Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Obesity and The Risk of Type 2 Diabetes Mellitus in Women: Assessment Study
1
11
EN
Marwa
Naeem
Technical Institute of Health Suez Canal University
Magda Abdel
Sattar
Community Health Nursing Department, Ain Shams
University, Community
Heba
El Koteb
Family Health Nursing Department Suez Canal University.
10.21608/ejhc.2016.105169
Type 2 diabetes and obesity are connected, so much so that more than 85% of the people<br />diagnosed with it are obese.Aim:The study aimed to assess obesity risk factor among women<br />with (DM). Design: A descriptive Analytic design was utilized in this study. Settings: The study<br />was conducted in outpatient diabetes clinics in health centers in Ismailia City. Sample: A<br />purposive sample type of 306 obese diabetic women attending to previously mentioned settings.<br />Tool of data collection: Data were collected by using (1) An interview questionnaire which<br />covers Socio-demographic data and all items related to medical history, knowledge regarding to<br />(diabetes- obesity- nutrition), and lifestyle of obese diabetic women,(2) physical assessment<br />sheet, (3) blood sugar analysis sheet. Results:Themajority of the study sample were less than 35<br />years of age with mean of age 47.9<br />+<br />-9.5, More than half of obese diabetic women had<br />unsatisfactory knowledge regarding (diabetes- obesity- nutrition) and less than half of them had<br />satisfactory knowledge, also the majority of them had poor practice regarding (nutrition- exercise<br />personal hygiene), twenty of them had fair practice, while third of them had good practice.<br />Conclusion: There were highly statistical significant between obese diabetic women (age<br />occupation- educational level) and total knowledge, there were highly statistical significant<br />between obese diabetic women fasting blood glucose level with increasing their body mass index,<br />also there were highly statistical significant between obese diabetic women nutritional habits and<br />physical activity. Recommendations: Develop an educational programs for obese diabetic<br />women about healthy lifestyle and risky of obesity on (DM).
"obesity","type 2diabetes","life style practice",and "risk of obesity"
https://ejhc.journals.ekb.eg/article_105169.html
https://ejhc.journals.ekb.eg/article_105169_ba43a01d08775b02bb8f41345316e8f3.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Predictors Of Aggressive Behavior Among Adolescent Boys In Zagazig City
12
26
EN
Amany Sobhy
Sorour
Community Health Nursing, Faculty of Nursing, Zagazig University
Fatma Mohammed
Ahmed
Community Health Nursing, Faculty of Nursing, Zagazig University
10.21608/ejhc.2016.105170
Background: Aggression is a global challenge and a leading cause of death and disability<br />worldwide. Several studies indicate that the reasons for aggressive behavior during adolescence<br />are multifactorial. The existing study aimed to investigate the predictors of aggression among<br />adolescent boys in secondary school students in Zagazig City. Subjects and Methods: A<br />descriptive cross sectional research design was used to fulfill the aim of the present study. A<br />sample of 280 male students contributed to the current study, through a predesigned questionnaire<br />form composed of three parts, socio demographic characteristics, GRAD scale and Aggression<br />Questionnaire. Results: Study results revealed that aggressive behavior is prevalent among<br />slightly more than one third (34%) of the students, where hostility occupied the top level (48.6%)<br />followed by verbal aggression, anger, and physical aggression (43.6%, 36.4% & 27.5%)<br />respectively. Multiple regression analysis highlighted that the most significant factors affecting<br />the risk of aggression among adolescents were the family risk, school climate, peer relations and<br />mass media. Recommendations: Study recommended that Counseling being aims at helping<br />students resolve their numerous problems or concerns to change their undesirable behaviors.
aggressive behavior,Adolescent boys,risk factors
https://ejhc.journals.ekb.eg/article_105170.html
https://ejhc.journals.ekb.eg/article_105170_3110143cae6a6dc34ae420eaef9402a1.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Effect of comfort measures on reliving pain for women with cesarean section
17
42
EN
Amira Refaat
Said Ahmed
Obstetrics & Woman's health Nursing Department. Faculty of Nursing- Benha University
10.21608/ejhc.2016.105171
BACKGROUND: Cesarean section is a potentially life-saving operation that may be<br />deemed necessary to prevent morbidity and mortality in both mother and baby .The objectives of<br />the nursing care for women with cesarean delivery is to prepare them physically and<br />psychologically for surgery tend to have better surgical outcomes, overall assessment of women's<br />health and identify significant abnormalities that may increase operative risk. AIM of this study<br />was to assess the effect of comfort measures on relieving pain after cesarean section. DESIGN: A<br />quasi experimental study design. RESEARCH HYPOTHESIS: Provision of comfort measures<br />(physical activity & relaxation technique) would minimize pain after cesarean section.<br />SETTING: The study was conducted at the postpartum unit in the obstetric department at Benha<br />Teaching Hospital. SAMPLE, convenient sample, sample size is 140 women. TOOLS:<br />Interviewing questionnaire sheet, Pain progress observation sheet, VAS and FRS to assess degree<br />of pain. RESULTS: The study showed that there was a significant positive relation between<br />degree satisfaction and comfort measures used to relieve their pain (p<0.05).CONCLUSIONS:<br />The present study concluded that, women undergoing cesarean section and utilized comfort<br />measures ( physical activity and relaxation technique) have a positive effect on reliving the post<br />cesarean pain. RECOMMENDEDATIONS: The study recommended that women should follow<br />comfort measures to relive post cesarean pain which emphasize the importance of practicing these<br />exercises regularly. Guidelines regarding the importance of comfort measures as (deep breathing<br />exercises, relaxation techniques, massage and circulation) immediately post cesarean should be<br />distributed in all units of obstetric departments.
