amal F.
Mohammed
Maternity & Gynecological Nursing, Faculty of Nursing –Ain Shams University
10.21608/ejhc.2020.109228
Background: Heart disease in pregnancy is still a major problem worldwide,<br />particularly in developing countries. The presence of heart disease increases the risk of<br />maternal and fetal complication. Aim of the present study is to evaluate the effect of nursing<br />care guidelines for pregnant women suffering from heart disease on nurses‟ knowledge and<br />practice. Research design: A Quasi experimental design was used in carrying out this<br />study. Setting at Beni-suef general Hospital & Beni-suef University hospital at<br />(gynecological ward (Inpatient: high-risk ward) & outpatient clinic. Sample: A convenient<br />sample of a total 40 maternity nurses was included in the study. Tools: Two tools were<br />utilized for data collection. I- A structured interviewing questionnaire sheet, which includes<br />two parts; part 1 socio-demographic characteristic. Part 2: Assessment of nurses‟ knowledge<br />regarding heart disease during pregnancy which includes definition, causes, risk factors, etc.<br />II- A standard observational checklist to assess nurses‟ practices regarding heart diseases<br />during pregnancy. Results of the current study revealed a statistically significant<br />improvement in nurses' knowledge and practice related to care of pregnant women<br />suffering from heart disease at the post test and follow up. Conclusion: implementation of<br />nursing care guideline enhance nurses‟ knowledge& practices regarding care of pregnant<br />women suffering from heart diseases, so study mainly recommended that the educational<br />program for nursing care of pregnant women suffering from heart disease should be<br />conducted periodically for nursing staff in obstetrics and gynecology department
Heart Diseases,Pregnancy,Nursing care guideline,nurse,Knowledge,Practice
https://ejhc.journals.ekb.eg/article_109228.html
https://ejhc.journals.ekb.eg/article_109228_aa3f8472ee86ed7407a7b9305ab04d17.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Assessment of Post-Operative Pain for Children Undergoing Abdominal Surgery
185
195
EN
Mahna,
S. F
Pediatric Nursing Department, Modern University for Technology & Information.
Ouda,
W. E
Pediatric Nursing Department, Faculty of Nursing /Ain Shams University
Sadek,
B. N
Pediatric Nursing Department, Faculty of Nursing /Ain Shams University
10.21608/ejhc.2020.109230
Background: Pain it is a multidimensional phenomenon with sensory, physiological,<br />cognitive, affective, behavioral and spiritual components. The evidence-based nursing<br />practice supports the use of non-pharmacologic interventions in relieving acute<br />postoperative pain for children undergoing abdominal surgery. Aim: The study aimed to<br />assess postoperative pain for children undergoing abdominal surgery. Design: A descriptive<br />design was utilized to carry out this study. Setting: The study was conducted at Pediatric<br />Surgical Departments in two university hospitals namely, Children’s Hospital affiliated to<br />Ain Shams University and Specialized Pediatric Hospital affiliated to Cairo University.<br />Subjects: A purposive sample of 50 children undergoing abdominal surgery was selected<br />according to predetermined inclusion criteria Children aged 6-16 years, from both genders<br />and undergoing abdominal surgery. Study tools: (1) Child’s assessment sheet to gather data<br />related to characteristics of the studied children and data about abdominal surgery,(2) Pain<br />assessment sheet to assess child’s physical and physiological parameters of pain,(3) Ward<br />graphic rating scale to assess pain intensity. Results: The results of the studyrevealed that<br />the mean of the studied children was 3.54±9.7 years and nearly two of them wereboys,<br />nearly half of them had medium level of pain intensity at 1st and 2nd day of surgery. There<br />was no statistical significant difference between 1stand 2ndday post-operative in studied<br />children regarding to pain intensity. There was no statistical significant difference between<br />level of pain intensity and age for studied children. Conclusion: It can be concluded from<br />the study findings that, the most of the studied children had medium of pain. And there is no<br />change in order to the level of postoperative pain intensity experienced by studied children<br />at 1st and 2ndday of surgery. Recommendations: Emphasize the importance of using pain<br />scale as a part of routine care as a fifth vital sings especially post- abdominal surgery
Pain,post,operative pain,Abdominal Surgery,Nursing,children
https://ejhc.journals.ekb.eg/article_109230.html
https://ejhc.journals.ekb.eg/article_109230_08bc616c0eb1224f7403dc82311ea2ff.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Nursing interventions for School Age Children with Bronchial Asthma in a Rural Area
196
207
EN
Nadia Galal
Ebrahim
Community Health Nursing, Faculty of Nursing, Ain Shams University
Nawal
Soliman
Community Health Nursing, Faculty of Nursing, Ain Shams University
Omaima
Mohamed
Community Health Nursing, Faculty of Nursing, Ain Shams University
10.21608/ejhc.2020.109232
Background: Bronchial asthma is one of the most common chronic diseases among<br />children and adolescents. In recent decades, the prevalence of asthma and morbidity are increasing.<br />It is a common cause of school absenteeism and limitation of activity in children. Aim: the study<br />aimed to evaluate nursing interventions for school age children with bronchial asthma in a rural area.<br />Subject and Methods: The study was conducted at primary school in rural area in Saft El- Laban El<br />Giza governorate. Sample: Multi stage random sample technique (76) asthmatic children were<br />selected. Tools: (1) child health record (2) self administer questionnaire (3) observation checklists.<br />Results: as predisposing factors, majority (more than four third) of them had of previous problem<br />related to respiratory system, more than half of study sample exposed to father smoking, 96.1% of<br />asthmatic children had oil painted on their walls more than half of them had animals inside their<br />home and majority (more than four third) had suffered from mosquitoes inside the house more than<br />three third of school class had Poor ventilation and four third of class had blackboard and Study<br />sample had improved total knowledge of asthma near one third, more than three third, about four<br />third pre, post, and follow up respectively. Conclusion: there were improved the knowledge and<br />practices of asthmatic children after nursing intervention program. Recommendations: the study<br />recommended establish plan for periodical health educational program for asthmatic school children<br />and their mothers to be conducted in inpatient, emergency department and outpatient clinics.
bronchial asthma,school children,Nursing intervention
https://ejhc.journals.ekb.eg/article_109232.html
https://ejhc.journals.ekb.eg/article_109232_c44309c54b28628f82a1e7e080ce9f4f.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Nurses' Performance about Screening Test Of Congenital Hypothyroidism Among Newborn Infants
208
220
EN
Fatma El-Sayed
Ragab
Pediatric Nursing Department, Faculty of Nursing - Beni Sueif University
Sabah Saad
Al Sharkawi
Pediatric Nursing Department, Faculty of Nursing - Beni Sueif University
Safaa Salah
Ismail
Pediatric Nursing Department, Faculty of Nursing - Beni Sueif University
10.21608/ejhc.2020.109233
Background: Congenital Hypothyroidism is a major health problem in newborns as<br />it's one of the most common causes of mental retardations. Nurses are the key member in<br />helping the children with Congenital Hypothyroidism. Nurses have many important rules in<br />maternal and child health centers such as awareness, health educator and health care<br />provider. This study aimed to:assess the nurses' performance about screening test of<br />Congenital Hypothyroidism among Newborn Infants.Setting:This study was conducted at<br />the maternal and child health care centers in Helwan City.Design:An exploratory descripted<br />design was utilized for conducting the study.Sample:A systemic random sample of 110<br />nurses included in the study working at the previously mentioned settings.Tools:The first<br />tool is a predesigned questionnaire sheet to assess nurses' knowledge about Congenital<br />Hypothyroidism, The second tool is observational checklist to assess nurses' performance for<br />screening test of Congenital Hypothyroidism. Results: revealed that, the mean age of the<br />studied nurses was 27.5 4.8 years. Also, it was clear that there was poor level of nurses'<br />knowledge and level of practice about screening test of congenital<br />hypothyroidism.Conclusion:In the light of present study findings, the studied nurses had<br />deficit knowledge and poor performance level related to the screening test of congenital<br />hypothyroidism.Recommendation:This study recommended that, Nurses should be<br />provided continuous educational program in order to improve their knowledge and practice<br />with continuous supervision and guidance of nurses' performance to achieve and maintain<br />the quality of care.
Newborn,congenital hypothyroidism,Mental Retardations
https://ejhc.journals.ekb.eg/article_109233.html
https://ejhc.journals.ekb.eg/article_109233_fec829ceefdbde9cdf2733c3bf9aa331.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Talent Management Training Programand its Effect on Leadership Effectiveness among Nurse Managers
221
237
EN
Hanaa Mohamed
Abdrabou
Nursing Administration, Faculty of Nursing, -Ain Shams University.
Nadia Mohamed
El-SayedGhonem
Nursing Administration, Faculty of Nursing,-Suez- Canal University.
10.21608/ejhc.2020.109355
Background: The 21st century marks a novelperiod in the employment landscape<br />where the importance of the explicit value of talent as a competitive weapon rises. HR<br />executives are frequently held liable for the successful execution of talent management<br />programs, while it is the line managers who reallyapply this method on a day to day basis.<br />Aim: this study aimed to measure the effect of application of talent management training<br />program on nurse managers' leadership effectivenessDesign: aquasi-experimental research<br />design was used. Setting: this study was conducted at Ain Shams University Hospitals. It<br />included the five main hospitals namely, Ain Shams University Hospital, El demerdash<br />Hospital, Obstetric and Gynecological Hospital, Pediatrics Hospital, and Academic Heart<br />Institute. Subjects: sample size was 80 nurse managers included in this study. Tools of data<br />collection: three data collection tools were used namely; knowledge questionnaire sheet,<br />talent management questionnaire and leadership effectiveness scaleResults:one quarter of<br />nurse managers had satisfactory knowledge in the pre-intervention phase while improved in<br />the post intervention phase and slightly decline in the follow up phase. No one of the nurse<br />managers had high level of talent management practice in the pre-intervention phase while<br />improved in the post intervention phase and slightly decline in the follow up phase.Total<br />leadership effectiveness level was improved markedly throughout program<br />phases.Conclusion: the application of the training program had great effect on enhancing<br />nurse managers’ knowledge and practice regarding talent management, total leadership < /div><br />effectiveness level was improved markedly throughout program phases.Recommendations:<br />Encourage the completeinfluence of nurses and the other workforces in organization to<br />donate their varied talent on the collective journey to talent-advantage.
- nurse managers- leadership effectiveness,and talent management
https://ejhc.journals.ekb.eg/article_109355.html
https://ejhc.journals.ekb.eg/article_109355_8693ae3ab920bf85467254cd81f13b35.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Efficacy of Applying Topical Insulin Therapy in Healing Process of Decubitus Ulcers in Immobilized Patients: A Randomized Control Study
238
259
EN
Soheir Mohamed
Weheida
Medical surgical Nursing, Faculty of Nursing-Alexandria University, Egypt
Aziza Elsaid Abdel
Aziz
Medical surgical Nursing, Technical Institute, Faculty of Nursing- Alexandria University, Egypt
Rasha Hassan Abass
Shady
Medical surgical Nursing, Faculty of Nursing, -Mansoura University, Egypt
10.21608/ejhc.2020.110406
Decubitus ulcers are important health problems and one of the maintrials that health<br />organization facingevery day. Now a day various innovative modality of wound<br />treatmenthave been endorsed including wound care. Recently, application of topical insulin<br />helpsin healing ofdecubitus ulcers. Therefore, the aim of this study was to investigate the<br />efficacy of applying topical insulin therapy in healing processof decubitus ulcers in<br />immobilized patients.Design: ARandomized control trial research design was conducted in<br />Neurological and Medical Departments at Alexandria Main University Hospital. Subjects:<br />this study composed of 60 patients divided into two equal groups, study group who receive<br />topical insulin dressing and control group who receive routine hospital dressing. Results,<br />indicates significant improvement in decubitus ulcers healing forthe study group compared<br />control to their where p value (˂0.05)Conclusion, topical application of insulin has a very<br />powerful effect in healing process for decubitus ulcers. Recommendation: in service<br />education program for nurses working in neurological and medical departments
Healing,Decubitus ulcers,Topical insulin therapy,Immobilized
https://ejhc.journals.ekb.eg/article_110406.html
https://ejhc.journals.ekb.eg/article_110406_1431a0d99ef674ff650316b1078e43ca.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Influence of Ambulation during the First Stage of Labor on Labor Progress of Primi Parturients
260
274
EN
Tyseer
Marzouk
Woman’s Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Egypt
tm_fathy@yahoo.com
Mohamed I
Eid
Obstetrics and Gynaecology Medicine, Faculty of Medicine, Mansoura University, Egypt
10.21608/ejhc.2020.110407
Background: The first labor stage is the longest. Progress of labor is usually assessed<br />by changes in cervical dilatation, the descent of the fetal head, and uterine contractions.<br />Normal labor progress might be attained by providing evidence-based practices. Ambulation<br />during labor is one of the practices that may affect the progress of labor. Aim: This study<br />aimed to assess the influence of ambulation during the first stage of labor on labor progress<br />of primi parturients. Methods: A quasi-experimental research design was conducted at the<br />Labor and Delivery unit, Mansoura University Hospital, Egypt. A purposive sample of 86<br />primi parturient mothers at the early active phase was allocated either to the control group < /div><br />who received the usual labor care or to the ambulation group who were ambulated during the<br />active phase besides the usual care. Data were collected using a structured interview<br />schedule and the modified Partograph sheet. Results: The labor progressed faster in the<br />ambulation group compared to the control group giving a shorter active phase, second stage<br />and third stage of labor with a mean difference of 2.3 hours, 20.1 minutes, and 3.0 minutes<br />respectively; p < 0.001) and lower Cesarean Section deliveries (11.6% vs. 41.9% respectively;<br />p = 0.002). Conclusion: The current study hypotheses were accepted; where the ambulation<br />during the active phase of the first stage of labor was an effective intervention for enhancing<br />the labor progress compared to the usual care only. Thus, it is recommended for the primi<br />parturient mothers to ambulate at the early active phase of labor.
Ambulation,Labor Progress,Primi,Parturients,First stage of labor
https://ejhc.journals.ekb.eg/article_110407.html
https://ejhc.journals.ekb.eg/article_110407_e224be1cf543ef041a2eaea896c7f1d6.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Educational Sessions on Knowledge, Attitude and Self - Care Practices among Pregnant Women with Gestational Diabetes
275
291
EN
El-Shaimaa
El-Ansary
Woman‘s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University.
Shaimaa
Fouad
Woman‘s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University.
10.21608/ejhc.2020.110408
Background: Gestational Diabetes is associated with severe maternal, fetal and neonatal<br />complications. Health education about regular exercises, dietary adjustment and proper<br />taking of medication is important part in the care of women with gestational diabetes. Nurses<br />have a significant role in educating women how to prevent and reduce gestational diabetes<br />adverse effects on pregnancy outcomes. Aim: This study aimed to assess the effect of<br />educational sessions on knowledge, attitude and self -care practices among pregnant women<br />with gestational diabetes. Methods: A quasi experimental pretest/posttest research design<br />was used at the antenatal outpatient clinics of Mansoura University Hospitals, Egypt. A<br />purposive sample of 97 gestational diabetic women was studied, who aged 18 – 35 years,<br />gestational age 24 – 27 weeks, have single live fetus. Data was collected for pregnant women<br />knowledge about gestational diabetes using gestational diabetes knowledge questionnaire,<br />pregnant women attitudes regarding gestational diabetes using diabetic attitude scale and<br />pregnant women self-care practices using diabetic self-care practices questionnaire. Results:<br />Post intervention, pregnant women had good knowledge score (77.3%), improved total<br />positive attitudes score (91.8%) and improved total good self-care practices score (90.7%)<br />regarding gestational diabetes. There were statistically significant differences (p < 0.001).<br />Conclusion: The current study hypotheses were accepted where pregnant women’s<br />knowledge, attitude and self-care practices regarding gestational diabetes were improved<br />after implementation of the educational sessions. There were statistically significant<br />differences between those variables before and after the intervention. Recommendations:<br />The current study recommended that, simple clarified educational programs should be<br />continuously implemented to increase women’s knowledge and improve their attitude about<br />gestational diabetes as well as promote their self-care practices and lifestyle. Also, training<br />courses and workshops about gestational diabetes care and management for health care<br />providers at antenatal units should be conducted on regular intervals.
Knowledge,Attitude,Self -care practices,Gestational diabetes,Pregnant women
https://ejhc.journals.ekb.eg/article_110408.html
https://ejhc.journals.ekb.eg/article_110408_a82bb6ba443dbc13af0f4262b75c769d.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Impact of Nursing Intervention Protocol about Polytrauma Care during the Golden Hour on Nurses’ Performance
292
309
EN
Yosreah Mohamed
Mohamed
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
Arzak Mohamed
Khalifa
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
Fatma Abdou
Eltaib
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University
10.21608/ejhc.2020.119015
Background: The golden hour following a traumatic event is characterized by the<br />need for rapid assessment and immediate resuscitation treatment, which represent the<br />fundamental principles of Advanced Trauma Life Support. Aim: This study aimed to assess<br />the impact of nursing intervention protocol about polytrauma care during the golden hour on<br />nurses‟ performance. Research hypothesis: This study was hypothesized that the nurses‟<br />knowledge and practice will be significantly improved after implementing nursing<br />intervention protocol. Research Design: A quasi-experimental design study with one group < /div><br />pre-test post-test approach was used to achieve the aim of the present study. Setting: it was<br />conducted at Emergency departments affiliated to Ain Shams university hospitals. Subjects:<br />A Convenient sample of all available nurses (thirty) working in Emergency departments.<br />Tools: I- Self-administered nurses‟ polytrauma care knowledge questionnaire, it was used to<br />assess nurses‟ knowledge regarding management of patient with polytrauma during the<br />golden hour and II- Nurses‟ polytrauma care practice observational checklist: to assess<br />nurses‟ practice regarding management of patients with polytrauma during the golden hours.<br />Results: it was found that two thirds of the nurses were between twenty five to forty years,<br />and less than half of them were graduated from nursing institute. There were highly<br />statistically significant differences in knowledge and practice regarding care of patients with<br />polytrauma during the golden hour with marked improvement post implementation among<br />studied nurses. There was a significant relation between studied nurses' knowledge &<br />practice and gender & education. Conclusion: there was an improvement in knowledge and<br />practice post nursing intervention protocol implementation among studied nurses with<br />statistically significant differences between pre- and post- knowledge, and practice.<br />Recommendations: Replication of the study on a large probability sample for results<br />generalization and Improve and update nurses‟ knowledge and skills about management of<br />patients with polytrauma during the golden hour.
polytrauma,Nursing intervention,performance,Golden hour
https://ejhc.journals.ekb.eg/article_119015.html
https://ejhc.journals.ekb.eg/article_119015_c5b776754db07ebbeaff66f66bcc3e08.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Self-Management Program on Self-efficacy regarding Osteoporosis Risk among Diabetic Patients
320
329
EN
Shaymaa Sayed
Khalil
Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
Ghada Thabet
Mohammed
Medical-Surgical Nursing, Assiut University Hospitals, Assiut University, Egypt
Islam Mokhtar
Mokhtar
Medical surgical nursing, Faculty of nursing, Benisuef University Egypt.
Mohammed
Abu-Elmatty
Internal Medicine of clinical hematology, Internal medicine Department, Assiut University
Hospitals, Assiut University, Egypt.
10.21608/ejhc.2020.119016
Background: Prevalence of osteoporosis is high among diabetes patients.<br />Assessment of self-efficacy regarding osteoporosis risk as well as patient education should<br />be included as part of the self-management of diabetes. Aim:To evaluate the effect of a self<br />management program on self-efficacy regarding osteoporosis risk among diabetic patients.<br />Methods:A quasi-experimental (pre-posttest) research design was conducted on 90 diabetic<br />patients who admitted in the internal medicine department at Assiut university hospital. Data<br />were collected via pre-postintervention and at 3-month follow-up.Patient assessment sheet,<br />Demographic and medical data, the new One-Minute osteoporosis risk test, and Diabetes<br />Management Self-Efficacy Scale (DMSES) were used. Results:The majority of participants<br />had moderate osteoporosis risk. There was a significant improvement in self-efficacy after<br />self-care management program application.There was a statistically significant difference<br />between diabetes management self-efficacy scores and the new one-minute osteoporosis risk<br />test levels. Conclusion:A positive effects of self-care management regarding osteoporosis<br />among studied patients with diabetes on self-efficacy scores.Recommendations:Relevant<br />forms and visual information to facilitate educating diabetic patients regarding osteoporosis<br />ought to be accessible and given to each diabetic patient.
