2024-03-29T09:25:23Z
https://ejhc.journals.ekb.eg/?_action=export&rf=summon&issue=18689
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Prevalence of Dysmenorrea and its Effect on Student’s Quality of Life
Samar Shaban
Abdelazim
Sabah Metwaly
Mohamed
Eman Mostafa
Sayed
Hanaa Kamal
Helmy
Background: Dysmenorrhea is the leading cause of gynecological morbidity in womenof reproductive age and it was found to have significant effect on day-to-day activities. Presentstudy aimed to assess prevalence of dysmenorrea and its effect on Student’s Quality of Lifeat Faculty of Nursing Beni-Sueff University. Subjects and Methods: This study wasexploratory descriptive, A convenient sample was selected from 516female students at facultyof Nursing Beni-suef University Data collection tools:1) Socio-demographic Questionnaire2) verbal multidimensional scoring system 3) Pediatric quality of life Generic Core Scales.The results of the study revealed that the majority of the studied students suffered fromdysmenorrheal in different grads, most of them experienced grade 1, more than one thirdexperienced grade 2 and eighty percent of them experienced grade 3. Forty had moderate levelof quality of life in physical health while more than one third experienced low level inpsychological health, less than half experienced low level in social health and more than halfexperienced low level in academic performance and there was highly statistical significantcorrelation between dysmenorrheal and quality of life. The study concluded that the majorityof the studied students suffered from dysmenorrheal & it had negative effect on quality of life,leading to absenteeism, reduced physical activity, loss of concentration, and poor socialrelationship. So study recommended to conduct better quality population-based longitudinalstudies on the natural history of dysmenorrhea and on the effect of its risk factors across thereproductive life course.
Students
Dysmenorrhea
quality of life
2020
12
01
1
14
https://ejhc.journals.ekb.eg/article_124844_165bef9820991deaa834de96a30104d6.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Nurses' Performance toward Quality Documentation for Patients in ICU: Suggested Guidelines
Kamelia Fouad
Abdallah
Mona Nadr
Ebraheim
Mona Rabea Abdel
Aziz Elbakry
Background: Nursing documentation is the recording, documenting or charting ofnursing care that is planned or given to the patients in intensive care unit (ICU) by qualifiednurses. It is any written or electronically generated information about a client that describes thecare or service provided to that client. The aims of this study were: 1. Assessing nurses'performance toward quality documentation for patients in ICU. 2. Suggesting guidelines forquality documentation for patients in ICU. Study design: a descriptive study was used toachieve the aim of this study Subject: A convenient sample includes all registered nurses (50).Setting: This study was conducted in intensive care unit affiliated to Mansoura EmergencyHospital Tools: three tools were used for data collection; self-administered questionnaire,nurses’ practice observational checklist and nurses' attitude likert scale. Results andconclusion the results of this study showed that, more than half of the studied nurses had gotsatisfactory level of knowledge, near three quarter of studied sample had got unsatisfactorylevel of practice, and more than three fifth had got negative attitude toward qualitydocumentation for patients in ICU. Recommendation Training program including thesuggested guidelines toward quality documentation for patients in ICU must be implementedfor nurses based on their need assessment, and evaluate its effectiveness on their performance.
Nursing Performance
quality documentation
ICU
Suggested guidelines
2020
12
01
15
31
https://ejhc.journals.ekb.eg/article_124845_bddfe920bfa7ff7d1edd99152ea115f4.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Assessment the Incidence of Ventilator -associated Pneumonia for Critically Ill Patients in the Intensive Care Unit
Zeinab Hussein
Ali
Tamer sayed
Abd El mawla
Shimaa Ramadan
Ahmed
Background: Ventilator-associated pneumonia (VAP) is one of the most frequentICU-acquired infections and a very challenging infection as it continues to complicate thecourse of 8% to 28% of patients receiving mechanical ventilation one that must be preventeddue to its high morbidity and mortality. Aim of the Study: This study was conducted to assessthe incidence of ventilator-associated pneumonia for critically ill patients in the Intensive CareUnit. Materials and Methods: A descriptive exploratory design was utilized was used in thisstudy. Setting the study was conducted at El-fayoum university hospital. The study subjects;A Purposive sample of 30 patients from both genders, with different ages and educational levelswere selected for this study. Tools of the study consist of two tools, the first tool was PatientAssessment sheet, and the second tool was VAP Assessment Tool. Results: It was found thattwo third of the studied patient were male with mean age X¯ ± SD (52.40 ± 14.40).also onlytwo fifth of them smoker and about two third were unconscious. further about two third ofstudied patient had VAP in the third day of the study. Conclusion. About two thirds of studiedpatient were male, non smoker and unconscious. Moreover, the incidence of Ventilatorassociated Pneumonia increased in the fifth day than third day. Recommendations:Replication of the study using a large probability samples acquired from different geographicareas. Policies and guidelines related to infection control measures must be informed to thenurses in order to prevent ventilator associated pneumonia.
Assessment
Critically Ill Patient
Incidence-ventilator associated pneumonia
2020
12
01
32
39
https://ejhc.journals.ekb.eg/article_124846_90580bcdf3c1e50a08271e8a084994d4.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Association between School Refusal Behaviors and Anxiety Level among School-Age Children
Amel abd Elaziem
Mohamed
Manal Mohamed Ahmed
Ayed
Sabra Mohamed
Ahmed
Safaa Mustafa
Mohamed
Thorea Mohamed
Mahmoud
Background: School refusal is considered a serious problem that may cause manystressors to the child and that also interferes with the child's social and educationalachievement. Anxiety may not just associate with “school refusal”, but also includingunexcused absences or truancy. The study aimed to investigate the association betweenschool refusal behaviors and anxiety level among school-age children. Design: using adescriptive correlational research design was adopted for this study. Sample: - included 630school-age children who selected randomly from five primary and preparatory schools atSohag city in March 2019. Tools: A student demographic data and Child Anxiety-RelatedEmotional Disorders to assess a child's anxiety and The School Refusal Assessment ScaleRevised (SRAS-R). Results: 13.42 ± 2.71 was the mean age of school-age children.Regarding the severity of school refusal was moderate among more than one third of schoolage children. There was a statistically significant association between School-age children'sanxiety and their school refusal behaviors p < 0.05. Conclusion: school refusal behavior wassignificantly associated with anxiety level among school-age children. A high percentage ofschool-age children reported that primary reason for school refusal was the desire to stay withone or both parents at home Recommendations: School-age children should be provided withhealth information about behavioral strategies in the management of school refusal.
association
school refusal behaviors
anxiety
School-age children
2020
12
01
40
57
https://ejhc.journals.ekb.eg/article_124847_4d11bcfe81ad9b957253358d11cc448c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Predictors of Suicidal Thoughts among Substance Abuse Patients: Problem-Solving Ability and Hopelessness
Safaa Mohamed
Metwaly Atia
Hanem Ahmed Abdel Khalek
Ahmed
Background: Substance abuse has become a serious health issue. Ineffective problemsolving among Substance abuser can lead to hopelessness and loss of control to commitsuicide. This study was aimed to investigate the ability to solve problems and hopelessnessas predictors of suicidal thoughts among patients with drug abuse. A descriptive researchdesign was utilized in this study. A purposive sample of 162 patients with substance abusedisorder was selected from El-Azazi Hospital for Mental Health in Abo-Hamad City, SharkiaGovernorate. Participants completed the Socio-demographic and clinical data sheet, DrugAbuse Screen Test, Problem-Solving Inventory, The Beck Hopelessness Scale, and SuicideProbability Scale. The results revealed that the majority of studied participants had suicidalthoughts. More than one-third of them had severe level of drug abuse, mild level ofhopelessness and was unable to solve their problems. There were statistically significantpositive correlations between suicidal thought, problem solving ability, and feeling ofhopelessness. Hopelessness, drug abuse, patients' age, and monthly income were significantpredictors for suicidal probability among drug abuse patients. Therefore, it is recommendedto conduct an intervention programs for drug abuse patients to strengthen their problemsolving ability and develop adaptive coping strategies.
Suicidal thoughts
Substance abuse
problem solving
hopelessness
2020
12
01
58
82
https://ejhc.journals.ekb.eg/article_124848_62a78036f7158bac9c62c428373f44d5.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Guided Clinical Reasoning on Nursing Students' Knowledge and Achievement Regarding Management of Primary Postpartum Hemorrhage
Hanan
El-Sayed Mohamed El-Sayed
Samia
I Hassan
Suzan
El-Said Mansour
Background: Clinical reasoning (CR) is crucial for learning and improving. Today'shealthcare services require effective use of clinical reasoning complex nursing situations inorder to quickly assess the need for patient care. This study aimed to evaluate the effects ofguided clinical reasoning on nursing students' knowledge and achievement regardingmanagement of primary postpartum hemorrhage. Design: Quasi experimental research designwas utilized. Setting: The study was carried out at two settings; the first one was MaternityNursing Lab at the Faculty of Nursing-Mansoura University, Egypt, the second was Labor &Delivery room of Mansoura University Hospital, Egypt. Subjects: One hundred and fournursing students enrolled in the maternity course during 2nd term of the academic year 2018-2019 were recruited in the study. Sample type: Purposive sampling technique. Tools: Datawere collected by using four tools (Structured Interviewing schedule, Students’ achievement,Observation checklist, Students’ satisfaction scale). Results: The students in the clinicalreasoning group reported a significant improvement of knowledge regard CR than those oftraditional group (P=0.0001), Pretest data related to students achievement between CR group < /div>and traditional group, showed no statistically significant difference between both groups (p =0.182).While there was highly statistically significant difference in posttest with improvementin CR group (P 0.0001). Also, there was a highly statistically significant difference betweenboth group regarding implementing CR steps of 1ry pphge management, moreover CR group < /div>reported more satisfaction by training method than traditional group. Conclusion: It wasevident that CR teaching method was an effective; provided students with knowledge andpractices that translate into significantly higher achievements and higher satisfaction scorescompared to the traditional method. Recommendation: The study recommended thatintegrating CR method in maternity nursing and midwifery curriculum for positive patientoutcomes.
Achievement
Clinical reasoning
Knowledge
Satisfaction
primary postpartum hemorrhage
Management
2020
12
01
83
95
https://ejhc.journals.ekb.eg/article_124849_34760725726d7dad3a034f1e09d27fa5.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Nursing Staff Awareness about Evidence Based Practice: Facilitations, Barriers and Beliefs
Ebtisam Sabry Foaad
Ramadan
Hanan El-said
Elsabahy
Ahlam Mahmoud
El-shaer
Background: Today evidence-based practice (EBP) becomes one of the best ways that used formaking clinical decisions and has an effect on health care outcomes as well as it improves the quality ofcare provided to patients. Aim: Assess nursing staff awareness about evidence based practicefacilitations, barriers and beliefs at Belqas Central Hospital (BCH). Design: Cross sectional design.Settings: current study was carried out at Belqas Central Hospital (BCH), affiliated to Ministry OfHealth, Dakahlia Governorate. Subjects: the study was conducted on nursing staff (228). Data collectiontools: Data was collected using evidence based practice (EBP) questionnaire, Facilitators to changepractice based on evidence based practice scale, barriers to find, use and review evidence scale andevidence based practice beliefs scale. Results: revealed that the highest total mean score of facilitationswas related to organizational structure and health care environment while the lowest mean score wasrelated to research information. As well as the highest total mean score of barriers was related toindividual nurse characteristics while the lowest mean score was related to research information. Also69% of nursing staff were agreeing with EBP, realizing its benefits and importance. Conclusion: nursingstaff focus on their experience and ways that always used in providing nursing care as a source for theirinformation. In addition to most of them were competent in fifinding, reviewing and using evidence inpractice. Organizational structure and health care environment was perceived as a main facilitation ofEBP, while individual nurse characteristics were perceived as the highest barriers of EBP. Most nursingstaff had positive beliefs about EBP and realized its benefits in health care system. Recommendations:Ongoing training programs about EBP for nursing staff, maintaining adequate staffing in different shiftto relieve nurses’ workload and help them to attain workshops and scientific conferences that updatingand increasing their knowledge about EBP. Provide organizational support for EBP implementation.Translating the most relevant researches and distributed them for nurses to apply in practice to overcomethe English language barrier. Increasing interest in the research and EBP process through integrating theEBP strategies in nursing curriculum.
evidence based practice
Facilitations
barriers
beliefs
2020
12
01
96
120
https://ejhc.journals.ekb.eg/article_124850_80fc2a248a7d6c0da469fd7e1d4ce257.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Application of Multicomponent Nursing Intervention to Controlling Delirium and Duration of ICU Stay among Critically Ill Older Adult Patient
Zahra Ahmed
Sayed
Eman Mohamed Ebrahim
Abd-Elraziek
Islam Galal
Sayed
Background Few studies have investigated delirium in a respiratory intensive care unit(RICU) population, thus knowledge is limited regarding it. Aim, the present study aimed toinvestigate the effectiveness of application of multicomponent nursing intervention tocontrolling delirium among critically ill older adult patients. Quasi-experimental researchdesign was carried out to meet the aim of this study. A purposive sample included 60 old agecritically ill patients taken from respiratory intensive care in Aswan University Hospital. Tool1, Patient assessment sheet was used for collecting data, which included two parts: biodemographic data and medical data, Tool2, intensive care delirium screening checklist todetection and monitoring delirium include eight screening area Each feature that manifests aregiven one point and zero point if not manifests Ascore ≥ 4 indicated delirium.Tool3, RichmondAgitation Sedation Scale (RASS) to predicted type of delirium. Tool4 Multiple nursingintervention for controlling delirium. Results: Delirium was frequent in patients in thestandard care group compared with our intervention group (p = 0.04), however no substantialdifferences between both groups regarding types, duration or delirium severity (P≥ 0.05),respectively. Moreover, the duration of ICU stay was lowered in our intervention group (P=0.001). Age was a substantial risk element for delirium development by multiple regressionanalysis. Conclusion: the delirium episodes during RICU stay were established to all criticallyolder adults with respiratory illnesses, as anticipated, after application of a multicomponentnursing intervention, the incidence of these adverse consequences was reduced.Recommendation: replication of these study on the large sample size in other ICU thatprovide care for critically ill older adult patients to decrease incidence of delirium withincritical care setting.
Delirium
Nursing intervention
Critically elderly ill patient
and Respiratory intensive care unit
2020
12
01
121
137
https://ejhc.journals.ekb.eg/article_124851_c1e8ca11a7c5f0840428b427e597affb.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Instructional Guidelines on Mothers’ Emotional Status Regarding Children Returning to School during Corona Virus Disease
Manal Mohamed
Ahmed Ayed
Sahar Farouk Mahmoud
Hashem
Corona virus Disease 2019 (COVID-19) outbreaks and lockdown measures have a negativepsychological impact on Egyptian mothers. Back to school planning will look different for mothersthis year than it has in previous years that cause an increase of mothers' stress and anxiety abouttheir children. Aim: This study aimed to evaluate the effect of instructional guideline on mothers'emotional status regarding children returning to school during the COVID -19. Subjects andmethod: A quasi-experimental research design was used on a convenience sample of 330 mothersresiding at Sohag Governorate, Egypt, having children at the primary education level. Two toolswere utilized to collect the data in this study: A self-administered questionnaire (pre and posttestformat) to assess mothers' knowledge about COVID - 19, and Depression, Anxiety, and Stress Scale(DASS) to measure the mothers’ emotional status symptoms. The link of the survey using thequestionnaire, the scale and the instructional guideline were sent to the respondents' mothers viaFace book and Whats App groups. Results: The present study revealed that, there were highlystatistical significant differences between mothers’ knowledge about COVID-19 and theirdepression, anxiety and stress levels regarding children returning to school at the COVID-19pandemic outbreaks before and after implementation of the instructional guideline. Also,Mothers' emotional status (stress, depression and anxiety levels) were severe before implementationof the guideline while, these levels were low after guideline implementation. Conclusion: Theinstructional guidelines were effective in decreasing mothers’ emotional disturbance as depression,anxiety and stress regarding children returning to school during COVID-19 pandemic outbreaksand improving their knowledge about COVID-19 before and after implementation of theinstructional guideline. Recommendations: Educational programs about COVID -19 and itspreventive measures should be taught to all mothers and psychological support and interventionactivities should be carried out to help them to cope and become more resilient during the COVID-19 epidemic.
Corona virus
Emotional status
Instructional guidelines
Mothers
Returning to school
2020
12
01
138
154
https://ejhc.journals.ekb.eg/article_125751_7b038c0a91b07c11e25e5d867338528a.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Relationship between Psychological Well-Being and Coping Strategies among Family Caregivers of Children with Down syndrome
Amgad Said
Mohammed
Sahar Mahmoud
Eliwa
Rania Abdel-Hamid
Zaki
Background: Rearing a child with Down Syndrome requires use of effective copingstrategies that may have a buffering effect on psychological well-being of family caregivers.Aim: This study aimed to assess the relationship between psychological well-being andcoping strategies among family caregivers of children with Down syndrome. Design: Adescriptive research design was utilized in this study. Setting: This study was carried out inthe Genes Clinics of DS in the specialized clinics of the university pediatric hospital affiliatedto Ain Shams University Hospitals. Subjects: A sample of 120 family caregivers of childrenwith Down syndrome. The study tools were: 1) Interviewing Questionnaire, 2) Ryff’sPsychological well-being scale (1989) and 3) Brief-COPE inventory (Carver, 1997). Theresults: The study showed that family caregivers of children with DS combined betweenemotion-focused and problem focused coping strategies in managing burden of childcaregiving and the most frequent used emotion focused coping strategies were acceptance andreligion while the most frequent used problem-focused coping strategy was use ofinstrumental support. Concerning to psychological well-being, near two thirds of familycaregivers of children with DS had psychological well-being less than usual. Conclusions:There was a negative significant correlation between level of psychological well-being andemotion-focused coping strategies except for use of emotional support, acceptance, selfdistraction, venting, humor and religion. Meanwhile, there was a positive significantcorrelation between level of psychological well-being and problem-focused coping strategiesexcept for positive reframing. Recommendations: Future research to assess factors that mayinfluence role of caregiving and different challenges faced by family caregivers in rearingdifferent aged children with DS.
Psychological wellbeing
Coping strategies
Down syndrome
2020
12
01
155
172
https://ejhc.journals.ekb.eg/article_125752_92e95659fa81db2073465161dde64296.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Educational Program on Nursing School Students' Communication Skills Used with Hospitalized Patients
Shereen
Mohamed Abo- Elyzeed
Samar
Mabrook Elnehrawy
Manal
Abd Elraouf Hassan Mahmoud
Background: Communication is an integral component of all nursing interventions. So,nursing students should learn effective communication skills that are necessary forestablishing a relationship with patients and provide effective nursing care. The study aimedto evaluate the effect of educational program on nursing students’ communication skills thatare used with hospitalized patients. The study conducted at the secondary nursing school inTanta. The study subjects were included all of students enrolled in second academic year(90 students). Design: quasiexperimental research design was used. Two tools were used,tool (1) consists of two parts: Part (1): a socio-demographic questionnaire. Part (2): nurse-patient communication skills questionnaire, Tool (2): nurses communication skillsobservational sheet. The educational program was developed by researchers and consisted ofsix sessions about communication skills. Results There are statistically significantdifferences between before and after the training program regarding all items of students'knowledge and their performance of communication skills during interaction withhospitalized patients (P=0.001) Conclusion: nursing students who attended educationaltraining program improved their communication skills that facilitate their nursingrelationships, and enhance professional nursing care. Recommendations: communicationtraining skills should be established and learned as a separate course in nursing education ofnursing schools.