cesarean section,comfort measures,post cesarean care
https://ejhc.journals.ekb.eg/article_105171.html
https://ejhc.journals.ekb.eg/article_105171_0760af6a720973c7d5860a69da548b47.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Factors Affecting Scholastic Achievement Among School Children In A Slum Area
43
55
EN
Amany Sobhy
Sorour
Community Health Nursing Deparment, Faculty of Nursing, Zagazig University
10.21608/ejhc.2016.105172
Background: Slums are areas constitute broad social and health disadvantages to children<br />due to extreme poverty, in addition to limited access to basic health and education services, and<br />other hardships. The aim of this study was to determine the factors affecting scholastic<br />achievement among school children in a slum area. Research design: A descriptive cross<br />sectional design was carried out in preparatory schools in Manshiat Naser on a multistage<br />stratified cluster sample of 200 school children. Tools of data collection was an interview that<br />included selected domains of the Global Risk Assessment Device, namely substance abuse ,<br />health services, accountability, sociability and education. The fieldwork lasted from the<br />beginning of October to the end of December 2015. Results: School children age ranged between<br />13 and 15 years with more males (56%), the failed school children had higher percentages of<br />males, older age, higher school grade, non-educated fathers, older age mothers, with rural<br />residence, and insufficient income. Statistically significant associations among the educational<br />(p<0.001), accountability (p<0.001), and health care (p<0.001) factors with school achievement.<br />It can be noticed that these three factors were higher among failed school children. In multivariate<br />analysis, the risk factors predicting academic failure were a higher school grade, and higher<br />scores of educational, accountability, and health care factors. It is evident that the educational<br />factors are the most influential (Odds Ratio [OR] 186.52), followed by the accountability factors<br />(OR 37.34). Conclusion and Recommendation: The school performance of school children in<br />slum area is most influenced by accountability, educational and health care factors, in addition to<br />higher school grade. The strong inter-relations among these domains should be taken into account<br />in any trial to improve the educational system in schools. The substance abuse-related factors<br />need to be revisited given the possibility of under-reporting. Intervention studies are needed to<br />investigate the effectiveness of school-based programs addressing these identified factors in<br />improving school performance among these adolescents.
Factors affecting scholastic achievement,school children,slum area
https://ejhc.journals.ekb.eg/article_105172.html
https://ejhc.journals.ekb.eg/article_105172_a7761633951d7745b3c68e810a4d12ab.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Relationship between Staff Nurses’ Caring Behavior and Disposition Toward Critical Thinking
56
69
EN
Abeer Mohamed
Seada
Nursing Administration Department, Faculty of Nursing, Cairo University EgyptFactors Affecting Scholastic
Achievement Among School
Eman Abd ElAlim
Etway
Nursing Administration Department, Faculty of Nursing, Cairo University EgyptFactors Affecting Scholastic
Achievement Among School
10.21608/ejhc.2016.105176
Background: Slums Background: Caring behavior is critical and crucial for nursing<br />practice and the disposition toward critical thinking is required for an effective and competent<br />quality patient care. Aim: examine the relationship between staff nurse’s caring behavior and<br />disposition toward critical thinking in intensive care units. Design: descriptive correlational<br />design was utilized in this study. Study was carried out in medical critical care units at new kaser<br />El Ainy hospital. Subjects: Convenient sample of staff nurses (No=70) who were working in the<br />selected critical care units was constituted the study sample. Tools: two tools were used for data<br />collection: California critical thinking disposition Inventory and caring behavior inventory.<br />Results: The study findings conclude that there was no correlation between total caring behavior<br />and total critical thinking. Recommendations: It is recommended that nursing education should<br />emphasize a curriculum related to caring behavior to enhance nursing student’s disposition<br />toward critical thinking. The nurse leaders should act as a role model in demonstrating caring<br />behavior, as well as using critical thinking skills including being a problem solver and decision<br />maker
Nursing knowledge,Clinical Judgment
https://ejhc.journals.ekb.eg/article_105176.html
https://ejhc.journals.ekb.eg/article_105176_c46167e8f91a6c72a48abff06de88409.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Impact of an Educational Program on Mothers' Knowledge, Attitude and Practice Regarding Their Children with Nocturnal Enuresis
70
84
EN
Zeinab Hassan Hassan
Osman
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University
Safaa Abdelazem
Osman Ali
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University
Neama Mohamed
Fouad Kamel
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University
10.21608/ejhc.2016.105178
Introduction:- Child enuresis is a widespread problem that can be upsetting for children and<br />their families. Design:- The present study is a quasi-experimental one, aimed to provide an<br />educational program for mothers to enhance their knowledge, attitude and practice toward their<br />children with nocturnal enuresis. Methodology:- This study was conducted at El Fayoum<br />University Hospital and El Fayoum general hospital. The study involved 50 mothers having<br />children with nocturnal enuresis. Tools of the study involved an interview questionnaire to assess<br />socio-demographic characteristics of mothers and their children, mothers' knowledge regarding<br />enuresis as well as their attitude and practice. Results:- showed that, mothers' levels of<br />knowledge about enuresis, attitude and practice have dramatically improved after the educational<br />program implementation with statistically significant differences between pre-post<br />implementation. There were statistically significant relations between mothers' level of<br />knowledge about enuresis, attitude and practice. Conclusion:- This study recommended that<br />continuous educational program for mothers having children with nocturnal enuresis to update<br />their knowledge and skills about the advancing technology in the health care for their children.<br />This educational program could be delivered through mass media, posters, booklets, MCH centers<br />and individual counseling. Early counseling should be directed to mothers regarding toilet<br />training, especially for families with positive history of enuresis among their members.