Self-Management program,Self-Efficacy,Osteoporosis and Diabetes mellitus
https://ejhc.journals.ekb.eg/article_119016.html
https://ejhc.journals.ekb.eg/article_119016_6eb7d4bf90c6d53991fa7bbcea743b5e.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Relation between Antenatal Maternal Depression and Anxiety during Pregnancy and Neonatal Outcomes
330
349
EN
Manal Mohamed
Ahmed Ayed
Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
Fatma El Zahra
Kamal
Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
Omaima
Mahmoud
Psychiatric Mental Health Nursing Department, Beni-Suef University, Egypt
Safaa Mustafa
Mohamed
Psychiatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
Thorea Mohamed
Mahmoud
Community Health Nursing Department, Faculty of Nursing, Sohag University,
Safaa Ibrahim
Ahmed
Obstetric and Gynecology Nursing Department, Faculty of Nursing, Sohag University, Sohag, Egypt
10.21608/ejhc.2020.119018
Background: The presence of psychological problems, including maternal depression and<br />anxiety may harm fetal and neonatal growth. Depression and anxiety in pregnancy increase the<br />liability for adverse fetal and newborn outcomes, including preterm birth. It was accompanied by<br />abnormal infant development that extended to cognitive problems and psychopathology. This<br />study aimed to analyze relation between antenatal maternal depression and anxiety during<br />pregnancy and neonatal outcomes by assessing depression levels among pregnant women,<br />identifying anxiety levels among pregnant women, and investigating the relation between<br />antenatal maternal depression and anxiety during pregnancy and neonatal outcomes. Methods: A<br />cross-sectional descriptive study included 216 pregnant women and their newborns from the<br />Obstetrics and Gynecology ward at Sohag University Hospital and the Maternal and Child Health<br />Center (Dar El–Salam Abed- Allah Health Center) at Sohag City. Tools: 1- A structured self<br />administered questionnaire, anthropometric measurement tool, the Edinburgh Postnatal<br />Depressive Scale (EPDS), the Beck Anxiety Inventory (BAI), and Apgar score sheet, were<br />utilized for collecting the data. Results: Considering depression approximately one quarter of<br />pregnant women had moderate depression symptoms during pregnancy, while three fifth had no<br />depression symptoms and 16.0 of them had severe depression symptoms during pregnancy. As<br />regard less than one fifth of pregnant women had mild level of anxiety, while three quarter of<br />them had a moderate level of anxiety and less than one fifth of them had severe anxiety level<br />during pregnancy. Statistically significant relationships were found between severe depression<br />symptoms scores, anxiety and birth weight, weight-for-GA and length, prematurity less than one<br />fifth, need for resuscitation one quarter, and need for admission to neonatal intensive care near<br />one fifth. Conclusion: Pregnant women who are suffering from severe depression and anxiety<br />symptoms during pregnancy, their babies were more liable to increase the need for neonatal<br />resuscitation, increase the chance of preterm birth, have a low birth weight, and are small for<br />gestational age. Recommendation: Providing pregnant women health educational programs<br />about the effects of depression and anxiety on them and on their neonates, non pharmacological<br />interventions are important treatments for depression or anxiety that focus on promoting a healthy<br />lifestyle with adequate nutrition, exercise and sleep < /div>
Pregnancy,maternal depression,maternal anxiety,Neonatal outcomes
https://ejhc.journals.ekb.eg/article_119018.html
https://ejhc.journals.ekb.eg/article_119018_bff443708b9ccd67ba3e24430c673776.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Educational Intervention for Improving Medication Adherence, Knowledge, and Practice Regarding Intrafamilial Transmission among Helicobacter Pylori Patients
350
368
EN
Manar
D. Mohammed
Community Health Nursing, Faculty of Nursing, Minia University, Egypt.
Rokaia
Fathi Mohammed
Gerontological Nursing, Faculty of Nursing, Minia University, Egypt.
doctor.rokaia83@gmail.com
Heba
Mohamed Fahmy
Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt.
10.21608/ejhc.2020.146141
Background: The helicobacter pylori (H. pylori) infects more than half of the world's<br /> population and is associated with the development of 78% of all gastric cancers<br /> primarily in developing countries. Patients' education is vital in preventing<br /> intrafamilial transmission as well as in improving medication adherence for H. Pylori<br /> eradication therapy. Aim: To investigate the effectiveness of an educational<br /> intervention on improving medication adherence, knowledge, and practice regarding<br /> intrafamilial transmission among helicobacter pylori patients. Methodology: Quasi<br /> experimental research design (Pre/post-test) was utilized. Sample: A purposive sample<br /> of two hundred patients met the following inclusion criteria; patients aged ≥ 18 yrs. of<br /> both sexes, diagnosed with H. pylori infection by positive stool antigen test, and under<br /> the same strategy of H. pylori eradication therapy. Setting: The current study was<br /> carried out at the medical clinic of Minia university hospital, Minia governorate,<br /> Egypt. Tools of data collection: Two tools were utilized to collect data; 1st one: Is a<br /> Structured interviewing questionnaire sheet covered three parts (demographic data,<br /> knowledge assessment questionnaire regarding to the H. pylori infection, and self<br /> reported practices regarding its intrafamilial transmission), and the 2nd one:<br /> Medication adherence scale. Results: It was founded that near to three-quarters of<br /> the intervention group adhered to H. pylori eradication therapy after the educational<br /> intervention compared with only about one-third of the control group. Moreover, there<br /> was a significant improvement in the total score of knowledge and practices among the<br /> study group regarding H. pylori infection and its intrafamilial transmission after<br /> receiving the educational intervention than before. Conclusion: The application of<br /> educational intervention was effective in improving medication adherence, as well as<br /> improving the knowledge and practices regarding H. pylori infection, and its<br /> intrafamilial transmission among infected patients of the study group versus the control<br /> group. Recommendations: General population education must be implemented in<br /> Egypt, especially among at-risk populations around H. pylori infection and its<br /> intrafamilial transmission, as well as the importance of adherence to H. Pylori<br /> eradication therapy especially among older adults.
Educational intervention,Intrafamilial transmission,Helicobacter pyloriKnowledge,Practices,Medication Adherence
https://ejhc.journals.ekb.eg/article_146141.html
https://ejhc.journals.ekb.eg/article_146141_d41d8cd98f00b204e9800998ecf8427e.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Evidence-Based Using Mobiles Health- Education to Improve Quality of Life among schizophrenic’ Patients
369
390
EN
Wafaa Osman
Abd El Fatah
Psychiatric/Mental Health Nursing Helwan University
Omaima
Mahmoud
Psychiatric/Mental Health Nursing,Beni-Suef University
Hanan Nasef
Zaki
Psychiatric/Mental Health Nursing,Benha
University
10.21608/ejhc.2020.119021
Background: There is increasing interest in using mobile technologies such as smart<br /> phones for improving the care of patients with schizophrenia. However, less is known about<br /> the current clinical evidence for the feasibility and effectiveness of smart phone apps with<br /> schizophrenic’ Patients. Aim: The current study was to evaluate evidence-based on using<br /> mobile health- education to improve quality of life among schizophrenic’ patients. Design: A<br /> quasi-experimental design. Subject: A purposive sample which included 120 schizophrenic<br /> patients was selected. Setting: This study was conducted at Abbassia governmental hospital<br /> for mental health and addiction treatment at Cairo city. Tools: Two tools were used for data<br /> collection (pre/post); Tool 1): Structural interview questionnaire to assess characteristics of<br /> schizophrenic patients and their medical history. Tool 2): The World Health Organization<br /> Quality of Life is used to assess the patient’s quality of life. Results: The present study<br /> revealed that the mean age patients are 39.94± 9.45.There is a statistically significance<br /> relation levels of quality of life, regarding their socio-demographic data of schizophrenic<br /> patients p < 0.05. Conclusion: Majority of schizophrenic patients pre intervention; have low<br /> level of quality of life and improved after implementation of a mobile health- education<br /> program also, there was statistically significant relation between total quality of life with<br /> psychological diseases associated with schizophrenia and number of relapse among<br /> schizophrenic patients. Recommendations: enhancement the QOL for schizophrenic<br /> patients and providing educational program about how to use of mobile in health education<br /> for both the patients and their families. In addition Improving of educational programs for<br /> psychiatric nurses and other health care providers in psychiatric hospitals by increasing<br /> levels of their knowledge and practice that would help schizophrenic patient to improve<br /> quality of life,
Schizophrenia,Evidence-based,Mobile Health- Education,quality of life
https://ejhc.journals.ekb.eg/article_119021.html
https://ejhc.journals.ekb.eg/article_119021_d41d8cd98f00b204e9800998ecf8427e.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Nursing Training on Identification, Prevention and Management of Pressure Ulcer among Stroke Patients and Its Outcomes
391
416
EN
Mona Mohamed
Ibrahim
Medical Surgical Nursing, Faculty of Nursing Beni -Seuif University
Islam Mokhtar
Mokhtar
Medical Surgical Nursing, Faculty of Nursing Beni -Seuif University
10.21608/ejhc.2020.119022
Background: Pressure ulcer represent a significant burden to the patient, family and<br />healthcare organization. Aim: To assess the effect of nursing training on identification,<br />prevention and management of pressure ulcer among stroke patients and its outcomes.<br />Methods: a quasi-experimental stud pre posttest assessment. A convenience sample of 40<br />nurses were voluntarily participate in the study. Setting: The study carried out at<br />neurological units (A and B) at Mansoura University Hospital. Tools: Interview<br />Questionnaire Sheet, The Pieper Zulkowski-Pressure Ulcer Knowledge Test (PZPUKT),<br />Facility Assessment Checklist, Moore & Price attitude scale, Socio-demographic and<br />medical clinical base line data for patients and Braden Scale. Result: The result revealed a<br />positive association between pressure ulcer educational protocol prevention and nurses’<br />knowledge, attitude and practice to ward pressure ulcer prevention. The pretest result<br />indicated that nurses' knowledge and practice were low, nurse's attitude was negative.<br />However, the mean percentage of all posttest showed a significant increase in nurses’<br />knowledge, attitude and practice. In addition to decreases pressure ulcer risk level among the<br />patients with stroke. Conclusion: The result of current study indicates the important of<br />ongoing nurses’ education regarding pressure ulcer prevention and decrease the pressure<br />ulcer risk level among patients Recommendation: developing a continuous training program<br />to improve nurses’ knowledge, attitude and practice toward pressure ulcer prevention
Nursing Training,identification,prevention,Management,pressure ulcer,Stroke and Outcomes
https://ejhc.journals.ekb.eg/article_119022.html
https://ejhc.journals.ekb.eg/article_119022_12cb60e378a28daea6a6a52cf7e7c576.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Impact of an Education Program on Self-Care Agency and Self-Rated Abilities among Patients with Systemic Lupus Erythromatosis
417
430
EN
Shimaa Mahamed
Abdou Rizk
Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt
Sahar
EL-Bastawesy
Family and Community Nursing, Faculty of Nursing, Port Said University, Egypt
Eman
Hegy
Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt
10.21608/ejhc.2020.119023
Background: Systemic lupus erythematosus (SLE) is an autoimmune disease with<br />potential variety and severity of manifestations and unpredictable course present challenges<br />and repercussions in all arenas of life. The aim of the current study was to evaluate the<br />impact of education program on self-care agency and self-Rated abilities among patients<br />with systemic lupus erythromatosis at Mansoura university hospital. A quasi experimental<br />research design was utilized. Setting, the study was conducted at Rheumatology and<br />Immunology outpatient clinic at Mansoura University Hospital, Egypt. A purposeful sample<br />consisting of all patients with Systemic Lupus Erythematosus (SLE) without any organ<br />damage who registered at the rheumatology and immunology unit during the period of the<br />beginning of August 2019 to end of December 2019. Three tools were used in data<br />collection; a structured interviewing questionnaire, Self -Rated Abilities for Health Practices<br />Scale (SRAHP), and Exercise Self Care Agency scale. Results, revealed that one third of<br />studied subjects fall in age group from 30-40 years old, most of them were female and more<br />than half of them were married in addition to more than two fourth of patients had disease for<br />more than 4 years. Related to educational program there were positive impact on self-rated<br />abilities for health practices and self-care agency after implementation of the education<br />program. Conclusion Application of the education program through Self-care interventions<br />has positive impact on improving self-care agency (SCA) and self-rated abilities for health<br />practices that permitting patients to integrate mutually social support and self-care activities.<br />Recommendation; Continuous education programs for patient with systemic lupus<br />erythematosus in order to improve their health status, independence and self-care activities,<br />and replication and expanded studies are also needed.
Education program,self-care agency,self-rated abilities for health practices,Systemic lupus
https://ejhc.journals.ekb.eg/article_119023.html
https://ejhc.journals.ekb.eg/article_119023_a22006d8d79c249d219278ca2de601de.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Lean Management Strategies on the Quality of Perioperative Nursing Roles
431
454
EN
Kawther Abdel Ghafar
Ali
Nursing Administration – Faculty of Nursing – Misr University for Science and Technology, Egypt.
Hoda Attia Abd El Naby
Raslan
Medical Surgical Nursing, Faculty of Nursing – Beni-Souf University, Egypt.
Reda Abd El Salam
Ibrahim
Medical Surgical Nursing, Faculty of Nursing – Tanta University, Egypt
Mahmoud Abdel Salam
Mohamed
BSN, MSN, Director of Nursing at Dar Al Fouad Hospital, Egypt
10.21608/ejhc.2020.119025
Background: The huge multiplicity of scrub and circulator nurses'activities affects the<br />quality performance of perioperative nursing roles. Therefore, the pursuit of perfect practice<br />of perioperative nursing roles should focus on assessing the performance gaps in these roles<br />and use of lean management strategies for effective patient care delivery. Aim: The study<br />aimed to assess the effect of lean management strategies on the quality of perioperative nursing<br />roles. Design and Setting: A quasi experimental design was used to implement the study in<br />the operating room at new Dar Al Fouad Hospital, Cairo, Egypt. Tool of Data Collection:<br />Observational checklist tool aimed to assess the perioperative nursing roles of scrub and<br />circulator nurses, the tool consisted of two main parts; first part is the performance observation<br />of scrub nurse role, and the second part is the performance observation of circulator nurse role.<br />Results: The results of the present study illustrated that the perioperative nursing roles for<br />scrub nurses of met standards performance were improved from above half normal to above<br />three quarter, and the met standards performance of the circulator nurses roles were also<br />improved from less than one fifth to near three fifth with statistical significance difference at<br />p < 0.005for both roles post implementation of the lean management strategies. Conclusion:<br />The perioperative nursing roles of scrub and circulator nurses were improved post<br />implementation of lean management strategies which induced positive effect in the elimination<br />of un-value added activities and volume based activities through designing new supportive<br />roles included anesthesia nurse, post anesthesia care unit nurse, surgical technologist,<br />instrumentation technician, nurse aids, store keeper in addition to other relevant roles such as<br />lean team. Recommendation: Focused training program is recommended for all OR personnel<br />with periodic evaluations of the perioperative nursing roles and the new supportive<br />perioperative roles. Further research is recommended to disseminate the developed lean<br />management strategies and investigate its effect on the perioperative nursing in different<br />settings.
Lean Management Strategies,Quality of Perioperative Nursing,Perioperative Nurses Roles
https://ejhc.journals.ekb.eg/article_119025.html
https://ejhc.journals.ekb.eg/article_119025_680d86635e5dbcda5d8894a83dcb578d.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Implementing Evidence-Based Nursing Practice Program on Critical Thinking Disposition among Internship Students
455
473
EN
Khadra
Mohammed Atiea Mohammed
Lecturer of Nursing Administration Department, Faculty of Nursing, Fayoum University
Hosnia
Abd-Elmoniem Amer Hussein
Lecturer of Nursing Administration Department, Faculty of Nursing Zagazig University
10.21608/ejhc.2020.137627
Background: As the principles of evidence-based beliefs in nursing take an<br />increasingly greater hold on nursing education, it is important to consider the range<br />of other critical thinking dispositions which is subordinated by this approach.<br />Dispositions of critical thinking based on beliefs of evidence-based data leads to<br />optimal nursing care for patients, based on patient-centered nursing actions. The<br />aim of the study was to evaluate the effect of implementing evidence-based<br />nursing practice program on critical thinking disposition among nursing internship < /div><br />students. Research design: A quasi-experimental intervention design was used in<br />the present study. Subjects and Setting: the sample consisted of 125 internship < /div><br />nursing students were invited to participate in the study. The study was conducted<br />at Fayoum University Hospitals (Medical& Surgical hospitals). Tools of data<br />collection: Data were collected by two tools: Evidence based practice beliefs scale<br />and critical thinking dispositions inventory questionnaire. Results: of the study<br />indicated that, post implementation total mean scores were significantly higher than<br />pre implementation total mean scores of variable measuring evidence based<br />practice beliefs and critical thinking dispositions. In addition, the correlation<br />between both evidence based practice beliefs and critical thinking dispositions,<br />there were statistically significant positive correlation between evidence based<br />practice beliefs and critical thinking dispositions among the studied nursing<br />internship students after implementation of the program. Conclusion: The<br />evidence based practice education training was effective in improving the critical<br />thinking dispositions of the studied nursing internship. Recommendation: based<br />on study findings, the researchers suggested that the evidence based practice<br />education program as a general education course for undergraduate nursing<br />students to support necessary critical thinking dispositions.
Evidence-based nursing,Critical Thinking Disposition,and Nursing internship students
https://ejhc.journals.ekb.eg/article_137627.html
https://ejhc.journals.ekb.eg/article_137627_ff034a29aeedcf849ad3befd490f0102.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of early Mobility and Activity interventions to reduce patients' respiratory complications associated with Congestive Heart Failure at Coronary Care Unit
474
493
EN
Mervat
Anwar AbdEl-Aziz
Assist Professor of Critical Care & Emergency Nursing, Faculty of Nursing - Assuit University, Egypt
Shymaa
Helmy Ahmed Abd-Alaleam
Lecturer of adult, Faculty of Nursing, South Valley University, Qena, Egypt.
Ragaa
Dahi Mohamed Ahmed
Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt.
10.21608/ejhc.2020.139337
Background: Congestive heart failure patients suffer from dyspnea and fatigue<br />resulting in diminished exercise tolerance, contributing to decreased physical<br />functioning and quality of life. The aim of this study is to evaluate effect of early<br />mobility and activity interventions to reduce patients respiratory complications<br />associated with Congestive Heart Failure. Design: Quasi-experimental research<br />design. Setting: Coronary Care Unit (CCU) of El-Orman Cardiology Hospital, at<br />Assuit University Hospitals. Sample: Seventy critically ill adult males and females'<br />patients' divided into two equal and matched groups (35 study & 35 control). Tools: -<br />Three tools; Tool 1: Patient assessment sheet, Tool 2: Early mobility and activity<br />levels interventions and Tool 3: Monitoring respiratory complications sheet. Results:<br />the patients in study group had lesser dyspnea attacks, absence of abnormal lung sound<br />and less respiratory complications as compared with the control group patients.<br />Conclusion: Applying early mobility and activity interventions significantly improve<br />dyspnea; improve oxygen saturation and lesser respiratory complications associated<br />with congestive heart failure. Recommendations: Emphasize on application of the<br />mobility and activity for patients with cardiovascular diseases to prevent<br />complications.
Congestive Heart Failure,mobility and activity,and respiratory complications
https://ejhc.journals.ekb.eg/article_139337.html
https://ejhc.journals.ekb.eg/article_139337_3d9448a439d8bd4a903cf8f5b5a74330.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effectiveness of Teaching Sessions on Anxiety Level among Mothers of Children with Congenital Heart Disease
494
509
EN
Omayma
Mustafa Abu Samra
Lecturer of Pediatric Nursing - Faculty of Nursing Mansoura University
Josephin
A. Lawend
Assistant Professor of Pediatric Nursing, Faculty of Nursing Mansoura University.
Fatma
Mohamed Amin
Assistant Professor of Pediatric Nursing, Faculty of Nursing Mansoura University.
