2024-03-29T01:04:32Z
https://ejhc.journals.ekb.eg/?_action=export&rf=summon&issue=20169
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Listening to Holy Qur'an during labor on its Progress, Maternal and Neonatal outcome
El Saida
Gouda Nasr
Ayat
M. Omar
Samya
Mohamed Hegazy
Background: labor pain one of the most intense forms of pain that can beexperienced, leads to fear and anxiety can produce muscle tension, with possibly prolong thefirst and second stage of labor, to avoid pharmacological or invasive methods of pain reliefin labor and implement listening to Holy Qur'an during labor. The aim of this study is toevaluate effect of listening of holy Qur'an during labor on maternal and neonatal outcome.Subjects and methods: Design: This quasi-experimental study was conducted in maternityUnit in El-Nabawy El Mohandes Hospital, Fayoum governorate and in Al-Galaa hospital,Cairo governorate; on 100 full term parturient Muslim women were classified into twogroups, intervention (n.50) and control (n.50). The intervention group was listened to Quranrecitation by a CD-player through an occlusive headphone. Socio- demographic and obstetricdata ,Labor progress and outcome assessment, Visual analog pain severity scale, visualanalog scale for anxiety, The Pain Coping Scale were used as research tools. Results: studyillustrated that the mean duration of first stage of labor ,mean score of anxiety wassignificantly lower, Meanwhile mean pain coping score, spontaneous vaginal delivery weresignificantly higher in Quran group. Conclusion: Listening to Quran during labor, appears tobe an effective in reducing anxiety, magnify ability to cope pain, leading to spontaneousvaginal delivery. Recommendations: Quran can enrich the non-pharmacological painmanagement in labor.
Holy Qur'an
Labor
maternal and neonatal Outcome
2021
03
01
1
15
https://ejhc.journals.ekb.eg/article_135118_2e14601d6ecba04de2a9bdd2daf5f558.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Mindful Parenting Training for Parents with Children Having Attention Deficit Hyperactivity Disorder on Parenting Stress
Rania
S. Elgendy
Maaly
I. El Malky
Sabah
M. Ebrahem
Background: Attention deficit hyperactivity disorder affecting both children andtheir parents. This study aimed to evaluate the effect of mindful parenting training forparents with children having attention deficit hyperactivity disorder on parenting stress.Quasi-experimental pre-test–post-test control group design has been implemented. Apurposive sample has been used to select 100 parents (mothers or fathers) of children withattention deficit hyperactivity disorder. This study has been carried out at the psychiatricoutpatient clinic of Menoufia University Hospital at Shebin El-kom District, MenoufiaGovernorate, Egypt. Three tools were used to gather the data; A structured interviewingquestionnaire to assess socio-demographic characteristics of the parents and childrencharacteristics, Parenting Stress Index – Short Form, and Interpersonal mindfulness inparenting scale. The results revealed that there was a highly statistically significant reductionin the total mean score of parenting stress among the study group after the interventioncompared to the control group where p value (p = 0.001), and there was a statisticalsignificant improvement in the level of mindfulness in parenting of the study group after theintervention compared to the control group. It was concluded that the mindful parentingtraining had statistically significant positive effect on reducing parenting stress andimproving level of mindfulness of parents with children having attention deficit hyperactivitydisorder. Recommendation: mindful parenting training should be incorporated into currenttreatment guidelines as a psychosocial option for families with attention deficit hyperactivitydisorder
Mindful Parenting Training
Parenting stress
attention deficit hyperactivity disorder
2021
03
01
16
29
https://ejhc.journals.ekb.eg/article_135119_399d9935236d5b0b4e6b80d915d65b2a.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Accuracy of purple line to monitor labour progress: Longitudinal study