children,Nocturnal Enuresis,mothers' knowledge,attitude and practice (KAP Model),toilet training,Educational Program
https://ejhc.journals.ekb.eg/article_105178.html
https://ejhc.journals.ekb.eg/article_105178_6718c97a69b3319490ebf61cf02959aa.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Development and validation of an evaluation tool for nurse interns’ performance
85
96
EN
Harisa
El-Shimy
Nursing Administration Department, Faculty of Nursing, Ain-Shams University
Mona Mostafa
Shazly
Nursing Administration Department, Faculty of Nursing, Ain-Shams University
monashazly63@yahoo.com
Nema Fathy
Saad
Nursing Administration Department, Faculty of Nursing, Ain-Shams University
10.21608/ejhc.2016.105184
Evaluation is an innate component of any internship program. The availability of a valid and<br />reliable performance appraisal tool is urgently needed as a cornerstone in the process of interns’<br />evaluation. This methodological study was aimed at developing and validating an evaluation<br />tool for nurse interns’ performance. It was carried out at Ain-Shams University Hospitals, and<br />involved a jury group and nurse interns. The researchers developed the proposed tool based on<br />pertinent literature to evaluate the performance of nurse interns in their training areas. It had three<br />sections covering professional behavior, professional performance, and communications skills.<br />The tool was presented to the jury group for face and content validation. The acceptance level of<br />any item was set at 70% or higher. Exploratory factor analysis was used to assess its construct<br />validity. The results indicated high jury agreement upon the original items, with strong<br />statistically significant positive inter-rater (r=0.940) and intra-rater (r=0.850) correlations for the<br />total scale. The factor analysis showed a significant fit the original model, with high loadings of<br />items upon the three factors, the lowest being 0.570. The scale explains 69.780% of the total<br />variance of performance. The scores of the three factors had very high reliability with high<br />Cronbach’s alpha coefficients, reaching 0.93 for the professional behavior factor. Hence,<br />Conclusion a valid and reliable tool was designed for the evaluation of nurse interns’<br />performance covering the three main dimensions relevant to nurse interns’ practice. It is<br />recommended to use the tool in the study settings Further studies are suggested to assess the<br />convergent and predictive validity of the tool.
validation,Evaluation tool,Nurse interns,performance
https://ejhc.journals.ekb.eg/article_105184.html
https://ejhc.journals.ekb.eg/article_105184_315e1e08abaf2b92a8a28feab95b1082.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Impact of an educational program on improving adolescent’s selfconcept and self- esteem at orphans in Assiut city
97
107
EN
Asmaa Kamal
Hassan
CommunityHealthNursing-Faculty of Nursing. -
Assiut University
Nora Abdelhamid
Zaki
Pediatric Nursing-Faculty of Nursing. -
Assiut University
Hekmat Ibrahim
Abed ElKreem
Pediatric Nursing,-Faculty of Nursing. -
Assiut University
Zamzam Ahmed
Ahmed
Psychiatric Nursing, Faculty of Nursing. -
Assiut University
10.21608/ejhc.2016.105186
Self-concept and self-esteem are two crucial components of our lives, it is important for<br />adolescents to develop a positive self-concept and high self-esteem in order to better their chances<br />for a happy and satisfying adulthood. Adolescent are likely to be influenced by the environment<br />where they are brought up. Orphaned adolescents represent a vulnerable sector of the population.<br />The adverse past life experiences of institutionalized adolescents have far reaching ramifications<br />on affective, cognitive, behavioral, and physiological development. This study aimed to assess<br />the impact of educational program on adolescents self-concept and self-esteem at orphanage's in<br />Assiut city through;(a) assess adolescents self-concept and self-esteem ( orphans' group and<br />control group (b)develop educational program based on the pre assessment of the orphans<br />adolescent the self-concept and self-esteem (c) assess the impact of the educational program on<br />the orphans group by remeasuring their self-concept and self- esteem. A quasi-experimental<br />research design was used to conduct the study at secondary and preparatory schools (Dar<br />Elhanan and Lillian, one preparatory and secondary schools in Assiut city. It included 80<br />adolescents' divided into 40 from orphanages (study group) and 40 from schools (control group),<br />aged from 12 to 18 years. Data collection tools were self-administrated questionnaire; self<br />concept and self- esteem scale used in pre-post testing the effect of a training program. The study<br />revealed that low self- esteem in pre-intervention and negative self- concept. Statistically<br />significant improvements of self- esteem and self-concept were demonstrated at the post<br />intervention assessment of students in the study. Statistically significant relations were shown<br />between age, self- concept and self –esteem, the study was concluded that positive self -concept<br />was correlated with high self- esteem. It is recommended that the developed program and its<br />booklet be applied in all similar settings.