10.21608/ejhc.2020.140544
Congenital heart disease is a stressful and anxiety overwhelming experience for<br />parents and their children, therefore nurses are pivotal in providing a<br />comprehensive and evidence based strategies to reduce anxiety among parents and<br />enhance their children' wellbeing. Aim: To evaluate the effectiveness of teaching<br />sessions on anxiety level among mothers of children with congenital heart disease.<br />Study design: A quasi-experimental design was used. Setting: The study was<br />conducted in paediatric cardiology department at Mansoura University Children<br />Hospital affiliated to Mansoura University. Sample: A purposive sample of forty<br />mothers having children from 3 months to 6 years with congenital heart disease<br />were participated in this study. Tools of data collection: Three tools were used;<br />first: by Interview Questionnaire to gather data about characteristic of the study<br />subjects, mothers' knowledge regarding congenital heart disease. Second: Mothers'<br />reported practice sheet was designed by the researchers to assess mothers' reported<br />practice regarding congenital heart disease. Third: Taylor’s Manifest Anxiety Scale<br />was used to assess the anxiety level of the studied mothers. Results: There was a<br />highly statistical significant difference between the studied mothers' total mean<br />score of knowledge and reported practice with positive correlation regarding<br />congenital heart disease at pre and post teaching sessions. Also, there was highly<br />significant negative correlation among mothers' knowledge, practice and anxiety<br />level. Conclusion: the implementation of teaching sessions for the mothers of<br />children with congenital heart disease had reduced their anxiety level. Furthermore,<br />teaching sessions had improved mothers' total mean score of knowledge and<br />reported practices about caring of children with congenital heart disease.<br />Recommendations: The study recommended establishing programs, as mothers'<br />support groups, to assist them overcome the adverse psychological effects of<br />congenital heart disease among their children.
anxiety,Congenital heart disease,children,Mothers,Teaching Sessions
https://ejhc.journals.ekb.eg/article_140544.html
https://ejhc.journals.ekb.eg/article_140544_dd0940270d3d999d3350fa0cf47070be.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Swallowing Training Rehabilitation Program on Severity of Dysphagia and Swallowing Trial among Patients with Cerebrovascular Stroke
510
529
EN
Shimaa
Gomah Yousef
Medical-Surgical Nursing, Faculty of Nursing, Damanhur University, Egypt
Hoda
Abdou Abd El-Monem El-Deeb
Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
Saada
Elsayed Rady
Medical-Surgical Nursing, Faculty of Nursing, Damanhur University, Egypt
10.21608/ejhc.2020.142683
Background: Cerebrovascular Stroke (CVS) is a rapidly developing clinical focal<br />disorder of cerebral function lasting for 24 hours or longer and leading to death, with no<br />obvious reason other than the vascular source. Aim of the study: was to determine the effect<br />of swallowing training rehabilitation program on severity of dysphagia and swallowing trial<br />among patients with cerebrovascular stroke Research design: A quasi experimental research<br />design with a pretest-posttest control group was utilized. Settings: The study was conducted<br />at neurological inpatient units at Alexandria University Hospital. This hospital was selected<br />because flow rate of patients with cerebrovascular stroke was satisfactory for the study.<br />Subjects: Purposive samples of 60 hospitalized adult patients with CVS were selected<br />according to eligibility criteria. They were divided into two equal groups 30 in each study<br />group and control group. Tools of data collection: three tools were used for data collection<br />namely: Patients' demographic characteristics and clinical data sheet, dysphagia severity<br />scale and observation checklist to assess swallowing ability during swallow trial: Results:<br />the study results revealed that there was a statistically significant difference between the<br />study and control groups in favor of the former in relation to severity of dysphagia and<br />swallowing trial after two weeks and one month of intervention in which the severity of<br />dysphagia decreases among study group to 20% and 13.3% respectively in level (1) after two<br />weeks and one month while the severity of dysphagia increases among control group to 40%<br />and 66.7% respectively in level (1) after two weeks and one month with P = 0 .000.<br />Conclusion: The study concluded that swallowing training rehabilitation program has<br />significant positive effect on severity of dysphagia and swallowing trial among patients with<br />cerebrovascular stroke. Recommendation: The developed booklet with its simple<br />instructions and illustrations should be utilized in hospitals as a teaching aid for patient with<br />dysphagia. Periodic health education programs for nurses to create awareness on swallowing<br />exercises in improving swallowing ability.
cerebrovascular stroke,Dysphagia,Swallowing training program
https://ejhc.journals.ekb.eg/article_142683.html
https://ejhc.journals.ekb.eg/article_142683_48df340b141b3f85d2ee1ebcdb330bfb.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Massage on Increasing Growth Parameters and Inducing Sleep among Premature Neonates
530
540
EN
Doaa
Bahig Anwr
Lecturer of Pediatric Nursing, Faculty of Nursing, Aswan University, Egypt
Omima
Mostafa Abd Elzaher Mohamed
Lecturer of Community Health Nursing, Faculty of Nursing, South Valley University, Egypt
Manal
Mohamed Ahmed Ayed
Assistant professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt
10.21608/ejhc.2020.146733
Massage therapy can be used in neonatal intensive care units for premature infants<br /><37 weeks of gestation, which increase growth parameters with no harmful effects<br />and help inducing sleep. Aim: This study aimed to determine the effect of massage<br />on increasing growth parameters and inducing sleep among premature neonates.<br />Subjects and method: A quasi-experimental research design was used on a<br />purposive sample of 50 LBW premature neonates and their mothers who were<br />admitted to NICU at Sohag University Hospital, Egypt, from August 2019, until<br />January 2020. Premature neonates were randomly assigned into two groups with<br />and without massage. Tools: Tool (I): A structured questionnaire was developed<br />and consisted of two parts: part (1): Demographic characteristics of mothers of<br />premature neonates, part (2): Demographic characteristics of premature neonates,<br />Tool (II): Assessment of growth parameters, and Tool (III): Assessment of sleep < /div><br />behaviors before the intervention, after seven days and after one month of<br />discharge. Results: There were no statistically significant differences between the<br />mean of weight, length, and head circumference in the two groups before massage<br />intervention. The majority of premature neonates in the intervention group had<br />increased their growth parameters after seven days from the application of massage<br />and after one month of discharge compared to those in the control group.<br />Conclusion: massage was an effective and safe non-medical intervention used in<br />improving growth parameters and sleeps behaviors and help premature neonates<br />fall asleep faster after the massage than without massage. Recommendations:<br />Massage should be involved in routine care in a neonatal intensive care unit<br />(NICU), as standard care for premature neonates, health educational programs<br />about massage and its effect should be taught to health care professional, especially<br />pediatric nurses.
Massage,growth parameters,Sleep,premature neonates
https://ejhc.journals.ekb.eg/article_146733.html
https://ejhc.journals.ekb.eg/article_146733_2dba2356912a999911ad27d517a2135c.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Creativity, Resilience and Sense of Humor among Nursing Graduates, Alexandria University, Egypt
541
558
EN
Mona
Metwally Elsayed
Assistant Professor of Psychiatric Nursing, and Mental Health, Alexandria University, Egypt.
Eslam
Abd-Elfatah Abd-Elhamid
Lecturer of Psychiatric Nursing, and Mental Health, Alexandria University, Egypt.
Heba
Ahmed Mohsen
Lecturer of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt
Marwa
Abd El-Gawad Mousa
Assistant Professor of Psychiatric Nursing, and Mental Health, Alexandria University, Egypt.
10.21608/ejhc.2020.148843
Background: The current and future global health and education challenges that<br />face the nursing graduates, critically positioned them to be more creative and<br />resilient. Creativity and resilience are essential for advancing the graduate-level<br />nursing from a level of proficiency, which is expected at the undergraduate level to<br />expert competency at the graduate-level. Indeed, using the sense of humor as a<br />means of dealing with everyday problems and difficulties is much recognized<br />recently as well as needed to be adopted by those graduates. Aim: investigate the<br />relationship between resilience, creativity, and sense of humor among the nursing<br />graduates. Methodology: A descriptive cross-sectional correlational design was<br />used. The study was conducted at the Faculty of Nursing, Alexandria University,<br />Egypt. A randomized sample of 165 graduate nurses was included. Online web<br />based electronic questionnaires were used comprising; A socio-demographic and<br />Academic Data, SSCS, CD-RISC-10 and MSHS. Results: The results showed that<br />93.9%, 81.2% and 64.2% of the studied graduates had moderate to high levels of<br />creativity, resilience, and sense of humor respectively. A positive statistically<br />significant relationship at level of P≤ 0.01 between creativity, resilience and sense<br />of humor was found. Humor production and creativity domain is the best predictor<br />of both creativity and resilience among those graduates. Conclusion: It can be<br />concluded that creativity, resilience, and sense of humour are related to each other,<br />be a humor productive graduate nurse and using of humour as adaptive coping<br />strategy in daily life situations contributes to be more creative and resilient. Finally,<br />increase age of the graduates indicates to be more resilient. Recommendations:<br />Providing the graduated nurses with the space to generate new ideas and<br />innovations through filliped classroom, competence-based learning, problem-based<br />learning, and interactive learning are recommended.
Creativity,Nursing Graduates,Sense of Humor and Resilience
https://ejhc.journals.ekb.eg/article_148843.html
https://ejhc.journals.ekb.eg/article_148843_9c40a2f69d094b8f08bca0767ee21c82.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Impact of educational program for psychiatric nurses on the use of successful practice strategies toward patient with psychotic disorders
559
575
EN
Yosr
Mohamed El-Masri
Assistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Mansoura University
Hanan
Nasef Zaki
Assistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Benha University
Mawaheb
Mahmoud Zaki
Assistant professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Benha University
10.21608/ejhc.2020.152568
Background: In particular, psychiatric nurses need continuous training and should be seen as a priority as they tend to have the most contact with patients, especially when they are at their worst. Aim of this study: Examine the impact of educational program for psychiatric nurses on the use of successful practice strategies toward patient with psychotic disorders. Research design: quasi-experimental research design with pre-post assessment. Setting: This study was conducted at the Benha Governmental Hospital for Mental Health in Benha City, Qalubia Governorate. Subjects: 60 nurses from the hospital's inpatient department. Tools of data collection: Nurses characteristics data form and nurses self-reported practice questionnaire regarding management of patients with psychotic disorders. Results: There was significant differences between pre and post-program phases in total nurses' performance mean score , it showed statistically significant decreases in the mean score of communicating own perception from 14.2±3.5 to 5.0±1.7 (p < 0.001), and increases in the mean score of changing patient view from 7.7±2.3 to 16.5±4.1 (p < 0.001) and no significant changes in the mean scores of confirming patient view (p=0.97), or using resources (p=0.91). At post-program, confirming patient view mean score were significantly lower among younger age nurses, with bachelor qualifications, and less experience years in nursing and psychiatric nursing (p < 0.001), while at the pre-program, the changing of patient view and using resources mean score were significantly higher among younger age nurses with bachelor qualifications, and less experience years in nursing and psychiatric nursing at post program. Additionally, there was no significant relation between nurses' demographic characteristics and their mean score of communicating own view while, post-program, the mean score was higher in diploma nurses compared to bachelor degree ones. Conclusion: The educational program led to significant improvement of the studied psychiatric nurses' total practice mean scores which showed significant decrease in mean score of communicating own perception and increase in mean score of changing patient view. Their total practice mean score regarding confirming and changing patient view were influenced by nurses age, qualifications, experience years in nursing and psychiatric nursing. Recommendations: The heads of psychiatric departments must subject nurses to educational programs, while nurses need to continually upgrade and update their skills by reading and attending seminars and workshops specializing in this field.
Educational Program,Psychiatric Nurses,practice strategies,psychotic disorders
https://ejhc.journals.ekb.eg/article_152568.html
https://ejhc.journals.ekb.eg/article_152568_72aef0055e1f4da851cb0927270c3620.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Male Nursing Students Training at Clinical Maternity Nursing Course: Challenges and Proposed Improvement Actions
576
590
EN
Amal
Sarhan Eldesokey Genedy
Lecturer at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt
Asma
Kamal Ahmed
Assistant Professor at Administration Nursing Department, Faculty of Nursing, Fayoum University, Egypt
Manal
Mansour Mostafa
Assistant Professor at Community Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt
Ayat
Masoud Omar
Assistant Professor at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt.
10.21608/ejhc.2020.153388
Background: Increasing numbers of men enter the nursing field. When males enter<br />nursing programs, during their training, they can face challenges, especially in maternity<br />areas. Aim: To determine the challenges facing male nursing students during their training<br />in the maternity department and propose improvement plan of actions to overcome these<br />challenges. Design: A descriptive exploratory research design was utilized, Sample: A<br />convenient sample of (300 participants) composed of (100) male nursing students and<br />(100) female students who just completed their training in the maternity course in the<br />Faculty of Nursing, Fayoum University during the two semesters of the academic year<br />2017-2018. Also 100 of women were recruited in this study. Setting: This study was<br />implemented in the maternity department in the Faculty of Nursing, Fayoum University at<br />Obstetrics and Gynecological department in El- Nabawy El-Mohandes Fayoum General<br />Hospital affiliated to Ministry of Health, Egypt. Tool of data collection: Four tools used<br />to collect current data: (I) structured self-administered questionnaire, (II) male students'<br />attitudes towards maternity nursing clinical training (III) female nursing students’ attitude<br />towards their male colleague companionship during clinical training in the maternity<br />department, and lastly (V) Women’s attitude towards involvement of male student in<br />providing maternity care during training in the maternity department. Results: the<br />majority of studied male students (84%) facing a variety of problems and embarrassing<br />situations during their training in clinical maternity course, there were moderate statistical<br />significant relation between total attitude of studied male, female students, participant<br />women and their residence P-value 0.010, 0.019. and 0.012 Conclusion: A strong<br />positive correlation reported between male student attitude and their total self-evaluation,<br />women’s and female students’ attitude was statistically significance P-value ≤ 0.05.<br />Recommendations: Further research should be conducted to compare the experiences of<br />male nurses in different maternity training settings, residence and culture.
Clinical,Maternity training,challenges
https://ejhc.journals.ekb.eg/article_153388.html
https://ejhc.journals.ekb.eg/article_153388_8608c9c9f2770c9d16733c14c61680c1.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Health Promotion Model and Self-Determination Theory Based Intervention on Preeclampsia Prevention among Pregnant Women at Beni-Suef Governorate
591
602
EN
Hanaa
Kamal Helmy
Assistant Professor at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University, Egypt
Rasha
El -Sayed Ibrahim
Lecturer at Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Beni- Suef University, Egypt
10.21608/ejhc.2020.156267
Pre-eclampsia is the greatest common hypertensive disorder of pregnancy, It is a major cause of<br />maternal mortality and morbidity, preterm birth, intrauterine growth restriction, and perinatal death<br />worldwide. It has been predictable that preeclampsia complicates 2-8% of pregnancies globally, and<br />is considered to be the third cause of maternal death. Aim of this study was to determine the effect<br />of the health promotion model and self-determination theory-based intervention on preeclampsia<br />prevention among pregnant women. Subjects and method: A quasi-experimental design was<br />conducted at the antenatal clinic at Beni-Suef University Hospital, Egypt. A purposive sample of<br />60 pregnant women was included in the study, they were divided into study and control groups from<br />June 2019, until December 2019. Tools: Data were collected through three main tools: A Structured<br />interviewing questionnaire, The questions about pre-eclampsia prevention knowledge, and the<br />health promotion model. Results: The results of this study revealed there was a significant<br />difference (p < 0.05) in all variables after the implementation of an intervention and the average score<br />of the various variables in the intervention group was greater than that of the control group < /div><br />(p < 0.05). Conclusion: The application of the health promotion model and self-determination<br />theory-based intervention on preeclampsia prevention in pregnant women had an effective<br />improvement of pregnant women's knowledge change behavior, and dietary practices were also<br />improved in the study group compared to the control group. Recommendations: The intervention<br />of management of PE with the pregnancy based on HPM and self-determination theory should be<br />integrated into the ANC program at the study setting and similar ones
Pre-eclampsia prevention,Health Promotion Model,Self-determination theory,Knowledge,Pregnant women
https://ejhc.journals.ekb.eg/article_156267.html
https://ejhc.journals.ekb.eg/article_156267_08b0184af1bc1c9a99f75e35f5819546.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
The Relationship among Workload, Teamwork, and Missed Nursing Care at Intensive Care Units
603
611
EN
Sanaa
Mohammed Soliman
Lecturer of nursing administration, Faculty of Nursing, Fayoum University, Egypt
Nashwa
Mahmoud Eldeep
Lecturer of nursing administration, Faculty of Nursing, Damanhour University, Egypt
10.21608/ejhc.2020.163259
Background: Nurses are vital to the delivery of safe and effective care at critical units, but<br />improper team work and high patient workloads may cause missed nursing care. Research Aims:<br />To examine the relationship among workload, teamwork, and missed nursing care at intensive care<br />units Methodology: Correlational research design was conducted at Intensive Care Units (ICU) at<br />Fayoum university hospitals. Intensive care units at Kom Hamada central hospital, Damanhour<br />fever hospital and Damanhour chest hospital. The subjects were 207 nurses. A self-administered<br />questionnaire containing four parts; (Part I: Demographic characteristics of the subjects such as age,<br />gender, marital status, nurse role, qualifications, experience, shift worked, nurse to patient ratio,<br />length of shift time, Part II: Miss care Survey was developed to measure the frequency with which<br />nursing care activities are omitted or delayed, and to identify the factors that contribute to these<br />missed activities as perceived by nursing staff in the acute care setting,Part III: Workload Subscale<br />was used to measure the nursing staff’s perception of workload. This subscale was designed to<br />measure “the extent to which feelings of pressure and urgency dominate the work environment”,<br />Part IV: Nursing Teamwork Survey, This 33-item instrument was designed to measure teamwork<br />among nurses in the acute care setting, but the items generically address teamwork activities across<br />nursing care settings.) Results: The present study showed that less than half of studied nurses had<br />moderate missed care and moderate team work. According to workload perception, about half of<br />studied nurses had moderate workload Conclusions: There was highly significant positive<br />correlation between workload and missed care at p value <0.01. While, there was highly significant<br />negative correlation between teamwork with workload and missed care at p value <0.01. The study<br />recommends that: Nurse managers must monitor missed care and workload daily to ensure proper<br />sizing of staff and safety of care, Educational workshop for nurses about teamwork skills and<br />coping mechanism related workload, Further researches about predictive factors affecting nursing<br />missed care.
Work load,Team Work,Missed nursing care
https://ejhc.journals.ekb.eg/article_163259.html
https://ejhc.journals.ekb.eg/article_163259_9187165b1c2d366c134a4c7f007f66f0.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Impact of Educational Program Regarding Safety Measures Guidelines on Nurses' Knowledge, Attitude and Practice toward COVID-19 Patients.
612
627
EN
Hend
A. E. Elshenawie
Lecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.
Heba
El Sayed
Lecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.
Eman
A. A. R. Dabou
Lecturer, Medical-Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.
10.21608/ejhc.2020.164761
Nowadays, nurses should prepare themselves for pandemic events as far in advance as potentially<br />worsening outbreak conditions. Coronavirus disease (COVID-19) is a widespread pandemic<br />disease, especially in a health-care setting. But there are not enough researches done to control &<br />prevent it from transmission among health-care providers. The pandemic has highlighted how<br />protecting the healthy team is key to keeping patients safe and ensuring a functioning health system.<br />Therefore, nurses should have sufficient knowledge and practice about pandemic events through<br />using safety measures in dealing with COVID-19 patients to protect themselves from physical and<br />biological hazards. Aim: Investigate the impact of educational programs regarding safety measures<br />guidelines on nurses' knowledge, attitude, and practice toward COVID-19 patients. Design: Quasi<br />experimental design. Setting: Medical, surgical, and oncology departments at the Alexandria Main<br />university hospital, Egypt. Sample: A convenience sample of 150 nurses. Results: There was a<br />positive, statistically significant difference between pre & post-educational programs regarding<br />safety measures on studied nurses' knowledge, attitude, and practice. A positive, statistically<br />significant correlation between studied nurses' knowledge of the safety measures educational<br />program and their attitude and practice. Conclusion: the educational programs regarding safety<br />measures guidelines improved nurses' knowledge, attitude, and practice toward COVID-19 patients.<br />Recommendations: Efforts should be made to enhance nurses' knowledge, attitude, and practices<br />through periodical follow-up.