Communication Knowledge
communication skills
Nursing students
2020
12
01
173
189
https://ejhc.journals.ekb.eg/article_130354_db1fc4dc765f287b2ba618e8c3ef3c5a.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Knowledge, Risk Perception, Preventive Behavior and Emotional Regulation regarding COVID-19 among Nurses Working in Isolation Hospitals
Arzak Mohamed
Ewees
Eman
Abdelazem
Sayed Ahmed
Elwakeel
Background: COVID-19 is an infectious illness caused by a newly discoveredcorona virus now called severe acute respiratory syndrome. Nurses are providing frontline care for patients with COVID-19 that require hospitalization. So, studying of nurses’knowledge of the COVID-19, risk perception, preventive behaviors and emotionalregulation is necessary since COVID-19 is currently spreading in hospitals and all overthe world. Aim: assess nurses' knowledge, risk perception, preventive behaviors andemotional regulation regarding COVID-19. Design: A descriptive exploratory researchdesign was used to achieve the aim of this study. Settings: This study was conducted atseven isolation hospitals in seven Egyptian governorates. Study subjects: a purposivesample of 140 nurses working in isolation hospitals in Egypt Governorates. Tools:Nurses’ demographic characteristics assessment questionnaire, nurses’ self-administeredassessment questionnaire, nurses' preventive behavior assessment tool, nurses’ riskperception assessment tool and nurses’ emotional regulation scale. Results: more thantwo thirds of nurses were females; the majority of the nurses had satisfactory level ofknowledge regarding COVID-19. Concerning preventive behavior, the majority of nurseshad good preventive behavior regarding COVID-19, while more than one third of nurseshad poor level of risk perception. Regarding emotional regulation more than two thirds ofnurses had good level of emotional regulation. Conclusion: The majority of the nurseshad satisfactory levels of knowledge, good level of preventive behavior and riskperception of dealing with COVID-19 patients, and they also have good levels ofemotional regulation, which are reflected positively in dealing and caring COVID-19patients in isolation hospitals. Recommendations: Infection control courses should beimplemented for all the nurses working in isolation hospitals before dealing with COVID19 patients. Providing emotional and psychological support for nurses should be done toincrease the emotional regulation
Knowledge
Risk Perception
Preventive Behavior
Emotional Regulation COVID
19
Isolation Hospitals
Nursing
2020
12
01
190
211
https://ejhc.journals.ekb.eg/article_125754_1e7d481e37c441fd7d6c10e6e5a1caa7.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
The Relationship between Insight and Quality of Life among Schizophrenic Patients
Aya
Manea
Rania Abd El Hamid
Zaki
Amira
Morsi
Background: Schizophrenia is an overwhelming mental illness which characterizedby positive and negative symptoms. These symptoms may have a negative impact on aperson’s social, occupational or interpersonal functioning and his quality of life. Insight inschizophrenia is a complex and controversial phenomenon. Deficit of insight inschizophrenia has been conceptualized in a number of ways and has come to encompassmore general unawareness. Aim of the study: This study aimed to assess the relationship < /div>between insight and quality of life among schizophrenic patients. Research design: Adescriptive design was utilized. Setting: This study was conducted at out-patients clinics atEl Abassia psychiatric and mental health hospital. Subjects and Methods: A convenientsample of 120 patients with schizophrenia. Tools of data collection: A socio-demographicinterviewing sheet, The New re-standardized Insight scale, and The Schizophrenia Quality ofLife Scale. Results of the study showed that, more than half of patient with schizophreniawere female which lived in urban area and always they were worry about their future, feelinglonely, feeling hopeless, taking things people say the wrong way, feeling down anddepressed, feeling very mixed up and unsure of person self, feeling go up and down, worryabout things and sometimes get upset thinking about the past .Conclusion: According to thisstudy, more than one third of the patients with schizophrenia understudy was insight less andmore than half of them had a poor quality of life. Also, there was a positive correlationbetween level of insight and quality of life among patients with schizophrenia.Recommendation: Implementing counseling intervention program for promoting quality oflife among patients with schizophrenia and Psycho-educational intervention program shouldbe designed to reduce the negative implications of schizophrenia and to improve insightamong patients with schizophrenia
Schizophrenic Patients
insight and quality of life
2020
12
01
212
223
https://ejhc.journals.ekb.eg/article_125755_014342e21c5978a8832abd1d243b9255.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Women's perception regarding Screening for early detection of Breast Cancer
Amira
Fatouh
Shadia
Hamido
Eman
Moustafa
Amira Morsy
Yousif
Back ground: Screening for Early Detection of Breast Cancer remains the primaryway to prevent the development of life-threatening breast cancer that are detected non-palpablemore treatable and thus are associated with more favorable prognosis. The aim of the study:to assess women’s perception regarding screening for early detection of breast cancer.Research Design: Descriptive approach was used in this study. Setting: The study wasconducted in Nasser institute (women health unit) that is a new unit for women health whichhas many activities including screening for breast cancer. Sample: convenient sample consistof 150 women from the previous mentioned setting. Tools: 2 tools used the first tool structuredinterviewing questionnaire used to assess general characteristics, history of breast healthproblem and screening and early detection of breast cancer. Second tool health belief modelused to assess women knowledge and attitude regarding screening for early detection of breastcancer. Result: there was more than one third of studied women had good knowledge andnearly half of them had positive attitude regarding screening for early detection of breastcancer. Positive correlation between total knowledge of the studied women and their totalattitude. Conclusion: the present study was concluded that more than one third of women hadgood knowledge regarding screening for early detection of breast cancer. Nearly half of themhave positive attitude regarding screening for early detection of breast cancer. More ever itwas positive correlation between their total knowledge and total attitude regarding screeningfor early detection of breast cancer. Recommendation: add Educational program to educatewomen in primary health care setting / hospital about new screening and its importanceprocedure for breast cancer screening through work shop / booklet. Further study: Barriersfor practice of screening of breast cancer among high risk groups.
breast cancer
Screening
early detection
perception
2020
12
01
242
259
https://ejhc.journals.ekb.eg/article_125757_0192b1031d874ffcde1d01b2855f00d0.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Pregnant Women’s Knowledge, Attitude and Self-Protective Measures Practice regarding Corona virus prevention: Health Educational Intervention
Aziza Ibrahim
Mohamed
Doaa Mohamed Sobhy
Elsayed
Taisser Hamido
Abosree
Nadia Abd ElHamed
Eltohamy
Background; Boosting pregnant women knowledge attitude and practice regardingCOVID19 are key elements that ensure pregnant women health and safety. Pregnant women’sadherence to control measures is affected by their knowledge, attitudes, and practices (KAP)towards COVID-19. Aim: this study aimed to evaluate the effect of health educationalintervention on pregnant women knowledge, attitude and self-protective measures practice towardprevention of COVID 19. Setting: the current study was conducted at six maternal and childhealth centers affiliated at Kalioubia governorate. Research Design: a quasi-experimental designwas used. Sample: simple random sample included 340 pregnant women, recruited as (160) incontrol group and (180) study group. Tools: three tools were utilized for data collection; Astructured interviewing questionnaire, knowledge assessment sheet, COVID 19 related attitudeassessment tool, and COVID 19 preventive measures practice assessment. Results: the presentstudy revealed a highly statistical significant improvement of knowledge attitude and practicebetween subjects at both study and control group. In addition study group subjects indicated highsatisfaction level regarding the study guideline. Conclusion: heath educational guideline iseffectively improving pregnant women knowledge, attitude and self-protective measures practiceregarding prevention of COVID 19.
Heath education
Guideline
Knowledge
Attitude
practice &COVID19
2020
12
01
260
278
https://ejhc.journals.ekb.eg/article_125758_12aeec090249db6ef8b4976f712f38fe.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Implementing Murdoch Bowel Protocol on the occurrence of Constipation among Critically Ill Patients
Mohamed Ramadan Abd-Elfatah
Abd-Elraheem
Zienab Hussein
Ali
Nahla Shaaban
Khalil
Doaa Hamed
Mohamed
Background: Constipation is a common complication identified among critically illpatients. It leads to a host of problems for patients admitted to critical care; it contributes tofailure to feed, delayed weaning from mechanical ventilation and longer hospital stay. Theaim of this study was to evaluate the effect of implementing Murdoch bowel protocol on theoccurrence of constipation among critically ill patients. Design: A Quasi experimentaldesign was utilized for this study. Subject: A purposive sample of 68 adult patients aged 20years or more from both genders. Setting: The study was conducted at the Intensive careunits at El-Fayoum University Hospitals. Tools: Three tools were used in the study (I)Patient's Demographic and Health Relevant Information which included (a), demographiccharacteristics, (b) health relevant information, (II) Bristol Stool Form Scale (BSFS), tool(III) Constipation Assessment Scale (CAS). Results: this study revealed that, near threequarter of the control group had constipation, versus one fifth in the study group. Moreover,above two fifth of the study group showed ideal stool versus less than one fifth of the controlgroup. Conclusion: applying Murdoch bowel protocol showed significant improvement inreduction of the incidence of constipation among critically ill patients. Recommendation:Implementing Murdoch Bowel Protocol for critically ill patients and apply the Protocol stepson a regular basis. An assessment tool such as Bristol Stool Form Scale (BSFS) forassessment of patient's bowel condition should be incorporated as a part of routine care forcritically ill patients.
constipation
Critically Ill Patients
Murdoch Bowel Protocol
2020
12
01
279
299
https://ejhc.journals.ekb.eg/article_125759_b2a0bad1b3d55c94c7362f9766c72d6f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Oocyte Cryopreservation: Awareness and Perception of Infertile Couple Undergoing In-Vitro Fertilization
Rania Eid
Farrag
Nadia
El-tohamy
Background: Since the In-vitro fertilization law imposed no more than three embryosfor a single transfer; oocyte banking has become a current practice in order to avoid thedestruction of surplus oocytes and repeated ovarian stimulations. The Oocytecryopreservation remains a rare practice. The current study aimed to assess the awarenessand perceptions of infertile couple undergoing In-Vitro fertilization regarding oocytecryopreservation. Descriptive cross section design was adopted. A purposive samplingtechnique was used to recruit 500 infertile couple undergoing IVF at six centers of fertilityin Cairo and Giza, Egypt with different category (governmental hospital, private hospital andprivate centers). Data were collected using structured interviewing questionnaire andcouple’s perception towards oocyte cryopreservation. Results: slightly more than half ofmen and women (54.6% and 62.4%) respectively heard about the oocyte cryopreservation,while (13.8% and 14.4%) of men and women respectively had satisfactory level ofknowledge regarding the oocyte cryopreservation. In addition, about less than half of women(46.5%) and less than one third of men (30.4%) had the willing to utilize Cryopreservationservices. The most factors affecting women to utilize the oocyte cryopreservation serviceswere long-term risks of the health from the ovarian hyper simulation and egg retrievalprocess as well as age, while among the men were; save the time, money in the case offailure IVF trail, and current success rates. Also, the study highlighted that, about less thanhalf (43.3%) of the studied women and slightly more than one third (36.6%) of the studiedmen had positive perception toward the oocyte cryopreservation. Conclusion: most ofinfertile couples undergoing IVF had unsatisfactory knowledge regarding oocytecryopreservation, which leads to negative perception about the practice among more thanhalf of the studied subject. Recommendation: couples should be counseling about oocytecryopreservation, its steps and benefit before starting the cycle of IVF procedure.
Oocyte cryopreservation
infertile couple
in- vitro fertilization
awareness and perception
2020
12
01
300
321
https://ejhc.journals.ekb.eg/article_125760_464b6b32ca907dc8b3893d0177e2bcd8.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effectiveness of Nurse-Led Lifestyle Intervention on Outcomes of Metabolic Syndrome Patients
Mona Mohamed
Ibrahim
Shimaa Mohamed
AbdouRizk
Fadia Ahmed Abd elkader
Reshia
Background: Adjustment of life style required multifactor as education,
physical exercise, healthy diet, and pharmacological strategies which considered
an imperative guidelines for treatment and prevention of metabolic syndrome.
Aim: investigate the effectiveness of nurse-led lifestyle intervention on
outcomes of metabolic syndrome patients. Method: A quasi-experimental
research, a convenience sample of 160 patients attended to medical and diabetic
out-patients clinics of Specialized Medical Hospital, Mansoura University. An
interview questionnaire was used to accomplish this study. Results: High
percentages of the studied groups pre-test were low self-efficiency (≤ 37.6),
while high percentages of the studied groups post-test were having high self
efficiency (≥ 74.6). There were statistical significant correlation between
metabolic syndrome and health-promoting lifestyle and self-efficiency among
studied patients (P. value 0.01). Conclusion: Applying the nurse-led lifestyle
applied program has positive effect on promoting self-efficacy and health
promoting behaviors for metabolic syndrome patients. Recommendations: It is
important to ensure application of lifestyle applied program by nurses as a
scheduled care for metabolic syndrome patients.
Metabolic syndrome
Nurse-Led
Life Style Intervention
Health promoting behaviors
Self-Efficacy
2020
12
01
322
340
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Asymptomatic Urinary Tract Infection among Female University Students
Suliman
Ali Al Youssef
Asmaa
Ghareeb Mohamed
Reham
Ahmed Abdelrahman
Randa
Mohamed Abo Baker
Nagwa
Ibrahim Abass
Huda
Khalafalla Ahmed Masaad
Background: Asymptomatic urinary tract infections (AUTI) are common inapparently healthy populations and are detectable in the laboratory as 'significantbacteriuria’. Aim of the study: This study aimed to assess the asymptomaticbacteriuria among the university students and to examine the student's practices andrisk factors that contribute to the occurrence of asymptomatic bacteriuria. Subject andMethod: A descriptive cross-sectional study included 184 student selected by stratifiedrandom sampling technique. Data were collected using self-administered onlinequestionnaires that included a personal data, history of UTI, health-related hygienicpractices and dietary preference has and habits. Urine investigation was done for theparticipated students. Descriptive statistics, cross-tabulation were used for dataanalysis. Results: The finding showed that nearly one-third of the study participantsreported had a previous history of urinary tract infection. The most repeated complaintwas urgency (31%) and side pain (26.6%). Results revealed that (40.2%) were positivefor significant bacteriuria. There was a negative association in the prevalence ofasymptomatic bacteriuria with respect to age. (40.2%). Escherichia Coli was the mostpredominant organism followed closely by Staphylococcus aureus. Ciprofloxacin to bethe most effective antibiotic followed by Amikacin and Nitrofurantoin. Ampicillin,Cloxacillin, and Erythromycin were highly resistant to the isolates. Conclusion: Theresults of this study emphasize the importance of raising students’ awareness andhabitual practices as a primary prevention of the urinary tract infection.Recommendation: Routine urine culture test should be carried out periodically toearly detect asymptomatic bacteriuria
asymptomatic bacteriuria
Urinary Tract infections
university students
eating habits
2020
12
01
341
353
https://ejhc.journals.ekb.eg/article_132988_943da5dbf98753a2d86cc4536b23eb6e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of applying a vascular Nursing Staff Development Competency Program on Nurses Practices and Knowledge
Aziza
El Said Abd El Aziz
Rasha
Fathy Ahmed
Hanan
Abo Bakr Mohamed
Rasha
Hassan Abass Shady
Background: The specialist nurses in vascular surgery department have a great role inthe application of all the core generic knowledge and competencies and special skillsrequired for caring of vascular surgical patients through improves patient outcomes byempowering nurses to implement an evidence-based practice model of care. Thismodel encourages nurses to learn comprehensive vascular care through education andtraining regarding best practice care for patients with complex vascular needs. Aims ofthe study: This study aimed to determine the effect of applying a nursing staffdevelopment program on vascular surgery nursing practices practices and knowledgeDesign: The present study follows a quasi experimental research design .Setting: Thisstudy was conducted at the vascular surgery department, Main University hospital,Alexandria. Subjects: The study Subjects were30 nurses. Tool: Vascular Staff NursePortfolio of Competency assessment check list. Results: Good knowledge wasdetected among 40% of nurses immediately after implementing the nursing staffdevelopment program, and then decreased to 26.7%, after two months post programimplementation, after being zero percent before applying the program.Recommendations: Performing annual in-service training programs, concerning forall nurses working with patients with a vascular disorders, is mandatory, andContinuing nursing supervision, education and evaluation is advocated to identifyareas of knowledge lack or malpractice.
Competency
vascular Nursing
Practices
vascular surgical
2020
12
01
354
365
https://ejhc.journals.ekb.eg/article_132992_4d33ab2491b9882fda1cbd16d60a9db7.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Gustatory versus Auditory Stimulations on Physiological and Behavioral Indicators of Neonates undergoing Endotracheal Suctioning
Omima
Mohamed Reda El Sheshtawy
Gehan
Maher Khamis Ibrahim
Background: Neonatal stress is often poorly managed and many stressful proceduressuch as suctioning are carried out without paying attention to relieve stress. So,gustatory and auditory sensory stimulations help nurses provide developmental carefor neonates during stressful procedures. Aim: This study aimed to determine theeffect of gustatory versus auditory stimulation on physiological and behavioralindicators of neonates during endotracheal suctioning. Hypothesis: Neonates whoreceive gustatory stimulation exhibit stable physiological and behavioral indicatorsthan those who do not. Neonates who receive auditory stimulation exhibit stablephysiological and behavioral indicators those who do not. Design: A quasiexperimental design was used to accomplish this study. Setting: This research wascarried out in Neonatal Intensive Care Unit at specialized Smouha hospital inAlexandria. Sample: This study comprised of 75 neonates. Data collection: Two toolswere used namely; Bio-demographic characteristics and medical history of neonates'assessment sheet which includes characteristics of neonates and their medical data andNeonatal Infant Pain Scale. Results: The main result showed that, after suctioning, allneonates in the gustatory stimulation group and the majority in the auditory stimulationgroup exhibited stability in physiological and behavior indicators compared to none ofthe neonates in the control group. Moreover, three quarters of the neonates among thecontrol group had severe level of stress compared to none of neonates among thegustatory and auditory stimulations groups. The difference was statistically significantbetween the three groups(p=0.000). Conclusion: gustatory and auditory stimulationswere effective in improving neonates' physiological and behavioral indicators of stressduring and after endotracheal tube suctioning. Recommendation: Gustatory andauditory stimulations should be incorporated in NICUs policies to relive neonate stressduring stressful procedures.
Gustatory Stimulation
Auditory Stimulation
Physiological and Behavioral indicators
2020
12
01
366
382
https://ejhc.journals.ekb.eg/article_132994_fe73ff6a18337f1d0f9ee5c6b805b7b8.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Nurses' Perception of Elderly Patient Compassionate Care Delivery in Beni_Suef city
Eman
M. Ibrahim Ghazy
Abeer
Mohamed El Mahgawery Eldeeb
Aziza
M Abozied
Background: Although compassionate care especially for elderly patients isincreasingly addressed in nursing, little work was done in the Egyptian culturalcontext. Aim of the study: to measure nurses' perception of compassionate caredelivery in Beni_Suef city. Subjects and methods: This descriptive crosssectional study was carried-out in Beni_Suef University Hospital, GeneralHospital, as well as Continuing/Long-term care and Home Health Care (HHC)services on 140 nurses in the settings. Data were collected using a selfadministered questionnaire including the compassionate care scale assessingnurse’s compassionate care attitude, practice, and self-confidence. The fieldworklasted from January to June 2019. Results: Nurses’ age ranged between 20 and 65years, mostly females (63.6%), with diploma degree nurses (68.6%). The majorityhad high compassionate attitude (82.9%), but only 51.4% had having adequatecompassionate practice and 59.3% had high confidence in compassionate care. Thecompassionate care confidence and practice scores had significant positivecorrelations with qualification, and negative correlations with age and experience.Conclusion and recommendations: The nurses’ attitude towards compassionatecare is high, whereas their practice of compassionate care and related selfconfidence are low. The study recommends in-service specialized trainingprograms for nurses. The subject of compassionate care should be given moreconsideration in nursing curricula. Further research is suggested to evaluate thelong-term effect of such programs on nurses’ practice of compassionate care andrelated self-confidence
Compassionate care
Elderly
Nurses
Attitude
Practice
self-confidence
2020
12
01
400
412
https://ejhc.journals.ekb.eg/article_133913_f96e2e77d775fbd1e24a7d91cc05a9c2.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Elderly patients’ perception of compassionate care provided by nurses in Beni-Suef city
Aziza
M Abozied
Eman
M.Ibrahim Ghazy
Abeer
Mohamed El Mahgawery Eldeeb
Background: Compassion is thus considered fundamental in caring for patients,
especially the elderly. However, healthcare providers still have difficulties in the
provision of such care. Aim of study: to measure elderly patients’ perception of
compassionate care provided by nurses in Beni-Suef city. Subjects and methods:
This descriptive cross-sectional study was carried out at Beni-Suef University
Hospital, General Hospital, and Continuing/Long-term care and Home Health Care
(HHC) services in Beni-Suef on 140 elderly receiving care in the setting for at least
3 days. An interview questionnaire form including the Compassionate Care Scale
and the Opinions about Compassionate Care scale. The fieldwork lasted from
January to June 2019. Results: Patients’ age ranged between 60 and 88 years,
median 65 years, 52.9% females (52.9%), mostly illiterate (77.9%), and having
chronic diseases (87.9%). The majority had high opinions about compassionate
care (82.9%). Regarding priorities of compassionate care, “understanding your
problem” ranked first, while “no prejudice” ranked last. In multivariate analysis,
patient education level and length of hospital stay were significant independent
negative predictors of their compassionate care score. Conclusion and
recommendations: The elderly patients in the study settings tend to have high
perception and opinions regarding compassionate care, and this is influenced by
their education, and the length of hospital stay. The study recommends that elderly
patients’ opinions about the nursing care regarding compassionate care be regularly
surveyed. Further research is suggested to evaluate the impact of training
interventions for nurses on elderly patients’ opinions about compassionate care.