Rania
Eid Farrag
Nadia
Abd ElHamed Eltohamy
Background: Precise evaluation of labour progresses can help mothers to beconsulted on time and decrease maternal and neonatal morbidities. The purple line is noninvasive methods to assess labour progress. The current study aimed to assign appearancepercentage of the purple line during the first stage of labour, as well as the accuracy of thepurple line to predict labour progress. Design: Longitudinal design was adopted. A purposivesampling method has been employed to recruit 120 labouring women at the obstetricdepartment in El-Nabawy El Mohandes Hospital, Fayoum. Three tools of data collectionwere used: structure interviewing questionnaire, purple line observation record andpartograph. Results: revealed that, the purple line appears among about four fifth of the totalsample. A medium positive association was found among the purple line length, dilatationsof the cervix and fetal stations. The purple line appearance in the expectation of labourprogress had 87.91% sensitivity, 39.53% specificity and 85.25% accuracy. In addition, thepurple line was more significantly in a spontaneous labouring woman and no significantassociation between parity, women age, BMI, fetal birth weight and the existence of thepurple lines. Conclusion: The purple line is useful in assisting the health care providers inassessing and determining labour progress and lessen the number of vaginal examinations,particularly at consideration of females who refuse or feel that the examining intrusive.Recommendation: Integration between vaginal examination and purple line to evaluate thelabour progress to reduce the vaginal examination rate and its risk. Further research stillneeded to identify the accuracy of other noninvasive methods to assess the labour progress.
Purple line
Monitor labour progress
accuracy
2021
03
01
30
44
https://ejhc.journals.ekb.eg/article_135120_dc6094632825bba4d664093411d127f5.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Non Pharmacological Interventions on Pain and Skin Erythema Associated with Cellulitis
Tarek
Mahmoud Shaker Mohame
Background: in this study the researcher describes effect of applying nonpharmacological interventions including cold application and on pain and skin erythemaassociated with cellulitis. Purpose: this study aimed to evaluate the effect of nonpharmacological interventions on pain and skin erythema associated with cellulitis. Design:Experimental design was utilized in this study, at male and female medical departments in theNew General Mansoura hospital, Dakahlia Governorate, Egypt. Subjects: A purposive sampleincluded (64) patients diagnosed of cellulits, admitted to inpatient ward and willing toparticipate included in the study.Those patients are randomly divided into two equal groups(study& control); study group used non pharmacological intervention for 20 minutes two timesper day for 5 consecutive days plus pharmacological treatment, while control group usedpharmacological treatment only. Tools: Two tools were used to assess pain and skin erythemaassociated with celluitis. Visual Analog Scale (VAS), which is utilized to detect pain level.While skin erythema (inflammation regression) was assessed by measuring level of superioredge moved down by labeling superior edge by ink pen before starting study and aftercompleting the study to calculate shrinked area (inflammation regression). Results: Therewas significant reduction regarding pain level and skin erythema (inflammation) surface areaamong study group compared to control group. Conclusion/implication for future practice:non pharmacological interventions could be combined with pharmacological treatment toreduce cellulitis pain and skin erythema. Recommendations: educational program to nursingstaff about non pharmacological interventions as nurses can aid in pain management after goodtraining by applying non pharmacological interventions for patients who have nocontraindications.