Male adolescences,self-concept,Self-esteem,Orphanages,School
https://ejhc.journals.ekb.eg/article_105186.html
https://ejhc.journals.ekb.eg/article_105186_98e710b71be36665308845c9e41b3ec5.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Incidence of cesarean section among parturient women undergoing induced versus spontaneous labour per gestational weeks
108
119
EN
Hala Abd El fttah
Ali
Women's Health and Obstetrics Nursing Department, Faculty of Nursing, Kafr El Sheikh University
Reda
Hemida
Obstetrics and Gynecology Department, Faculty of Medicine-Mansoura University, Egypt
Azza Mohamed
Hafez
Maternal and Women Health Department,Faculty of Medicine-Minia University, Egypt
10.21608/ejhc.2016.105192
Objective: To explore incidence of cesarean section among parturient women undergoing<br />induced versus spontaneous labour per gestational weeks. Methods: An exploratory descriptive<br />study was carried out at Labour and Delivery Ward at El Mansoura University Hospitals, Egypt.<br />This study comprised a convenience sample of 100 pregnant women out of 130 randomized<br />women who were admitted to Delivery Ward with induced or spontaneous labour with multi<br />parae, low risk women with no pregnancy or medical complications or prior cesarean section,<br />with 37-42 gestational weeks, singleton pregnancies and in vertex position. They were randomly<br />assigned into two groups; a total of 60 women had an induction of labour and 40 went into<br />spontaneous labour. Two tools were used: A structured interviewing questionnaire sheet was used<br />to collect the maternal and neonatal characteristics such as; maternal age, parity, newborn weight<br />and labour assessment sheet was used to assess vaginal versus cesarean section incidence<br />according to onset of labour per gestational weeks and induction as well as augmentation methods<br />for cesarean section. Results: Among 100 pregnancies that fulfilled the inclusion criteria, induced<br />labour had more risk of cesarean section compared with spontaneous labour onset with statistical<br />significant(p<0.001 in x2 test; OR 6.00; 95% confidence interval 2.453 – 14.678).The higher<br />caesarean section rate in the induction group was seen from (38-41) weeks. On the other hand, the<br />higher caesarean section rate was seen in the spontaneous group at 37 weeks and cervical ripening<br />was the highest agent used in induced labour as well as oxytocin for spontaneous onset of labour.<br />Conclusions and recommendation: In low risk multiparae women, induced labour has an<br />increased risk of cesarean section compared with spontaneous onset labour per gestational weeks<br />particularly when cervical ripening was required. Caesarean section incidence was higher in the<br />induction group than spontaneous labour, it was seen from (38-41) gestational weeks. It should be<br />prompt further and larger studies of the effect of induction of labour and its methods on caesarean<br />section rate per gestational weeks.
cesarean section,Induction,Labour,induction methods
https://ejhc.journals.ekb.eg/article_105192.html
https://ejhc.journals.ekb.eg/article_105192_149ecbb8a4a49c677ff77bc482179106.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Effect of Toddlers' Feeding before Abdominal Operations on Postoperative Complications
120
132
EN
Faransa A
Ahmed
Department of Pediatric Nursing, Faculty of Nursing, Assiut University
Nora A
Zaky
Department of Pediatric Nursing, Faculty of Nursing, Assiut University
Ibrahim A
Ibrahim
Pediatric Surgery Unit, Faculty of
Medicine, Assiut University.
10.21608/ejhc.2016.105193
Toddlers are required to be fasting before general anaesthesia with the aim of reducing the<br />volume and acidity of their stomach contents. It is thought that fasting reduces the risk of<br />regurgitation and aspiration of gastric contents during surgery. The stomach is not emptied of<br />liquids and solids in the same way, and therefore preoperative fasting should not be the same for<br />both. Human milk leaves the stomach more rapidly than artificial milk, and the emptying of non-<br />human milk is similar to that of solids. This study aimed to determine the effects of toddlers'<br />feeding (clear fluid, breast milk, formula milk and adult food) before abdominal operations on<br />postoperative complications and to improve nurses' knowledge about pre and post-operative care<br />especially preoperative fasting and immediate post-operative complications. A Comparative<br />descriptive research design was used to conduct the study in the pediatric surgical unit at Assiut<br />university children Hospital. It included 100 children (25 children for each group) who were<br />selected randomly, aged from 1 to 3 years. One tool was used for collecting data in this study<br />consist of three part; part (1); A structured interview questionnaire, it included personal and<br />clinical data of children related to surgery, part (2) child's food consumption pattern and part three<br />include Observation sheet to assess the postoperative complication. The study results revealed<br />that, no one of breast milk and clear fluids feeding toddlers suffered from any immediate post<br />operative complications (aspiration, regurgitation and vomiting), will aspirated, regurgitated and<br />vomited cases were found among toddlers received adult food higher than toddlers received<br />artificial milk. Conclusion: Based on the results of the current study it was concluded that the<br />toddlers received human milk and clear fluid have less immediate post-operative complications<br />while the toddlers received adult food and artificial milk have higher percent of immediate post<br />operative complication. Recommendations: Organized an educational sessions for health staff<br />worked in pediatric surgical hospital about correct method of toddlers' fasting preoperative (type<br />of food and fasting time) to prevent immediate post-operative complications, recommended to do<br />further researches in this field.