Compassionate care
Elderly
Nursing
2020
12
01
413
427
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Critical Care Nurses' Competency Regarding Early Prediction and Interpretation of Life-Threatening Dysrhythmias: Life – Saving Opportunity
Amina
Hemida Salem
Background: Life-threatening dysrhythmia, especially the ventricular, is one of theseconditions that if not predicted and treated promptly can cost a patient's life. Also, itremains one of the most common causes of sudden death in critically ill patients. Earlyprediction of life-threatening – dysrhythmias can be considered as a life–savingopportunity for critically ill patients (Maurice et al., 2017; Dinnah, 2018). Aims: aimsof the current study were to assess the critical care nurses' competency (knowledge)towards early prediction and interpretation of life-threatening dysrhythmias and toidentify the obstacles that prevent nurses from acquiring competency regarding theearly prediction and interpretation of life-threatening dysrhythmias. Methods: Adescriptive cross-sectional study design was recruited to conduct the study. Data wascollected from a convenient sample of 100 nurses working in critical care settings atMain University Hospital. A self-reported three-part- questionnaire using a paperpencil was used to collect the data of this study. Results: the result of the current studyshowed that critical care nurses had a very low level of competency required for earlyprediction and interpretation of life-threatening dysrhythmias (75% of the participantsfailed to identify or determine the types of dysrhythmia). Moreover, nearly three fourthof nurses did not attend any educational training about dysrhythmias. Significantcorrelations were found between nurses’ competency, level of education, and nurses’position in the critical care units [(most nurses who failed to answer all questions werediploma graduate (85.5) and (excellent knowledge score was significantly higher instaff nurses than other positions although their frequency was relatively low(MCp.001)]. However, there was no significant correlation existed between the levelof nurses' competency and other variables such as age, sex marital status. Finally, fourobstacles were identified preventing the acquiring of required competency.Conclusions: The present study concluded that critical care nurses have a drastic lowlevel of knowledge concerning the competency of early prediction and interpretation oflife-threatening dysrhythmias. Moreover, significant correlations were found betweennurses' competency, level of education, and their position in critical care units.However, there was no significant correlation between the nurses' competency andother variables such as age, sex, and marital status more than three-quarters of thenurses did not attend any training related to dysrhythmia. Finally, four factors wereidentified by the nurses as obstacles for acquiring competency of early prediction andinterpretation of life-threatening dysrhythmias.
critical care nurses
Competency
prediction
and Management of Life-Threatening Dysrhythmias
2020
12
01
428
443
https://ejhc.journals.ekb.eg/article_133916_3e4891d3e71929d6354020f6a68abd3b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Risks versus Responsibilities: Critical Care Nurses Experiences’ during Their Work with Suspected or Diagnosed COVID – 19 Patients
Amina
Hemida Salem
Background: Critical care nurses are exposed to serious risk and even death while
administering care for patients with COVID-19 as they are exposed to aerosol
generating procedures and longer periods of patient contact. According to the
American Nursing Association (ANA), “Risk exceeding the limits of duty is not
ethically obligatory; it is a moral option and nurses should carefully balance
between their professional job responsibilities and risks.” Despite the fact that
nurses have a professional obligation to care for critically ill patients with
diagnosed or suspected COVID - 19, many nurses experience conflicts and
stressors such as fear and anxiety about the risk of being infected and transmitting
the infection to their family members and other contacts. Exploring the experiences
that nurses’ face during their battle with the crisis will support them and help in
developing protocols and plans to improve their preparedness (ANA, 2015a &b; Al
Thobaity et al., 2020). Therefore, this study aimed to explore the critical care
nurses’ experiences during their work with diagnosed or suspected COVID – 19
patients. Methods: a descriptive –a cross-sectional design was used to conduct the
current study. Sample: a convenient sample of 80 critical care nurses who worked
in the critical care units at the Main University Hospital and agreed to participate in
the study were recruited. The tool was developed by the researcher based on
reviewing of both quantitative and qualitative studies published during 2019 and
2020 to bring the critical care nurses’ experiences together. Nurses’ experiences
were identified, analyzed, tabulated, and categorized into six main themes. Results:
analysis of the lived experiences faced the critical care nurses during their working
with suspected or COVID – 19 patients revealed that for the first theme, the
statements "I am afraid of becoming infected and infecting others)" and “There is a
shortage of staff” were reported as agree and strongly agree by about all of the
nurses. Regarding the second theme, a sense of obligation toward their profession
and saving the patients’ lives were agreed by the majority of the nurses. Moreover,
near of the three – a quarter of the nurses claimed the continuous availability of an
adequate amount of personal protective equipment” however, the majority of the
nurses had confidence in the government. They agreed that "the government has
strong prevention and control measures and that epidemic will be controlled very
soon” (theme 3). As regard theme (4), the majority of nurses was appreciated the
physical and psychological support received from the colleagues, families, and
donations provided by the companies, however, they claimed the hospital, Original Article
Egyptian Journal of Health Care, 2020 EJHC Vol.11 No.4
445
syndicate, and the media due to the inadequate support and motivation. Concerning
coping strategies to alleviate moral distress (Theme 5), the result revealed that the
majority of the nurses were used positive coping strategies such as attending
webinars to enhance their knowledge about COVID – 19 & followed the safety
guidelines. Finally, all nurses perceived that the crisis makes them stronger and
nothing will beat them (Theme 6). Conclusions: risks versus responsibilities were
highlighted in this study. The nurses were experienced risks that potentiated a
feeling of a conflict. A conflict was raised between the nurses’ obligation to protect
their family members (especially their children) from transmission infection and
their obligations towards the job responsibilities (saving of the patients’ lives).
Shortage in the nursing staff, medical supplies, especially the personnel protective
equipment, inadequate support provided by administrative nursing bodies, and
sometimes, the media were also claimed by the majority of nurses. However, they
appreciated the support provided by their colleagues and families and they were
having confidence regarding the infection control strategies used by the infection
control units and the ability of the government to control the crisis very soon.
Nurses’ Responsibilities
Critical Care Nurses Experiences
COVID - 19
2020
12
01
444
459
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of an Educational Program on Nurse’s Performance Regard Monitoring Fluid and Electrolyte Replacement for Burned Patients
Mansoura
Ouda Awad
Sabah
Said Mohamed
Safaa
Mohamed Hamed
Background; monitoring of fluid balance activities is guides nursing interventions to achievephysiological stability. Aim; this study aims to evaluate the effect of an educational program onnurse performance regard monitoring fluid and electrolyte replacement for burned patients.Research Design: A quasi-experimental research design will be conducted to achieve thestated aim. Setting: The study will be conducted in burn department at Benha TeachingHospital. Subjects: all nurses in mentioned sitting during the period from the beginning of July2018 to December 2019. Result: the result of this study showed that nearly half of nurses agedbetween 30≥ 40 years old, more than half of them had more than 10 years of experience and didn’treceive previous training about fluids and electrolytes replacement, the minority of nurses hadgood total knowledge score regarding monitoring fluid and electrolyte replacement therapy for burnpatient preprogram, then increased to majority post program implementation , less than half ofnurses had satisfactory practices score regarding monitoring fluids and electrolytes replacementtherapy for burn patient preprogram, while increased to majority post program implementation.Also there are positive correlation between nurse’s knowledge and practice regard monitoringfluid and electrolyte replacement therapy for burned patient post program Conclusion; thecurrent study concluded that implementation of health education program has a positive effect onimprovement of the nurses’ knowledge and practices practice regard monitoring fluid andelectrolyte replacement therapy for burned patient post program than preprogram.Recommendations: This study recommended that emphasize the importance of a continuous inservice educational program regard monitoring fluid and electrolyte replacement therapy forburned patient, Further study with replication of the current study on a larger probability sample isrecommended to achieve generalization of the results and wider utilization of the designededucational program
Burned patient
Fluids and electrolytes replacement
Nurses' Performance
Educational Program
2020
12
01
460
481
https://ejhc.journals.ekb.eg/article_134886_dc1442b60792a500bed2887005917c85.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Dietary Counseling Program for Mothers of Children with Cerebral Palsy
Eman
Hassan Mahmoud
Mayada
Taha Mahmoud Sabea
Cerebral palsy (CP) is a group of disorders that affect a person’s ability to moveand maintain balance and posture. CP is the most common motor disability inchildhood. Cerebral means having to do with the brain. Palsy means weakness orproblems with using the muscles. Aim: This study aimed to evaluate dietarycounseling program for mothers of children with cerebral palsy through, assessmothers' knowledge and practices regarding to cerebral palsy; and appraise dietarycounseling program for mothers of children diagnosed with cerebral palsy. Setting:This study conducted at faculty of physical therapy of Cairo University and neurooutpatient clinic in Sayed Galal hospital at Bab-AL-Shareya Cairo, Egypt. Design:A quasi experimental design was used. Subject: This study included seventymothers of children with cerebral palsy came to neuro outpatient clinic at facultyof physical therapy of Cairo university and fifty mothers of children with cerebralpalsy from neuro outpatient clinic in Sayed Galal hospital at Bab-AL-ShareyaCairo, Egypt. Tools: An interview questionnaire tool used in this study pre andpost dietary counseling program, include three parts, I) socio-demographiccharacteristics for mothers of children with cerebral palsy; II) Mothers’ knowledge(pre and post) regarding to cerebral palsy; and III) Mothers' reported practicesregarding dietary counseling program for their children with cerebral palsy.Results: an improvement of mothers' Knowledge and reported practice post dietaryprogram than pre the program, the mothers' Knowledge mean and standarddeviation pre-program is (53.0702 ± 29.77748), while post-program is89.3202 ±11.68589 with highly statistically significant differences, also the mothers' reportedpractice mean and standard deviation pre-program is (42.6667 ± 27.76653), andpost-program is (75.0833 ± 20.29181) with highly statistically significantdifferences. Conclusion Mothers' knowledge and reported practices toward theirchildren with cerebral palsy improved significantly post implementation of thedietary program. Recommended: Periodically dietary counseling program formothers help to improve their practices for enhancement of dietary condition fortheir children with cerebral palsy and reduce the complications of cerebral palsyand malnutrition
Cerebral palsy
Dietary Counseling program
Mothers
2020
12
01
482
500
https://ejhc.journals.ekb.eg/article_135473_b24fb409ded80208c00c4e44f6773c2f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Psychological Problems and Fear of COVID-19 Pandemic among Nurses and General Population: A Comparative Study
Hanem
Ahmed Abdel Khalek Ahmed
Safaa
Mohamed Metwaly Atia
COVID-19 is a source of stress with incredible impact, both for people and socialpublic gatherings. Various people may experience various levels of psychologicalemergency, particularly those at the center of the incident. This study aimed tocompare the level of psychological problems (depression, anxiety, and stress) andfear among nurses and general population as a result of COVID -19 pandemic. Across-sectional study design was utilized in this study. A probability sample of 132nurses working in Sharkia Governorate hospitals and 268 individuals from generalpopulation participated in this study by using an anonymous online questionnaire.Three tools were completed by the participants in this study were a sociodemographic data sheet, the Depression, Anxiety, and Stress Scale-21, and fear ofCoronaVirus-19 Scale. Results revealed that nearly one quarter of the studiednurses' group had moderate level of depression, anxiety and stress. However, morethan one quarter of the studied general population had extremely severe level ofdepression and anxiety as well as severe level of stress. Severe level of fear ofCOVID-19 was experienced among one quarter of participants from nurses andgeneral population. The study concluded that was statistically significant positivecorrelations were found between fear of COVID-19, depression, stress, and anxietyin both groups. Therefore, it is recommended to develop and implementpsychological interventions for improving mental health and psychologicalresilience during the pandemic COVID-19 of both nurses and general population.
Psychological problems
Fear
COVID-19
depression
anxiety
Stress
2020
12
01
500
524
https://ejhc.journals.ekb.eg/article_135475_49d59842b80b6757583d6c17ed6d7ee8.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
COVID-19 Related Behavioral Modification and Anxiety among Egyptian Adults: An Online Survey
Doaa
Abd El Salam Amin Yacout
Reem
Bassiouny Mahmoud El Lassy
Hanan
Hosni El Sherbini
Background: COVID-19 prevention depends mainly on how people modify their behavior to comply with the appropriate precautionary measures recommended by health authorities all over the world as maintain social distance, maintain hygienic practice, wearing mask properly and follow the quarantine activities. Unfortunately, the compliance level varies widely between people within and across countries. The Capability-Opportunity-Motivation-Behavior model (COM-B) evidently provides a convenient theoretical framework for understanding the stimuli of any behaviors in depth. The Aim of study: to assess COVID-19 related behavior modification and anxiety among Egyptian adults. Study Design: A cross sectional exploratory survey research design was used. It was conducted between first of May till the end of June 2020. Study Subjects: 512 Egyptian residents with minimum age of 18 years old and had the accessibility to internet from reached Egyptian Governorates (16 governorates were reached Alexandria, Cairo, Giza, behyira, Monufia, Kafr el sheikh, Matrouh, Daqhlyia, Qalyubia, Gharbia, Fayoum, Ismailia, Asyut ,Red Sea, Minya, Damietta). Tool: An online questionnaire distributed through Google form portal including three sections was used to collect required data. Results: 69.3% of the respondents were females with mean age of 33.7±9.8, the majority of them were either university or post graduate holders. All the three COM-B components significantly predict appropriate precautionary measures among Egyptian adults with the capability having the greatest influence on their behavior followed by motivation and opportunity domains. Nearly half of the respondents had anxiety related to COVID-19. Significant relations were found between anxiety level, capabilities, motivation and opportunities with age and participant who has family member less than 18 year. Conclusion: the mean %of capability domains was the higher followed by motivational domain. The opportunity domain considered an important barrier for the respondents in complying preventive measures. Half of the respondents had moderate level of anxiety related to COVID 19 pandemic. Recommendations: Implementation of effective and tailored health education programs aimed at improving COVID-19 self-actualization and preventive and behavioral program to enhance Coping with anxiety in a healthy way available in the organizational system.
COVID 19
The COM-B Model
anxiety
Behavior Modification
Egypt
2020
12
01
525
549
https://ejhc.journals.ekb.eg/article_145664_0b895646fb8d4112172b848ffaf7c08d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Factors Contributing to Acquire Covid-19 among Critically Ill Patients in Intensive Care Units
Samar
Faltas Marzouk Faltas
Dina
Mohamed Maarouf
Background: Coronavirus disease (Covid-19) is currently a worldwide pandemicongoing global health emergency caused by severe acute respiratory syndrome (SARS).Critical health team have an essential role in the prevention of acquired Covid-19 in intensivecare unit through applying of hospital specific covid-19 precautions. Aim: This study aimedto assess factors contributing to acquire covid-19 among critical ill patients in intensive careunits. Design: A descriptive exploratory design was utilized for the conduction of this study.Setting: the study was carried out in intensive care units of Ain Shams University Hospital(emergency and general medicine ICU). Study sample: A Purposive sample of seventy fivepatients admitted to the previously mentioned setting. Tools: three tools were used to collectdata consisted of patient assessment tool, precautions measures against Covid-19 observationalchecklist tool, and Covid-19 incidence in ICU tool. Results: revealed that, the majority of thestudied patients acquired Covid-19 in ICU, and the application of most precautions measuresagainst Covid-19 were not done or done incorrectly. In addition to, there were a highlystatistically significant relation between acquired Covid-19 in ICU, application of precautionsmeasures, past medical history and length of ICU stay. Conclusion: based on the findings ofthe current study, it can be concluded that: the majority of studied patients acquired Covid-19in ICU. As well factors contributing to acquire Covid-19 among critically ill patients in ICUwere non- compliance of health team to precautions measures against Covid-19, patientspresent, past medical history and length of stay in ICU. Recommendations: developinginstructional guideline for improving medical health team performance regarding applicationof precautions measures against Covid-19. In addition to, replication of the study on largersample selected from different areas in Egypt is recommended to obtain more generalizable data.
COVID-19
factors
ICU
Critically Ill
2020
12
01
550
565
https://ejhc.journals.ekb.eg/article_148842_654cf5762a8f8fc525c2697ffa903169.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Progressive Muscle Relaxation Technique on Post-Operative Pain and Quality of Recovery among Patients with Abdominal Surgeries
Saada
Elsayed Rady
Hoda Abdou
Abd El-Monem El-Deeb
Background: Abdominal surgery is considered one of the most painful surgical procedures as the site's proximity to the diaphragm and extensive cross-innervations in the area increasing the post-operative pain. Progressive Muscle Relaxation (PMR) is a promising intervention for these complains. Aim of the study was to determine the effectiveness of progressive muscle relaxation technique on post-operative pain and postoperative quality of recovery. Research design: A quasi experimental research design with a pretest-posttest control group was utilized. Setting: at surgical departments at Damanhour National Medical Institute. Subjects: A purposive samples of 80 adult patients who are undergoing abdominal surgery were selected according to eligibility criteria. They were divided into two equal groups 40 in each study group and control group. Tools of data collection: four tools were used for data collection: Demographic and clinical Data Structured Interview Schedule, Visual Analogue Pain Scale, A modified Behavioral Pain Scaleand Post-Operative Quality of Recovery Score. Results: After the intervention, PMR significantly decreased pain severity among study group compared to the control group. The severe pain intensity significantly absent from the entire study group, while it was significantly present among 42.5% of the control group. All of the study subjects had a good post-operative quality of recovery compared to only7. 5% of subjects in the control group. Conclusion: PMR significantly decreased post-operative pain and improve post-operative quality of recovery among patients after abdominal surgeries. Recommendation: PMR should be incorporated in post-operative nursing intervention protocols.
Post- operative pain
progressive muscle relaxation
Post -operative quality of recovery
Abdominal Surgery
2020
12
01
566
581
https://ejhc.journals.ekb.eg/article_152563_eae3e6193be7d421ef83202adccf819f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Muscle Stretching and Range of Motion Exercises on Sleep Quality and Anxiety among Hemodialysis Patients
Saada
Elsayed Rady
Shimaa
Gomah Yousef
Samah
Ramadan Ibrahim Elrefaey
Monira
Samir Abdelhady
Background: Sleep disturbance and anxiety are more common observed inhemodialysis patients than in healthy people and affect patients' clinical outcomes. Aim:determine the effect of muscle stretching and range of motion exercises on sleep quality andanxiety among hemodialysis patients. Design: A quasi experimental research design (preposttest control group) was employed. Setting: The study was accomplished at thehemodialysis unit at El Fayoum General Hospital. The unit worked three shifts per day /weekexpect Friday. Subjects: specific eligibility criteria were applied to purposively select asample of 60 adult patients/both genders on maintenance hemodialysis. They further werepartitioned into two groups 30 patients in each (study and control groups). Tools: three toolswere handled: A structured interview questionnaire, The Pittsburgh Sleep Quality Index(PSQI) Scale and Spielberger State-Trait Anxiety Inventory scale/STAI: Results: astatistically significant difference was observed between the study and control groups in favorof the former concerning the Global Pittsburgh Sleep Quality Index(PSQI) score and anxietylevel after 6 weeks of intervention in which more than half (60.0%) in the study group haveno difficulty comparing to more than three quarters(76.7%) in the control group had somewhatdifficulty with P = 0 .00. Also 70.0% in the study group had mild anxiety while, in the controlgroup 53.3% had moderate anxiety. Conclusion: The study concluded that; muscle stretchingand range of motion exercises have significant positive effect on sleep quality and anxietylevel among patients on maintenance hemodialysis. Recommendation: The developedbooklet with its simple instructions and illustrations should be utilized in hemodialysis unit asa teaching aid for hemodialysis patients. Intradialytic exercise programs should beincorporated into routine clinical practice.