Corna virus- knowledge-attitude. Practice,safety measures guidelines
https://ejhc.journals.ekb.eg/article_164761.html
https://ejhc.journals.ekb.eg/article_164761_22f135c988b4f08fefbebeb0059a81da.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Factors associated with women's satisfaction during labor
628
640
EN
Reda
Mahmoud Mohamed Hables
Lecturer of Obstetrics & Gynecological Nursing, Faculty of Nursing, Alexandria University
Naglaa
Zaki Hassan Roma
Lecturer of Obstetrics & Gynecological Nursing, Faculty of Nursing, Alexandria University
10.21608/ejhc.2020.164794
Labor is a critical time for women and newborns. Every day in 2017, approximately 810 women<br />died from preventable causes related to pregnancy and childbirth. Many studies revealed that labor<br />care satisfaction is a critical point of intervention to eliminate the high maternal mortality rate. Thus,<br />the Aim of this research was to assess factors associated with women's satisfaction during labor. A<br />descriptive research design was utilized. A convenience sample of 384 women in labor was chosen<br />from El-Shatby Maternity Hospital affiliated to Alexandria University. Tools: A socio-demographic<br />and reproductive history interview schedule and the Birth Satisfaction Scale (BSS) were used.<br />Results: the study revealed that 57% of the studied women had low satisfaction level. Significant<br />correlations (0.01) were observed among satisfaction level and age, education, occupation, income<br />and residence. Significant correlations (0.01) were observed among satisfaction level and number of<br />gravidity, parity, abortion and type of delivery. Conclusion: more than half (57 %) of the study<br />subjects had low satisfaction level. Many factors were associated with women's satisfaction during<br />labor especially elect the place of birth, birth environment, sufficient support, staff communication,<br />coping during labor, feeling in control, preparation for childbirth, relationship with baby and stress<br />experienced during labor. Those factors are important indicators to improve women satisfaction<br />during labor experience. Recommendation: midwifery care staff need to fully understand woman's<br />expectations for their care, and provide care that is consistent with those expectations.
Factors associated with,women satisfaction,Labor
https://ejhc.journals.ekb.eg/article_164794.html
https://ejhc.journals.ekb.eg/article_164794_5dfa65ae2a54c509043478fffd752452.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Workplace Ostracism and Counterproductive Work Behaviors among Nurses
641
649
EN
Salwa
Ahmed Mohamed Ebrahim
Assistant professor of nursing administration, Faculty of nursing, Beni Suef University, Egypt.
Nashwa
Mahmoud eldeep
Lecturer of Nursing administration, Damanhour University, Egypt.
10.21608/ejhc.2020.166531
Background: The workplace ostracism phenomenon is taking more attention in the eyes of social<br />researchers and also different studies verified that it has a adverse effect on organizational outcome<br />and also individual behavior and performance. Research Aim: To evaluate workplace ostracism<br />and counterproductive work behaviors among nurses Methodology: A cross sectional design was<br />conducted at Damanhour university hospitals (medical/surgical units and Intensive Care Units<br />(ICU) at Itai El baroud central hospital, Kom Hamada central hospital, Damanhour fever hospital<br />and Damanhour chest hospital), Beni suef university hospital & fever, chest and Ophthalmology<br />hospitals. The subjects were 349 nurses. A self-administered questionnaire containing three parts<br />(Demographic characteristics, Workplace Ostracism Instrument, counterproductive work behaviors)<br />Results: The present study revealed that more than half of studied nurses had moderate level of<br />counterproductive work behaviors. While, one quarter of nurses had low counterproductive work<br />behaviors. About two thirds of studied nurses had moderate level of workplace ostracism. While,<br />one fifth of nurses had low workplace ostracism. Conclusions: There was high positive correlation<br />between counterproductive work behaviors and workplace ostracism at p value <0.01.<br />Recommendation: Provide training courses for nurses about ostracism behavior and team work.<br />Further researcher about assessing perception of head nurses related ostracism and<br />counterproductive behavior.
Ostracism,Counterproductive,Behaviors,Nurses
https://ejhc.journals.ekb.eg/article_166531.html
https://ejhc.journals.ekb.eg/article_166531_c6bde24dc6da2fab783928ab8fd1f3ae.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Nursing led Intervention Regarding Prevention of Venous Thromboembolism among Women with Gynaecological Tumour Undergoing Major Abdomino-Pelvic Surgery
650
669
EN
Ayat
M. Omar Masoud
Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt
Monira
Samir Abdelhady
Medical-Surgical Nursing, Faculty of Nursing, Fayoum University, Egypt
Shaimaa
Gomah Yousef
Medical-Surgical Nursing, Faculty of Nursing, Damanhour University, Egypt
Amal
Abdelaziz Ahmed
Maternal and Neonatal Health Nursing, Faculty of Nursing, Assiut University, Egypt
10.21608/ejhc.2020.167100
Background: Venous thromboembolism, which involves deep vein thrombosis and<br />pulmonary embolism, is a serious complication that doubles the risk of morbidity and<br />mortality after major abdominal and pelvic surgery. Aim: To evaluate the effect of Nursing<br />led intervention regarding prevention of Venous Thromboembolism among women with<br />gynaecological tumour undergoing major abdomino-pelvic surgery. Design: This study<br />utilized a quasi-experimental design. Setting: This study conducted at the gynecological<br />department and outpatient clinic at Fayoum University Hospital and General Hospital<br />Fayoum, Egypt. Sample: A purposive sample of 100 women divided randomly into two<br />groups, 50 women for each groups. Tools of data collection: Three tools were utilized in<br />this study including an interview scheduled questionnaire, Deep vein thrombosis risk factors<br />assessment sheet, and deep vein thrombosis assessment sheet. Results: the percentage of<br />good knowledge regarding VTE were significantly increased in post- test than pre -test<br />among study group (2.0% pretest vs. 100.0% posttest) compared to control group (0.0%<br />pretest vs. 4.0% posttest) p= 0.000., also after the implementation of the program the<br />percentage of good compliance level with VTE preventive measures were significantly<br />improved by all of the study group (100.0% ) who attained a good level of compliance<br />compared to control group (40.0%) (p=0.000). In addition; there were one new case of PE<br />among the control group and 2 cases with DVT compared to no cases reported in study<br />group with a highly statistical significant difference P= 0.000. Conclusion: Women with<br />gynaecological tumor who undergoing major abdomino-pelvic surgery who exposed to<br />nurse led intervention program were not exposed to deep vein thrombosis than those who<br />exposed to routine hospital only. Recommendations: Nursing led intervention should be<br />added as an essential part of routine perioperative care for all major gynaecological<br />operation.
Nursing led Intervention,Venous Thromboembolism,Gynaecological Tumour,and Abdomino-pelvic Surgery
https://ejhc.journals.ekb.eg/article_167100.html
https://ejhc.journals.ekb.eg/article_167100_6f6ce7cea80c87e6d8858c1956718691.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Interactive Learning environment on Nursing Students’ Engagement and Academic Self-Concept
670
681
EN
Ghada
Elsayed Abdelhalim
Nursing Education, Faculty of Nursing, Alexandria University
Neama
Mohamed Fouad Kamel
Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University.
Ayah
Shaban Abd-El Fattah Abd-ElRasoul
Nursing Education, Faculty of Nursing, Alexandria University
10.21608/ejhc.2020.169588
Background: To provoke engagement and higher levels of learning and improving academic self<br />concept, nurse educators are exploring newer interactive methods of teaching. Nursing educators<br />can create this opportunity by providing diverse settings and activities for interactive learning that is<br />preferred by today’s students. Aim: The study aimed to determine the effect of interactive learning<br />environment on nursing students' engagement and academic self-concept. Hypothesis: The students<br />who are instructed through interactive learning environment exhibit more engagement and higher<br />academic self-concept than those who are not. Design: Aquasi-experimental design was used in the<br />current study. Setting: This study was conducted at Faculty of Nursing Alexandria University.<br />Sample: A convenience sampling of 120 nursing students comprised the study subjects. Results: a<br />statistically significant difference, regarding the engagement and the academic self-concept, was<br />found in the favor of the study group. Moreover, a correlation was found between classroom<br />engagement and academic self-concept. Conclusion: The results of the present study support<br />theoretical model which emphasizes the effect of interactive learning environment on students’<br />classroom engagement as well as their academic self-concept. Recommendation: It is necessary to<br />work further as a teacher in developing interactive learning strategies, to improve students' abilities<br />to be more active learners in their educational context and to improve their classroom engagement<br />and academic self-concept.
interactive learning,Classroom Engagement,Academic Self-Concept
https://ejhc.journals.ekb.eg/article_169588.html
https://ejhc.journals.ekb.eg/article_169588_e76623fb50135e769b536f9766ce9dea.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Range of Motion Exercises Effect during and after Hydrotherapy on Patients Burned Hand Function and Pain Intensity: A Comparative Study
670
687
EN
Rasha
Aly Yakout
Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
Hassan
Khlosy
Assistant Prof. of Plastic surgery, Faculty of Medicine, Alexandria University, Egypt.
10.21608/ejhc.2020.169807
Hand burn injuries can result in devastating functional impairments and hamper quality of life. One<br />of the rehabilitation program components is hydrotherapy, which help in cleaning the burn surface,<br />debriding wounds, facilitating the separation of eschar, facilitating physiotherapy, and improving<br />patients’ comfort. This study aimed to evaluate range of motion exercises effect during and after<br />hydrotherapy on patients burned hand function and pain intensity. A quasi-experimental<br />comparative research design was conducted on three equal group of 15 adult patients having second<br />degree burn of the hand (superficial and deep partial-thickness burns). Three tools were used for<br />collecting the data: Tool I: Burn patient Assessment interview schedule. Tool II: Burned Hand<br />functional assessment. Tool III: Pain Visual Analogue scale (VAS). Significant improvement was<br />noticed among the three groups subjects in relation wrist and finger joint measurements, manual<br />muscle testing, functional ability of the hand, and pain intensity. Hydrotherapy is an effective,<br />alternative intervention that can be used by care providers as a non-pharmacological method in most<br />burn centers.
Range of motion exercises,Hydrotherapy,hand function,and pain intensity
https://ejhc.journals.ekb.eg/article_169807.html
https://ejhc.journals.ekb.eg/article_169807_655bc8e8583eb409243d6233333a08ba.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Health Guidelines for slaughter house workers about brucellosis in Port Said city
688
702
EN
Maha
Moussa Mohamed Moussa
Assistant Professor, Community Health Nursing, Faculty of Nursing, Port- Said University, Egypt
Naglaa
Ibrahim Mohamed Gida
Assistant Professor, Community Health Nursing, Faculty of Nursing, Port- Said University, Egypt
Eman
Ebrahim Abdou Awad Kandel
Assistant Professor, Community Health Nursing, Faculty of Nursing, Port- Said University, Egypt
10.21608/ejhc.2020.170637
Background: Brucellosis is an occupational hazard for slaughter house workers. Community health<br />nurses have an important role in training them in safe practices for prevention. Aim of the study: to<br />evaluate the effect of health guidelines for slaughter house workers about brucellosis in Port Said.<br />Subjects and methods: The study was conducted on all 70 workers employed at Port Said slaughter<br />house. It is located in El Gabbouti Al-Gadeed at AL-Ganoob district by using a one-group quasi<br />experimental research design with pre-post assessment. Data were collected using a structured<br />interview questionnaire form for worker’s knowledge of brucellosis, observation checklists for safe<br />practices and hand washing, and a laboratory sheet for the results of brucellosis blood tests. Based<br />on the information obtained from the initial assessment, the researchers designed the health<br />guidelines and implemented it. Results: All workers were males with median age 42 years. Overall,<br />83.1% of the tested samples (n=65) demonstrated sero-positivity. Only 2 (2.9%) workers had<br />satisfactory knowledge before the intervention, which increased to 70.0% after the intervention<br />(p < 0.001). Moreover, 32.9% had adequate practice before the intervention, which rose to 92.9%<br />after the intervention (p < 0.001), with significant improvement in hand washing practice (p < 0.001).<br />In multivariate analysis, the study intervention was the main significant independent positive<br />predictor of the scores of knowledge, hand washing practice, and total practice; the knowledge score<br />was a significant positive predictor of the score of hand washing practice. Conclusion and<br />recommendations: The implementation of health guidelines can be effective in remedying the<br />deficiencies in slaughterhouse workers’ knowledge and practices. Therefore, the guidelines should<br />be implemented in the setting and similar ones
Brucellosis,Slaughterhouse,Sero-positivity,Knowledge,Practice
https://ejhc.journals.ekb.eg/article_170637.html
https://ejhc.journals.ekb.eg/article_170637_e0daf713cfc03485310c645a604f0853.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effects of Educational Nursing Interventions on Pain, and Quality of Life among Nurses with Low Back Pain.
703
721
EN
Amany
Youssef Sharaf
Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University. Egypt.
Narges
Mohammed Syam
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University. Egypt.
Rasha
Fathy Ahmed
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University. Egypt.
rasha.fathy@alexu.edu.eg
10.21608/ejhc.2020.171351
Low back pain negatively impacts nurses’ quality of life. Educational interventions have minimal<br />side effects compared to other interventions that can decrease nurses’ pain intensity and improve<br />their quality of life. Aim of the study: To identify the effects of educational nursing interventions<br />on pain and quality of life among nurses with low back pain. Setting: This study was conducted at<br />medical and surgical units of Alexandria Main University Hospital, Egypt. Subjects: The study<br />subjects comprised a convenience sample of 50 nurses with low back pain. Tools: Three tools were<br />used: Tool (1) Nurses’ Knowledge Structured Interview schedule: to assess nurses' educational<br />needs related to Low Back Pain. Tool (II) Nurses’ Pain Numeric Rating Scale: to assess nurses’<br />levels of low back pain. Tool (III): The World Health Organization Quality of Life-brief<br />(WHOQOL-BREF) questionnaire. to assess QOL of the participants. Results: The mean age of<br />the studied nurses was 40.94 ± 9.50 years. The majority of them were either overweight or obese<br />with a mean body mass index (28.25 ± 3.54). High statistically significant difference was detected<br />in nurses’ LBP levels between pre and post application of the educational nursing interventions,<br />with mean percent reduction in LBP levels post interventions (46.0 ± 21.31). High statistically<br />significant differences were detected between nurses’ overall QOL at pre, and post application of<br />the educational nursing interventions, with mean percent improvement score in overall QOL (19.49<br />± 13.76). Conclusion: Significant positive effects on pain reduction, and QOL improvement among<br />the studied nurses post interventions were detected. Statistically significant associations between<br />body mass index and both of mean percent reduction of pain levels, and mean percent improvement<br />of QOL post interventions. Recommendations: Other studies to examine other effects of the<br />educational nursing interventions in a longer duration to find out long-term effects, on nurses with<br />LBP, are recommended.
Nursing interventions,Low back pain,Nurses,quality of life
https://ejhc.journals.ekb.eg/article_171351.html
https://ejhc.journals.ekb.eg/article_171351_e88998851f847846a5de812569ea0f8f.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Organizational Justices on Creative Self-Efficacy and Innovation of Nurses
722
731
EN
Salwa
Ahmed Mohamed Ebrahim
Assistant professor of nursing administration, Faculty of nursing, Beni Suef University, Egypt.
Maha
Abdeen Abdeen Kheder
Assistant professor of nursing administration, Faculty of nursing, Zagazig University, Egypt
Noha
Hussein Yassein Hussein
Lecturer of nursing administration, faculty of nursing, Helwan University, Egypt.
10.21608/ejhc.2020.207739
Background: Today, healthcare organizations are challenged to retain nurses' generation and to<br />maintain justice that is a predictor of nurses' behaviors in their work environment . Nurses are the<br />most significant and largest human resource of healthcare organization. Research Aims: to assess<br />the effect of organizational justices on creative self-efficacy and innovation of nurses. Methodology:<br />Research design A cross sectional research design was utilized at August 2019 - January 2020.<br />Setting: Beni suef university hospital, fever and chest hospitals at Beni suef government and<br />zagazig university hospitals & fever and chest hospitals at Zagazig city. Sample: Convenience<br />sample include the 332 nurses. Tools of data collection: Researcher used tool contains four parts<br />(Demographic characteristics of nurses, organizational justice, self-efficacy and innovation) Results:<br />revealed that mean age of studied nurses was 34.11±5.96 years. Also, 52.1%, 56.9% and 55.7% of<br />studied nurses had moderate level regarding distributive justice, procedural justice and in formational<br />justice, respectively. Also, stated that educational level, innovation and justice had high frequency<br />positive effect on self-efficacy scale. While, age and female gender had slight positive effect on<br />innovation. Conclusions: the current study concluded that more than half of studied nurses had<br />moderate organizational justice and about one quarter of them had low organizational justice. Also,<br />more than half of studied nurses had moderate self-efficacy, about quarter of them had low self-<br />efficacy. In addition more than half of studied nurses had moderate innovation; more than one quarter<br />of them had low innovation. There was high positive correlation between organizational justice, self-e<br />fficacy and innovation with p value <0.01**. Recommendation: Continuous educational programs<br />for nurses about self-efficacy and innovation behavior. Training program for head nurses and<br />managers about achieving organizational justice among nurses. React positively to the innovative<br />efforts of production nurses by p rovide nurses the time and resources to carry out innovative efforts
Organizational justice,Self-Efficacy,Innovation
https://ejhc.journals.ekb.eg/article_207739.html
https://ejhc.journals.ekb.eg/article_207739_f714d9662c1ad3ccebd6f4a1ea2eaa2b.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of an Educational Program on Improving the Extent of Mental Health literacy about Depression, Suicide and Internet Addiction among Colleges Students at Assiut University
732
750
EN
Alzahraa
Abdel Aziz Omar Abdel Rahman
Lecturer of Psychiatric- Nursing, Faculty of Nursing, Minia University
Heba
Kadees Marzouk
Lecturer of Psychiatric-Mental Health Nursing, Faculty of Nursing, Assiut University
10.21608/ejhc.2020.171369
Background: A high degree of mental health literacy, which involves sufficient knowledge and<br />supportive attitudes toward psychological illnesses in school-aged children, will increase the<br />likelihood of early detection and effective intervention in these conditions, as well as a better<br />outcome of illnesses. The aim: Measure levels of literacy about depression, suicide and internet<br />addiction among university students, Assess both positive and negative outcomes of awareness<br />educational program for university students. Research Design: This study was conducted using a<br />quasi-experimental research design. Subjects: the study comprised of 100 student , 50 student from<br />the faculty of science and 50 student from the faculty of commerce who accept to participate in the<br />study and give an informed oral and written consent. The studied sample consisted of 64 Males and<br />36 Females from the two faculties. During 3 month period from 1st November 2020 to 30th January<br />2021. Tools: students were assessed through Depression Literacy Questionnaire (D-Lit), Literacy of<br />suicide scale (LOSS) and Internet Addiction Literacy Scale (IALS) in addition to Socio Economic<br />assessment scale. Results: The highest percentage of subjects were males, resided in urban areas,<br />first academic year, with middle socio economic state, and there was highly statistical significant<br />difference of the level of mental health literacy about depression, suicide and internet addiction after<br />application of the educational program for the students from the theoretical and clinical faculty<br />Conclusion and Recommendation: There is widespread misunderstanding of the nature of<br />depression, suicide and internet addiction and its causes, risk factors and attitudes towards treatment<br />are negative. The need for psycho-educational programs is necessary which include awareness of<br />mental health and illnesses, particularly depression and the risk of suicide associated with<br />depression, internet addiction, and the development of positive attitudes toward mental illnesses for<br />the benefit of the community.