Feeding Types,Abdominal Operations,Perioperative Nursing Role,Postoperative complications,fasting time and Toddler Stage
https://ejhc.journals.ekb.eg/article_105193.html
https://ejhc.journals.ekb.eg/article_105193_737fe0e08ce5b5c0214c8831df090e40.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Biopsychosocial Needs of Patients with Prostate Cancer at Oncology Center
133
145
EN
Ayman
Muhammad Kamel Senosy
Medical Surgical Nursing Department, Ain Shams University – Egypt
Ola
Ahmed Abd –Elaty
Medical Surgical Nursing Department, Ain Shams University – Egypt
Yosreah
Mohamed Mohamed
Medical Surgical Nursing Department, Ain Shams University – Egypt
10.21608/ejhc.2016.156882
Prostate cancer is the most common cancer among men. Prostate cancer is a tumor that<br />forms in tissues of the prostate gland in the male reproductive system. The failure of providing<br />appropriate care for prostate cancer patients can compromise the effectiveness of nursing care and<br />thereby adversely affect the health of the patients. Aim of the study, this study aimed to assess<br />the biopsychosocial needs of patients with prostate cancer. Design: A descriptive exploratory<br />study was used to meet the aim of the study. Setting: the study was conducted at the clinics of the<br />Oncology Center affiliated to Ain Shams University. Subjects: A purposive sample composed of<br />80 adult patients with prostate cancer. Data collection tools: 1. An interview questionnaire tool:<br />it was used to assess demographic data of the studied patients. 2. Biopsychosocial needs<br />assessment questionnaire and 3. Informational needs assessment tool. Results: This study<br />revealed that, regarding demographic characteristics, 90% of the study subjects were at age of<br />sixty and more. In relation to physical needs, this study found that, 77.5% of the study subjects<br />had loss of sexual desire, 90% suffered from pain in different body parts,84.5% can`t do their<br />activities due to pain, 93.25% need emotional support, 83.75% feel that they cause a physical<br />burden for families due to medical expenses and 80% had lack of information regarding self care<br />of prostate cancer. Conclusion: this study concluded that patients with prostate cancer had<br />physiological, psychological, social and informational needs. Recommendations: This study<br />recommended the importance of man early screening for prostate cancer at the age of 45 and<br />provision of supportive care services and psycho oncology clinics to meet prostate cancer<br />patient's needs and consequently improve the quality of life for those patients.
Prostate Cancer,Biopsychosocial needs,Oncology
https://ejhc.journals.ekb.eg/article_156882.html
https://ejhc.journals.ekb.eg/article_156882_dfd9e61fbbf9fd89f407996f4291d7fb.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Assessment of Mothers’ Knowledge and Attitudes towards their Children Suffering from Hearing Impairment
146
155
EN
Wafaa
E. Ouda
Pediatric Nursing Department - Faculty of Nursing - Ain Shams University
Faten
S. Mahmoud
Pediatric
Nursing Department - Faculty of Nursing - Benha University
Amal
A. Abdel-Salam
Pediatric
Nursing Department - Faculty of Nursing - Benha University
Reda
M. Abduallah
Pediatric
Nursing Department - Faculty of Nursing - Benha University
10.21608/ejhc.2016.156897
Hearing impairment can cause significant adverse effects on the acquisition of speech and<br />language, academic achievment as well as social and emotional development. Aim of the study:<br />The aim of the study was to assess mothers’ knowledge and attitudes towards their children<br />suffering from hearing impairment. Design: A descriptive research design was used to conduct<br />the study. Setting: This study was carried out in Al-Amal School at Benha city. Sample: A<br />convenient sample composed of 110 mothers accompanying their children having hearing<br />impairment were interviewed individually. Tools of data collection: Two tools were used: tool<br />(1) interviewing questionnaire that was constructed by the researcher including two parts and tool<br />(2) attitudes to deafness scale. It was adopted from Cooper et al., (2004). Results: The results<br />showed that, mean age of the studied mothers was 37.14 ± 7.66 years, nearly half of them have<br />poor knowledge, while 7.3% of them have good knowledge regarding hearing impairment and<br />almost two thirds of them have indifferent attitudes, while 14.5% of them have negative attitudes<br />towards their children having hearing impairment. Conclusion: The study concluded that, the<br />studied mothers have poor knowledge and indifferent attitudes towards their children suffering<br />from hearing impairment. Recommendations: The study recommended improving mothers’<br />knowledge and attitudes towards hearing impairment through periodical educational programs<br />and similar interventions.