Hemodialysis
Sleep quality
anxiety
range of motion and muscle stretching exercises
2020
12
01
582
601
https://ejhc.journals.ekb.eg/article_156947_9cd4576424460e77acce42ee6bc5ac29.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Benson Relaxation Technique: Reducing Pain Intensity, Anxiety level and Improving Sleep Quality among Patients Undergoing Thoracic Surgery
Aml
Ahmed Mohammed ELmetwaly
Entisar
Gaad El moula Shaaban
Eman
Mahmoud Hafez Mohamed
Thoracic surgery threatens the integrity of body, such as physical, psychological, social and spiritualaspects and may cause discomfort such as pain response and sleep disturbance. Aim: The studyaimed to determine the effect of Benson's relaxation technique on reducing pain intensity, anxietylevel and improving sleep quality among patients undergoing thoracic surgery. Design: A quasiexperimental research design was utilized. Setting: The study was conducted in thoracic surgerydepartment at Mansoura chest hospital and Mansoura University Hospital- chest department.Subjects: A purposive sample of 160 post thoracic surgery were recruited in this study. Tools: Fourtools were used; Tool I: Assessment interview questionnaire sheet includes personal and healthrelevant data, Tool II: Short Form McGill Pain Questionnaire (SFMPQ), Tool III: Groningen Sleep < /div>Quality Scale (GSQS) and Tool V: Hospital Anxiety and Depression Scale (HADS). Results: Therewas a statistically significant effect of Benson's Relaxation Technique on reducing pain intensity,anxiety level and improving sleep quality among patients undergoing thoracic surgery. Conclusion:The study concluded that, Benson relaxation technique has a positive improvement in level of pain,quality of sleep and anxiety & depression among the study group who applied Benson's relaxationtechnique. Also, the most common factors that can affect the sleep quality level for those patients isthe pain. Recommendation: This study recommended that, the nurses should pay more attention toBenson's relaxation technique as a simple, cheap and effective technique while taking care of postoperative patients.
anxiety
Benson Relaxation Technique
depression
Pain
Sleep quality
2020
12
01
602
614
https://ejhc.journals.ekb.eg/article_160893_671a9a5669ec61e4966b68b4dd263ce6.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
The Effect of Night Splinting and Hand Exercise on Reducing the Symptoms in Patients with Carpal Tunnel Syndrome
Heba
Abdel Mowla Ahmed
Heba
Elsayed Khatab
Carpal tunnel syndrome is one of the most common peripheral neuropathies. It happens because of apressure on the median nerve, which runs the length of the arm, goes through a passage in the wristcalled the carpal tunnel, and ends in the hand. Aim: Determine the effect of night splinting and handexercise on reducing the symptoms in patients with carpal tunnel syndrome. Design: A quasiexperimental research design was utilized. Subjects: A convenience sample of 60 adult patientsadmitted to the above-mentioned settings and diagnosed with carpal tunnel syndrome were recruitedin this study. The present study was conducted at the Rass Al-Teen General Hospital, at Alexandria.Tools: Two tools were used. Tool I. Socio-demographic and Clinical Data Interview Schedule.Functional Status and Symptoms Severity in patients with carpal tunnel syndrome assessmentquestionnaire. Boston Carpal Tunnel Syndrome Questionnaire. Results: The majority of patientswere in age group 50-60 year, and female had moderate difficult in functional status beforeprogram, there were a statistical significance difference in hand pain severity and hand paindescription in the period before and after hand exercises program. Conclusion: Patients with carpaltunnel syndrome who receive night splinting and hand exercise exhibit reducing the symptoms.Recommendations. Educate patients about necessary hand and finger exercises and neuralmobilization and night splinting stabilization instructions regarding their conditions and self-careactivities using the booklet and illustrated pamphlets for each patient especially those who cannotread and write
Splinting
Hand
exercise
Carpal tunnel syndrome
2020
12
01
615
633
https://ejhc.journals.ekb.eg/article_168576_66e1d243222b11788799b32472220d44.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Deep Breathing Exercise Training on Fatigue' Level among Maintenance Hemodialysis Patients: Randomized Quasi-experimental Study
Laila
A. Hamed
Thoraya
Mohamed Abdel Aziz
Background: End-stage renal failure is one of the widespread diseases requiring hemodialysis renalreplacement therapy. However; patients on maintenance hemodialysis usually suffer from fatigue. Arecent growing interest is directed at applying non-pharmacological alongside traditional methodsfor managing such chronic complaints. Therefore, this study aimed to evaluate the effect of deep < /div>breathing exercise training on level of fatigue among maintenance hemodialysis patients. Materialsand Method: This study is a randomized quasi-experimental design with parallel groups. Onehundred hemodialysis patients participated in the study. They were admitted to the HemodialysisDepartment of Alexandria Main University Hospital. The patients were randomly and equallyassigned to either the control group or the intervention group (n=50 each). Fatigue was measured inboth groups; before and four weeks after nursing intervention using Fatigue Assessment Scale(FAS). Results: Prior to deep breathing exercises, the total mean percent score of fatigue in theintervention group was 66.30±12.19 compared to 62.80±13.12 in the controls. After four weeks ofperforming the exercise; the mean score was dramatically decreased to 26.25±5.47 in theintervention group compared to 61.40±11.06 in the control. Additionally, a statistically significantdifference within the intervention group was declared before and after the intervention (P<0.001).Conclusion: Performing deep breathing exercises for twenty minutes, twice per day for a fullmonth; can reduce maintenance hemodialysis patients’ fatigue level.
breathing exercises
chronic renal failure
Maintenance Dialysis
Fatigue
Fatigue Assessment Scale
Nursing intervention
2020
12
01
634
644
https://ejhc.journals.ekb.eg/article_169731_7e6a9de0b1583879a35173fe467487d5.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Psychological distress associated with COVID-19 pandemic among pregnant women: A comparative study
Amany
M. Ahmed
Naglaa
Mostafa
Lawahez
M. Dwedar
Background: The risk of anxiety and psychological difficulties is elevated during pregnancy and is probably exacerbatedduring the COVID-19 pandemic. Aim: This study aimed to explore psychological distress associated with COVID-19pandemic among pregnant women as compared to non-pregnant women. Methods: A descriptive-comparative researchdesign was adopted to achieve the stated aim. A convenience sample of 120 participants (60 pregnant and 60 non-pregnantwomen) was recruited. The study was conducted at an obstetric and gynecological outpatient clinic at KafrelsheikhUniversity hospital, Kafrelsheikh Governorate, Egypt. Data were collected using three tools: a structured interview schedule;the Depression, Anxiety, and Stress Scale (DASS); and the revised version of the Impact of Events Scale (IES-R). Result:The mean anxiety score for pregnant women was 5.75 ± 3.14 compared to 6.31 ± 2.22 for non-pregnant women. Nostatistically significant difference was noted between the anxiety scores reported by the two groups (p = 0.257). The meandepression score recorded for pregnant women was 6.73 ± 3.40 compared to 8.60 ± 2.31 for the non-pregnant group. Thedifference between the two groups was highly statistically significant (p < 0.001). The mean stress score registered forpregnant women was 8.45 ± 2.79 compared to 6.51 ± 3.1 for non-pregnant women, and the difference between the twogroups was also highly statistically significant (p < 0.001). The mean score of the post-traumatic distress of pregnant womenwas 25.88 ± 11.93 compared to 14.55 ± 9.21 for the non-pregnant. The difference between the two groups was highlystatistically significant (p < 0.001). Conclusions: Pregnant women expressed lower depression-related scores than nonpregnant women; however, the pregnant women registered higher scores relating to stress and post-traumatic distress thannon-pregnant women. The study results recommended that obstetric and psychiatric nursing interventions are crucial for themitigation of the psychological distress experienced by pregnant women during the ongoing pandemic. Such professionalcare can also prevent adverse health outcomes for pregnant women and their fetuses
Psychological Distress
Pregnant women
COVID-19 pandemic
2020
12
01
645
656
https://ejhc.journals.ekb.eg/article_170295_7bb9ebcce9aa9ff228a04516a2cafd52.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Differences between the young and older married women regarding their knowledge and beliefs about Cervical Cancer Running Title: Women’s perspectives of Cervical cancer
Howieda
Fouly
Shaimaa
Hassen
Background: Cervical cancer is the fourth most common cancer among womenworldwide, and the fourth leading cause of cancer-related deaths globally, with anestimated 569,847 new cases. Cervical cancer ranks as the 13th leading cause offemale cancers and is the 10th most common cancer in women aged 15 to 44 yearsin Egypt with the incidence of new cases 969 diagnosed in 2018. The study aimedto between the young and older married women regarding their knowledge andbeliefs about Cervical Cancer. Subjects and Methods: A descriptive correlationaldesign used to examine relationships between women’s age and their knowledgelevel about cervical cancer. The study conducted at Woman’ health Hospital. Thedata collected by Awareness of the Cervical Cancer Questionnaire. Results: A totalof Three hundred and eighty-nine (n=389) married women completed the surveyquestionnaire. Knowledge level reflected the correct answers were higher amongyoung groups versus inadequate among the older group and revealed statisticalsignificance difference. Conclusion: The participants' low knowledge levelindicated the urgent need for focus on cervical cancer prevention programs for allage groups and activates the early detection program of cervical cancer to avoid theincrease in incidence rate.
Differences
Cervical Cancer
Knowledge
young
older
Women
2020
12
01
657
669
https://ejhc.journals.ekb.eg/article_170639_92632b9bc005d1011d9d13011a24d9fd.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Occupational Health Hazards among Pregnant Nurses in Damietta and Khartoum General Hospitals: An Overview
Maha
Moussa Mohamed Mouss
Naglaa
Ibrahim Mohamed Gida
Fatma
Zaki Mohamed Farahat
The pregnant nurses' exposure of the hazards daily during contact with sick patients, infectiousagents, teratogenic chemicals, radiation and environmental risks. Aim of the study: To assessOccupational health hazards among pregnant nurses in Damietta and Khartoum of general hospitals:An overview. Design: A comparative descriptive research design was used to conduct this study.Setting: carried out in Damietta and Khartoum general hospitals (Egypt and Sudan). Sample: Allpregnant nurses working in all departments of hospitals and outpatient clinics. It was 135 pregnantnurses in Damietta and 50 pregnant nurses in Khartoum. Tools : four tools were used for datacollection, tool l: demographic characteristics for pregnant nurses, medical and obstetric history ofnurses, nurses habits, nurses knowledge regarding occupational health hazed, tool II- physicalassessment of studied nurses, tool III :- nurses practices regarding use of the personal protectiveequipment, tool IV: Assessment of work environment. Result: concerning nurses knowledge,shows that 40% of nurses had satisfactory knowledge regarding occupational health hazards inDamietta hospital, while, 70% of them had satisfactory knowledge in Khartoum hospital. Regardingnurses practices for use of personal protective equipment, shows that 70% of nurses had donepractices regarding uses of personal protective equipment in Damietta hospital, while, 80% of themhad done practices in Khartoum hospital. Concerning work environment it reveals a highlystatistically significant differences regarding physical work environment, housekeeping, floors,stairs, mean of exit, employee facilities, fire protection, electrical, material handling, storage,machining guarding and clinic inside the factor. Conclusion: this study concluded that there wereno statistically important correlation between total knowledge about occupational health hazardsfacing nurses in the workplace and total practices regarding use of PPE measures (P<0.05).Recommendation: Continuing nurse health education program to reduce occupational health risk inthe workplace
Occupational
Health hazard
pregnant nurses and general hospitals
2020
12
01
670
690
https://ejhc.journals.ekb.eg/article_170640_4904d240bd3980aa2088e6da669e3388.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Organizational Justice and it's influence on Organizational Citizenship Behavior among Staff Nurses
Zeinab
E. Mohammed
Abeer
M.Zakaria
Asmaa
Mustafa Abdel-ghani
Back ground: In healthcare organization, nurses are considered as a backbone of its success as theirperformance and behaviors are key determinants for good performance. Justice and its implementation isa fundamental aspect to create citizenship behaviors among nurses and increase their loyalty andcommitment to the organization. Aim: the study aimed to investigate the influence of organizationaljustice on organizational citizenship behavior among staff nurses at Dikirnis General Hospital. Method:a descriptive correlational design was utilized, included 252 staff nurses working at Dikirnis GeneralHospital. Data was collected using two tools, organizational justice questionnaire, and organizationalcitizenship behavior questionnaire. Results: There was a significant positive correlation betweenorganizational justice and organizational citizenship behavior; staff nurses had moderate level ofperception of organizational justice. More than half of the staff nurses had high perception oforganizational citizenship behavior. Conclusion: There was statically significant positive correlationbetween organizational justice and organizational citizenship behavior. Recommendation: The hospitaladministrator and head nurses should be alert to the benefits behaving toward nurses in a mannerperceived as fair. Organize periodically meeting with supervisors and their staff nurses to discuss theirproblems, needs and involve them in solving it.
organizational citizenship behavior
Organizational justice
Staff nurses
2020
12
01
691
702
https://ejhc.journals.ekb.eg/article_171364_425bce3a37c975d593a70f074230ca54.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
A randomized Controlled Study on the Effects of Extra Virgin Olive Oil Compared to Breast Milk on Painful and Damaged Nipples During Lactation
Naglaa
Abdelmawgoud Ahmed
Amina
Ibrahim Badawy Othman
Amal
Ahmed Kanona
Hemat
Mostafa Amer
Nagat
Salah Shalaby
Nadia
Bassuoni Elsharkawy
Painful and damaged nipples during lactation are common causes of premature breast feedingcessation. The applications of different non-pharmacological products to soothe and heal nipples arewidely recommended. Aim: to evaluate the effects of extra virgin olive oil compared to breast milkon painful and damaged nipples during lactation. Design: Randomized controlled trial was utilized.Setting: The study was conducted at postpartum unit in Menoufia university Hospital Maternity,Maternal and Child Health Center, Menoufia, Egypt. Sample: A simple random sample of 120postpartum women were recruited & randomly assigned into 2 groups 60 women for each. The Firstgroup subjects were requested to apply extra virgin olive oil to their nipples twice daily afterbreastfeeding & the second group subjects were asked to apply breast milk. Tools of data collection:1- Structured interview questionnaire to collect socio- demographic and medical data II- VisualAnalogue Pain Scale to assess the subject's level of pain intensity during breastfeeding III- NippleTrauma Score to assess the nipple trauma & evaluate healing rates of breasts. Results: There werestatistically significant differences between extra virgin olive oil and breast milk groups with extravirgin olive oil group have significant lower nipple pain, lower nipple trauma, & better nippletrauma healing than breast milk group on the 3rd, 7th & 14th day (p Value <0.01). Conclusion: Theapplication of extra virgin olive oil has better effect on painful and damaged nipples during lactationthan breast milk. Recommendations: raising awareness of lactating mothers regarding the beneficialeffect of extra virgin olive oil on nipple trauma and pain and how to apply it through a programmedpostpartum care.
Breast milk
Extra Virgin Olive Oil
Lactation and Painful & Damaged Nipples
2020
12
01
702
714
https://ejhc.journals.ekb.eg/article_171350_19855a397279ebc0621158ddf6753eb0.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Adherence to Preventive Measures and Suspected Covid-19 Symptoms Development Among Nursing Students During Written Exams
mohamed
elzeky
Wafaa
G.Mohamed Ali
Background: Higher education has faced numerous challenges due to the COVID 19 outbreak, and written exams conduction with strict precautionary measures is one of them. Study aims were to evaluate adherence to preventive measures and factors affecting suspected COVID-19 symptoms development during exams. Subjects and method: a repeated cross sectional study was conducted at Mansoura University Nursing Faculty. The participants were nursing students at the fourth level and the calculated sample size was 215. Students were videotaped to assess their adherence during the exam hours using an observation checklist and suspected COVID 19 symptoms were measured using the baseline questionnaire and were measured for 6 weeks every two weeks. Results: One or more suspected symptoms of COVID 19 had formed among 60.4% of students who were significantly higher at the first two weeks of exams. The mean hourly contact of the T zone was (13±11.3) and only (42.4%) of students wear the mask all exam time. Conclusion: Higher T zone touch, less adherence to mask wearing all exam time and less reported adherence directly predicting suspected COVID 19 symptoms occurrence. Recommendations: Raising students' awareness and finding new strategies to improve students' adherence to preventive measures during written exams is of great value during this epidemic.
preventive measures adherence
Nursing students
COVID 19 suspected symptoms
written exams
2020
12
01
715
725
https://ejhc.journals.ekb.eg/article_176786_4a2fa1c40b5b6aaa63953a95f5967c3f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Implementing Continuous Care Model on Health-Related Behaviors and Quality of Life among Women with Preeclampsia
Hend
Abdallah EL Sayed
Ahlam
Elahmady Sarhan
Mona
Abdallah Abdel-Mordy
Background: Preeclampsia is the leading cause of maternal and perinatal morbidity and mortalityworldwide, but it is more prevalent in developing countries. Aim was to investigate the effect ofimplementing continuous care model on health-related behaviors and quality of life among womenwith preeclampsia. Design: A quasi-experimental research design was utilized. Setting: The studywas conducted at the Obstetrics and Gynecology Outpatient Clinic of Benha UniversityHospital. Sample: A purposive sample of 70 pregnant women diagnosed with preeclampsia wasrecruited and divided equally into study and control groups (35 women per group). Tools: Threetools were used to collect data; a structured interviewing questionnaire, health-related behaviorsregarding preeclampsia questionnaire, and World Health Organization quality of life-BREF.Results: There was no statistically significant difference between mean scores of health-relatedbehaviors regarding preeclampsia and quality of life before implementation of the continuous caremodel in both groups (P ˃ 0.05). After implementing the continuous care model, the mean scores ofhealth-related behaviors and quality of life in the study group were significantly higher than in thecontrol group (p ≤ 0.001). A significant positive correlation between total scores of health-relatedbehaviors regarding preeclampsia and quality of life in both groups before and after implementationof continuous care model (P ≤ 0.001). Conclusion: Implementing the continuous care model had apositive effect on improving preeclampsia-related health behaviors and the quality of life for womenwith preeclampsia. Recommendations: The continuous care model should be incorporated as anursing intervention for promoting women's health behaviors and improving quality of life withinpreeclampsia care.
Continuous Care Model
health-related behaviors
quality of life
preeclampsia
2020
12
01
726
742
https://ejhc.journals.ekb.eg/article_177143_adba86eeeb53c14907c30ff533d4db41.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Biopsychosocial Needs for Patients with Chronic Renal Failure
Aya Rabea
Abd-Elgany Hakel
Manal
Hussein Nassr
Arzak
Mohamed Khalifa
Background: Chronic renal failure (CRF) is a worldwide public health problem with an increasing incidence and prevalence. Assessment of biopsychosocial needs of patients with CRF is an important nursing role helping to provide a comprehensive patient’s care. Aim of study: The study aimed to assess biopsychosocial needs for patients with chronic renal failure. Study design: A descriptive exploratory design was used. Settings: The study was conducted at Hemodialysis Units, which is affiliated to Ain Shams University Hospitals. Subjects: A purposive sample of 137 patients with chronic renal failure attending the previous mentioned settings. Tools of data collection: I- Patient’s interviewing questionnaire. II- Patient’s biopsychosocial needs questionnaires:- was assessed through using;-1-Barthel Index 2-Anxiety assessment scale 3-Beck depression inventory 4- Social Dysfunction Rating Scale. Results: 78.1% of studied patients had unsatisfactory level of total knowledge. 76.5% of studied patients were independent, 48.9% of studied patient had mild anxiety, and 71.5% of them had mild depression and 51.1% of them had mild social dysfunction. Conclusion: a majority of patients had unsatisfactory knowledge regarding disease, the highest needs for patient with CRF were the psychological needs followed by social and physical needs. Recommendations: A simplified, illustrated and comprehensive Arabic booklet including information about disease should be available for patients and supportive care services in dialysis setting should be directed towards meeting biopsychosocial needs of patients with CRF.
Biopsychosocial needs ( physical
psychological and social needs)
chronic renal failure
2020
12
01
743
758
https://ejhc.journals.ekb.eg/article_239360_82a0e23b07ef0680cf777ca05e051b6e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Nursing Care Protocol daily Interruption of Sedation on Mechanical Ventilated Patients 'Outcome
Mervat
Anwar Abdel ElAziz
Mona
Aly Mohammed
Khalid
Mohamed Morsy
Mona
AbdElaziem
Nursing care protocol daily sedation is very important to optimize sedation for patients onmechanical ventilators, these requires nursing staff is very crucial in this aspect to avoidcomplication of sedation and earlier extubation. Aim: This study was aimed to identify impactnursing care protocol for daily interruption sedation on mechanical ventilation patients outcome.Design: a quasi-experimental design. Setting: Carried at ICU at Assiut university hospital.Subjects: A purposive sample of 70 adults patients. Sample was assigned to two equal groups(study and control). Tools: Four tools were utilized to collect data of study, tool I: Patientassessment sheet. Tool II: Interruption and infusion sedation assessment scales tool. Tool III:Intensive Care Delirium Screening Checklist. Tool IV:patients outcome tool. Results: the presentstudy revealed that there was a statistical significant differences (P<0.001**) between study andcontrol groups in relation to sedative complication, Delirium , ICU stay, and Duration of mechanicalventilation. Conclusion: Patient who received nursing care protocol during daily interruption ofsedation leading to improve outcome and reduce complication. Recommendation: Provide inservice education and training program for critical care nurses regarding applying daily interruptionof sedation and how managed these patients
Daily Interruption Of Sedation
Nursing care protocol
Mechanical Ventilation
Patients Outcome
2020
12
01
759
774
https://ejhc.journals.ekb.eg/article_179449_8cf04e94f96e6ceb0378be347a288ec8.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Comparative study: Nurses Attitude, Psychological Response and Practices Compliance with Infection Control Measures during COVID- 19 Outbreak
Asmaa
Farghaly Ali Mohamed
Alzahraa
Abd El Aziz Omar Abdel Rahman
Amira
Mostafa Fahmy Isamil
Nurses' attitude, psychological response, and compliance with infection control practices are the key toquality care and excellence in Covid-19 patient care; infection control remains one of the most costbeneficial and requires full compliance of the whole nursing team. The aim of the study was tocompare and examine the nurse's attitude, psychological response, and practices compliance withinfection control measures during Covid- 19 outbreak. Design: Descriptive comparative researchdesign. Sample and Setting: A convenient sample was used in the current study, which included allstaff nurses (241 nurses) who working in isolation hospitals (Minia cardio-thoracic university hospital(114 nurses) and Minia fever hospital (127 nurses). Tools: Data was collected through the utilizationof three tools as follow: Tool (1) Nursing attitude about Covid-19 outbreak consisted of two parts; PartI: Demographic data, Part (II): A self-administered structured attitude questionnaire; Tool (2): A selfadministered structured psychological response questionnaire, and final Tool (3): An observationpractice checklist. Results: The current study revealed that 71.7% of the studied nurses working in theMinia fever hospital compared to 86.0% of the studied nurses working in the Minia cardio-thoracicuniversity hospital had a favorable attitude toward coronavirus patients, 26.8 % compared to 100.0%of them had undisturbed psychological responses respectively and 73.2% compared to 98.2% of themhad compliance regarding infection prevention practice respectively with highly statisticallysignificant differences which P-value < 0.007, 0.0001, and 0.0001 respectively. Conclusion: Nurses inboth of the two isolation hospitals had a favorable attitude toward coronavirus patients, withundisturbed psychological responses, and they had compliance regarding infection prevention practice.Recommendations: Continuous education and training for all health sectors for increasing nurses'knowledge and awareness about all waves of the Covid -19 virus.