Educational Program,Mental health literacy,suicide,depression,Internet Addiction
https://ejhc.journals.ekb.eg/article_171369.html
https://ejhc.journals.ekb.eg/article_171369_06342989cf963f0b5e5cc44f83496f29.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Educational Program on Pregnant Knowledge and Practice Regarding How to Continue Breast Feeding after Returning to Work
751
763
EN
Safaa
Soliman Ahmed Mohamed
Assistant Professor of Maternal and Newborn Health Nursing Beni-sueif University, Egypt
Hanan
Elsayed Awad Negm
Lecturer of Community Health Nursing, Faculty of Nursing, Port-Said University, Egypt
Mervat
A. Ahmed
Lecturer of Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt
Hanan
Fawzy Elsayed Ali
Assistant professor Maternal and Newborn Health Nursing Helwan University, Egypt
10.21608/ejhc.2020.176793
<strong>Background</strong>: An important factor influencing duration of breastfeeding is mother’s employment status.<strong> Aim: </strong>To investigate the effect of educational program on pregnant knowledge and practice regarding how to continue breast feeding after returning to work. <strong>Design: </strong>A quasi-experimental design was utilized. <strong>Setting: </strong>The study was conducted at Outpatient Clinic and High risk Units of special Hospital at Beni- Suef University. <strong>Sample: </strong>A convenience sample of all available pregnant working women (300 women) from the previously mentioned setting. The following study <strong>tools </strong>were used (pre/posttests): 1) <strong>Structured interview questionnaire to</strong> assess pregnant working women` s knowledge regarding how to continue breast milk feeding after returning to work. 2) <strong>Working women`</strong><strong>s</strong><strong> practice observation checklists</strong> to assess pregnant working women`s practicesuch as hand washing, breast care and nipple cleaning, breast massage, Daily shower, Finding the perfect pump, Staying pumped and Maintaining supply Boosting milk supply and Storing and reusing milk.<strong>Results: </strong>The mothers' age ranged between 30< 34 years with mean age 31.03 ± 4.50and 45%of them had Secondary/higher educations. There was a highly statistically significant difference (P<.0001), regarding their knowledge and practices before, immediately after, and at follow up guideline implementation about how to continue breast milk feeding after returning to work.<strong>Conclusion: </strong>The present study concluded that, the educational guideline had a positive effect on mothers' knowledge and practice about how to continue breast milk feeding after returning to work. <strong>Recommendations: </strong>Provide continuous education and training for working women regarding how to continue breast milk feeding after returning to work. Supporting legislation to provide private, hygienic lactation rooms to ensure the safe storage of expressed milk.
Educational Program,Pregnant Knowledge and Practice and Breast Feeding
https://ejhc.journals.ekb.eg/article_176793.html
https://ejhc.journals.ekb.eg/article_176793_a221928fb331f50817c16a84d20f3b86.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Correlation between Clinical Competence, Clinical Decision Making, and Perceived Autonomy Support among Nursing Internship Students
764
783
EN
Mona
Thabet
Nursing Administration (Nursing Education), Faculty of Nursing, Minia University
Heba
Dakrory Ali El-Said
Nursing Administration, Faculty of Nursing, Minia University
Eman
Aly Abd-Elhamid
Nursing Administration, Faculty of Nursing, Minia University
10.21608/ejhc.2020.177144
Clinical competence is a crucial distinction for affirming professional, ethical, high quality and safe<br />nursing care as well foster internship skills as decision making. The aim of the study was to assess<br />correlation between clinical competence, clinical decision making, and perceived autonomy support<br />among nursing internship students. Research design: cross sectional correlational design. Setting:<br />'Minia University Hospital' and 'Gynecology, Obstetric and Pediatric Minia University Hospital'.<br />Subjects: stratified random sample from internship nursing students at general and critical units of<br />two hospitals (size=133). Results: nursing internship student had a fair level regarding their clinical<br />competence, clinical decision making, and perceived autonomy support. Also, the internship of<br />critical area had level score better than the internship of general area. Conclusion: there were<br />positive correlations between clinical competence, clinical decision making, and perceived<br />autonomy support among nursing internship students. Recommendation: internship students need<br />more training program to enhance their level of clinical competence, clinical decision making, and<br />perception of autonomy.
Clinical competence,Clinical decision making,internship students,Perceived autonomy support
https://ejhc.journals.ekb.eg/article_177144.html
https://ejhc.journals.ekb.eg/article_177144_5f9037b914d7589fcb96944579e1798e.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
The Effect of Early Six-Minute Walking Test Post-Coronary Artery Bypass Graft on Walking Tolerance and Physiological Parameters
784
794
EN
Wafaa
Wahdan Abd El-Aziz
lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt
Nahed
Attia Kandee
Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt
Hend
Elsayed Mansour
lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt
10.21608/ejhc.2020.177493
Background: The 6-minute walking test is a commonly easy test that does not need advanced<br />training. It is used for evaluating the functional status and exercise tolerance of patients with heart<br />diseases. It provides consistent information about the patient’s daily activity, the effect of<br />treatment, and the prognosis. Aim: To evaluate the effect of an early six-minute walking test<br />(6MWT) post coronary artery bypass graft on walking tolerance and physiological parameters.<br />Setting: This study was conducted at the cardiothoracic intensive care unit (ICU) at Mansoura<br />University Hospital in Egypt. Method: A quasi-experimental design was utilized in this research. A<br />convenience sample of 60 adult patients who were scheduled for and underwent coronary artery<br />bypass graft was enrolled in this study. Data were collected using ‘physiological parameters and<br />six minutes walking test assessment tool’. It involved three parts: Part I: Participants'<br />demographic and health profile data, Part II: Physiological parameters, and six minutes walking<br />test observation checklist and Part III: Borg rating of perceived exertion (RPE) scale. Results: No<br />significant differences were noted (p=≤ 0.05) between the intervention and control groups regarding<br />gender, age, smoking status, and body mass index. However, there were significant differences<br />between the two groups concerning the length of stay on mechanical ventilation, the time of six<br />minute walking test after extubation, complaining from dyspnea and fatigue, and the number of rest<br />periods. Conclusion and Recommendations: The implementation of an early 6MWT post<br />coronary artery bypass grafting improved patients' physiological parameters and walking tolerance.<br />Therefore, nurses should attend a training program on the implementation of early 6MWT for post<br />operative patients in the cardiothoracic intensive care units. Additionally, the 6MWT guidelines<br />and standards should be available in all hospitals to facilitate and enhance the success of cardiac<br />rehabilitation programs.
Coronary Artery Bypass Graft,Distance,Functional capacity,Six-minute walking test,Walking tolerance
https://ejhc.journals.ekb.eg/article_177493.html
https://ejhc.journals.ekb.eg/article_177493_ad75ca78d4ef5f0f1d92bca2332fff18.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2021
07
11
Surgical-associated anxiety and postoperative anesthesia recovery among elderly patients subjected to laparoscopic abdominal surgeries: The impact of educationalbased intervention
795
810
EN
Marwa
Ibrahim Mahfouz Khalil
Assist. Prof. of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt
Dina
Metwally Sorour
Lecturer of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egypt
Reem
Said Shaala
Lecturer of Internal Medicine, Geriatric Unit, Faculty of Medicine, Alexandria University, Egypt
Enas
Fouad Sayed Mousa
Lecturer of Geriatric Medicine, Faculty of Medicine, Helwan University, Egypt
10.21608/ejhc.2021.183284
Background: Considerable number of elderly patients still experience preoperative anxiety and poor<br />postoperative anesthesia recovery, despite magnitude advances in laparoscopic management and<br />improved anesthetic techniques, resulted from many improper connotations such as the complexity of<br />anesthesia and surgery, fear of experiencing pain, physiologic response, patient unique characteristics, or<br />being improperly informed. To date, anxiety and recovery in an elderly population undergoing<br />laparoscopic abdominal surgeries have received very little attention and interventional studies with a<br />structured preoperative teaching program addressing such variables are so limited. Teaching elderly<br />patients the appropriate modification of activities and effective use of anxiety-reduction techniques all<br />impact favorably upon their recovery outcome. Thus, the focus of this study is to evaluate the impact of<br />laparoscopic surgery and anesthesia-related educational program on preoperative-associated anxiety and<br />postoperative quality of anesthesia recovery for elderly patients subjected to laparoscopic abdominal<br />surgeries. Methodology: A randomized pretest-posttest and follow-up control group research design was<br />utilized, in two specialized laparoscopic abdominal surgical departments affiliated to Alexandria Main<br />University Hospital, between the first of January to the end of August 2020. We interviewed 86 elderly<br />patients scheduled for elective laparoscopic abdominal surgeries divided randomly into control and<br />intervention groups, for investigating the following study variables: (1) preoperative anxiety (using State<br />Trait Anxiety Inventory on primary admission and the 2nd day of admission just before surgery), and (2)<br />postoperative quality of anesthesia recovery (using Quality of Recovery Score-15 in the initial 24-hours<br />post-surgery, before discharge, and on the 7th day follow-up schedule). The proposed Arabic-version<br />instructional program was introduced to the intervention group, then a comparison of the means between<br />the predetermined groups was performed. Results: Degree of anxiety for the intervention group < /div><br />following the instruction scheme proved to be significantly lowered than those in routine hospital care<br />group. The program conduction confirmed to have a statistically significant effect on the intervention<br />group’s recovery outcome than those in the parallel group including an amelioration in pain, physical<br />discomfort, physical independence, as well as emotional dimensions, as evidenced by the marked percent<br />improvement through the whole application periods. Conclusion: Preoperative engagement in the<br />interventional informative sessions offers benefits to diminish the level of anxiety through gained<br />knowledge and application of anxiety-relief manipulations in the subjected group. Through practiced<br />skills of discharge self-management, quality of anesthesia recovery proved to be better than those in the<br />control group with a statistically significant discrepancy between them. Recommendations: The pursuit<br />of anxiety and recovery evaluation and management to be established as a routine screening and<br />interventional measures for all elderly patients scheduled electively for laparoscopic surgery to ensure<br />best geriatric patients’ outcomes. On top of that, developing of interventional informative sessions with<br />reference to laparoscopic surgery, anesthesia, preparation for surgery, emotional support, and<br />postoperative discharge management should be launched and stepped by all gerontological nurses in the<br />perioperative stage.
elderly patients,preoperative anxiety,Postoperative quality of anesthesia recovery,laparoscopic surgery,Intervention program
https://ejhc.journals.ekb.eg/article_183284.html
https://ejhc.journals.ekb.eg/article_183284_db75153d120182dab0e095e20b8f1196.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Mouth Mask versus Pursed Lip Breathing for Dyspnea and pulmonary Function among Chronic Obstructive Pulmonary Disease Patients
811
820
EN
Reham
El Ashery Ashery Asker
Medical-Surgical Nursing Department, Faculty of Nursing, Fayoum University
Mona
Mohammed Abo El-elle Mohammed
Medical-Surgical Nursing, Faculty of Nursing, South Valley University Qena Egypt
Hanaa
Farahat Ibrahim Ahmed
Medical-Surgical Nursing, Nursing College, Badr University in Cairo
10.21608/ejhc.2020.185709
Background: Chronic obstructive pulmonary disease (COPD) is considered a progressive<br />respiratory disease that has a significant effect on the patient’s ability to work and the quality of life.<br />Dyspnea is considered one of the most common health problems among chronic obstructive<br />pulmonary disease patients. Aim: To compare the effect of mouth mask versus pursed lip breathing<br />for dyspnea and pulmonary function among chronic obstructive pulmonary disease patients.<br />Design: A quasi-experimental design was utilized to achieve this study. Sample: Included<br />purposive sample of 50 adult patients were recruited and divided into two groups as a group (1)<br />refers to mouth mask group (n=25) and group (2) which refers to pursed-lip breathing (n=25).<br />Setting: The study was applied in the form of outpatient chest clinic Fayoum University Hospital.<br />Tools of data collection included (1) Socio-demographic questionnaire, (2) Measurement of<br />pulmonary function tests sheet, (3) Measurement of the sensation of breathlessness (dyspnea) by:<br />Dyspnea index, (4) The 3-min step test, (5) Assessment of health status in chronic obstructive<br />pulmonary disease patient questionnaire, and (6) Mouth mask. Results: It revealed that there was a<br />significant improvement and increase in forced vital capacity FVC, forced expiratory volume in one<br />second FEV 1, and FEV1 /FVC post-intervention compared with pre-intervention. There was a<br />decrease in dyspnea index post- mouth mask intervention group more than pursed-lip breathing<br />group; there is improvement in the CAT score questionnaire pre and post-intervention. There was a<br />significant decrease in dyspnea index pre and post 3min step test post-intervention. Conclusion:<br />The results concluded that a mouth mask was effective for COPD patients to improve dyspnea,<br />while pursed-lip breathing has a minimal effect on improving dyspnea. There was an improvement<br />in the COPD Assessment Test Questionnaire (CAT) score questionnaire and Dyspnea index in<br />COPD patients. Recommendation: Applying mouth mask intervention is recommended to control<br />dyspnea and improve ventilatory functions among COPD patients.
Mouth mask,Pursed-lip breathing,Dyspnea,Ventilatory functions,chronic obstructive pulmonary disease
https://ejhc.journals.ekb.eg/article_185709.html
https://ejhc.journals.ekb.eg/article_185709_8386639015209b438de8337a07c2eb0c.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Relaxation Breathing Exercise on Fatigue for Women with Gynecological Cancer Receiving Chemotherapy
821
832
EN
Nagwa
Ibrahim El-Feshawy
Lecturer of Woman’s Health &Midwifery Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt
Hanan
Abo Bakr Mohamed
Assisstant Professor of Medical and Surgical Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt
Hanan
El-Sayed Mohamed El-Sayed
Assisstant Professor of Woman’s Health &Midwifery Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt.
Marwa
Ibrahim Hamdy Aboraiah
Lecturer of Woman’s Health &Midwifery Nursing Department, Faculty of Nursing, Mansoura University. Mansoura city, Egypt
10.21608/ejhc.2020.186801
Background: Preserving woman’s health and energy level after chemotherapy is an important role <br />for oncology nurses. Non-pharmacological Management of fatigue and other associated symptoms <br />of chemotherapy is very necessary to decrease burden of medication used. Aim: Current study <br />aimed to evaluate the effect of relaxation breathing exercises on fatigue for women with <br />gynecological cancer receiving chemotherapy. Design: A randomized control trial was used. <br />Setting: Current study was carried out at the gynecological ward at nuclear medicine in Mansoura <br />university hospitals, Mansoura city, Egypt. Subjects: One hundred and eighty-three women with <br />gynecological cancer were included. Sample type: Simple random sample was applied.Data <br />collection included three tools which were structured interview questionnaire, piper fatigue scale <br />and women’s dairy notes. Results: There was a highly significant difference in fatigue scores <br />between intervention and control. Also, there was a highly statistically significant reduction in <br />fatigue scores between two times RBE and four time’s group. As well as, there was a highly <br />significance difference concerning four fatigue domains between intervention and control groups. <br />Moreover, there was a significant difference of mean fatigue score concerning daily activities on the <br />seventh day of the study among intervention (two times group), while, highly significance <br />difference among four times groups and control group. Conclusion: Relaxation breathing exercise <br />is cost effective; non-invasive, easy and safe practice to alleviate cancer related- fatigue especially <br />when conducted four times daily. Moreover, relaxation breathing exercise has a positive effect in <br />improving performance of daily activities and associated symptoms of chemotherapy. <br />Recommendations: Relaxation breathing exercises should be used as the preferred standard <br />procedures after chemotherapy administration.
Chemotherapy,Fatigue,Gynecological cancer patients,Relaxation breathing exercises
https://ejhc.journals.ekb.eg/article_186801.html
https://ejhc.journals.ekb.eg/article_186801_accf8102380876bf882413c9c3bfb690.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
The Impact of Nursing Intervention on Blood Pressure and Stress among perimenopausal Women
833
845
EN
Seham
Mohamed Abd Elalem
Medical Surgical Nursing Department, Faculty of Nursing, Menoufia, University, Egypt.
Samira
E. Aboalizm
Medical Surgical Nursing Department, Faculty of Nursing, Menoufia, University, Egypt.
Samah
Mohamed Elhomosy
Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
10.21608/ejhc.2020.191877
The years proximate to menopause are accompanied by an increase in blood pressure and the <br />prevalence of hypertension that may lead to complaints that attributed to menopause. High blood <br />pressure is a potentially life-threatening condition that affects some menopausal women and is <br />linked to heart attacks and strokes.This study aimed to assess the impact of nursing intervention on <br />blood pressure and stress among perimenopausal women. Quasi-experimental research design was <br />conducted to meet the aim of the study. The research was carried out at outpatient clinic of the <br />University Hospital and Shebin El-kom Teaching Hospital in the Shebin El-kom District. Menoufia <br />Governorate, Egypt. A purposive sample for a group of 100 perimenopausal women with stage I <br />hypertension was chosen at random. Study group received a structured instruction and planned <br />clinical supervision about relaxation techniques which include progressive muscle relaxation & <br />guided imagery and walking exercise program as well nursing and medical routine care provided in <br />the outpatient clinic, while the control group follow nursing and medical routine care provided in <br />the outpatient clinic. The data gathering instruments were Instrument I: structured interview <br />questionnaire. Instrument II: physiological measurements. Instrument III: Perceived stress scale. <br />The main findings of the study were there is no statistically significant difference between a study <br />and a control group for systolic and diastolic blood pressure mean at pretest while at posttest there is <br />statistically significant decrease in a mean value of systolic and diastolic blood pressure for a study <br />group than a control group. There is a highly statistically significant reduction for both stress level <br />and the mean value for a study group than a control group at posttest and follow up following the <br />nursing intervention. The study concluded that nursing intervention which includes progressive <br />muscle relaxation & guided imagery and walking exercise program can improve their knowledge, <br />decrease stress and blood pressure among premenopausal women.
Nursing intervention,blood pressure,Stress,Perimenopausal Women
https://ejhc.journals.ekb.eg/article_191877.html
https://ejhc.journals.ekb.eg/article_191877_c38413a094d690461e9ce78bba4ef7b4.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Guided psychosexual Instructions on Sexual Activity among Hypoactive Women’s Sexual Dysfunctions
846
863
EN
Safaa
Diab Abd El-Wahab
Ass.Pro. of Psychiatric-Mental Health Nursing Department, Faculty of Nursing, Menoufia University
Aida
Abd El-Razek
Pro. Of Maternal & Newborn Infant Health Nursing
Hanan
Elsayed Abd El-Rahman Nada
Lecture of Maternal & Newborn Infant Health NursingFaculty of Nursing, Menoufia University
10.21608/ejhc.2020.195259
Female sexual dysfunction (FSD) is a serious health problem because of its high prevalence and<br />deleterious effects on women's quality of life. Practitioners of women's health must care able to<br />detect FSD in its early stage so that timely treatment could be offered. Also, the clinicians have lack<br />understanding about the approach for identification and evaluation of the sexual problem. The study<br />aimed to investigate the effect of guided psychosexual health instructions on changes in sexual<br />activity among women with reduced sexual dysfunctions (hypoactive). Methods: A quasi-<br />experimental design was used (pre and posttest one group) Setting: The study was conducted at<br />Kebly and Bahary Maternal& Child Health Care Centers at Shibin Elkom Sample 100 participants<br />of women were selected according to their responses in two-scale of sexual dysfunctions and<br />elicited as hypoactive sexual dysfunctions from MCH Tools of the study: 1- Structured interview<br />questionnaire classified into two parts, the first part deal with a biosocial data as age, level of<br />education, and the employment status as well as complaining from physical or gynecological<br />problems hindering them for conducting healthy marital relationship with their partner. The second<br />part was: The Female Sexual Function Index (FSFI), A Multidimensional Self-Report<br />Instrument for the Assessment of Female Sexual Function in a 19-item questionnaire, It was<br />developed by Rosen, et al. (2010) as a brief instrument for assessing the key dimensions of sexual<br />function in women. 2-Sexual Dysfunction Questionnaire It was developed by Infrasca et, al<br />(2011) to assess women's readiness and preparation for sexual functions disorders Introduced<br />as a brief self-report inventory. Results showed that there was a highly statistically significant<br />difference P well as vaginal lubrication, orgasm, and degree of satisfaction during sexual activity. It was<br />concluded that the use of guided psychosexual intervention was effective in managing sexual<br />dysfunctions problems and enhancing satisfaction to reach orgasm. Recommendations. All health<br />care providers should include screening questions regarding sexual well-being as a standard of<br />practice. Treating medical, psychosexual, relationship problems, and addressing sociocultural issues,<br />which can be effective in helping women and their partners dealing with hypoactive sexual desire<br />disorder. Health<br />care providers should involve the woman’s partner in the assessment and treatment<br />of sexual health<br />concerns when it is appropriate and safe to do so. Also, health guidelines protocol<br />of care for (SD) should be providers to involve the woman’s partner in addressing sexual issues,
Guided,psychosexual,Instructions,Hypoactive,sexual,Dysfunctions
https://ejhc.journals.ekb.eg/article_195259.html
https://ejhc.journals.ekb.eg/article_195259_6fb7fdc6da87ad9cea78f5930b63b63d.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Paper-based Portfolio as an Educational Tool: Nursing Students' Perspective
864
877
EN
Aml
Abd Allah Heaba
Nursing Education, Faculty of Nursing, Alexandria University
Samia
El Husseini Abd El Mageed Elkholy
Gerontological Nursing, Faculty of Nursing, Alexandria University
Ghada
ElSayed Abdelhalim
Nursing Education, Faculty of Nursing, Alexandria University
10.21608/ejhc.2021.196857
Paper-based portfolio is considered one of the interventions that<br />have gained popularity. It can be<br />used as a learning and assessment tool. It is Very important tool not only for the students, but also<br />for the teachers as it provides the teachers with clear view of their<br />students' development and growth<br />in multiple dimensions not commonly seen in the traditional methods of evaluation. It helps them to<br />determine to what extent their students are benefiting from the learning instructions in order to<br />modify their teaching strategies. Despite these benefits, there are many challenges that may face the<br />student if portfolio is not implemented effectively. So, the guidance provided by the clinical<br />instructor in all phases of portfolio development application is very important. Purpose: this study<br />aimed to determine the nursing students' perspective toward the use of paper-based portfolio as an<br />educational tool. Design: A descriptive research design was followed in the present study. Setting:<br />The study was carried out at the Faculty of Nursing, Alexandria University in seven academic<br />departments that use portfolio in their clinical areas. Subject: The study subjects consisted of 320<br />nursing students. Tools: one tool was used in the present study to collect the necessary data;<br />Nursing students' personal and academic data questionnaire, Tool 2: Nursing students' perspective<br />toward using portfolio as an educational tool questionnaire. Results: this study revealed that nearly<br />more than three quarters of the students have a negative perspective toward the use of paper- based<br />portfolio. Conclusion: Based on the present study results, it can be concluded that, the nursing<br />students reported lower support and endorsement to the benefits of paper-based portfolio. While the<br />students perceive greater challenges of using portfolio, they also perceive minimum instructions and<br />guidance received from the clinical instructors during all phases of portfolio development<br />application. Recommendation: Training workshops should be conducted by nursing education<br />department staff for all nursing educators to enhance their abilities and competencies in the use of<br />Portfolio. Additionally, the connection between the different departments through the student<br />portfolio from the first year until graduation should be assured and standardized criteria and rubric<br />must be provided to and followed by all clinical instructors and students about the evaluation of<br />paper-based portfolio.