Mothers,Knowledge,Attitudes,children,Hearing Impairment,deafness,Nursing
https://ejhc.journals.ekb.eg/article_156897.html
https://ejhc.journals.ekb.eg/article_156897_cc1946f3492187052e3f9d28907e824c.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Knowledge and Practices among Diabetic Clients Regarding Cardiovascular Problems in A Rural Area
156
172
EN
Eman
Ebrahim Ahmed
Community Health Nursing Department -Faculty of Nursing-Modern University for
Technology and Information
Seham
Guirguis Ragheb
Community Health Nursing Department -Faculty of Nursing-Ain Shams University
Ebtessam
Abbas Hassan
Community Health Nursing Department -Faculty of Nursing-Ain Shams University
10.21608/ejhc.2016.156906
Introduction: It is now well established that type2 diabetes is part of the metabolic or<br />insulin resistance syndrome, which comprises hypertension, dyslipidemia, central adiposity and<br />cardiovascular disease. Aim: The study aims to assess the knowledge and practices among<br />diabetic' clients regarding cardiovascular problems in a rural area. Design: A descriptive study<br />was used. Setting: This study was conducted at diabetic' outpatient clinics at Kafr El-sheikh<br />General Hospital. Sampling: A purposive sample of 100 diabetic clients. Tools: Two tools were<br />used for data collection. First tool: Was an interviewing Questionnaire, this tool was divided into<br />three parts for collecting data. Part one: it was concerned with date related to socio-demographic<br />characteristics of the Diabetic Clients. Part two: It was concerned with client’s past and present<br />health history as duration of illness, symptoms, investigations, and medications. Part three: It<br />was concerned with clients' knowledge regarding diabetes mellitus and cardiovascular problems.<br />Second tool: Checklist to Assessing diabetic clients' practices regarding diabetes mellitus and<br />cardiovascular problems. Results: The results of this study indicated that, the majority of diabetic<br />clients were females and their age ranged from 45- 50 years, almost were illiterate and were<br />living in not crowded homes. The highest portion their duration of diabetes were 4:5 years period.<br />More than half of studied samples had family history of diabetes. The majority of study sample<br />treated with insulin. The minority of them their Practices were correctly done for hypoglycemia<br />and hyperglycemia control. A large proportion of diabetic clients have poor knowledge and<br />practices regarding diabetes mellitus and cardiovascular problems. Conclusion: The study<br />concluded that there was no statistical significant association between socio-demographic<br />characteristics of diabetic clients' knowledge and their practices. As well there was statistical<br />significant association between diabetic clients' knowledge and their practices.<br />Recommendations: The study recommended that extensive health education and health<br />promotion programs are recommended to prevent diabetic complications.
Diabetes mellitus,Cardiovascular disease,Knowledge and practice
https://ejhc.journals.ekb.eg/article_156906.html
https://ejhc.journals.ekb.eg/article_156906_bcda816f00b3d92da9ea7acb8609f708.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Child Abuse and School Violence among Preparatory School Children in Assiut Governorate
173
187
EN
Hoda
Diab Fahmy
Community Mental Health Nursing Department, Faculty of Nursing, Assiut University
Fathia
Zaky Mohamed
Pediatric Nursing
Department, Faculty of Nursing, Assiut University
Nadia
Ebraheem Sayied
Psychiatric Nursing Department, Faculty of Nursing,
Assiut University
10.21608/ejhc.2016.156939
Child abuse is a major pediatric problem with deleterious short and long term effects that last<br />into adulthood. The World Health Organization estimates that 40 million children aged below 15<br />years fall victims to violence each year, even though abused children tend to keep quiet, rather<br />than reporting it. The phenomenon of widespread violence among schoolchildren becomes an<br />issue that generates enormous public concern and has become a focus of prevention in nursing.<br />Besides, every child has a right to be protected from harm and to feel safe and secure in an<br />education environment. The aim of this study is to detect child abuse and school violence among<br />preparatory Schoolchildren in Assiut Governorate. A cross-sectional descriptive design was used in carrying<br />out this study. This study was carried out in (4) districts of Assiut governorate; Assiut and Manflot (North<br />Assiut), El-fath (East Assiut), and El-Ghanyiem (South Assiut) districts which were selected randomly from<br />a list of geographical districts to constitute Assiut governorate. The main city and one village were selected<br />randomly from each of the selected districts; the total sample size was 1247 preparatory students from first,<br />second, and third grade, of both sexes and their age ranged between 13 to 15 years old recruited through the<br />multi- stage random sampling technique. Data were collected during the period from the beginning of<br />November 2013 to the end of April 2014 through using the following tools: 1) - A simple questionnaire<br />which was developed by the researcher to collect relevant information and 2)-A child abuse scale which was<br />adapted from El-bheary and Abodeef Child abuse scale (2003) to assess the types and severity of child<br />abuse. The results of this study revealed that, the majority (88.5%) of the studied children was subjected to<br />mild sexual abuse, followed by mild physical abuse (81.6 %), followed by less than two thirds (63%) of<br />them faced mild emotional abuse while about one third of them suffered of moderate emotional abuse and<br />only a small percentage (3.4%, 3.3%, 2.6%) experienced severe emotional, physical or sexual abuse at<br />schools respectively. Highly statistically significant differences