COVID- 19 Outbreaks
infection control measures
Nurses Attitude
Practices Compliance
Psychological Response
2020
12
01
775
791
https://ejhc.journals.ekb.eg/article_179452_367ba78bd4279710bcca6f6ee7e0b085.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Level of Concern, Compliance and Barriers to Use Standard Precautions among Primary Health Care Providers during COVID-19 Pandemic
Mona
Mohamed Abd El-Maksoud
Nashwa
Saber Atia
Background: COVID-19 is an emerging public health problem threatening the life of peopleglobally, especially healthcare providers. Primary health care providers provide the first line of carein communities during health pandemics. Aim of the study was to assess level of concern,compliance, and barriers to use standard precautions among primary health care providers duringCOVID-19 pandemic. Subjects & Methods: Research design: Descriptive analytical design wasutilized to carry out this study. Setting: This study was conducted at all primary health care centersat Al-Mahallah Al-Kubra city, Gharbia Governorate, Egypt. Subjects: A convenient sample of 350health care providers working in the selected primary health care centers participated in thestudy. Data collection tool: A structured self-administrated questionnaire consisted of four parts;personal and work data, level of concern, compliance with infection control standard precautions,and barriers to use standard precautions. Results revealed that the majority of study subjects werefemale nurses, 73.0% and 27% of them had moderate and high level of concern regarding theCOVID-19 pandemic respectively. While 54.9% of the studied healthcare providers had highcompliance with standard precautions during COVID-19 pandemic. The highly perceived barrierswere increased workload (59.1%), lack of sanitizer alcohol for routine hand hygiene (58.9%), andshortage of health care providers (56.9%). A statistically significant negative correlation was foundbetween health care providers’ concern score and their compliance score. Conversely, the concernscore had a statistically significant moderate positive correlation with the barrier score. Conclusion:This study concluded that there was high level of concern among health care providers whichsubsequently could lead to suboptimal health care service and less effective compliance to infectioncontrol measures during the COVID-19 pandemic. Recommendations: Effective approachesshould be followed to enhance protection of healthcare providers and minimize their concernsduring the pandemic as well as primary health care centers pandemic preparedness is needed
COVID-19 pandemic
Concern
Compliance
barriers
and Standard precautions
2020
12
01
792
805
https://ejhc.journals.ekb.eg/article_179453_502f762efed7652bdcc8312b704a408c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effectiveness of Progressive Muscle Relaxation on Minimizing Stress among Women with Infertility
Rasha
El -Sayed Ibrahim
Eman
hafez Ahmed Hagrasy
Shimaa
Mohammed Hassan Ali
Mona
Abd Elhaleem Ebraheem Elagamy
Infertility harms women's relationship with family and friends, it is affected the relationship < /div>between the couple's sexual relationship and cause stress. Progressive muscle relaxation isconsidered one of the common methods used to minimize stress. So the study was aimed todetermine the effectiveness of progressive muscle relaxation on minimizing stress among womenwith infertility. Subjects and method: A quasi-experimental research design with a pretest-posttestwas utilized on a purposive sample of 70 women who randomly was divided into two groups, froma population of 386 women in six-months, from the beginning of September 2019 to the end ofFebruary 2020, who attended at the obstetric clinic at Bani-Suif University Hospital, Egypt. Twotools were utilized to collect data in this study: (1) a socio-demographic and fertility historystructured interview schedule, (2) Newton's infertility stress questionnaire was used for datacollection. After assessing and evaluating stress levels, the Progressive muscle relaxation techniquewas implemented in the intervention group. Results: t-test indicated that there were significantdifferences in stress scores between the two groups after the intervention (p < 0.05) of theProgressive muscle relaxation technique. The stress means the score was higher in the control group < /div>compared to the intervention group. Conclusion: Progressive muscle relaxation technique waseffective in minimizing the stress score among infertile women as alternative medicine method.Recommendations: Providing health education program to pregnant women progressive musclerelaxation technique that they can help in providing support.
progressive muscle relaxation
Stress
infertile women
2020
12
01
806
815
https://ejhc.journals.ekb.eg/article_150264_ee877711d86faf127723613bea19f69f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
The effect of an educational guidelines on childbearing women’s knowledge, attitude and their intention regarding emergency contraceptive use
Samia
I Hassan
Rania
El-Kurdy
Ahmed
M. Yousef
Sahar
M. Lamadah
Background: Emergency contraceptive methods offer women safe means of preventing unwantedpregnancies. Providing women with knowledge about EC will improve their understanding andcooperation which in turn can affect their attitude towards EC and hence increase their utilization ofthese methods. Aim of the study: to assess the effect of an educational guidelines on childbearingwomen’s knowledge, attitude and their intention regarding emergency contraceptive use. Subjectsand Method: A Quazi experimental research design was used in this study. This study wasimplemented at the family planning clinic in the New General Mansoura hospital. A convenientsample of 87 women at the childbearing age were recruited according to inclusion criteria. Twotools of data collection were used: Tool (1): Sociodemographic and reproductive history interviewschedule and tool (II): An attitudinal assessment scale. Results: There was a highly statisticalsignificant increase in the total knowledge score immediately after intervention and during the followup, where P
Educational guidelines
Knowledge
Attitude
Intention
emergency contraceptive
2020
12
01
816
831
https://ejhc.journals.ekb.eg/article_181250_e6d89430169a4b7717b3f1054c243b3b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Video-Assisted Structured Teaching Program on Mothers' Knowledge and Practices regarding Diarrhea Prevention among Children Less Than Five Years
Shadia
Abd Elmoniem Syan
Donia
Elsaid Fathi Zaghamir
Mervat
Amin Sayed
Shereen
Said Gouda Ahmed
Background: providing teaching programs to mothers is very important and will improve theirknowledge and practice regarding diarrhea prevention among children which reduces mortality andmorbidity. Aim: To evaluate the effect of video-assisted structured teaching programs on mothers'knowledge and practices regarding diarrhea prevention among children less than five years.Subjects and Methods: Design: A quasi-experimental research design was used in the currentstudy. Setting: This study was conducted at the Medical Pediatric Outpatient Clinics at SohagUniversity Hospital. Sample: A convenient sample of (410) mothers was recruited in the study.Tools of data collection: Three tools were used: (I) structured interviewing questionnaire, (II)knowledge assessment tool, and (III) reported practice assessment tool. Results: The results of thepresent study indicated that statistically significant improvements were found in mothers' totalknowledge and practice regarding diarrhea prevention among children less than five years postvideo-assisted structured teaching program. Conclusion: The current study concluded that videoassisted structured teaching program has found to be positively affected on improving mothers'knowledge and practices level regarding diarrhea prevention among children less than five years.Recommendations: It is very important to apply a video-assisted structured teaching program formothers of children less than five years concerning diarrhea prevention to promote and improvetheir knowledge and practices
Video-assisted structured teaching program
diarrhea prevention
mothers' knowledge
and practices
children less than five years
2020
12
01
832
842
https://ejhc.journals.ekb.eg/article_181252_a49717bd246a1249cff032c2739b4ab6.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Implementing Intervention protocol on Self Efficacy of Patient’s Post Knee Joint Replacement
Rasmia
Abd El-Sattar Ali
Asmaa
Talat Mohamed
Amira
Hedaya Morad
Intervention protocol for patients' post knee joint replacement is considered a strategy forpromoting their knowledge and self-efficacy at home and in the community. Aim: The studyaimed to determine the effect of intervention protocol implementation on self-efficacy ofpatients' post knee joint replacement through: 1) Assessing knowledge and self-efficacy ofpatients' post -knee joint replacement. 2) Designing and implementing intervention protocol postknee joint replacement. 3) Evaluating the effect of implementing intervention protocol on self-efficacy of patients' post knee joint replacement. Study design: A quasi-experimental (pre/posttset) design was utilized to conduct this study. Setting: This study was conducted in jointorthopedic outpatient clinics at El-Demerdash Surgical Hospital which is affiliated to Ain ShamsUniversity Hospitals. Subject: A purposive sample of 193 adult patients from both genders wasrecruited for conducting this study. Data collection: 1) Patients’ interviewing questionnaire. 2)Patients’ self-efficacy scale. Results: The present study revealed a significant differencebetween the studied patients regarding their knowledge and self-efficacy before and afterintervention protocol implementation. Conclusion: The implementing intervention protocol hada positive effect on improving knowledge and self-efficacy of patients' post knee jointreplacement. Recommendations: Setup a training program for patients post knee jointreplacement that aims to improve patients' self-care. Replication of the current study on a largersample and different hospitals and community settings in order to generalize the results
Intervention protocol
Self-Efficacy
knee joint replacement
2020
12
01
843
858
https://ejhc.journals.ekb.eg/article_183277_92cbcffc2ff5ed48772b15042c224c55.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Job satisfaction, non-nursing tasks and nursing tasks left undone among nurses at Zagazig University Hospitals in Egypt
Zaineb
Naiem Abd-Elhamid Ahmed
Sahar
Abdel-Latif Abdel-Sattar
Manal
Saleh Moustafa Saleh
Background: This study adds to the international debate about the relationship between job satisfaction, non-nursing tasks and nursing tasks left undone andby assessing the variables at practical nurses and hospital unit level. This research aimed to explore the relationship between job satisfaction, non-nursing tasks and nursing tasks left undone among nurses at Zagazig University hospitals in Egypt. Subject and methods: A descriptive methodological design was used. The sample size was (320) staff nurses. A self-administered survey questionnaire was used to collectdata used for this research, Three tools were used: Tool I: It encompassed two major parts ; part one) Demographic characteristics of the nurses; Part two) Job satisfaction survey; Tool II: Non - nursing tasks scale; Tool III: Nursing tasks left undone scale. Results: more than half of the nurses were neutral meanwhile there was a low level of nurse job satisfaction. five non-nursing tasks were greatest frequently conducted by the studied nurses. There were nursing tasks left undone by the studied nurses. There was no a statistically significant difference between the studied nurses' job satisfaction and their work in non–nursing tasks, along with nurses' job satisfaction, and their tasks left undone. Conclusions: nurses were less satisfied with their job; the nurses often perform non-nursing tasks and leave some essential nursing tasks undone. there was a high statistically significant positive correlation between studied nurses' non–nursing tasks, and their nursing tasks left undone. While there were no significant correlations between studied nurses' job satisfaction, and their non–nursing tasks, into the bargain; nurses' job satisfaction, and their nursing tasks were left undone. Recommendation: Nurse managers at Zagazig University Hospitals should develop and implement strategies to improve job satisfaction levels for nurses. Work environments should be structured to minimize nurses' performance of non-nursing tasks; this is in the form of allocating adequate and efficient support services to get rid of their workload. This in turn decreases the frequency of nursing tasks left undone by them
Nurses
Job Satisfaction
Non-nursing tasks
Nursing tasks left undone
2020
12
01
859
869
https://ejhc.journals.ekb.eg/article_185708_9ed716a148f3def97efd659035d2a7f2.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of jigsaw cooperative learning strategy on obstetric nurses’ knowledge and information retention of emergency contraceptive methods
Asmaa
Ahmed Ibrahiem
Isis
Emile Gohar
Naglaa
Fathy fathalla
Background: Despite the availability of highly efficient contraception, approximately one third of all pregnancies in the world are still unintended. These pregnancies may be associated with a high risk of morbidity and mortality; particularly in areas where safe abortion is inaccessible or where quality obstetric services are unavailable for those women continuing a pregnancy to term. Every year, 210 million women around the world become pregnant. Of these, 80 million pregnancies are unplanned. Out of these, 46 million pregnancies are terminated each year, and 19 million are ended with unsafe abortion. More than 97% of unsafe abortions occur in developing nations. Most of these results are from nonuse of contraception or from noticeable contraceptive failure, all of which may be avoided by the use of emergency contraception methods. Aim of the study: The present study aimed to determine the effect of jigsaw cooperative learning strategy (independent variable on obstetric nurses’ knowledge and information retention (dependent variable) of emergency contraceptive methods. Methods A quasi experimental research design was used in this study. This study was carried out at El Shatby Maternity University Hospital, in Alexandria governorate, Egypt. A convenient sample of 150 maternity nurses were recruited from the above-mentioned setting. Three tools were used for data collection; (1) socio-demographic characteristic and academic data questionnaire, (2) Emergency Contraceptive Methods Knowledge and Information Retention questionnaire, (3) Nurses’ Satisfaction with Jig Saw Educational Technique Results: Immediately after applying jigsaw strategy the vast majority (97.30%) of the study group had good score of knowledge compared to 74.70 % of control group. Twenty-one (21) days later, a slight decline in knowledge score among the study group was observed with 93, 30% achieving a good total score, while a sharp drop in total score of knowledge among the control group was noticed where 42% of them had good score of knowledge. A statistically significant difference between both groups were found immediately and 21 days after providing teaching session, p (0.000 & 0.000) respectively, where nurses of the study group had better knowledge immediately after providing teaching session. The majority (93.30%) of the study group was highly satisfied with the jigsaw strategy as a new teaching method. Conclusion: Interactive learning environment such as jigsaw cooperative learning strategy was effective teaching methods which facilitated independence and self- directed learning. Recommendation: Jigsaw cooperative learning strategy should be incorporated in obstetric nursing education.
Emergency contraceptive methods
jigsaw strategy
maternity nurses
2020
12
01
870
885
https://ejhc.journals.ekb.eg/article_187036_b082a6575ed5d7f8b5b0fd8a2c19477f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Virtual Reality Distraction versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety during Local Anaesthesia Injection: Implications for Evidence‐Based Practice
Zohour
Ibrahim Rashwan
Rasha
Salah Eweida
Nagwa
Ibrahim Hamad
Abeer
Abd El Razik Ahmed Mohamed
Background: Virtual Reality (VR) immerses children in a simulated environment and diverts their attention away from Dental Fear and anxiety (DFA). Likewise, Positive Pre-Visit Imagery (PPVI) intervention serves as a psychological preparation vehicle for the Local Anaesthesia (LA) injection in an attractive approach. Aim: this study aimed to investigate the effect of VR distraction versus PPVI intervention on children's DFA during LA injection. Design: A quasi-experimental study was conducted at Pedo-dentist Clinic, Dental Center, Alexandria. A sample of 90 children aged from 4-6 years were observed for their anxious behaviors in the waiting room. Participants randomly received routine unit care, VR distraction, or PPVI intervention, and their fear and anxious behavioral responses were quantified during LA injection. Findings: Majority of the VR group (83.3%) and 46.7% of the PPVI group experienced mild fear levels during dental LA injection compared to none of the children in the control group. Regarding children's anxiety, 36.7% of the VR group and 10.0% of the PPVI group were relaxed during the LA injection, while 43.3% of children in the control group were out-of-contact during the injection procedure. Conclusion: Both VR distraction and PPVI intervention showed positive effects and had excellent potential as evidence-based interventions for minimizing children's DFA during LA injection
Child behavior
dental anxiety
dental fear
Virtual reality
Positive Pre-Visit Imagery
Local Anaesthesia Injection
2020
12
01
886
901
https://ejhc.journals.ekb.eg/article_187533_bf2b2b92d219bc8cf3ad022ed7395b16.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Parents’ Needs Regarding their High -Risk Neonates in Neonatal Intensive Care Unit
Shaima
Shaban Mohamed
Asmaa
Hamed Tawfik
Background: Hospitalization of new-born infant in a neonatal intensive care unit is a very frighten and distressing experience for parents, Nurses plays an important role in listening to the demands, concerns, and fears of the family, planning care, attending to their needs and providing the necessary support. Aim: Explore parents’ needs regarding their high-risk neonates in neonatal intensive care unit. Research design: A descriptive exploratory research design was utilised in the current study. Sample: A convenient sample of 150 parents (105 mothers and 45 fathers) who had neonates admitted to the neonatal intensive care unit were involved in the current study. Setting: The study was conducted at a waiting room of neonatal intensive care unit at Minia University Hospital for Obstetric and Paediatrics, Egypt. One tool was used in this study. Part I: Include demographic data of parents such as age, education, number of children, and previous admission to neonatal intensive care unit. Part II: Demographic characteristics of the neonates such as gestational age at birth, birth weight, length of hospital stays and type of disease. Part III: Include neonatal intensive care unit family needs inventory scale to measure the needs of patents regarding their high-risk neonates in neonatal intensive care unit. Results: Fathers had the higher mean score regarding assurance, proximity, information, support and comfort subscale than mothers and assurance subscale ranked the highest most important subscale with mean ±SD (3. 61± 0.141) and (3.35± 0.235) for fathers and mothers respectively. There were statistically significant differences between demographic characteristics of parents and their neonates and parent’s most important needs. Conclusion: In neonatal intensive care unit family needs inventory scale the needs of fathers regarding high- risk neonates were most important than mothers and assurance subscale ranked the highest most important subscale. Importance of needs for parents.is influenced by Parents and their neonates’ demographic characteristics Recommendations: There should be written guidelines for health care team in the hospital about the neonatal intensive care unit family need inventory scale to be practiced in neonatal intensive care unit
High-risk neonates
needs
Neonatal Intensive Care Unit
parents
2020
12
01
921
935
https://ejhc.journals.ekb.eg/article_190739_707cc26808b3826168691fa147389b66.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Teaching Program on Post-operative Health Outcomes for Patients Undergoing Keratoplasty
Hamda
Ahmed Mohmed Eldesoky
Wafaa
Hassan Ali Awad
Corneal blindness has presented a huge challenges public health problem all over the world, particularly in developing countries. Thus, Keratoplasty (PK) is increasingly providing promising results in visual improvement and preserving the structural integrity of the eye, its successful outcome depends on various donors, host factors and surgical technique as well as preoperative teaching that proven beneficial in decreasing postoperative complications and length of hospital stay as well as positively influencing recovery. Patients who are well prepared with a detailed preoperative instruction deal more effectively with their surgery and are better prepared to manage their pain and engage in appropriate self-care activities.This study aimed to determine the effect of teaching program on postoperative health outcomes for patients undergoing keratoplasty. A quasi- experimental design was conducted a convenience sample of sixty patients undergoing keratoplasty that were divided into two equal groups as study and control. Setting: The study was conducted in the Ophthalmology department at the Alexandria Main University Hospital and follow up was done in the Ophthalmology outpatient clinic .Two tools were used for data collection: Tool I: Keratoplasty Patient’s Knowledge Structured Interview Schedule which consisted of two parts: part I; socio-demographic and clinical data& part II; Keratoplasty Patient’s Knowledge Questionnaire. Tool II: Patient's Health Outcomes sheet and it's divided into two parts, part I; keratoplasty complications & part II; Self-Care Practices Questionnaire Structured Interview Schedule. The results of the present study revealed a highly statistically significant difference between control and study group regarding their knowledge and level self care practices immediate post and post three months of program implementation. Conclusion: applying teaching program had statistically significant improvement in knowledge, self -care practice ,visual function as well as decrease postoperative complication for patients undergoing keratoplasty. Recommendation: In service training program should be carried out for ophthalmic nurses about care given to patients undergoing keratoplasty(pre & postoperative care)
Keratoplasty
Postoperative Health Outcomes
Teaching Program
2020
12
01
936
957
https://ejhc.journals.ekb.eg/article_190748_93dee4f267fa9a3038ff7486b45bb98f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Auditing the Compliance of Nursing Staff on Hand Washing Technique during (COVID- 19) Pandemic
Hanaa
Mohamed Ahmed
Background: Hand washing is a corner stone of infection control and the third precautionmentioned alongside wearing a mask and staying six feet apart for the last year as the coronaviruspandemic. Aim: auditing the compliance of nursing staff on hand washing technique during Covid -19 Pandemic. Subject: Nursing staff who worked with at isolation departments. Design: A crosssectional descriptive research design. Setting: The study was conducted in El- Rajhy LiverHospital, Neurological Hospital, Main hospital (chest department) and urology Hospital at AssiutUniversity Hospitals. Tools: Tool I: Personal data of nursing staff. Tool II: Observation checklistfor nursing staff about the proper technique of hand washing. Results: the highest percentage of thestudied subject was compliance with hand washing at September and October and there wasnegative statistically significant correlation between compliance and not compliance items withhand washing among nursing staff. Conclusion: Hand washing compliance rates have increasedsignificantly in last month only at Al Rajhy Liver Hospital and Neurological Hospitals where therehas been an increase in the number of coronavirus cases among nursing staff. Recommendations:There must be announced strategies in hospitals for all nursing staff to note the extent of nurses'commitment to washing hands. Penalties are also applied to those do not adhere to hand washing.