Paper-based portfolio,nursing students ‘perspectives,challenges of portfolio
https://ejhc.journals.ekb.eg/article_196857.html
https://ejhc.journals.ekb.eg/article_196857_9d05e67c926319dd6fdc025aa762ccf4.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Educational Package on Complications Associated with Plasmapheresis among Patients with Autoimmune Disorders
878
891
EN
Shereen
Abd El-Moneam Ahmed
Assistant. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez-Canal University, Egypt
Sabah
Nazeh Mohamed Elderiny
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Helwan University, Egypt
10.21608/ejhc.2020.200852
Autoimmune disorders represent an extreme range of clinical conditions affecting different organs, <br />with the production of autoantibodies as a main pathogenic mechanism that strongly needs <br />treatment with plasmapheresis. Aim: Evaluate the effect of educational Package on complications <br />associated with plasmapheresis among patients with autoimmune disorders. Method: Quasi- <br />experimental design was implemented on a purposeful sample selected by simple randomization on <br />(100) one-hundred patients undergoing plasmapheresis; from the 1st of July, 2019 to the end of <br />January, 2020. Tools: Two tools were used to conduct this study including interview questionnaire <br />to assess demographic and clinical characteristics of the patients, and body system plasmapheresis <br />related complications scale to assess complications associated with plasmapheresis. Results: The <br />most obvious diagnosis was Myasthenia Gravis in (48.0% and 52.0%) followed with Guillain-Barre <br />syndrome in (40.0%, 36.0%) of the study and control group correspondingly. The most commonly <br />reported complications in both groups were vomiting, citrate induced hypocalcaemia, angioedema, <br />hematoma, and arrhythmias with the same priority order after educational package implementation <br />with (P<0.05). Conclusion: A statistical significant decline occurred in the report of <br />plasmapheresis-associated complications after the application of an educational package <br />(P<0.05). Recommendations: Further researches are needed to study the effect of different <br />management strategies on controlling the most common plasmapheresis-associated complications.
Autoimmune Disorders,Educational Package,Plasmapheresis,Associated Complications
https://ejhc.journals.ekb.eg/article_200852.html
https://ejhc.journals.ekb.eg/article_200852_31e90acf4a6aad44b4612a5d3eb1be00.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Relation between Weight-Related Bullying and Emotional Reactions among Adolescents and Their Coping Strategies
892
913
EN
Rodaina
Ahmed Mokbel
Lecturer-Pediatric Nursing-Faculty of Nursing- Damanhour University, Egypt
Amel
Attia Abd Elghaffar Moustafa
Lecturer-Community Health Nursing-Faculty of Nursing-Damanhour University, Egypt
Ebtsam
Salah Yonis Mahrous
Lecturer-Pediatric Nursing-Faculty of Nursing- Damanhour University, Egypt
10.21608/ejhc.2020.203203
Background: Weight-related bullying is a devastating experience for adolescents and is associated <br />with negative emotional consequences that can be modulated by applying different coping strategies. <br />Aim: to assess the relation between weight-related bullying and emotional reactions among <br />adolescents and their coping strategies. Design: A descriptive cross-sectional study design was used <br />to accomplish this study. Setting: The study was conducted at the nutrition clinic allied to the only <br />branch of health insurance clinics for school students in Damanhour city (Abo El Reesh) affiliated <br />to the Public Authority for Health Insurance, Northwestern Delta Branch-Egypt. Sample: A <br />purposive sample of 400 adolescents comprised the study sample. Tools of data collection: Three <br />tools were used. Tool I: Adolescents Socio-Demographic Characteristics structured Interview <br />schedule. Tool II: Weight Related Abuse Questionnaire. Tool III: Coping with bullying scale for <br />children (CBSC). Results: Obese and slightly underweight adolescents represented 57.2% and 5%, <br />of the total sample, respectively. The mean score of frequency of verbal bullying was 16.17±12.32, <br />while that of physical bullying was 3.94±6.62; and the mean scores of negative emotional reactions <br />resulting from verbal and physical bullying were 22.06±21.58 and 11.40±19.73, respectively. <br />Regarding coping strategies, Physical distancing was the most common used coping strategy with <br />average score of 1.24±0.99, while the least used coping strategy was cognitive approach with <br />average score of 0.79±0.80. A statistically significant difference was found between verbal or <br />physical weight-related bullying and different coping strategies as well as emotional reactions <br />(p < 0.001). Conclusion: Increased body mass index was associated with verbal and physical <br />bullying, which in turn led to experiencing negative emotional reactions among adolescents. <br />Recommendations: Increase awareness about weight-related bullying and its negative <br />consequences on health in order to reduce its prevalence, and to teach adolescents different effective <br />coping strategies to enable them to cope with bullying in a healthy way.
body weight,bullying,Coping strategies,Adolescents
https://ejhc.journals.ekb.eg/article_203203.html
https://ejhc.journals.ekb.eg/article_203203_78085e36fc6c3560a28b97532121a89d.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Efficacy of Predefined Discharge Instructions for Mothers on the Quality of Life and Post-Operative Recovery of their Children after Abdominal Surgery
914
927
EN
Seham
Mohamed El Mwafie
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Beni-Suef University, Egypt
Reda
Mohamed Abduallah
Lecturer of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt
10.21608/ejhc.2020.206101
<strong>Background:</strong> Pediatric health care has shifted toward family-centered care that is based on close involvement of the child's family members in pediatric care. Increased mothers’ education and awareness about caring child undergoing surgery can prevent or minimize postoperative complications and improve a child’s adoption. Hence we have conducted this study to evaluate the efficacy of predefined discharge instructions for mothers on the quality of life and post-operative recovery of their children after abdominal surgery. <strong>Materials and methods</strong>: Experimental design was used to conducted this study at the pediatric surgical unit at Benha Specialized Pediatric Hospital affiliated to Egyptian Ministry of Health and Population. Random sample of 80 mothers with their children were selected and divided equally into study and control group. Five tools were used for data collection; I: Interviewing questionnaire, II: Knowledge assessment sheet, III: Pediatric quality of life scale, IV: Abdominal surgery impact scale, and V: Post-operative complications assessment sheet. <strong>Results</strong>: There was a highly statistical significant difference between study and control groups regarding total level of mothers' knowledge after instructions intervention where P˂0.001.The total mean scores of pediatric quality of life scale and abdominal surgery impact scale showed no significance differences between the two groups pre-discharge instructions where p-value = 0.062 & 0.079 respectively, while, a significant difference was observed between the two groups after one month and three months post- discharge instructions intervention p value ˂0.000 & p < 0.05 respectively. As well as, postoperative complications were significant lower score among children in the study group after one month and three months compared with the control group where p < 0.05. <strong>Conclusion:</strong> The predefined discharge instructions have an important role in the increasing mothers' knowledge regarding caring children post abdominal surgery, which enhancing recovery via decreasing post-operative complications and improving children's quality of life. <strong>Recommendation: </strong>Providing children and their parents who schedule for abdominal surgery with adequate care instructions before hospital discharge is necessary<em>.</em>
Abdominal Surgery,discharge instructions,quality of life,post-operative recovery
https://ejhc.journals.ekb.eg/article_206101.html
https://ejhc.journals.ekb.eg/article_206101_5a779414e67031058a4cc9b53cdf1589.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Critical Care Nursing Students Acceptance of Unplanned Switch to E- Learning during COVID-19 Pandemic
928
937
EN
Hamida
Ahmed Mustafa Darweesh
Nursing Education, Faculty of Nursing, Alexandria University and Alriyada College for Health Science Jeddah/ Saudi Arabia
Farida
Khalil Ibrahim Mohamed
Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University and Alriyada College for Health Science Jeddah/ Saudi Arabia
10.21608/ejhc.2020.207773
<strong>Background:</strong> The sudden convert from the classroom to online learning is challenge that faced all countries and people also, the researcher had a great role to present how such a shift would impact the worldwide education and its effect of Unplanned Switch to E-Learning during COVID-19 Pandemic. <strong>Aim of the study:</strong> The study aimed to explore critical care nursing students’ acceptance of unplanned switch to e-learning during COVID-19 pandemic from the Saudi and Egyptian perspective. <strong>Materials and method:</strong> This study was conducted by using descriptive research design, S<strong>ettings:</strong> This study was conducted at faculty of nursing Alexandria University/ Egypt and Al Riyadh College for health science in Jeddah / Saudi Arabia. <strong>Subjects:</strong> A convenience sampling of all critical care nursing students from Alriyada College and all critical care nursing students from Alexandria University students that are facing the sudden switch from face to face to e-Learning during spring 2020 academic year. <strong>Tool of data collection: </strong>One tool will be used for the purpose of data collection: Extended Technology Acceptance Model to E-learning systems that consist of two main factors, “Perceived Usefulness” and “Perceived Ease of Use” that influence a person’s intention to make use of a technology. <strong>Results:</strong> the result showed more than half of the Egyptian and Saudi students have high level of e-learning self-efficacy. Also, nearly half of the studied samples demonstrated a high level of subjective norms. Also the results revealed that near half of the Egyptian and more than half of the Saudi students demonstrate a high total level of acceptance of e-learning sudden shift Conclusion<strong>: </strong>The current study findings concluded that considerable number of the Egyptian and Saudi students demonstrate a highly total level of acceptance of E Learning sudden shift. Hence, the current study has proven that e-learning was an effective method of instruction during the pandemics and the crisis and the emergency time of closure. <strong>Recommendation:</strong> Based on the existing study results, it can be recommended that the educational institutions, if they want to proceeds with online learning, they should focus on increasing students’ acceptance and social presence feeling.
Critical care,Unplanned Switch,COVID-19,pandemic
https://ejhc.journals.ekb.eg/article_207773.html
https://ejhc.journals.ekb.eg/article_207773_0bd836dd29e1512790568bbc5f56890c.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Investigate Women's Knowledge, Attitude and Their Immediate Intervention Regarding Habitual Abortion
938
951
EN
Shimaa
Ibrahim salama
Demonstrator of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
Kamilia
Ragab Abou-Shabana
Professor of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
Nadia
Abdel Hamid Attiat Allah
Professor of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
Walaa
Fathy Mohammed
Lecturer of maternity and gynecological Nursing, Faculty of Nursing, Ain shams University
10.21608/ejhc.2020.207949
Aim: to investigate women’s knowledge, attitude and immediate intervention regarding <br />their habitual abortion. Setting: The study was conducted at Ain Shams Habitual Abortion <br />Outpatient Clinic. Design: A descriptive study design. Sampling: Sample size: 234 women. <br />Sample type: A purposive sample Tools: 1) Structured interviewing questionnaire. 2) Likert <br />scale. Results: The present study revealed that more than half among studied sample had <br />incorrect knowledge concerning risk factors, complications, investigations, management as <br />well as habitual abortion and future pregnancy. Nearly two-third among studied sample had <br />positive attitude toward their habitual abortion. A significant relation between studied sample <br />attitude and their age and No. of living births was observed. Three-quarter among studied <br />sample had sought immediately maternity health services while few preferred to stay in bed <br />for comfort and others consulted their relatives. Conclusion: the present study was concluded <br />that more than half among studied sample had total incorrect knowledge regarding habitual <br />abortion. Nearly two-third had positive attitude toward their habitual abortion. Age, area of <br />residence, duration of marriage, No. of living births, and timing of abortion had significant <br />impacts on positive attitude.The majority sought immediately maternity health services. <br />Recommendation: Implementing post abortion counseling sessions using brochures and <br />posters to increase women’s knowledge regarding habitual abortion issues.
Knowledge,attitude and habitual abortion
https://ejhc.journals.ekb.eg/article_207949.html
https://ejhc.journals.ekb.eg/article_207949_418b87803944d72150cfef661534ae19.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Prevalence and Predictors of Internet Gaming Disorder among Adolescents
952
964
EN
Nashwa
Saber Atia
Lecturer of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt
Eman
Mahmoud Abo Elela
Lecturer of Pediatric Nursing- Faculty of Nursing- Zagazig University, Egypt,
Etab
Hussein Mohamed
Lecturer of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt
10.21608/ejhc.2020.212772
Internet Gaming Disorder (IGD) refers to recurring and persistent use of internet to engage in online <br />or offline video games often with other players leading to significant impairment or distress. The <br />aim of the present study was to assess prevalence and predictors of internet gaming disorder among <br />adolescents. Design: A cross-sectional descriptive design was utilized. Methods: A sample of 555 <br />adolescents randomly selected by using a multi-stage cluster sampling from preparatory and <br />secondary schools in Zagazig, Minia El Kamh, and Abo Hammad cities, Sharkia Governorate, <br />Egypt. Data were collected by using two tools, first tool a questionnaire sheet to assess; socio- <br />demographic data and gaming behaviors, second tool; Internet Gaming Disorder Scale Short-Form <br />(IGDS-SF). Results revealed that the prevalence of internet gaming disorder among the studied <br />adolescents was 7.9%. Also, the results demonstrated that overcrowding, bad relation with fathers, <br />parents limit on gaming time and suffering from chronic disease are statistically significant positive <br />predictors of IGD among adolescents. Conclusion: The prevalence of IGD in this sample was <br />relatively moderate as compared to previous studies and identifies the predictors of those with IGD. <br />Recommendations: Designing and implementing tailored innovative interventions for adolescents <br />with internet gaming disorder.
Adolescents,prevalence,predictors,Internet Gaming Disorder,and Gaming behaviors
https://ejhc.journals.ekb.eg/article_212772.html
https://ejhc.journals.ekb.eg/article_212772_4e11e94011deb11ff23860854ae2084b.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Knowledge, Practices, and Attitudes for Nurses toward Covid 19 in Saudi Arabian and Egypt
965
977
EN
Heba
Mahmoud
Lecturer Medical Surgical Nursing Department,Alexandria University
Nazirah
Nouh
Lecturer Nursing Administration,Riyadh Elm University
10.21608/ejhc.2020.213615
Corona virus disease 2019 (COVID-19) is an infectious disease triggered by severe acute <br />respiratory syndrome coronavirus 2 (SARS-CoV-2). The first case was recognized in Wuhan, <br />China, in December 2019.Aim of the study to know the level of awareness about covid pandemic in <br />Saudi Arabian and Egypt.Design: the study followed a descriptive design .Setting: the study was <br />carried out in Egypt and Saudi arabia .Subjects: convenience sample of two hundred nurses who <br />agreed to participate in the study.Tool:four tools were used to collect data ,Tool 1 : <br />sociodemographic data,Tool 2 knowledge online questionnaire consists of 30 questions,Tool 3: <br />assessed participants attitudes toward covid 19 consists of 20 questions, Tool 4 assessed participant <br />practices .Method:a total of 200 nurses were participated in the study.Results that the majority of <br />the study nurses of both studied groups were females, majority of studied nurses in both studied <br />group were free from diseases.Conclusion: COVID-19 knowledge and practice were enormous <br />among the HCWs, particularly, in Egypt
COVID 19,Hcw (corona virus disease,health care workers )
https://ejhc.journals.ekb.eg/article_213615.html
https://ejhc.journals.ekb.eg/article_213615_b565469bcc363162ce33fe81de9eab4b.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effects of Sleep Restriction Therapy versus Progressive Muscles Relaxation Technique on Sleep Quality among Older Adults
978
992
EN
Reham
Magdy Mohammed Abd Elsalam
Assistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria University
Samia
El Husseini Abd El Mageed El Kholy
Assistant Professor Gerontological Nursing, Faculty of Nursing, Alexandria University
10.21608/ejhc.2020.215099
In comparison to younger adults, older adults show age‐related sleep changes and greater sleep <br />problems with substantial adverse short- and long-term health consequences. Although behavioral <br />training is recommended for sleep problems, the value of sleep restriction therapy (SRT) in <br />comparison to progressive muscles relaxation technique (PMR) on sleep quality among older adults <br />remains unknown and not well established. Objective: Determine the effect of sleep restriction <br />therapy versus progressive muscles relaxation technique on sleep quality among older adults. <br />Setting: Four assisted living facilities affiliated to Alexandria Governorate, Egypt were included. <br />Subjects: 50 older adults who aged 60 years and more were randomly assigned to two equal study <br />groups; group 1, older adults who received sleep restriction therapy (SRT) and group 2: older adults <br />who received progressive muscles relaxation technique (PMR). Tools: Four tools were used for data <br />collection: 1) Mini-Mental State Examination (MMS) Scale. 2) Geriatric Depression Scale- Short <br />Form (GDS-SF). 3) Sleep quality of older adults structured interview questionnaire. 4) Socio<br />demographic and health profile of older adults structured interview questionnaire. Results: sleep <br />quality significantly increased after implementation of proposed interventions with mean percent <br />score of 63.0± 5.05 for SRT and with mean percent score of 44.50± 5.50 for PMR with statistically <br />highly significant differences, P < 0.001. A higher significant reduction in sleep latency among the <br />studied subjects who received SRT than those who received PMR was observed, P < 0.001. <br />Conclusion: Sleep restriction therapy showed highly statistically significant greater improvement <br />on sleep quality among the studied older adults than progressive muscles relaxation technique. <br />Recommendations: implementation of suitable cost effective cognitive behavioral therapies such as <br />SRT and PMR by the geronological nurses to enhance sleep quality among older adults at the <br />assisted living facilities. Also, gerontological nurses should Develop and conduct educational <br />programs to all care providers and older adults themselves about; age related changes in sleeping <br />patterns, and how to enhance sleep quality in old age.