were found between the exposure<br />of studied children to physical abuse, emotional abuse, sexual abuse, their and their parents’<br />characteristics, and their gender, grade level in preparatory schools, birth order, their mothers’<br />occupation and family size. The present study concluded that, preparatory school children in<br />Assiut Governorate were subjected to different forms of mild violence at schools in both urban<br />and rural areas that all schools need to pay attention to. Unfortunately, mild sexual abuse was the<br />most prevalent form of violence among studied children in preparatory schools. Girls tend to be<br />the main victims of all types of violence at schools. Some characteristics of studied children and<br />their parents were associated significantly with all types of abuse. Large family size (more than 6<br />members) was foremost associated significantly with all types of abuse. The study recommended<br />close supervision of the students at schools, especially girls, and developing an extensive<br />afterschool program, such as different sports, club and social activities
child abuse,School Violence,Child Right
https://ejhc.journals.ekb.eg/article_156939.html
https://ejhc.journals.ekb.eg/article_156939_7e0416367c009181caba1e86c631b0c8.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Effect of Health Education Program on Care Provided by Mothers to Their Children with Leukemia
188
206
EN
Ferial
Fouad
Community Health Nursing Department, Ain Shams University
Mervat
M. Hassan
Community Health Nursing Department, Ain Shams University
10.21608/ejhc.2016.156940
Leukemia is the most common childhood malignancy that starts in early blood forming cells<br />found in the bone marrow. Aim: The aim of this study was to evaluate the effect of health<br />education program on care provided by mothers to their children with leukemia. Study Design: A<br />quasi-experimental design was used to conduct this study. Setting: This study was conducted at<br />the Outpatient Clinic of 57357 Hospital. Subjects: A purposeful sample of 60 children and their<br />mothers were selected. Tools: Three tools: 1) An Interviewing questionnaire to assess<br />demographic characteristics for children with leukemia and their mothers, children health needs<br />and problems, mothers' knowledge about leukemia. 2) An Observational checklist to assess<br />mothers' practices. 3) Medical records for children’s health status. Results: 73.3% of mothers<br />had unsatisfactory knowledge about leukemia and its treatment, and 65% of them, their total<br />practice about the care provided for their children with leukemia not done pre program while post<br />program, it showed highly statistically significant improvement (X2 = 14.7368 at P < 0.0001).<br />Also, for around half of children with leukemia their physical, psychological, personal, and social<br />health needs were not achieved and they had severe health problems related to side effects of<br />chemotherapy pre program. Conclusion: The study concluded that there were statistically<br />significant efficacy of the educational program on improving the mothers' knowledge and<br />practices about the care provided to their children with leukemia. As well, a highly statistically<br />significant achievement of total children's health needs post educational program but<br />insignificantly related to reducing their health problems. Recommendations: The study<br />recommended that periodic health education and training program for all mothers of children with<br />leukemia to improve their knowledge and practices about the care provided to their children at<br />outpatient clinic or after chemotherapeutic session.
Children with leukemia,side effects of chemotherapy,mothers' care provided educational program
https://ejhc.journals.ekb.eg/article_156940.html
https://ejhc.journals.ekb.eg/article_156940_4298162c9e1e25545651702d00b93fe8.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Effect of Rehabilitation Program on Functional Abilities, Psychological condition, and Disability Level of Patients with Neurological Diseases in Kingdom of Saudi Arabia
207
218
EN
Jehan
Y. ElRazkey
Nursing department
Raid
S. Al-Baradie
Medical Laboratory department
Amal
A. AlOtaibi
Medical Laboratory department
Jazzi
S. AlOtaibi
Nursing department
10.21608/ejhc.2016.156942
Introduction: Cerebrovascular accident victims suffer from permanent disability and<br />handicaps, motor and sensory losses, loss of functional abilities, inability to carry out ADL, and<br />depression. So, rehabilitation is the corner stone of management of post-cerebrovascular accident<br />patients. Methodology: A randomized controlled trial had been carried out, 40adults' post<br />cerebrovascular accident patients at Out Patient and Rehabilitation unit of King Khaled Hospital,<br />Majmaah, Kingdom of Saudi Arabia had been equally assigned to control group maintained on<br />standard hospital treatment protocol and a study Group received standard hospital treatment<br />protocol in addition to the rehabilitation program. Both groups were monitored using Barthel<br />index, State Trait Anxiety Inventory (STAI), and The Berg Balance Scale (BBS).Results: The<br />study group had achieved more significant improvement than the control group, as the mean score<br />of improvement of Barthel Index (BI) in the exercise group was 39.0±13.80, while it was<br />10.0±8.91 for the control group. On the same hand, there was significant improvement of the<br />mean score of Berg Balance scale in the exercise group 12.03±4.84 than the control group 5.0 ±<br />3.53. Moreover, significant improvement of the mean State Trait Anxiety inventory (STAI) of the<br />exercise group 21.40± 8.15 if compared to that of the control group 7.47±3.43.Conclusion:<br />Rehabilitation program had significantly improved functional abilities, psychological condition,<br />and disability level of post-cerebrovascular accident patients.