Compliance to hand washing technique
COVID 19
Nursing Staff
2020
12
01
958
964
https://ejhc.journals.ekb.eg/article_200853_5244bfd67a2419f14230d74841c42a7a.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effectiveness of Psychoeducational Program for Self-management Strategies to Cope among Patients with Depression
Saida
El Sayed Hassan Ibrahim El-Azzab
Abeer
Taha Ahmed
Hussein
M. Ahmed
Background: Patients with major depressive disorder experience many difficulties and need strategies to enhance adherence, cope with a chronic condition, and maintain a positive mental status which must address issues in training and patient education. Aim: The study aim was to examine the effectiveness of the psychoeducational program for self-management strategies to cope among patients with depression. Methods: A quasi-experimental design (one group pre/post-test) was used in the current study. It was carried out in the Outpatient Department at Psychiatric Hospital in Beni-Suef Governorate, Egypt. A purposive sample of sixty psychiatric patients medically diagnosed with the major depressive disorder was recruited in this study. Tools: consisted of four parts: Clinical and socio-demographic characteristics sheet, Self-rating depression scale (SDS), Self-management strategies, and The COPE inventory. Results: The findings of this study verified that statistically significant relation pre/post and pre/follow-up observations in self-rating depression scale, self-management strategies for people with depression, and the 15-scales of the coping inventory and statistically significant relation between post and follow-up observations in self-management strategies for people with depression and the 15 scales of the COPE inventory (p≤0.01 and p≤0.05). Conclusion: The results demonstrated that, the psycho-educational program is effective in promoting positive self-cope strategies for patients with depression. Recommendations: Nurses in psychiatric organizations, along with other healthcare members, should help patients develop, and use more self-management techniques and coping strategies.
psycho-educational program
Self-management Strategies
Cope
depression
2020
12
01
965
978
https://ejhc.journals.ekb.eg/article_207948_5627d81d4afff3d5dc2b5a00b67ef7af.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effectiveness of Talent Management Training Program on Nurse's Empowerment
Khadra
Mohammed Atiea Mohammed
Wafaa
Mostafa Mohamed Sliman
Azza
El Azab Mohamed
Background: Talented nurses create differential value and make contributions to the hospital; talent management has been advocated as an important scheme to empower those nurses. The study aimed to measure the effect of a talent management training program on nurses' empowerment. Research design: A quasi-experimental one-group pre-posttest research design was used. Subjects and Setting: The sample consisted of 145 nurses who were invited to participate in the study. The study was conducted at Fayoum University Hospitals. Tools of data collection: Two tools were used for data collection namely; Talent management and empowerment questionnaires. Results: Findings of the study indicates that there were highly statistically significant positive correlations among nurses' total talent management and total empowerment scores pro/post-program implementation, the strongest correlation was for talent management mindset with domains of access to support, access to opportunity, and access to resources, and with total empowerment scores. Conclusion: Nurses’ total talent management level and total empowerment level were improved evidently throughout the program phases. There was a highly statistically significant positive correlation among nurses' total talent management and total empowerment scores throughout program phases. Recommendations: All health care organizations should introduce a talent management strategy in their strategic planning to remain competitive in today's healthcare market. Encourage complete involvement of nurses and other health care providers to donate their varied talent on the cooperative journey to talent advantage.
Talent Management
Nurses
and Empowerment
2020
12
01
979
993
https://ejhc.journals.ekb.eg/article_212964_b5f91f304e24cefd33368f01384101c0.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Burden and Coping Patterns among Family Caregivers of Patients with Bipolar Disorder
Menna
Allah Mohsen Zaki
Rania
Abdel-Hamid Zaki
Fatma
Mohammed Ibrahim Morsi
Background: Bipolar Disorder is a major psychotic disorder which cause considerable burden and limitations among the caregivers of the affected patients. Different coping methods are used that may have a buffering effect on level of burden they experience. Aim: This study aimed to assess burden and coping patterns among family caregivers of patients with bipolar disorder. Design: A descriptive cross-sectional analytical study design was utilized. Setting: This study was carried out in the outpatient clinic of the Institute of Psychiatry affiliated to Ain Shams University. Subjects: this study was conducted on 140 family caregivers of patients with bipolar disorder. Data collection tools: 1) a structured interview schedule to assess: a) demographic data of caregivers, b) patient history of illness, c) knowledge about BD; 2) Burden assessment schedule scale; and 3) Coping strategies inventory scale. Results: data analysis showed that near half, near one third, & one quarter of the studied caregivers had severe, moderate, and mild levels of caregiving burden respectively. Regarding their coping pattern , more than two third of them had low problem focused engagement, while more than half of them had high problem focused disengagement and emotional focused disengagement respectively. Conclusions: This study concluded that, less than half of the studied caregivers had severe level of caregiving burden, about one third of them had moderate level of caregiving burden, three fifths of them had low engagement coping and more than half of them had high disengagement coping. Recommendations: Development of psycho-educational supportive program for family caregivers of patients with BD to reduce their burden and improve coping patterns. Establishment of counseling clinics for caregivers of patients with mental illness including BD to enhance their resilience, coping skills and quality of life
Burden
coping patterns
family caregivers
Bipolar Disorder
2020
12
01
994
1008
https://ejhc.journals.ekb.eg/article_215917_88a59f414e230474a8900025c5f61a2a.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Prevalence of Psychological Distress and Post-Traumatic Stress Disorder among Nursing Staff during COVID-19 Epidemic
Samah
Mohamed Taha
Eman
Sameh Abd ELhay
Background: COVID-19's deadly nature and high infection rate, increasing cases, a lack of personal protective equipment, extremely demanding workloads, and a lack of appropriate therapies to save lives can all contribute to psychological distress and can induce post-traumatic stress disorders among healthcare personnel. Aim of the study: To estimate the prevalence of psychological distress and posttraumatic stress disorder among nurses caring for COVID 19 patients. Setting: The study was undertaken at Mansoura University Hospital. Design: A descriptive cross-sectional was used. Subjects: An online Google Form was used to collect a convenience sample of all duty nurses caring for COVID 19 infected patients from June to September 2020. Tools: Included three tools: Demographic data, Arabic Version of Davidson Trauma Scale, 17 items, and Arabic Version Kessler Psychological Distress Scale. Results: 264 nurses were analysed. The findings revealed that (91.3%) of the nurses investigated experienced psychological distress, with (59.1%) were experiencing severe distress. More than two third (68.9%) suffered from posttraumatic stress disorder. Conclusions: The majority of the studied nurses had psychological distress with more half of them experiencing severe distress and more than two third had posttraumatic stress disorder with less than half of them had severe level. Recommendations: Monitoring the short- and long-term implications of the COVID-19 pandemic, as well as implementing early intervention strategies is critical.
Nurses
COVID 19
Posttraumatic stress disorders
and Psychological Distress
2020
12
01
1009
1018
https://ejhc.journals.ekb.eg/article_216647_87a5a29754ccd2eeb5cd77839a1d62ac.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Expressed Emotions and Parent’s Attitudes Toward their Children with Autism
Hend
Karem Mahmoud
Rania
Abdel-Hamid Zaki,
Hoda
Sayed Mohammed
Background: Parenting a child with autism spectrum disorder represents an extraordinary challenge
to parents of children with autism, thus, they continue to have high levels of stress and burden
which consequently affect their expressed emotion and attitude toward their children. Aim: This
study aimed to assess the expressed emotions and parents’ attitudes toward their children with
autism. Design: A descriptive explanatory research design was utilized in this study. Setting: This
study was carried out in the outpatient clinic of the Institute of Psychiatry affiliated with Ain Shams
University. Subjects: This study was conducted on 100 parents of children diagnosed with autism
spectrum disorder. Sample type: Purposive sample was recruited for this study. Data collection
tools: Data were obtained through three tools; 1) Interviewing Questionnaire to assess socio-
demographic data of children with autism and their parents, 2) The expressed emotions
Questionnaire and 3) The family attitude scale. Results: The majority (81%) of the studied parents
had high levels of expressed emotions, and only less than one fifth (18%) of them had low levels of
expressed emotions and nearly three quarters (72%) of them had a negative attitude toward their
children with autism. Conclusions: The total levels of expressed emotions among most of the
parents of children with autism under study were high and the most affected component of EE is
over-involvement followed by hostility and criticism. Nearly three-quarters of them had negative
attitudes toward their children with autism. Also, this study concluded that there is a high
correlation between levels of expressed emotions and attitude of the studied parents of children with
autism. Recommendations: Utilization of our study results in designing and implementing
counseling programs for parents of children with
autism to change their attitudes and manage their
expressed emotions
Autism Spectrum Disorder
Expressed emotion
parents
2020
12
01
1019
1032
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Supportive Educational Interventions on Self-care practices and Expected Health Outcomes among Patients Undergoing Radical Nephrectomy
Heba
Mahmoud
Mona
Abd Elmaksoud Mohamed
Mervat
Abdel Hamid Hawash
Background: Radical nephrectomy (RN), remains the most commonly performed procedurefor the excision of renal cell carcinoma (RCC). Preoperative preparations of the RN patientsphysically and psychologically are the cornerstone of the good outcomes. Aim: This study aimsto evaluate effect of supportive educational intervention on self-care practices and expected healthoutcomes among patients undergoing radical nephrectomy. Research design: A quasi-experimentalresearch design with pretest, posttest, and follow up assessments was utilized to achieve the aim ofthis study. Settings: The present study was conducted at the Urology Surgical Department of theMain Alexandria University Hospital at Alexandria. Subjects: Purposive sample of 60 patientsplanned for radical nephrectomy and were recruited in this study and divided attentively into twoequal groups (study and control). Tools: Five tools were used for data collection: Patients’Assessment Interview Schedule,Patient self-care practices, Numerical analog scale for pain severity,Beck Anxiety Inventory (BAI) Scale and Clavien-Dindo grading system for the classification ofsurgical complications. Results: Improvement in self-care practices among the study group than thecontrol group after implementation of supportive educational interventions program, fewer postoperative complication grade II in the study group compared with patients in the control group withstatistically significant differences. The pain & anxiety level were improved in the study group thancontrol group after implementation of implementation of the supportive educational interventionsprogram, (p 0.001), also there was statistically significant between level of anxiety in relation topost-operative complications. Conclusion: patient undergoing radical nephrectomy showed asignificant improvement in their self-care practices and better post-operative health outcome asabsent of post-operative complications, early recovery, effective pain and anxiety control afterreceived of supportive educational interventions
Radical nephrectomy
Supportive Educational Interventions
Self-care practices
Health Outcomes
2020
12
01
1033
1049
https://ejhc.journals.ekb.eg/article_219043_1da495ca33f2e636906e720d3174d027.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Pelvic Floor Muscle Strengthening Exercises on Urinary Incontinence and Quality of Life among Patients after Prostatectomy
Zizi
Fikry Mohamed Abd Elrasol
Ola
Ezzat Eltohamy Mohamed
Ola
Gouda Mohamed Elshiekh
Background: Urinary incontinence remains one of the most significant discomforting complications of prostatectomy. This clearly has negative quality of life implications for men. Training pelvic floor muscle exercise can greatly contribute to the prevention and treatment of urinary incontinence. Aim of the study: is to determine the effect of Pelvic Floor Muscles Strengthening Exercise on urinary incontinence and quality of life among patients after prostatectomy. Study design: A quasi-experimental research design was used in this study. Settings: The study was conducted at urology inpatient unit and urology outpatient clinics affiliated to National Medical Institute in Damanhour, El-Behera Governorate, Egypt. Subjects: A randomly sample of sixty patients, were selected from patients post prostatectomy, randomly divided into control and intervention group; 30 patients each. Tools: Three tools were used. Tool I: Socio-demographic and clinical data questionnaire. Tool II: The urinary incontinence questionnaire: International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), Tool III: The quality of life questionnaire I-QOL. Results: There was a statistically significant difference between the control and intervention group of prostatectomy patients in relation to the degree of urinary incontinence and quality of life after three months from implementation of pelvic floor muscle strengthening exercises Conclusion: it can be concluded that performing of pelvic floor muscle strengthening exercise had statistical significant improvement on degree of urinary incontinence and quality of life among patients post prostatectomy than the control. Recommendations: The nurses must emphasize to provide continuous follow up care for reinforcing the importance of the pelvic floor muscles exercises practice and stimulating the motivation to persist in the urinary incontinence management.
Pelvic Floor Muscle Strengthening Exercise
Urinary incontinence
quality of life
Prostatectomy
2020
12
01
1050
1061
https://ejhc.journals.ekb.eg/article_222518_2769fef3a4ac93072f55935dfbb351f5.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Psycho-Educational Program on Psychological Stress and Resilience Among Families Caring for Children with Intellectual Disability
Hoda
Sayed Mohamed
Hossam
Mohamed Elkhatib
Neamat
Mohamed Mohamed
Background: Family caring for children with Intellectual Disability tend to report higher rates of psychological stress which impacts their ability to meet their child’s needs. So, the family needs to remain resilient in the face of significant stress in their lives. Aim. This study aimed to investigate the effect of the psycho-educational program on psychological stress and resilience among family caregivers of children with intellectual disabilities. Research design: A quasi-experimental research design was used in this study. Subjects. The study subjects consisted of 70 family caregivers of children with intellectual disabilities. Setting: The study was conducted at the child psychiatric outpatient clinic of Al Abbassia mental health hospital. Tools: The data was collected using 1) An interview questionnaire to assess sociodemographic characteristics of family caregivers and their children 2) Psychological Stress Scale. 3) Resilience scale to measure resilience among family caregivers of children with intellectual disability. Results: There was a highly statistically significant difference observed pre-and post-program implementation regarding the total level of psychological stress among family caregivers understudy, where preprogram implementation, more than three-fifths of subjects under study (62.9%) had a severe level of psychological stress, meanwhile, a small minority of them reported sever degree of psychological stress in the post-program implementation phase, representing 12.9%. Also, there was a remarkable improvement in the total level of resilience among family caregivers understudy post-program implementation, where more than two-thirds of them (70%) had a low level of resilience preprogram, and 5.8% of them only reported a low level of resilience post-program implementation. Conclusions. The total level of psychological stress has been decreased post- psychoeducational program implementation compared to the pre-program implementation and there was a remarkable improvement also in the level of resilience post-program implementation compared to the pre-program implementation. Recommendations. This study recommended that a counseling clinic should be established for all family caregivers caring for children with intellectual disabilities to offer appropriate information and psychological support and guide them to know how to deal with their child’s problems to decrease stress and improve resilience
Intellectual Disability
family caregivers
Resilience
children
psychological stress
psycho-educational program
2020
12
01
1062
1076
https://ejhc.journals.ekb.eg/article_227162_998a50b04fe8da36be9a6d07af12b16e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
E-Learning; Barriers and Opportunities; Nursing Students Perspectives
Doaa
Mohamed Mahmoud
Nayera
Mohamed Tantaewy
Hend
Mohamed Allam
Background: E-learning is the use of the internet and its related devices for educational purposes. Teaching and learning via the internet is a novel experience for most teachers and students especially after the outbreak of the coronavirus pandemic. Aim: was to assess barriers and opportunities faced by nursing students during applying e-learning. Design: A descriptive research design was utilized to conduct the aim of this study. Setting: This study was conducted in the Faculty of Nursing, Benha University, Egypt. Subjects: A stratified random sample technique was employed for the selection of 10 % from the students in each of the four academic years enrolled in Faculty of Nursing, Benha University during the academic year 2019/2020. Tools: Interviewing questionnaire including demographic characteristics and background on utilizing technology, opportunities and Barriers of e-learning questionnaires. Results: The majority of the studied students was females and was living in rural area. Also There were a highly statistical significant difference between students live in rural areas and students live in urban areas regarding presence of internet facility at home and qualification in using computer and internet, more than half of students choose U tube application as the most effective tool for e- learning and preferred the use of mobile devices in e-learning activities. The majority of the nursing students had positive perception ranging from neutral to agree regarding e-learning opportunities items. Majority of nursing students of the three academic years from second to forth academic years had neutral agreement with the presence e-learning barriers While, the first year students had the highest level of agreement with the presence e-learning barriers. Conclusion: There were a highly statistically significant and the majority of the nursing students had positive perception ranging from neutral to agree regarding e- learning opportunities items. Majority of nursing students of the three academic years from second to forth academic years had neutral agreement with the presence e-learning barriers While, the first year students had the highest level of agreement with the presence e-learning barriers. Recommendations: there is a need for providing training for students on e-learning tools and computer skills. Also, a systematic strategy should be followed to implement e-learning since it is a new experience for Benha University
E- learning
Opportunities
barriers
Nursing students
2020
12
01
1077
1093
https://ejhc.journals.ekb.eg/article_228551_c1b95a950bf27e13a6bbcc6e0ebd8d5d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
E-Learning Experiences and Stressors of Nursing Students during COVID-19 Pandemic: A Phenomenological Study
Lamiaa
Saad Abdallah
Omnia
Mohamed Abd El-Monem
Basma
Mohamed Osman
Objective: The COVID-19 pandemic caused an immediate and significant shift in how nursing education can be delivered. Aim: Exploring the experience of nursing college student with e-learning and its related stressors. Design: qualitative phenomenological research. Sample: A purposive sample of 20 nursing college students from grades 1 to 4. Data were collected through semi-structured interviews using WhatsApp mobile messaging and Zoom meeting applications. Semi-structured interviews included two parts: demographic characteristics of the students and six open-ended questions for exploring the experience of nursing college student with e-learning and its related stressors. Setting: The study was conducted at the Faculty of Nursing Cairo University. Results: The lived experience of e-learning and its related stressors among nursing college students in the current study is presented in seven major themes; living in uncertainty, psychological suffering, privileges of e-learning vs. traditional method, educational difficulties, challenges of e-learning, and stress management techniques used with e-learning. Conclusion: Nursing students generally view e-learning as a successful experience to some extent. However, they reported many challenges and stressors associated with e-learning, including unreliable internet, and perceived the faculty is unprepared to teach in this environment. Therefore, it is recommended to replicate the research on a large sample and in different settings to achieve more generalization. Also, to train teaching staff, students to deal with distance learning sites and programs and give oral and written assignments and directions.
E-learning
COVID 19
Nursing college students
stressors
2020
12
01
1094
1105
https://ejhc.journals.ekb.eg/article_230204_5e0ba6ab622323a7bf511418abd05139.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Psycho-educational Intervention: Its Effect on the Psychological Distress and Optimism Among Family Caregivers of Patients with Bipolar Disorder
Asmaa
Hafez Afefe Barakat
Zienab
Mohammed Ibrahim
Background: Bipolar disorder is a periodic and long-standing psychiatric disorder not only affects the patients but also affects the quality of life and psychological wellbeing of their families. Aim: This study aimed to evaluate the effect of a psycho-educational intervention on the psychological distress and optimism among family caregivers of patients with bipolar disorder. Setting: This study was conducted at the outpatient clinic affiliated to Abbassia mental health hospital. Subjects: a purposive sample of 60 family caregivers of patients with bipolar disorder from the previously mentioned setting. Tools: Three questionnaires were used: 1) An interview questionnaire to assess demographic characteristics, knowledge, and reported practice among the studied caregivers 2) Psychological distress measured by the Brief Symptom Inventory, and 3) Life Orientation Scale to assess optimism. Results: The study results showed that there were significant differences between the pre and post-test in the four variables; knowledge, practice, psychological distress, and optimism; the P-Value was significant at 0.01 in knowledge and significant at 0.05 in practice, Brief Symptom Inventory, and the Life Orientation Scale. Conclusion: the psycho-educational intervention has a positive effect on reducing psychological distress and promoting optimism among family caregivers of patients with bipolar disorders. Recommendation: A continuous and periodic rehabilitation program should be conducted for family caregivers to improve their coping skills, optimism, and their quality of life.
Psychological Distress
optimism
family caregivers
Bipolar Disorder
2020
12
01
1106
1118
https://ejhc.journals.ekb.eg/article_235897_7fd2d5e17e5be08080449f2d0e9e0d1b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Educational Intervention Based on PRECEDE-PROCEED Model on Osteoporosis Preventive Behaviors among Perimenopausal Women
Heba
Mahmoud
Hemmat
Mostafa Hassan
Amira
Morsy
Background: Osteoporosis remains a serious public health issue around the world, especially among menopausal women, hence prevention is essential. Aim: To evaluate the effect of educational intervention based on the PRECEDE-PROCEED model (PPM) on osteoporosis preventive behaviors among perimenopausal women. Design: A quasi-experimental design was used. Setting: The research was carried out at Benha University Hospital's Obstetrics and Gynecology Clinic. Sample: A purposive sample of 109 perimenopausal women was randomly assigned to one of two groups (54 women in the control group and 55 women in the study group). Tools: Three tools were used for data collection: a structured interview questionnaire, a self-report-based health preventive behavior questionnaire a timetable, and a questionnaire on the construction of an antecedent model. Results: There was highly statistically significant difference was observed in all construction of the Precede-Proceed model of the study group compared with the control group after the application of health education based on PRECEDE - PRECEDE model (p < 0.001). Conclusion: applying PPM can positively affect osteoporosis preventive behaviors and result in improving women's knowledge, attitude, behavior, reinforcing factors, and enabling factors which supported the present study hypothesis. Recommendations: Application of a PRECEDE-PROCEED model-based awareness program in the healthcare system to enhance knowledge of osteoporosis and its prevention in perimenopausal women. To improve awareness of menopause and the long-term consequences of more effective coping mechanisms, educational programs for menopausal women should be developed.