Older adults,Sleep quality,Sleep restriction therapy,progressive muscles relaxation technique
https://ejhc.journals.ekb.eg/article_215099.html
https://ejhc.journals.ekb.eg/article_215099_762b96add5ccac1ac9fef4add687388e.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Counseling Intervention for Parents of Children with Down Syndrome on their Needs, Stress and Coping Strategies
993
1011
EN
Rania
A. Zaki
Psychiatric Nursing. Faculty of Nursing. Ain shams University
Gehan
El-Nabawy Ahmed Moawad
Pediatric Nursing. Faculty of Nursing. Mansoura University
Entisar
Mohammed Mahmoud abu-Salem
Psychiatric Nursing. Faculty of Nursing. Beni -Suaf University
10.21608/ejhc.2020.218569
Background: Having child with disability is a major difficult that negatively affects parents . <br />Down syndrome is one of the most common disabilities that have a negative impact on parents’ health and <br />well-being and may force them to evaluate their plans, goals, and relationships in light of restrictions and <br />limitations associated with their children's disability. Parents may experience a need for a counselling <br />intervention for utilize available support resources, or look for alternative ones, as an attempt to adopt <br />strategies to regain their equilibrium between resources and disability needs to cope effectively <br />with stresses associated with their children’s down <br />syndrome to alleviate their stress, developing <br />appropriate and effective coping strategies .The aim of <br />this study was to investigate the effect of <br />counseling intervention for parents of children with down syndrome on their needs, stress and coping <br />strategies. Design: A quasi-experimental design was used to conduct the study. Setting: This study was <br />conducted at the Genes Clinics of Down syndrome in the specialized clinics of the university pediatric <br />hospital affiliated to Ain Shams University Hospitals. Subjects: A purposive sample was obtained <br />from fifty parents who accompanying their children with down syndrome in the previously mentioned <br />settings. Tools of data collection : Data were collected using the following tools; An interviewing <br />questionnaire to assess parents' socio demographic data and health assessment of children with down <br />syndrome , Family Need Questionnaire to examine the needs of parents of children with down <br />syndrome., Parent Stress Index Scale to measure stress associated with parenting of children with down <br />syndrome , and the Ways of Coping (Revised) Questionnaire to describes a number of thoughts and <br />acts (coping strategies) which used by parents to cope with a threatening situation. Results: The study <br />results revealed that there was a highly statistically significant difference between pre and post <br />counseling intervention regarding total level of needs, stress level and coping of parents having <br />children with down syndrome, also there was a positive correlations between studied parents' needs, <br />stress and their coping in pre and post counseling intervention. Conclusion: It was concluded that the <br />application of counseling intervention had a positive effect on the improvement of the level of parents' <br />needs, alleviating stress and promote coping strategies among parents of children with down syndrome. <br />Recommendations: Conducting psycho-educational training program focused on reducing parental <br />stress and training parent how to deal effectively with their disabled children under stress.
Down syndrome,Parenting needs,Parenting stress,Coping
https://ejhc.journals.ekb.eg/article_218569.html
https://ejhc.journals.ekb.eg/article_218569_82afbd8c09dd30e0b7bcf9f0e1404905.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Educational Intervention for Nurses about Pre and Post-Operative Care on Clinical Outcomes of Patients Undergoing Ureteral Stent Surgery
1012
1031
EN
Sally
Mohamed Morsy Mansour
Medical Surgical Nursing Department, Faculty of Nursing, Tanta University
Om Ibrahim
Ali El- Meligy
Medical Surgical Nursing Department, Faculty of Nursing,Tanta University
Ayman
Ahmed Hassan
Urology Department,
Faculty of Medicine, Tanta University
Fatma
A. Salem
Medical Surgical Nursing Department, Faculty of Nursing,Tanta University
10.21608/ejhc.2020.225126
Ureteral stents represent effective drainage method to preserve renal function, treat pain caused by ureteral obstruction.<strong> Aim</strong>: this study<strong> </strong>aimed to determine the effect of educational interventions for nurses about pre and post-operative care on clinical outcomes of patients undergoing ureteral stent surgery<strong>: Subject and Method, Design & Setting:</strong> quasi- experimental was conducted in this study in the Urology Department and Outpatient's clinics, At Main Tanta University Hospital.<strong> Sample</strong>, The sample of this study consisted of:<strong> </strong>All available nurses working in the previously mentioned settings, and purposive sample of 30adult patients undergoing ureter stent surgery.<strong> Tools: </strong>four tools<strong> </strong>were<strong> </strong>used for data collection as following <strong>Tool (</strong><strong>I</strong><strong>) </strong>Structured Interview Questionnaire that was comprised of two parts; Part (1) was Nurses' Socio-Demographic Characteristic. Part (2); Nurse's Knowledge Assessment Sheet.<strong> Tool (II): </strong>Observation Checklist for Nurse's Performance;<strong> Tool (</strong><strong>III</strong><strong>): </strong>Patient Bio Socio-Demographic Data; It was comprised of two parts; Part (1) Socio-Demographic Characteristics of the Patient; Part (2) Clinical Assessment Data of the Patient. <strong>Tool (</strong><strong>IV</strong>): Ureter Stent Symptoms Questionnaire (USSQ) aimed to evaluate patient complications. <strong>Results: </strong>the present study<strong> </strong>revealed that, the majority of the studied nurses were poor level of knowledge and un satisfactory practice related to ureter stent surgery pre implementation of educational intervention which has been improved immediately post implementation of educational intervention. Furthermore the frequency of studied patients complications were decreased post- implementation of educational intervention.<strong> </strong><strong>Conclusion </strong>there were a significant enhancement in nurse's knowledge and clinical practice regarding ureter stent surgery after implementing educational intervention related to ureter stent surgery.<strong> Recommendation </strong>Encouraging continuous in service educational interventions in providing nursing care of patient with ureter stent surgery.
ureter stent,Educational intervention,Patient's Outcomes
https://ejhc.journals.ekb.eg/article_225126.html
https://ejhc.journals.ekb.eg/article_225126_452fd18d23e358a16f506c4ba5b6d585.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Geriatric Nursing Course: It's Effect on Nursing Students’ knowledge and Attitude regarding Caring Elderly
1032
1041
EN
Esmat
Elsayed Ibrahim
Lecturer of Geriatric Nursing Faculty of Nursing, Menoufia University
Entsar
A. Abd Elsalam
Assist. Prof of Geriatric Nursing Faculty of Nursing, Menoufia University
10.21608/ejhc.2020.233428
Prepared nurses adequately with sufficient knowledge, skills, and positive attitudes towards elderly <br />improve patient outcomes such as reduced hospital length of stay, reduced readmission rates, and <br />therefor patient and family satisfaction. Aim: This study aimed to examine the effect of geriatric <br />nursing course on nursing students' knowledge, attitude regarding caring elderly. Design: A quasi<br />experimental design (pre-posttest) was utilized. Setting: This study was conducted at faculty of <br />nursing in Shebin Elkom City, Menoufia University. Sample: convenient sample consists of 371 <br />students enrolled in the fourth year, Faculty of Nursing, Menoufia University. Tools of data <br />collection: Tool (1): Structured interviewing questionnaire: It was developed by the researchers. <br />Tool (2): The Attitudes toward Old People Scale (Kogan, 1961). Tool (3): Perceived Job <br />Satisfaction (Everly and Falcion, 1976). Results: there was improvement in student' knowledge and <br />attitude toward elderly after implementation of geriatric nursing course. Conclusion: The present <br />study has indicated that providing a geriatric nursing course had a positive effect on the attitude <br />toward the elderly and was particularly effective in decreasing the negative attitude of students. In <br />addition it increase student' knowledge level and can make students consider working as a nurse <br />caring for elderly. Recommendations: There is a need to revise the nursing curriculum and develop <br />innovative schemes that will increase the students’ willingness to work with the elderly. Effective <br />use of mass and social media in order to raise awareness and to change negative attitudes toward <br />elderly. Give a chance for nursing students to be more contact with care of elders through clinical <br />practice.
Nursing students,Attitude,Elderly,Geriatric nursing course
https://ejhc.journals.ekb.eg/article_233428.html
https://ejhc.journals.ekb.eg/article_233428_44c016a0ead331738dc68745100c7f92.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Quick Response (QR) Codes Utilization on Improving Nursing Students' Engagement, Satisfaction and Perceived Learning in Damanhour University
1042
1053
EN
Lucy
Ahmed AbuElEla
Nursing Education Department, Faculty of Nursing, University of Damanhour, Egypt
Sally
Abd El hamid Fayed
Nursing Education Department, Faculty of Nursing, University of Damanhour, Egypt
10.21608/ejhc.2020.236269
<strong> </strong>Uses of quick response in Nursing education is increasing as it has great potential to improve teaching and learning through enabling students across multiple contexts, social and content interactions. Today technology is evolving more rapidly than ever. The younger generations, including nursing students, live their daily lives equipped with extremely advanced smart phone technology, thus, it is challenging nursing educators to integrate smart phone technology in education to increase the level of involvement. One of the most significant determinants of students' progress is their participation in academic-related learning activities. This happens through increasing students' engagement, satisfaction, and perceived learning<strong>. Aim of the study </strong>was to investigate the effect of quick response codes utilization on improving nursing students' engagement, satisfaction, and perceived learning. <strong>Method:</strong> A quasi -experimental method was utilized. The study was conducted at Faculty of Nursing Damanhour University, Egypt. Purposeful sample, 274 fourth academic year nursing students, the students randomly selected by a systematic random sample and divided into two identical groups study and control group / 137 each. The study was done during the academic year (2019-2020). <strong>One tool was used: </strong>The Effects of Student Engagement, Student Satisfaction, and Perceived Learning in Online Learning Environments to determine if a student experience satisfied or unsatisfied regarding their engagement and satisfaction toward using quick response in nursing education. <strong>Results:</strong> The study reveals that statistically significant positive intermediate correlations were found between different studied dimensions (Course Structure/Organization, Learner Interaction, Student Engagement, Instructor Presence, Student Satisfaction student, Perceived Learning,). However, negative correlation was found in learning interaction. statistically significant difference was found regarding students' engagement, satisfaction, and instructors’ presence. <strong>Conclusion: </strong>Based on the results of the current study, the study was concluded that, using of quick response codes as a learning tool can improve students’ engagement, satisfaction, and perceived learning. <strong>Recommendations:</strong> Applying training program for increasing awareness of all faculty members toward digital technologies and the diversity of context. Provision of quick response using courses in nursing education is recommended.
quick response technology,nursing students' engagement,Satisfaction,and perception
https://ejhc.journals.ekb.eg/article_236269.html
https://ejhc.journals.ekb.eg/article_236269_cd7135181760c800f67eee8057b01167.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Health Education intervention on Aroused Shame and Stress Level among Parents of Cerebral Palsied Adolescents
1054
1070
EN
Nagla
Hamdi Kamal Khalil El-Meanawi
Medical Surgical Nursing, Faculty of Nursing, Alexandria University
Ayah
Shaban Abd-El Fattah Abd-El Rasoul
Nursing Education, Faculty of Nursing, Alexandria University
Ghada
Ahmed Ghazi
Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University.
Shadia
Ramadan Morsy
Nursing Education, Faculty of Nursing, Alexandria University
10.21608/ejhc.2020.238549
Health education is an effective approach for health-care management and developing healthy <br />behaviors. It is principally important with family, caregivers, and mainly, with parents who have <br />teenagers with profound disabilities such as cerebral palsy (CP). Parents’ health teaching about their <br />cerebral palsied adolescents may alleviate their psychological suffering. Nurses in adult care, <br />psychiatric and mental health and nursing education fields have a significant role in developing the <br />heath educational process with those parents. Aim of the study: to determine the effect of health <br />education intervention about cerebral palsied adolescents care management on parents' shame and <br />stress level. Design: a quasi-experimental study. Setting: The study was conducted at the <br />Vocational and Rehabilitation Association of Children with Special Needs and Disabilities in <br />Elrasafa, Moharam Bek, Alexandria, Egypt, which is affiliated to the Ministry of Insurance and <br />Social affair. Subjects: a purposive sample of one hundred parents with cerebral-palsied <br />adolescents. Parents were randomly distributed into study and control groups, fifty in each. Tools: <br />Through interview schedule procedure, triple section questionnaire was used in data collection, <br />which included: Parental Aroused Shame Scale (PAS), Parenting Stress Index Short Form <br />(PSI-SF) – distress subscale, A Socio-Demographic assessment sheet. Results: Results revealed <br />that there was a significant decrease in parents' aroused shame and stress level post health education <br />implementation, in the 2nd and 3rd assessments among the study group considerably. In addition, the <br />study proved that there is a parallel positive relation between aroused shame and stress level among <br />parents with CP adolescents. Conclusion: Health education intervention is a successful approach <br />for nurturing aroused shame and stress level among parents with CP adolescents. <br />Recommendations: Continuous health education programs for parents with CP adolescents are <br />needed as well as investigation of its effects on other physical, psychological, intellectual, social, <br />and spiritual parameters.
health education,Parental aroused shame,Parenting Stress level,Cerebral palsied adolescents
https://ejhc.journals.ekb.eg/article_238549.html
https://ejhc.journals.ekb.eg/article_238549_96b17e0291de0cbe09f93d4bd458f19d.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Nursing Care Instructions on Outcomes of Patients with Hepatocellular Carcinoma Undergoing Radiofrequency Ablation Therapy
1071
1089
EN
Mona
Abdullah Mohamed
Medical Surgical Nursing, Faculty of Nursing, Zagazig University ,Egypt
Hanaa
Elsayed Amin Mohammed
Medical Surgical Nursing, Faculty of Nursing Suez Canal University, Egypt
Magda
Kamal El- Shishtawy
Medical Surgical Nursing, Faculty of Nursing , Zagazig University ,Egypt
10.21608/ejhc.2020.238922
Radiofrequency ablation (RFA) is a safe and effective first-line treatment modality in <br />patients with early-stage hepatocellular carcinoma (HCC). It is important to improve patient <br />outcome include fewer delays, earlier discharge, decrease readmission, effective, efficient, <br />consistent care, and communication. Aim: This study aimed to evaluate the effect of nursing <br />care instructions on outcomes of patients with hepatocellular carcinoma undergoing <br />radiofrequency ablation therapy. Design: A quasi experimental design was used. Setting: <br />This study was conducted at radiofrequency department in Oncology Hospital and internal <br />medicine outpatient clinic, affiliated to Ismailia University Hospitals, Egypt. Sample: A <br />purposive sample of 60 patients with hepatocellular carcinoma; 30 randomly allocated to each <br />group study and control. Tools:1) Patients' interview questionnaire (pre/post-tests), (2 <br />Hepatocellular carcinoma patient outcome indicators (posttest). Results: There were a highly <br />statistically significant differences between both groups regarding pain, anxiety level, nausea, <br />vomiting, retching, and post procedure complications (P≤ 0.001).There was a positive <br />correlation coefficient between total level of anxiety and total severity of pain among study <br />group patients post-nursing care instructions (r= .580 at P≤ 0.01). Conclusion: The <br />implementation of nursing care instructions for patients with hepatocellular carcinoma <br />undergoing RFA therapy had a statistically significant positive effect on improving study <br />group patients' outcomes versus to control group, which supported the stated hypothesis. <br />Recommendations: Further training programs about RFA therapy for patients should be held <br />on a large number of subjects for evidence of results and generalization.
Nursing Care Instructions,outcomes,Hepatocellular carcinoma,Radiofrequency Ablation Therapy
https://ejhc.journals.ekb.eg/article_238922.html
https://ejhc.journals.ekb.eg/article_238922_0de2dd33354cce8f766265fe9617a84a.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Polyethylene Cap on Hypothermia Prevention among Low Birth Weight Neonates
1090
1098
EN
Shimmaa
Mansour Moustafa Mohamed
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt
Hala
Samir Ahmed El-husseiny
Lecturer of Pediatric Nursing Department, Faculty of Nursing, PortSaid University
Manal
Mohamed Ahmed Ayed
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
Fathia
El-Sayed El-Ghadban
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing Fayoum University, Egypt
Fatma
Mohamed Amin
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt
10.21608/ejhc.2020.243484
Background: Neonatal hypothermia after birth is a worldwide issue across all climates and can <br />prevented by using polyethylene plastic applied immediately after birth. Aim: The study aimed to <br />determine the effect of polyethylene cap on hypothermia prevention among low birth weight <br />neonates. Subjects and method: Design: Quasi-experimental design, pre and post-test with the <br />control group were used to fulfill the aim of this study. Setting: The study was conducted at the <br />neonatal intensive care unit (NICU) affiliated to Sohag University Hospital. Subjects: A purposive <br />sampling technique was used in the study of 100 low birth weight neonates was included, randomly <br />assigned to polyethylene cap (the experimental group included 50 low birth weight neonates who <br />had polyethylene caps put on without drying and the control group (50 low birth weight neonates <br />were underwent routine care and without polyethylene cap). Tools: Low birth weight neonates <br />assessment sheet; it is divided into two parts: Part (1): characteristics of the studied low birth <br />weight neonates Part (2): Hypothermia assessment sheet; and Part (3): Low birth weight neonates' <br />outcomes assessment sheet. Results: The study result revealed that mean axillary temperatures in <br />the experimental group were different after admission and 1 hour and 2 hours later. In low birth <br />weight, neonates' mean temperatures were significantly higher in the experimental group after <br />admission and 1 hour and 2 hours after birth compared to low birth weight neonates in the control <br />group. In the experimental group mean axillary temperature was significantly higher than in the <br />control group. Conclusion: Application of a polyethylene cap was an effective method to reduce <br />hypothermia among low birth weight neonates in the experimental group compared to low birth <br />weight neonates in the control group. Recommendation: The application of a polyethylene cap is <br />recommended for low birth weight neonates to prevent hypothermia.
Hypothermia,Low birth weight neonates,polyethylene cap
https://ejhc.journals.ekb.eg/article_243484.html
https://ejhc.journals.ekb.eg/article_243484_cbd5a7898e594295929df323e84bf88e.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Nursing Intervention on Fear, Post-Traumatic Stress Symptoms, and Pain among Patients with Open Heart Surgery
1099
1115
EN
Sabah
H. El-Amrosy
Assistant Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt. Currently, Department of Nursing, Faculty of Applied Medical Sciences, Al Baha University, Saudi Arabia
Aziza
Mohamed Kamel
Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Egypt.
Lobna
El Sayed Sallam
Lecturer of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
Wessam
Fathy Mohamed Gabr
Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University, Egypt.
kariema
I. EL Berry
Lecturer of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
10.21608/ejhc.2020.249712
<strong>Background: </strong>Open heart surgery is a source of high levels of emotional distress for the patient. If the stress experienced is not adequately compensated, it could harm the postoperative recovery and could not be treated the comorbid mental disorders. Open heart surgery could be a traumatic and stressful experience, and as a result, many people experience psychological difficulties following treatment. Post-Traumatic Stress Disorder (PTSD) is now being investigated in the post-surgical population with surprising results. Open heart surgery is a common intervention that involves several pain-sensitive structures, and intense postoperative pain is a predictor of persistent pain.<strong> The study</strong> <strong>aimed</strong> to investigate the effect of a nursing intervention on fear, post-traumatic stress symptoms, and pain among patients with Open heart surgery <strong>Setting:</strong> The study was conducted at the open heart surgical department and open heart surgical intensive care unit at Menoufia University and Shebin elkom teaching hospitals, Menoufia Governorate, Egypt. <strong>Sample</strong>: Purposive sample of 80 patients with open heart surgery were enrolled from the previously above-mentioned settings. <strong>Data collection</strong>: Four tools were used; a semi-structured interview questionnaire, Surgical Fear Questionnaire (SFQ), Davidson Trauma Scale-DSM-IV, and The Numeric Rating Pain Scale <strong>Results:</strong> Results revealed that there was no significant difference between the study and the control groups regarding demographic characteristics (p>0.05). Also, results revealed a highly significant improvement (with p < 0.0001, in mean surgical fear, pain, and post-traumatic stress symptoms).<strong> Conclusion:</strong> It was concluded that overall, preliminary findings support the positive effect of the nursing intervention in treating people who have undergone open-heart surgery. Where nursing intervention reduces fear, post-traumatic stress symptoms, and pre and postoperative pain.<strong> </strong><strong>Recommendations: </strong>The developed nursing intervention should be carried out pre and postoperative to reduce fear, post-traumatic stress symptoms, and pain among all patients undergoing open-heart surgery.
Fear,Pain,post-traumatic stress symptoms. Open heart surgery
https://ejhc.journals.ekb.eg/article_249712.html
https://ejhc.journals.ekb.eg/article_249712_1b8614f1d09879c227966371c122e752.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Prone versus Lateral Position on Respiratory Status among Children with Lower Respiratory Tract Infections
1116
1126
EN
Fatma
Mohamed Amin
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Mansoura University
Heba
Ibrahem Mohamed
Lecturer of Pediatric Nursing Department, Faculty of Nursing, Kafr El Sheikh University
Manal
Mohamed Ahmed Ayed
Assistant Professor of Pediatric Nursing Department, Faculty of Nursing, Sohag University, Egypt
Nagwa
Ibrahim Eldemery
Lecturer of Pediatric Nursing, Faculty of Nursing, Mansoura University
Shimmaa
Mansour Moustafa Mohamed
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.