Rehabilitation,functional abilities,psychological condition,Disability
https://ejhc.journals.ekb.eg/article_156942.html
https://ejhc.journals.ekb.eg/article_156942_70ed793fc5a2ef8cb9344e978f5bf3ba.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Effect of Self Learning Package on Critical Care Nurses' Performance Regarding Care of End of Life Patient
219
234
EN
Rasha Awad
A' Elmagied Salime
Adult Nursing Deparment, Helwan University
Ola
A’Elaty Ahmed
Adult Nursing Deparment, Helwan University
Manal
Salah Hassan
Medical-Surgical Nursing, Ain shams University
Zeinab
Hussein
Medical-Surgical Nursing, Ain shams University
Yosreah
Mohamed Mohamed
Medical-Surgical Nursing, Ain shams University
10.21608/ejhc.2016.156944
Introduction: Cerebrovascular Background: Critical care nurses are expertly trained to care<br />for critically ill patients; however, many critical care nurses feel inadequately prepared to provide<br />end of life care to patients in the intensive care unit. The nurses attribute this to lack of support<br />and training on end-of-life care. The study aim was to assess effect of self-learning package (SLP)<br />on critical care nurses' performance regarding care for end of life patient. Methods, Design: To<br />achieve this aim a quasi-experimental design was utilized. Subjects and setting: A convenient<br />sample of 60 nurses was selected from surgical, medical and neurological ICU of Ain-Shams<br />university hospitals. Study results: Regarding demographic characteristics. This study revealed<br />that, 58.3% of the studied subjects were less than 30 years, 83.3% were female, 75.0% were<br />diploma nurses, 46.7% of them had ten or more years of experience, and 81.7% had no training<br />related to end of life care. Regarding knowledge and practice 15.0% & 23.3% respectively of the<br />study subjects had satisfactory knowledge and practice related to care for end of life patient in pre<br />phase, 80.0% & 81.7 % respectively in post implementation of self-learning package and 60.0%<br />&45% had a satisfactory knowledge and practice in follow up phase. While regarding attitude,<br />positive attitude was 5%, 80% and 55% respectively in pre, post and follow up phases<br />Conclusion: The current study concluded that there was highly statistically significant increase of<br />total score of nurses' knowledge, practice and total score of nurse’s attitude pre/post, pre/follow<br />up and post/ follow up phases of SLP implementation. there was statistically significant positive<br />effect for SLP on nurses' knowledge, practice and attitude. Recommendations; conduction of<br />further researches in end of life care to enrich, improve, & update nurse's knowledge, practice and<br />attitude. Periodic in-services education program regarding end of life care and self-learning<br />package to be performed for patients are recommended.
End of life care,Self-Learning Package,Nurses' Performance
https://ejhc.journals.ekb.eg/article_156944.html
https://ejhc.journals.ekb.eg/article_156944_503bd8240dbbfb3521b488b90289f741.pdf
Ain Shams University, Faculty of Nursing
Egyptian Journal of Health Care
1687-9546
3009-6766
7
2
2016
06
01
Effect of Relaxation Techniques in Controlling Anxiety among Patients with Essential Hypertension
235
246
EN
Galila
Shawky El-Ganzoury
Psychiatric Mental Health Nursing Department, Faculty of Nursing, Ain Shams University
Amal
Elias
Psychiatric Mental Health Nursing Department, Faculty of Nursing, Ain Shams University
10.21608/ejhc.2016.156945
Essential hypertension is the most prevalent type of hypertension. It increases progressively<br />with age. Aim of study: Was to assess the effect of relaxation technique "Progressive Muscle<br />Relaxation (PMR)" in controlling anxiety among patients with essential hypertension. Design: A<br />quasi-experimental study design was utilized. Setting: It was conducted on 40 patients with<br />essential hypertension in the out-patient clinic of medical diseases - Ain Shams University<br />Hospital. Tools: 1) A Structured Interview Questionnaire (SIQ): That was designed by the<br />researchers based on recent local and international related literatures and articles, it was include,<br />the socio-demographic data of the studied sample which are; age, sex, marital status, etc., it was<br />also include the medical history and duration of illness, body mass index, blood pressure control<br />and previous attendance of any courses or programs regarding relaxation techniques. 2) Patient<br />Knowledge Questionnaire (PKQ): It was developed by the researchers to assess patients'<br />knowledge about relaxation techniques. 3) Taylor Anxiety Scale: It was designed by Janet Taylor<br />(1953) to assess level of anxiety. Results: There are highly statistically significant differences<br />were found between pre and post training of relaxation techniques regarding the relationship < /div><br />between' level of anxiety and total knowledge of the patients. Conclusion: The implementation of<br />relaxation techniques had a positive effect on anxiety and blood pressure of patients with essential<br />hypertension. Recommendation: - Further research is required to study the effect of<br />implementing the developed self-care guide on such a group of the hypertensive patients.
Relaxation techniques,anxiety,Essential hypertension
https://ejhc.journals.ekb.eg/article_156945.html
https://ejhc.journals.ekb.eg/article_156945_d79688cce458e78e2ca77c44ca68956a.pdf