Education Intervention
PRECEDE - PROCEED
model
preventive behaviors
Osteoporosis
perimenopause
2020
12
01
1119
1135
https://ejhc.journals.ekb.eg/article_239356_724502f3c1006df2c06e1936991dd305.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Knowledge Sharing and Its Effect on Innovative Behavior among Nurse Teachers
Samia
Adam
Hanaa
Abdrabou
Reda
Ali Mohamed
Background: Knowledge sharing is a fundamental mechanism for making collaborative flows effective, allowing innovators to acquire new information and stimuli for exploring external ideas and exploiting internal knowledge. Aim of the study: assessing the effect of knowledge sharing on nurse teachers‟ innovative behavior. Design: A descriptive correlational research design. Setting: all secondary Technical Nursing Schools at Elfayoum governorate. Subjects: All the available nurse teachers who are working in the designated setting involved in the study. Tools of data collection: two data collection tools were used namely: Knowledge sharing readiness questionnaire, and Innovative Behavior Inventory. Result: Majority of nurse teachers had low total knowledge sharing level and innovative behavior level. Additionally, there were highly statistically significance correlation between total knowledge sharing score and innovative behavior score among nurse teachers. Conclusion: The level of total readiness to share knowledge and innovative behavior was low score among nurse teachers. Also, there was highly statistically significance correlation between total readiness to share knowledge score and total innovative behavior score. Recommendations: Universities should be able to support their academic staff in research collaboration and sharing knowledge by allowing them create new theories and establishing new research principles, directors of technical nursing schools should accordingly build an organizational and technological environment that creates the conditions for the exchange of tacit knowledge, a future research must be made to improve Knowledge sharing and Innovative behavior among nurse teachers in other nurses‟ institutes.
knowledge sharing
Nurse Teacher
innovative behavior
2020
12
01
1136
1150
https://ejhc.journals.ekb.eg/article_257620_507fa002ffad44ffad1e023c5afad22c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
The Effect of Foot Massage on Pain Severity, Hemodynamic Parameters, and Mechanical Ventilation Weaning Time among Patients in Critical Care Settings
Amina
Mohamed Abdelfatah Sliman
Marwa
Mehrez Mahmoud
Aida
Faried Abdelwanees Ali
Foot massage is considered one of the essential complementary modalities that became an issue of concern in critical care settings, it is non-invasive, simple to use, less expensive, and produces few risks or complications. This research aimed to determine the effect of foot massage on pain severity,hemodynamic parameters, and the length of mechanical ventilation weaning time among patients in critical care settings. Methods: Quasi-experimental design was used in three intensive care units affiliated with Mansoura Emergency Hospital.A convenience sample of 62 critically ill patients was enrolled and chosen at random to the foot massage group and the control group. Data were collected using the patients' demographic, and health-relevant data; the hemodynamic parameters assessment sheet, mechanical ventilator weaning time, andthe behavioral pain scale tool. Results: Statistically significant differences were found in comparison to the control group and the foot massage group regarding pain score, and hemodynamic parameters at (P <0.05). Additionally, statistically significant variations in the length of MV weaning period between the two study groups were detected at (P=0.036). Conclusion:In critical care settings, foot massage is a useful strategy for reducing pain intensity, stabilising hemodynamic parameters, and reducing patients’dependence on ventilators.Recommendation: The study recommended that foot massage can be introduced as an auxiliary intervention to conventional nursing care for critically ill patients.
Foot massage
hemodynamic parameters
Mechanical Ventilation Weaning Time
Critical Care Setting’Patients
2020
12
01
1151
1162
https://ejhc.journals.ekb.eg/article_260203_5408fc3d7db80fac48bde600eb135efb.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Guidelines About Covid-19 Precautions on Maternal and Neonatal Outcomes in Ismailia City, Egypt
Asmaa
Morgan Farahat Khatap
Safaa
Gomaa Ahmed Abu El Soud
Nagat
Salah Shalaby
Background: COVID 19 is a pandemic viral infection around the world. Starting in Wuhan city- china at December 2019.Egypt was affected by this viral infection at February 2020. Pregnant women are worried about infection during pregnancy and its outcome for morher and newborn. Study design: A quasi-experimental design one group pre/posttest, Setting: Obstetrics and Gynecologic Clinics in governmental hospitals and private clinics at Ismailia city. Four tools were used to collect data in the current study, as the following:1st Tool: Self-Administered Online Questionnaire: included socio demographic data, past/ current obstetrical history and knowledge assessment,.2nd Tool: Reported practice Check list, 3rd Tool: Maternal and Neonatal Outcomes Record, 4th Tool: Breast Feeding Record: assessed during 1st, 5 days and 14th days after delivery. Results: the mean age of the studied women 26.250 ± 4.817 years. 50% of the studied women had Bachelor education.76.9% of the studied women were housewives. Maternal Knowledge and practice were improved with highly statistical significant differences (p=0.000). maternal and neonatal outcomes were improved Limitation: restricted sample size because of 2nd wave started with new manifestation. Conclusion: Pregnant women who received the guidelines regarding COVID-19 precautions had satisfactory knowledge & practice. They had a positive maternal& neonatal outcome. Recommendations: Application of guidelines at Maternal Child Health (MCH) Centers in early pregnancy to avoid other waves of COVID 19.
COVID-19
Maternal and Neonatal
Neonatal outcomes
2020
12
01
1163
1176
https://ejhc.journals.ekb.eg/article_261318_7a73258018f892193a4b202021ba2fb4.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of fetal movement counting on maternal and fetal outcomes among high-risk pregnant woman: A randomized controlled trial
Rania
Mahmoud Abdel Ghani
Eman
Mohamed Eraky
Background: Mother's fetal movement counting is a tool allows the mother to be confident of fetal
wellbeing. This study aimed to evaluate the effect of fetal movement counting on maternal and fetal
outcomes among high-risk pregnant women. Methods: A total sample of 100 risky pregnant women
were assigned randomly to the study group (i.e., pregnant women who received instruction related
to the daily fetal movement count), and the control group who received the routine hospital's
antenatal follow up. Data was gathered utilizing; 1) a structured interview questionnaire, 2) follow
up assessment schedule and 3) Daily fetal movement counting chart. Findings: There were
statistically significant differences between both group's related to recurrent consultation and
seeking medical advice (withχ2 = 5.19, and P≤0.02), while number of hospital admission for
observing fetal movement was (χ2 =4.32, and P≤0.04). Conclusion: Antenatal standard information
for fetal movements count may help in increasing mother's awareness for early reporting.
fetal movement
High risk pregnancy
Randomized Controlled Trial
2020
12
01
1177
1186
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Mothers' Perception Concerning their Adolescent Daughters' Seeking for Gynecological Health Services
Fatma
Ahmed Hamoda Fayed
Randa
Mohamed Ibrahim
Walaa
Fathy Mohamed
Background: Adolescence is a critical life phase in which individuals must have the opportunity to develop the capabilities required for realizing their full potential and achieving a healthy and fulfilling life. Healthy adolescence is the foundation of a healthy adult and this therefore becomes an important phase to concentrate upon by all the concerned stakeholders. The aim of the study: to assess the mothers' perception concerning their adolescent daughters' seeking for gynecological health services. Design: A descriptive study design was used. Setting: The study was conducted at outpatient clinics in EL Menofieya University Hospitals. Sample: A purposive sample of (385) mothers of adolescent girls were recruited on the study. Data collection tools: Structured interviewing questionnaire sheet and a three points Likert scale. Results: The result of the present study reveals that 68.8% of the studied mothers has unsatisfactory knowledge about their adolescent daughters' seeking for gynecological health services. The more than two third of the sample had positive attitude concerning their adolescent daughters' seeking for gynecological health services. Conclusion: It is concluded that more than two third of the studied mothers have unsatisfactory knowledge about adolescence gynecological problems, causes of gynecological problems, adolescent's complications relating to ignoring any gynecological problem, organs that examined during gynecological examination for adolescent, and centers for treating gynecological problems respectively. Recommendation: Conduction of awareness secessions for mothers' of adolescent girls to improve their knowledge about adolescent daughters' gynecological health problems and services Future research should focus on effect of instructional guideline about adolescent daughters' gynecological health problems and services on their mothers' knowledge and attitude.
Gynecological health
Adolescent
Mothers' perception
2020
12
01
1187
1199
https://ejhc.journals.ekb.eg/article_264202_56985b308d01a92f673f6001759ca083.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Lifestyle of Patients infected with Hepatitis C Virus
Heba
H. Abd Elatif
Omayma
A. Osman
Ghada
M. Mourad
Amira
A. Morsi
Background: Hepatitis C virus infection is a chronic inflammatory process leading to not only hepatic inflammation but also persistent systemic inflammation, Aim: The current study aimed to assess lifestyle of patients infected with hepatitis C virus. Research Design: Descriptive design was used. Setting: The study was conducted at the Institute of liver specialized hospital in Kafr-El- Sheikh Governorate. Sample: A convenient sample was used for this study; include 60 patients with Hepatitis C virus at outpatients, and inpatients units. Tool: Interview questionnaire tool was used to assess life style of patients infected with hepatitis C virus that consisted of four parts. Part 1: Socio demographic characteristics, Part 2: History of infection/disease, Part 3: Knowledge about hepatitis C virus infection, Part 4: Health status and lifestyle Results: Majority of the participants had unsatisfactory total knowledge about HCV. Majority of the participants have poor life style total scores. There is no statistically significant relation between patients' total knowledge and their personal characteristics. There is a highly statistically significant relation between patients' total life style and their ages, marital status, and education. Also, there is a statistically significant relation between patients' total life style and their six. Conclusion: Majority of the participants have poor life style total scores. There is no statistically significant relation between patients' total knowledge and their personal characteristics. There is a highly statistically significant relation between patients' total life style and their ages, marital status, and education. Recommendations: Provide educational programs to increase patient's knowledge regarding hepatitis C virus and improve patient's practice regarding hepatitis C virus which affect lifestyle.
Lifestyle
patients
Hepatitis C virus
2020
12
01
1200
1211
https://ejhc.journals.ekb.eg/article_264206_32f056fa6c251621e7741bd61d20b77d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Nurses Performance for Patient with Acute Organophosphate Poisoning
Samar
Hussein Ahmed Mohamed
Magda
Abd Elaziz Mohamed
Jackleen
Faheem Gendy
Shimaa
Nabil Abd Elsalam
Background: Organophosphate (OP) compounds are agrochemical agents that have been frequently misused for deliberate self-harm in the world; the majority of the three million pesticides related poisonings worldwide are due to OP compounds. Early identification followed by effective management in the initial stages increases the rate of survival among patients with (OP) poisoning. Aim of the study: to assess nurses' performance (knowledge, practice and attitude) for patient with acute organophosphate poisoning. Research Design: A descriptive exploratory design was utilized. Method: A convenience sample of all available nurses (50 nurses) working in four units surgical ICU, Emergency unit, poisoning ICU, and poisoning unit in Tanta university hospital. Tools three tools used in the current study: self-administrated questionnaire, observational checklist, and nurses' attitude Likert scale. Results: 70% of studied nurses had unsatisfactory level of knowledge and 54% had incompetent practice regarding care of patient with acute organophosphate poisoning. 84% of nurses have negative attitude regarding care of patient with acute organophosphate poisoning. Conclusion: based on the results of the current study there was statistically significant correlation between the nurses' knowledge, practice and attitude regarding care of patients with acute organophosphate poisoning Recommendation: Designing teaching program for nurses to improve nurses' knowledge, practice and attitude for care of patient with acute organophosphate poisoning. Developing simplified and comprehensive booklet including basic information about organophosphate poisoning.
Organophosphate (op)
Poisoning
Nurses' knowledge
Practice
Attitude
Nurses' Performance
2020
12
01
1212
1227
https://ejhc.journals.ekb.eg/article_198459_167eb42cf43ffd9f76eec76d5e58b160.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Mobile Based Health- Education on Quality of Life among Children with Chronic Kidney Diseases during COVID-19 Pandemic
Amirat
Ali Elsabely Mohammed
Nabila
Abdelkader Abdeldaiem
Hoda
Ahmed Mahmoud
Amel
Ahmed Elsayed
Mohammed
Saad Abo Elsoud
Manal
Mohamed Ahmed Ayed
Background: Chronic kidney disease (CKD) is one of the major health problems affecting childrenmorbidity and mortality. Quality of life (QOL) has become a field of extensive research involvingchildren, so the use of mobile based education for those children is very important to improve theirhealth and QOL. This study aimed to evaluate the effect of mobile based health - education on thequality of life among children with chronic kidney diseases during COVID-19 Pandemic. Design: Aquasi-experimental design (pre/post-test) was utilized. Sample: A purposive sample of 50 childrensuffering from chronic kidney diseases was selected. Setting: The study was conducted in thePediatric Nephrology and Dialysis Unit and Outpatient clinic of pediatric nephrology at MansouraUniversity Hospital. Tools: Tool (I) Interviewing questionnaire which included two parts (1)demographic characteristics of children with chronic kidney diseases (2) children' knowledgequestionnaire regarding chronic kidney diseases, and Tool (II) The Arabic Pediatric Quality of LifeInventory (PedsQL) is used to assess the children’s quality of life (PedsQL) 4.0 Generic Core Scales(GCS). Results: The present study revealed that the mean age of children is 10.9 ± 2.1 years, therewas a highly statistically significant difference in improvement in children's knowledge after usingmobile based health education intervention in all tested areas. There was a statistically significantdifference in the children's quality of life domain, knowledge regarding chronic kidney diseasespost-intervention compared to pre-intervention. There is a statistical significance relationconcerning levels of quality of life, and the demographic data of children with CKD p<0.05.Conclusion: Mobile based health education had a positive effect on improving the quality of life ofchildren with CKD. Recommendations: Mobile based health education can be integrated to homecare and follow up for children with CKD at the health care settings
Children with chronic kidney diseases
Mobile based health education
quality of life
2020
12
01
1228
1245
https://ejhc.journals.ekb.eg/article_268250_48ed6e253f48279dcbb80f97b52c41a3.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effectiveness of Flipped Classroom Approach on Safe Medication Administration Learning Skill among Nursing Students
Samah
Zidan
Esraa
Elsayed Rushdan
Engy
AbdelRhman Khamis
Background: safe medication administration is one of the basic important nursing skills that
necessitate selecting effective educational methods. The flipped teaching strategy is one of the
active learning approaches that encourage students' problem-solving skills needed for safe
medication administration. Objective: examine the effectiveness of flipped classroom approach on
safe medication administration learning skills among nursing students. Methods: A quasi-
experimental design was applied with pre- and post-test assessments in the study and control groups.
Sample: A convenience sample of 183 student nurses at one of the Nursing schools affiliated with a
private university in Cairo. The tools: three tools were used in data collection; an interview
questionnaire; Pre & post-test; and an observational checklist for safe medication administration.
Results: The mean age of the control and study group was 19.70 ± 0.73, 19.55 ± 0.60 with no
significant statistical difference as the two groups were homogenous. The current study results revealed
that the total means of post-knowledge and practices score (20.04±2.0 - 29±1.3) of students who
learned safe medication administration by flipped learning approach were higher than students who
learned by the standard learning method (16.82±2.6, 27.7±1.3) with highly significant statistical
differences between the two groups (P=0.0001). Conclusion: flipped learning approach had a
positive effect on increasing students’ knowledge and practice mean scores than the standard
teaching approach. Recommendation: replicating flipped classroom study in other practical nursing
courses and involve the flipped learning strategy as a teaching method in the nursing curricula
flipped classroom
Safe medication administration
Nursing students
2020
12
01
1246
1259
https://ejhc.journals.ekb.eg/article_271428_41bae654c24db7f6dc38c24c01e9ae00.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Proposal Guideline for Preventive Measures toward Occupational Health Hazards for Quarries Workers
Ferial
Fouad Melika
Fatma
Gomaa Mohamed Amer
Background: Workers in quarries who engage in the excavation, cutting, and crushing of stones or
rocks are exposed to various hazards, including noise, falls, dust, and explosions. Aim: The study
aimed to propose guidelines for preventive measures toward occupational health hazards for
quarries workers. Study design: A descriptive analytical study was utilized to conduct this study.
Subject: A purposeful sample consisted of 302 male workers in limestone quarries. Setting: This
study was conducted in the quarries of Tourah affiliated to Tourah Portland Cement Company in south of
Cairo. Tools: Composed of 3 tools.: I tool: An interviewing questionnaire form. II tool:
Observational Check list about compliance of personal protective equipment. III tool: Medical
record. Results:59.9% of workers their aged ranged from 25˂ 40 years old, 51.0% work 7 to 8
hours a day, the most common occupational health hazards were dust pollution, noise pollution, and
weather hotness, while 83.1% of them complained of wounds, and 70.5% body pain, also 72.8% of
them diagnosed with musculoskeletal diseases. 49% chronic bronchitis and 44.4% silicosis while
the workers who compliance with personal protective equipment represent only 18.2% of total
workers. Conclusion: The study demonstrated the existence of a statistically significant relationship
between exposure to occupational hazards and compliance with personal protective equipment and
statistically significant relationship between workers' knowledge and practices towards prevention
of occupational hazards and the incidence of work injuries among them with p value ˂ 0.001.
Recommendation: Activating the proposal guideline for preventive measures toward occupational
health hazards to raise awareness of quarry workers.
Quarries workers
Occupational health hazards
Proposal guidelines
2020
12
01
1260
1274
https://ejhc.journals.ekb.eg/article_273890_5e5780ec15edba0b2b74aafac762d363.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Knowledge and Practice of Nurses Regarding Safety of Patients with Temporary Cardiac Pacemakers in the Critical Care Units
Ahmed
Mohammed Elshal
Mahasen
Ibrahim Abd Elsatar
Shimaa
Nabil Abd Elsalam
Background: Temporary cardiac pacing provides electrical stimulation to a heart compromised
by disturbances in the conduction system causing hemodynamic instability. The use of a temporary
pacemaker to treat a brady dysrhythmia or in some cases, a tachydysryhthmia, is undertaken when the
condition is temporary and a permanent pacemaker is not necessary or available in a timely fashion.
Temporary cardiac pacing is utilized in acute situations and for critically ill patient populations requiring
immediate therapy. Aim: The present study was conducted to assess nurses' knowledge and practice
regarding safety of patients with temporary cardiac pacemakers in the critical care units. Research
design: A descriptive exploratory design. Setting: This study was conducted at intensive and coronary
care units at National Heart Institute affiliated to Ministry of Health. Methods: A purposive sample of 50
nurses working in the coronary care units at National Heart Institute, 50 nurses from both genders, with
different ages, educational levels and years of experience was selected for this study. Data were obtained
through two main tools; self administered questionnaire tool and observational checklist. Result: Nearly
three quarters of the study nurses had unsatisfactory level of knowledge and incompetent levels of
practice regarding care of patients with temporary cardiac pacemaker in the critical care units. There was
a statistical significant relationship between demographic characteristics (age of the studied subjects,
education, years of experience and training courses) regarding to total knowledge and practice of the
studied subjects. While there was a statistical significant relationship between total practice levels of the
studied subjects regarding to total knowledge of the studied subjects. Conclusion: The study concluded
that, there are several factors affecting the knowledge and practice of the studied nurses including
demographic factors (e.g. age, years of experience, level of education and attendance of training courses),
in addition to the organizational factors (e.g. availability of resources, hospital policy and setting) as well
as personal factors (e.g. presence of well trained and highly educated team leader and presence of
competent team member). Also it was found that the knowledge level of the studied nurses was affecting
their practice. Recommendations: Further study to evaluate the reflection of educational program
regarding nurses' performance &consequently on the patient outcome. The study should be replicated on
large sample &in different hospitalssetting in order to generalize the results.
Nurses' knowledge
nurses' practice
Temporary cardiac pacemaker
Patient Safety
critical care units
2020
12
01
1275
1293
https://ejhc.journals.ekb.eg/article_274027_d68dfee98cdd5aa624752e8252ed598e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Needs Assessment of Children with Cerebral Palsy Undergoing Hyperbaric Oxygen Therapy
Alyaa
Ezat Mohamed
Safy
Salah Eldin Ibrahim Al-Rafay
Hyam
Refaat Tantawi,
Background: The study aimed to assess needs of children with cerebral palsy undergoing
hyperbaric oxygen therapy. Research Design: A descriptive design was used to conduct this study.