10.21608/ejhc.2020.253130
Introduction: Lower respiratory tract infection is considered one of the major public health <br />problems in many developing countries among under five children. The correct positioning will <br />help to reduce the breathing difficulty to some extent. Aim: The study aims to evaluate the effect of <br />prone versus lateral position on respiratory status among children with lower respiratory tract <br />infections. Subjects and method: Design: A quasi-experimental research design was utilized in <br />this study. Setting: the study was conducted in Pediatric Intensive Care Unit at Sohag University <br />Hospital. Subjects: A non-probability purposive sampling technique was adopted to select 100 <br />children with lower respiratory tract infections from the previous setting who were assigned into <br />two groups, with 50 children in each group. Prone position was given to group 1 and lateral position <br />was given to group 2. Tools: Tool (1) Children assessment sheet and Tool (2) Children respiratory <br />status assessment sheet. Results: The result of the study revealed that in group-1 and group-2, the <br />significance of the difference between the mean pre-observation and post-observation respiratory <br />status score was statistically and was found to be highly significant at 0.05 level. The result shows <br />that the respiratory status had no significant association with their variables. The values of heart <br />rate, respiratory rate, and oxygen saturation improved significantly among children in the prone <br />position than in the lateral positions after the intervention. Conclusion: The current study results <br />concluded that prone and lateral positions were effective in improving the respiratory status <br />of children under five years old with lower respiratory tract infections. The study findings also <br />depicted that the prone position was more effective than the lateral position. Recommendations: <br />Prone position is recommended and could be used in the routine care of children with lower <br />respiratory tract infections as a simple and applicable strategy to improve the respiratory status.
Children with lower respiratory tract infections,Prone and lateral positions,Respiratory status
https://ejhc.journals.ekb.eg/article_253130.html
https://ejhc.journals.ekb.eg/article_253130_0d4cbf5d60858b7494ed63267d94c743.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Assessment of Women's Reproductive Empowerment in Rural and Urban Areas: A Comparitive Study
1127
1142
EN
Shaimaa
Fouad Mohammed
Woman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, Egypt
Hanan
El-Sayed Mohamed El-Sayed
Woman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, Egypt
Marwa
Ibrahim Hamdy Aboraiah
Woman’s Health and Midwifery Nursing - Faculty of Nursing - Mansoura University, Egypt
10.21608/ejhc.2021.149081
Background: Empowering women is a key factor for better social and economic development of<br />different countries because women empowerment enables much more working force and improves<br />performance of organizations. Aim: This study aimed to assess women's reproductive<br />empowerment in rural and urban areas. Design: A cross sectional descriptive research design was<br />used. Setting: This study was carried out at Maternal and Child Health Care Center at Talkha and<br />Salamoon health facility, Delta, Egypt. Study subjects: A non-probability purposive sample of 334<br />women who were fulfilling the inclusion criteria. Tools A structured interview schedule to cover the<br />data related to general characteristics and women’s reproductive empowerment questionnaire to<br />assess women’s reproductive empowerment. Results: There were highly statistical significant<br />differences regarding cultural, individual family, social and family planning domain scores among<br />rural and urban women with more empowerment in urban women (p < 0.001). Also, the highest of<br />women’s reproductive empowerment among urban and rural residents were found in cultural<br />domain with Mean ±SD 20.3 ±4.5 and 18.1 ±5.8 respectively and the lowest scores among rural and<br />urban women were found in family planning domain with Mean ±SD 17.7 ±3.1 and 14.9 ±4.7<br />respectively. Else, women’s reproductive empowerment among the studied group was significantly<br />associated with their occupation, educational level and their husband's educational level (p >0.05).<br />Conclusion: The current study question was answered where urban women were more<br />empowered regarding cultural, individual family, social and family planning domains than rural<br />women. Women occupation, educational level and husband's educational level had an<br />effective role in reproductive empowerment. Recommendations: The current study<br />recommended more involvement of woman in membership in rural institutions and access to<br />social networks, also increase awareness of rural woman about their right, legal<br />empowerment and decision-making.
Reproductive health,Rural areas,Urban areas,Women’s empowerment
https://ejhc.journals.ekb.eg/article_149081.html
https://ejhc.journals.ekb.eg/article_149081_07dd072cf0995d1cd32b235fdc0d59aa.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Social Platform Program on Mothers' Caring regarding Feeding of the Children with Cerebral Palsy
1143
1159
EN
Amirat
Ali Elsabely Mohammed
Lecturer of Pediatric Nursing Department, Faculty of Nursing, Zagazig University, Egypt
Wafaa
Hamed Kamal Elshafie
Lecturer of Community Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt
Dalia
Mohamed Abdelkhalik Kishk
Lecturer of Community Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt
Manal
Mohamed Ahmed Ayed
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt
Nagwa
Ramadan Esmail Magor
Lecturer of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt
Manal
Farouk Mohamed
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Suez Canal University, Egypt
10.21608/ejhc.2020.264619
Feeding and eating are important activities that allow individuals to maintain adequate growth in <br />children with cerebral palsy. Aim: The study aimed to evaluate the effect of social- platform <br />program on mothers' caring regarding feeding of the children with cerebral palsy. Material and <br />methods: Design: A quasi-experimental research design was adopted for this study. Setting: This <br />study was applied in Egypt at Mansoura City. Sample: - A total sample of 200 mothers through the <br />non-probability purposive sampling technique was selected using an online questionnaire via <br />Google Form. Participants were equally and randomly allocated to a study and a control group, <br />(with 100) patients for each one. Tools: Three tools were used: Tool I: Mother's knowledge <br />assessment questionnaire regarding cerebral palsy, Tool II: Mother's reported practice regarding <br />feeding children with cerebral palsy, and Tool III: Mother's satisfaction with the social-based <br />program. Results: The study findings demonstrated that the majority of investigated mothers' <br />knowledge and feeding practices were satisfactory and improved after the online social-based <br />program compared to before the social-based program. The study result portrays that (80%) of the <br />mothers in the experimental group compared to (70%) of them in the control group were of the <br />same age from 20- ≤ 30 years old with a mean age (25.21 ± 2.02) (26.61 ± 3.43) respectively. <br />Conclusion: The study concluded that an social- platform feeding program for children with <br />cerebral palsy improved their mothers' knowledge and practice. The study and control groups <br />differed statistically significantly. Recommendations: Provide mothers with a well-planned social- <br />platform program to increase their knowledge and practice of feeding children with cerebral palsy.
Cerebral palsy,children,Mothers,social platform program
https://ejhc.journals.ekb.eg/article_264619.html
https://ejhc.journals.ekb.eg/article_264619_9bb66acb1f2c38892f7e9ff26d8891ba.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Factors Interfering with Nursing Students Performance Through Practical Training of Maternal and Newborn Health Course
1160
1174
EN
Zeinab
A. Baraia
Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Suez Canal University, Egypt.
Ola
Adel Ali
Nursing specialist at Technical Institute of Nursing at Suez Canal University
Inaam
Hassan Abdelati
Professor of Maternity, Obstetrical and Gynecological Nursing, Faculty of Nursing -Port Said University
10.21608/ejhc.2020.270599
<strong>Background:</strong><strong> </strong>The competency of students performance requires the integration between learned theory as will as practice well through its attributes in clinical learning environmenment. <strong>Aime:</strong> was to evaluate the factors interfering with nursing students performance through practical training of maternal and newborn health. <strong>Design</strong> a descriptive design was adopted. <strong>Sitting:</strong> technical instituation of nursing, suez canal university (2<sup>nd</sup> year). <strong>Sample:</strong> convenient sample included 458 nursing students studing maternal and neonatal health course was enrolled.<strong>Tools: Tool I</strong>. self adminestred questioner include questions about: socio demographic data and factors interfering with nursing students performance in lab and clinical practice sitting <strong>Tool II:</strong> An observational checklist for students' performance on four skills (abdominal examination, vaginal inspection, handling procedure, and perineal care). <strong>Result</strong>:- The bulk of the studied students (94.1%) reported that they didn't have enough time to performing a vaginal examination. Additionally, 79.9 and 82.1% of the students in the study demonstrate that there are not enough instructors to adequately train students. During the re-demonstration of the abdominal gripping skills, perineal care, handling, and vaginal exam, respectively, 46, 7, 46, 7, 47, and 60.5% of the studied students didn't communicate well with the trainer.<strong>Conclusion</strong>: One of the factors associated students' performance in the lab was an insufficient ratio of students to lab space. The clinical sitting also revealed that there weren't enough patients in relation to the number of students.<strong>Recommendation:</strong> suggested that, appeal technical nursing institutions dircate to serves suitable lab area and recruit staff members to cover the gap.
Nursing students performance,Clinical instructor,Clinical learning Environment
https://ejhc.journals.ekb.eg/article_270599.html
https://ejhc.journals.ekb.eg/article_270599_3c82e00d30e732ed2abae8b869c0f547.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Academic Advising and its Relation to Nursing Students' Self Efficacy
1175
1186
EN
Ramy
Mohamed Ibrahim
B.Sc. in Nursing Administration
Samah
Faisal Fakhry
Professor of Nursing Administration
Faculty of Nursing, Ain Shams University
Dalia
Atef Khalaf
Lecturer of Nursing Administration - Faculty of Nursing, Ain Shams University.
10.21608/ejhc.2020.280654
<strong>Background</strong>: Academic advising is a collaborative relationship between a student and an academic advisor. The intent of this collaboration is to assist the student in the development of meaningful educational goals that are consistent with personal interests, values and abilities.<strong> Aims: </strong>This study aimed to assess academic advising and its relation to nursing students' self-efficacy. <strong>Design: </strong>An analytic cross-sectional research design was used in conducting the study in order to find out the relationship between academic advising and nursing students' self-efficacy, Both dependent and independent variables were measured at the same point in time with no prospective or retrospective follow-up. <strong>Subject and Method:</strong> The subjects of this study consist of nursing students enrolled in the four academic years in Faculty of Nursing, MTI University. Their total number was 750 students in the academic year 2019/2020. <strong>Tools</strong> were used to collect the necessary data, a structured interviewing questionnaire, Academic Advising Inventory (AAI)<strong> </strong>to assess the mode of academic advising from student's point of view and Perceived self-efficacy scale to assess nursing student's perception regarding self-efficacy. <strong>Results:</strong> The study revealed (43.5%) of the nursing students were satisfied with academic advising. While, (71.5%) of nursing students having high level of self-efficacy. <strong>Conclusion:</strong> The finding of this study concluded that the prescriptive academic advising mode is the most prevailing mode in the study setting. However, students’ satisfaction and self-efficacy are higher with the developmental mode. <strong>Recommendations: </strong>staff development programs are strongly recommend to train academic advisors in the modes of advising, with emphasis on the merits of the developmental mode. Academic advisors should be provided with sufficient time for advising sessions to be able to provide their students with all their academic needs.
Academic Advising,Nursing students,Self-Efficacy
https://ejhc.journals.ekb.eg/article_280654.html
https://ejhc.journals.ekb.eg/article_280654_e7773bb2430a5bdd34d0084ca9609535.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of physical Exercise and Heat Application on Pain and Morning Stiffness in Osteoarthritis Patients
1187
1201
EN
Shereen
Abd El Moniem Ahmed
Assist. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez Canal University
Wafaa
Ismaiel Shereif
Professor of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University
Shereen
Reda Hassan
BScN, Zagazig University, Master student, Faculty of Nursing, Suez Canal University
Nagwa
Mohamed Helmy
Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Suez Canal University
10.21608/ejhc.2020.282823
<strong>Background</strong>: Osteoarthritis (OA) is a mutual advanced joint disease which is characterized by chronic pain, stiffness, and functional disability. <strong>Aim of the study: </strong>Evaluate effect of physical exercises and heat application on pain and morning stiffness in osteoarthritis patients. <strong>Study design: </strong>Quasi-Experimental design was employed to implement this study. <strong>Setting: </strong>This study was implemented at the Suez- Canal University Hospitals' orthopedic outpatient clinics. <strong>Subjects: </strong> 120 patients were included in the study as a purposive sample, while 40 patients assigned randomly into each group (control, heat and physical exercise). <strong>Data collection tools: </strong>Structured interview questionnaire to assess demographic data of patients and awareness about the disease and its management in addition to, the self- administered Knee Injury and Osteoarthritis Outcome Score (KOOS) to assess short and long-term patient-relevant outcomes following knee osteoarthritis. <strong>Results: </strong>This study revealed that (80%, 100% and 97.5%) and, (32.5%, 15%, 57.5%) of the heat, exercise, and control group had joint pain and stiffness respectively. Regarding post intervention; there was statistically significant difference between the heat, exercise and control group with 45 % of the heat group and 95% of the exercise group had moderate level of signs and symptoms. <strong>Conclusion: </strong>Heat application and physical exercises had positive effect on relieve pain, stiffness, and improvement of physical function, with heat applications had have the higher effect on symptoms. <strong>Recommendations: </strong>Using a combination of physical exercise and heat application together for patient with osteoarthritis to control pain, morning stiffness, and activity level.
Heat Application,osteoarthritis,morning stiffness,Pain,physical exercises
https://ejhc.journals.ekb.eg/article_282823.html
https://ejhc.journals.ekb.eg/article_282823_733b65752615c17910652a6000599d06.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Bullying Behavior and Its Effect on Preparatory School Students
1202
1218
EN
Hanaa
Mohamed Abd Elstar Elsisi
Department of Psychiatric Mental Health Nursing, Faculty of Nursing Ain Shams University
Galila
El-ganzory
Department of Psychiatric Mental Health Nursing, Faculty of Nursing Ain Shams University
Hoda
Sayed Mohamed
Department of Psychiatric Mental Health Nursing, Faculty of Nursing Ain Shams University
10.21608/ejhc.2020.295318
<span class="fontstyle0">Background: </span><span class="fontstyle2">Bullying is an ever-present problem occurring within preparatory schools across the world. Bullying creates personal, social, and emotional, as well as academic problems for the victim. Therefore, this study was </span><span class="fontstyle0">aiming to </span><span class="fontstyle2">assess bullying behaviors and its effect on preparatory school students. This study was conducted on 400 students in preparatory school students in Ashman city of Mounofyia government. </span><span class="fontstyle0">Data were collected </span><span class="fontstyle2">using: 1) Interviewing questionnaire including the following parts: A) Socio-demographic sheet. B) bullying behavior scale. C) victim scale and D) effects of bullying behavior on preparatory school students. </span><span class="fontstyle0">The result </span><span class="fontstyle2">of this study showed that more than half of students under study (56.75 %) sometimes perform social bullying behaviors, nearly half of them (44.75%) perform verbal bullying behaviors and less than half of students under study (41.75%) sometimes perform physical bullying. Also, about two fifth of students under study (39,75%) sometimes exposed to physical bullying behaviors and more than two fifth of them (45%) exposed to verbal bullying behaviors and 69% of them have moderate physical effect, also 59.25% of them were had moderate psychological effect and42.5 of them were had moderate social effect and moderate impact on academic achievement. Study </span><span class="fontstyle0">concluded </span><span class="fontstyle2">that preparatory school students sometimes perform (physical, verbal, and social) bullying behavior and male students were involved in bullying behavior more than female. More than two fifth of victimization exposed to verbal and social bullying. In addition, there was a highly statistically Significant relation between type of bullying and effects of bullying behavior. </span><span class="fontstyle0">The study recommended </span><span class="fontstyle2">designing and implementing a counseling program geared towards preparatory school students to guide them on how to avoid and/or deal with bullying behavior to prevent psychosocial problems and improve academic achievements.</span>
bullying behavior,Effect,Preparatory Schools Student,victimization
https://ejhc.journals.ekb.eg/article_295318.html
https://ejhc.journals.ekb.eg/article_295318_b8eebb385b8bacacfdeff43c2ebf19fd.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Effect of Internet Addiction on Academic Achievement among Primary School Children
1219
1228
EN
Manal
Mohamed Ahmed Ayed
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt
Ghada
.A.Hassan
Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University
Sara
Sayed Abdalla
Child and Adolescents health nursing, Faculty of Nursing, British University in Egypt
Donia
Elsaid Fathi Zaghamir
Pediatric Nursing Department, Faculty of Nursing, PortSaid University
10.21608/ejhc.2020.298938
Internet addiction (IA) is a relatively new subject of study in academia, and it has several effects on a person's life in a variety of ways, including academic achievement, relationships, physical and mental health. <strong>Aim</strong>: To describe the effect of internet addiction on academic achievement among primary school children. <strong>Research Design</strong>: A descriptive research design was used in the current study. <strong>Settings</strong>: The study was applied in two primary schools in Sohag City. <strong>The</strong><strong> </strong><strong>Study</strong><strong> </strong><strong>Sample: </strong>A multi-stage random sample of 720 primary school children was recruited using a multi-stage random sample technique. <strong>Tools</strong>: There were three tools used in the current study, (I) demographic assessment tool, (II) Young's Internet addiction scale, and (III) academic achievement assessment tool. <strong>Results</strong>: more than half of the primary school children were female; the mean age them was 9.34 ± 1.64 years. Half of them spent 3-5 daily times on the internet. There was an association between internet addiction and academic achievement. The majority of primary school children agree to improve awareness about internet addiction and its effects through holding classes as proposed preventive interventions to reduce harm from IA. <strong>Conclusion</strong>: Excessive internet usage was shown to be one of the most common behaviors among primary school children, which can lead to addiction and harm their personal, social, and academic achievement. <strong>Recommendation</strong>: Children should be aware of the potentially detrimental effects of internet addiction, as well as the necessity to restrict internet usage, which can have a severe impact on kids' academic progress.
Academic Achievement,Internet Addiction,Primary School Children
https://ejhc.journals.ekb.eg/article_298938.html
https://ejhc.journals.ekb.eg/article_298938_9acc00cbb803c5cc0f7df4aaa4eed71f.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
11
3
2020
09
01
Psychological Resilience and Suicidal Thoughts in Bipolar Disorders Patients
1229
1242
EN
Shymaa
Aly Hamed
Lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing - Cairo University, Egypt
Samah
Osman Ali
Lecturer of Psychiatric Mental Health Nursing, Faculty of Nursing - Cairo University, Egypt
10.21608/ejhc.2020.305490
<strong>Background:</strong> Bipolar disorder is a serious mental illness associated with an increased risk of suicidal thoughts and behaviour. Resilience, or the ability to adapt and manage stress and adversity, maybe a major factor in lowering this risk and improving outcomes for people with bipolar disorder. <strong>Aim:</strong> The current study aimed to assess the relationship between psychological resilience and suicidal thoughts in bipolar disorder patients. <strong>Design:</strong> A descriptive correlational design was adopted in the present study. <strong>setting:</strong> The research was carried out in the "Psychiatric Medicine and Addiction Prevention Hospital—Cairo University Hospitals" inpatient and outpatient departments. <strong>Sample:</strong> A purposive sample of 50 male and female bipolar illness patients selected for this investigation. <strong>Tools</strong>: A structured interview sheet collecting socio-demographic and medical information, the Connor-Davidson Resilience Scale, and the Morey Suicidal Ideation Scale were used to collect data. <strong>Results</strong>: The results showed that (46.60%) of the bipolar patients tested had a low degree of resilience, (42.20%) had a moderate level of resilience, and only a small fraction (11.2%) had a high level of resilience. Suicidal thoughts were present in 66.60% and 33.40% of studied bipolar patients, respectively. In bipolar disorder patients, there is no statistically significant relationship between psychological resilience and suicidal thoughts. In order to build resilience and reduce the risk of suicide thoughts and behaviours in bipolar patients, a complete approach that treats both the medical and emotional elements of the condition is required. <strong>Recommendation</strong>:<strong> </strong>A patient education programme is necessary: Nurses can educate patients on the value of resilience and self-care in the management of bipolar disease, as well as providing information on coping techniques and self-care practises that patients can use to improve their well-being
psychological resilience,Suicidal thoughts,Bipolar disorders,patients
https://ejhc.journals.ekb.eg/article_305490.html
https://ejhc.journals.ekb.eg/article_305490_bf2600ca4d0d02b7dd23e898f072063b.pdf