Settings: This study will be conducted at Hyperbaric Oxygen Therapy Unit at Nasser Institute for
Research and Treatment. Subject: A convenient sample composed of 110 children fulfilling the
inclusion criteria of the study and their accompanying parents. Tools: data collection involved an
interviewing questionnaire adapted from (Narayanan et al, 2006). Results: this study showed that
the needs of children were physical, psychological, social. Also the majority of studied children
total dependent on their parents to fulfilling their needs. Conclusion: the needs of children include:
crutches to help moving in hyperbaric chamber, ways to facilitate communication, instructed about
middle ear equalization, reassurance, family support during period of treatment. Recommendation:
Further researches should be conducted to develop strategy to overcome unfulfilled health needs of
children with cerebral palsy undergoing hyperbaric oxygen therapy.
Cerebral palsy
Hyperbaric Oxygen Therap
2020
12
01
1294
1305
https://ejhc.journals.ekb.eg/article_274028_0b2e0abba219c7f2880694e429bba9bc.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Relationship between Self Esteem and Coping Patternstoward Work Stressors among Psychiatric Mental Health Nurses
Amira
S. Mohammed
Omayma
Abu Bakr
Ghada
M. Mourad
Hanaa
E. Prince
Back ground Psychiatric nursing isregarded as one of the moststressful occupationsin the world. It
considered as a challenging task for psychiatric nurses physically and psychologically especially nurses who
are faced with specialized work demands. Design This study was descriptive study. Aim the study aimed at
determine relationship between self esteem and coping patterns toward work stressors among psychiatric
mental health nurses. This study conducted on 210 psychiatric mental health nurses setting Elkhanka
psychiatric mental health hospital at El-khanka City Qalubia, Governorate. Type of sample was
Convenience sample. Tools consisted of, four tools as the following; Tool I Interview questionnaire sheet
used to assess psychiatric mental health nurses socio-demographic characteristics, Tool II Rosenberg self-
esteem scale to assessself-esteem level for psychiatric mental health nurses, ToolIII Work stressorsscale to
measure work stressors for psychiatric mental health nurses and Tool IV Jalowiec coping scale to measure
coping patternstoward work stressorsfor psychiatric mental health nurses. Results: The study revealed that,
nearly three quarter of psychiatric mental health nurses have High level of self esteem, more than two third
of them have moderate work stressors level and higher percentage of them have effective coping pattern.
Conclusion the study revealed that there was positive correlation and significant relation between self
esteem and coping pattern toward work stressors among psychiatric mental health nurses.
Recommendation, The study recommended that Reconsider instructional program for psychiatric nurses on
how to reduce the job stressors. The future research should be done with a larger sample size in several
psychiatric hospitals and in a broader geographical area
psychiatric mental nursing
Self Esteem
Work Stressors
Coping pattern
2020
12
01
1306
1317
https://ejhc.journals.ekb.eg/article_274029_fce17ebc1c3b6c8e7e49bb77b5622252.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Nurses’ Performance Regarding Care of Patients with Tracheostomy
Isaac
Sabry Naeem Beshay
Magda
Abdelaziz Mohamed
Howyda
Ahmed Mohamed
Sara
Fathy Mahmoud
Background : Tracheostomy is a surgical procedure which consists of making an opening
direct to airway through an incision in the trachea. The most common indications for tracheostomy
are acute respiratory failure and need for prolonged mechanical ventilation representing two thirds
of all cases and traumatic or catastrophic neurologic insult requiring airway, or mechanical
ventilation or both. Nursing staff must be understand the immediate postoperative and long-term
management of patients with tracheostomy to provide safe and competent care for these patients.
Aim: This study aimed to assess nurses’ performance regarding care of patients with tracheosotmy.
Design: A descriptive design was utilized for the conduction of this study. Setting: the study was
carried in general intensive care unit, which is affiliated to Sohag University hospital. Subjects: A
convenience sample of all the available staff nurses of (50) nurses working in general intensive care
unit.Tools: Three tools, nurses' self-administered questionnaire,, nurses’ practice observational
checklist and nurses' attitude questionnaire. Result: The studied nurses were having unsatisfactory
total level of knowledge regarding care of patients with tracheostomy, unsatisfactory level of
practice and had negative attitude regarding care of patients with tracheostomy. Conclusion: There
were unsatisfactory level of performance among nurses under the study. Recommendations: The
study should be replicated on large sample and in different hospitals setting in order to generalize
the results.
performance
tracheostomy
2020
12
01
1318
1329
https://ejhc.journals.ekb.eg/article_274031_aa22762d41c4cf49f094a6ee315b159d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Quality of life for patients with breast cancer: An assessment study
Aya
Ahmed Al Baz
Dina
Mohamed Marouf
Neamatallah
Goma Ahmed
Background: Breast cancer is a disease in which malignant (cancer) cells form in the tissues
of the breast. Breast cancer affects the daily lives of many patients and families confronted by
changes in health status, lifestyle and roles, leading to impaired quality of life. The aim of the study
to assess quality of life (QOL) of patients with breast cancer through four dimensions of quality of
life physical, mental, emotional, and social functioning. Research design is an exploratory
descriptive design. Subject: A purposive sample composed of 100 adult female patients with breast
cancer. Setting: The study was conducted in Ain Shams University Hospitals ,Breast cancer clinic.
Tools: structure Interviewing Questionnaire, Europian Organization For Research and Treatment of
Cancer QLQ-C30 Instrument(EORTC QLQ-C30) and ( EORTC QLQ - BR23). The study results:
The mean age of patients was 52 ±7.1 years. There was statistically significant relation between
EROTC QLQ C-30 total global health of life of studied patients and age, residence, previous job
(before illness) and smoking. There was statistically significant relation between EROTC QLQ C-
30 functional scales of life of studied patients and age, marital status, type of housing and smoking.
There was statistically significant relation between EROTC QLQ C-30 symptom scales of life of
studied patients and age, type of housing and smoking. There was statistically significant relation
between EROTC QLQ-BR23 symptom scales of life of studied patients and age. Conclusion: there
was a moderate quality of life between all studied patients for all dimensions measured for quality
of life. This study recommended that: Improving patients quality of life should be the main
objective for nurses during their care of patients with breast cancer. Using specific instrument for
evaluating quality of life for patients at disease terminal stages.
breast cancer
quality of life
Nursing process
2020
12
01
1330
1340
https://ejhc.journals.ekb.eg/article_274798_af75a886643918c3303b86762b95cbfc.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Relationship between Work Place Violence and Turnover Intention among Staff Nurses at EL-Fayoum University Hospitals
Asmaa
Saadawi El-Sawy Saadawi
Mona
Mostafa Shazly
Asmaa
Kamal Ahmed
Background: Workplace violence in the medical sector is a worldwide concern with healthcare workers being at high risk of becoming victims. Violence is an important issue in medical settings that influences turnover intention of nurses. Aim: This study was aimed to assess the relationship between workplace violence and turnover intention among staff nurses. Design: A descriptive correlational research design was used. Setting: the study was conducted at El- Fayoum university hospitals which include surgical and medical hospital. Subjects: The study subjects included a representative sample of 196 staff nurses out of 400 staff nurses. Tools of data collection: data were collected by using two tools namely workplace violence questionnaire and anticipated turnover scale. Results: the findings of current study revealed that studied nurses reported that societal factors had the highest percentages for factors contributing to workplace violence, while personal factors had the lowest percentages. The exposure of studied nurses to verbal workplace violence was the highest, while sexual violence was the lowest with the most common perpetrators of violence were the patients and their relatives. Also, more than half of them intend to leave work. Conclusion: there were highly statistically significant and positive correlations between workplace violence dimensions and turnover intention. Recommendations: top manager should develop a workplace violence policy for the institution, which explains the process that should occur after an employee has been assaulted and conduct training programs for nursing personnel regarding violence and coping strategies to deal with violence.
Workplace violence
Turnover Intention
Staff nurses
2020
12
01
1341
1353
https://ejhc.journals.ekb.eg/article_274803_699fb3b6ab2a59646a3ded759fc08209.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Educational Program on Social Media Cyberbullying among Nursing College Students at Benha University
Naglaa
Fathi Mohamed Elattar
Soha
Kamel Mosbah Mahmoud
Asmaa
Mohamed Ali Hassan AlAbd
Cyberbullying is a major concern among university students, negatively impacting their
psychosocial health and academic performance. Aim of study: evaluate the effect of educational
program on social media cyberbullying among nursing college students at Benha University.
Design: Quasi-experimental design was used. Setting: This study was conducted at Faculty of
nursing, Benha University. Subjects: This study was carried on 1029 nursing students. Tools of
data collection: there were three tools used: Tool I: Structured Interviewing Questionnaire: It
was divided into two parts. Part one: Personal characteristics of studied, Part two: Social media
cyberbullying related data. Tool II: Structured knowledge Questionnaire to assess cyberbullying
knowledge and Tool III: Cyber-Aggression Scale (CYB-AGS) to assess cyberbullying behavior.
The study results showed that after program most of studied students had satisfactory total
knowledge about cyberbullying. In addition to highly statistically significant negative association
between knowledge and cyberbullying behavior was found post program than preprogram.
Conclusion: The educational program was very effective in promoting students’ knowledge and
behavior regarding cyberbullying. Recommendations: Increasing awareness about cyberbullying
and importance of adopting preventive strategies to control it through health education programs to
all community especially were needed.
Cyberbullying
social media
Nursing college students
2020
12
01
1354
1367
https://ejhc.journals.ekb.eg/article_274870_ed1d6c0c1de501f6763e42c51970fdc1.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Staff Nurses' Performance Regarding Safety Measures of High Alert Medications
Mostafa
Gomaa Ahmed
Hemat
Abdel-Azeem Mostafa
Dalia
Atef khalaf
Background: High alert medications (HAM) are medications that have an increased risk of causing significant patient harm when used erroneously. Staff nurses should have adequate knowledge and practices to be able to manage HAM administration process in critical care units. Aim of the study: is to assess staff nurses’ performance regarding to safety measures of high alert medications. Research design: A descriptive design was utilized. Setting: The study was conducted in critical care units at Suez Canal University Specialized Hospital in Ismailia. Subjects: The study sample included (96) staff nurses. Tools: Data were obtained through two main tools; Nurses knowledge regarding to safety measure of HAM self- administered questionnaire sheet and Nurses practice observational checklist. Results: about two thirds and three quarters (65.6%, 71.9%, 70.8% and 75%) of staff nurses had unsatisfactory level of knowledge regarding to HAM in relation to (precautions, actions should be taken when errors happen, dealing with other HAM and side effects) respectively. Around three quarters and less than two thirds (74% and 63.5%) of staff nurses had unsatisfactory level of practice pre and during administration respectively while more than one half (52.1%) of staff nurses had satisfactory level of practice post administration of HAM. Conclusion: it can be concluded that about two thirds of staff nurses had unsatisfactory level of knowledge and practice. There was highly statistical significant relation found between staff nurses’ total level of knowledge and total level of practice. Recommendation: Offer educational programs and upgrading courses armed with evidence based guidelines based on staff nurses' needs to improve their knowledge and practice related to administration of HAM.
High alert medications
performance
Safety measures
2020
12
01
1368
1381
https://ejhc.journals.ekb.eg/article_280649_735c008e04bbce4179d437cc296540ba.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Chemotherapy Induced Oral Mucositis Based on Patients` Needs Assessment
Yasmin
Mohamed Ali
Mohamed
Sabry El–Kady
Hanan
Said Ali
Dalia
Abd-Allah Abdelatief
Shimaa
Nabil Abdelslam
Background: Oral mucositis is a major chemotherapy-induced problem that may cause disturbing pain, the inability to tolerate food, infection, and negative effects on the quality of life. Oral mucositis also may entail chemotherapeutic drug dose reduction among patients, in turn reducing their cancer survival rates. Therefore, needs assessment enables the prevention or at least reduction of problems through appropriate early intervention. Aim: This study aimed to assess needs for patients having chemotherapy induced oral mucositis. Design: A descriptive study design was utilized to achieve the aim of this study. Setting: The study was conducted in the inpatients' department at Radiotherapy and Nuclear Medicine Department, affiliated to Ain Shams University. Subject: A purposive sample of 70 adult patients. Tools of data collection: 1) A structured interview questionnaire 2) Oral assessment guide. Results: The results of this study showed that the studied patients had Physical, Psychological, Social, Spiritual and educational needs (32.9, 64.3, 31.4, 21.4& 54.3 percentages respectively), and nearly one third of studied patients had oral mucositis after chemotherapy administration. Conclusion: The current study concluded that most of the studied patients had Physical, Psychological, Social, Spiritual, educational needs. Recommendations: The current study recommended that, developing of guidelines protocol as regard reducing chemotherapy induced oral mucositis based on patient's needs.
Assessment
Chemotherapy
Oral mucositis
Patients' need
2020
12
01
1382
1391
https://ejhc.journals.ekb.eg/article_295305_16e079d72495b195df80272711565ec0.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Nursing Instructions on Mothers' Knowledge and Practice of Colostomy Care
Nadia
Kasem Alaswad
Background and aim: Colostomy is a surgical procedure that involves creating an opening in the abdominal wall to divert the flow of stool from the colon to a stoma. This procedure can have a profound impact on the lives of pediatric patients and their families, requiring specialized care and support. Therefore, this study aimed to evaluate the effect of Nursing Instructions on Mothers' Knowledge and Practice of Colostomy Care. Methods: A quasi-experimental design was used. A purposive sample of 60 mothers of children with colostomy was selected from the pediatric surgical unit at Cairo Specialized Pediatric Hospital. first 30 mothers considered control group and second 30 mothers considered as the study group, two tools were used a structured interview questionnaire and mothers' knowledge and observational checklist regarding colostomy to collect data, Results: There was a statistically significant difference between the study and control groups regarding knowledge and practice total mean scores (p < 0.005), with higher total mean scores in the study group than in the control group. Conclusion: mothers who receive nursing instruction related colostomy care have higher mean score of knowledge and practice than mothers who receive hospital routine care.
Nursing Instructions
Colostomy
Mothers
Practice
Knowledge
2020
12
01
1392
1406
https://ejhc.journals.ekb.eg/article_309068_b03d422de92da59fc78ccb09736d5ad6.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Effect of Mothers’ Empowerment Program on Knowledge, Practices and Attitude toward their Children Scalds Injury
Ghada
Sobhy Hassan
Heba
Ibrahem Mohamed
Amany
Lotfy Ahmed
Background: Children are extremely vulnerable to scalds injury, so empowering mothers regarding scalds injury make them able to play an important role in targeting interventions to those at greatest risk. The study aimed to evaluate the effect of mothers’ empowerment program on knowledge, practices, and attitude toward their children scalds injury. Research design: A quasi-experimental research (one group pre/post test) design was used. Setting: Maternal and Child Health Center in Kafrelsheik city and the Pediatric Outpatient Clinics at Kafrelsheik general hospital. Sample: A convenient sample of 113 mothers were participated in the study. Tools: Two tools were uesed in data collection, first tool, structured interviewing questionnaire consisted of mothers’ demographic characteristics, mothers’ knowledge about scalds injuries, mothers' reported Practices. Second tools, mothers’ attitudes toward scalds injury. Results: Study finding represents that pre program implementation about 6.2% of mothers had a good level of knowledge and improved to 57.5% post-program implementation (P= 0.001), there were highly significant differences between mothers' reported practices, pre & post empowerment program with p <0.001, according to mother' attitude, there were highly significant differences between mothers' attitudes about scalds injury pre /post empowerment program at (<0.001). Conclusion: The current study indicated that, there were highly significant improvement of mothers' knowledge, pracices and attitude post empowerment program. Recommendations: Periodic counseling program should be done for mothers of children about scalds injury prevention at Maternal and Child Centers.
empowerment
Mothers' knowlege
Practice
Attitude
Scalds injury
2020
12
01
1407
1426
https://ejhc.journals.ekb.eg/article_311223_90903196370d10a9c06405e2583300c1.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
Impact of Epilepsy-Based Progressive Muscle Relaxation Exercises on Epileptic Seizure Frequency, Sleep Quality, and Stress Severity among Children
Reham
Elsaeed Hashad
Zeinab
Elsayed Hafez Elsayed
Samia
Gamal Awad Hamed
Gehan
EL Nabawy Ahmed
Background: Education for children with epilepsy is viewed as a therapeutic consequence for people who suffer from the condition as well it is a crucial component of high-quality therapy. Patients with epilepsy must follow a variety of self-management practices in order to manage their condition. Aim: The study was carried out to determine the impact of epilepsy-based progressive muscle relaxation exercises on epileptic seizure frequency, sleep quality, and stress severity among children. Subjects and method: Pre-test and post-test interventions were used in a controlled, blinded, randomized study with a control group. The research was conducted in Mansoura city, Egypt, at the neurological pediatrics divisions of the Mansoura University Children's Hospital (MUCH). For the study, a purposive sample of 80 children with epilepsy (40 for the study group and 40 for the control group) were included. All were gathered during a 6-month period. Tools: Five tools were used to get the data, including: Tool 1: Interview questionnaire for children (pre, post), Tool II: The GASE Scale (a global assessment of epilepsy severity- pre/post). (2 parts), Tool II: The GASE Scale (a global assessment of epilepsy severity) (pre/post), Tool (III): Jacobson's progressive muscles relaxation technique, Tool V: The Sleep Quality Scale (SQS), Tool IV: The Perceived Stress Scale (PSS) (pre/post). Results: After application of the progressive relaxation exercises; small percentage of the study group had daily epileptic attack, poor sleep quality and high stress level compared to the control group. Conclusion: Progressive relaxation exercises had a good impact on children with epilepsy, As shown by a decrease in epilepsy' severity, frequency, stress level as well as an increase in sleep quality of the evaluated children post implementation of the Progressive relaxation exercises among the study group. Recommendation: To reduce seizure events among children with epilepsy, progressive relaxation techniques should be incorporated into routine nursing care.
Epilepsy
progressive muscle relaxation exercise
seizure frequency
Sleep quality
stress severity
children
2020
12
01
1427
1439
https://ejhc.journals.ekb.eg/article_322997_c3a53686a1325adda5d50216a354fdb1.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2020
11
4
COVID-19 Related Fear, Knowledge, and Protective Behaviors among Middle-aged and Older Adults: A Comparative Cross-Sectional Study
Marwa
Abdelhamid Mohammed Mahmoud
Sally
Mohammed Elsayed Ibrahim
Ola
Ebrahim Elsherbiny
Background: COVID-19 is a highly contagious new virus infection. The World Health Organization officially declared it a public health emergency on January 30, 2020. Its progression may be influenced by human behavior, which is affected by knowledge and perceptions. Individuals may be affected by its physical, psychological, and social repercussions. Fear is a psychological consequence affecting individuals, especially older adults. People need to be well-informed and adopt protective behaviors to dispel this fear and halt the infection's spread. Aim: Assess and compare COVID-19 related fear, knowledge, and protective behaviors among middle-aged and older Adults. Research design: A cross-sectional comparative research design was employed. Setting: The study was conducted at the Specialized Medical Hospital outpatient clinics affiliated with Mansoura University Hospitals. Subjects: A convenience sample of 246 patients; 123 were aged 20 to less than 60 years (middle-aged), and 123 were 60 and older (older adults) were eligible to participate in the study. Tools: Four tools were utilized: Demographic Characteristics and Health-related Data Structured Interview Schedule, Fear from COVID-19 Scale, COVID-19 Knowledge Questionnaire, and Self-reported COVID-19 Protective Behaviors Checklist. Results: Both the middle-aged and older adult groups had poor knowledge of COVID-19 (46.3% & 56.9%, respectively) and had unsatisfactory COVID-19 protective behaviors (55.3 % and 64.2%, respectively). As for the comparison between both groups, there was a statistically significant difference between middle-aged and older adult groups (p=0.000*) in which the older adult group had a lower level of knowledge, unsatisfactory health behaviors, and higher level of fear related to COVID-19 than middle-aged group (16.422±7.794, 20.211±6.731); (20.430±5.502, 23.813±4.123); (11.853±4.698, 21.325±6.327), respectively. Conclusion: The study’s findings concluded that both age groups had poor knowledge, unsatisfactory health behaviors, and fears related to COVID-19. At the same time, the older adult group had lower mean scores of knowledge and health behaviors and higher levels of fear related to COVID-19 when compared with the middle-aged group. Recommendations: There is an urgent need for public health education through instructional programs for different age groups in Egypt to correct misconceptions and improve their knowledge and protective behaviors regarding COVID-19, as well as alleviate distressing feelings and fear.
COVID-19
Fear
Knowledge
Middle-Aged
Older adult
Protective Behaviors
2020
12
01
1440
1460
https://ejhc.journals.ekb.eg/article_342705_b2a8ffd2d95b7f5f3b181dfda17d24aa.pdf