Cellulitis
non pharmacological interventions
Cold application
Pain
skin erythema
2021
03
01
45
53
https://ejhc.journals.ekb.eg/article_135121_833e05bbb9d9370e6b3b56ef025a9ad0.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of training sessions about Full Outline of Un-Responsiveness scale compared to Glasgow Coma Scale on nurses’ performance, perception and its reliability
Azza
Abd Elrazek Baraka
Samah
A. Shalaby
Background: Assessing patients’ level of consciousness in intensive care units(ICUs) through Full Outline of Un-Responsiveness (FOUR) scale versus the Glasgow ComaScale (GCS) requires critical care nurses’ (CCNs) knowledge and skills to detect deteriorationof patients’ level of consciousness. Objectives: To evaluate the effect of implementingtraining sessions on critical care nurses’ performance and perception regarding FOUR scalecompared to GCS and reliability of each one. Research hypotheses: Nurses who attendtraining sessions will show a significant improvement in performance of FOUR scalecompared to GCS. Study design: A pretest posttest study design was used in this study.Method: The study was conducted at seven ICUs at Alexandria Main University Hospitalincluding; Unit I, Unit II, Unit III, Medical, Respiratory, Neurosurgery, and Emergencyanesthesia ICUs. Subject: A convenient sampling technique of all CCNs (100) and apurposive sample of adult critically ill patients equivalent to the number of nurses’ sample wasused to recruit the participants from previously mentioned CCUs. Results: The implementedtraining sessions were significantly effective in increasing CCNs’ performance and positiveperception of FOUR scale compared to GCS. There was overall higher inter-rater reliabilityregarding FOUR score than that of GCS score Cohen’s kappa (0.92 versus 0.81) and 83% ofnurses agreed that FOUR scale is a preferred scale to assess the depth of coma. Conclusion:training sessions were significantly effective in increasing CCNs’ performance and positiveperception regarding FOUR scale compared to GCS. Recommendation: Nursingadministrators should provide continuous training sessions. Manual for procedures is advisedto be distributed to all CCNs including all methods for assessing patients’ level ofconsciousness (LOC).
Training sessions
critical care nurses
performance
perception
Reliability
Full outline of un-responsiveness scale
Glasgow coma scale
2021
03
01
54
72
https://ejhc.journals.ekb.eg/article_135122_b09939d77164fc620885fe95694a167f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Nursing Intervention on Severity of Constipation among Elderly People at Sohag Geriatric Club, Egypt
Shimaa
Hassan Abd El -Fatah
Heba
Mohamed Fahmy
Walaa
Hassan Abd Alfatah
Background: Constipation is a common digestive problem in elderly people. StudyAim: The aim of this study was to assess the effect of nursing intervention on the severity ofconstipation among elderly people at Sohag geriatric club. Design: A quasi-experimentalresearch design was utilized. Setting: The study was conducted at Sohag geriatric club.Subjects: The study sample consisted of elderly participants were 244 (male & female) wasselected by convenient sample; the nursing intervention was applied on all elders who hadconstipation (84) after assessment phase. Tools of data collection: two proper tools wereused, tool (I): consisted of two parts A) socio-demographic characteristics of older adults e.g.age, sex, education level, part (2): medical and nutritional history. Tool (II): Constipationassessment scale to measure constipation severity. Results: about one third (34.4%) ofelderly were having constipation, also the study revealed that, there was highly statisticalsignificant improvement in severity of constipation before and after application the nursingintervention. Conclusion: The study concluded that nursing intervention effective todecrease severity of constipation among elderly with constipation. RecommendationApplication of nursing intervention to manage and decrease the severity of constipationamong elderly people and importance of implementing periodic health education program forgerontological nurses, other health care providers and caregivers about management andprevention of constipation among elderly people.
Elderly
constipation
Nursing intervention
2021
03
01
73
83
https://ejhc.journals.ekb.eg/article_135123_5ad25242dab6045ed2aed7e21ec8c317.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Otago Exercise Program (OEP): A Golden Technique on Health Status and Risk of Falls among Older Adults with Chronic Diseases
Eman
Mohamed Ebrahim Abd-Elraziek
Samar
Ahmed Mahmoud
Shimaa
Hassan Abd El-Fatah
Background: Fall is a worldwide health problem, leading cause of disability, resultedfrom declining physical functionamong elderly people. Otago exercise is a strength andbalance program designed to prevent falls and enhance health status among the elderly. Aim:to appraise the effect Otago Exercise Program (OEP) on health status and risk of fall amongolder adults with chronic disease. Design: A quasi-experimental research design wasutilized. Setting: The study was conducted at outpatient clinics at Aswan UniversityHospital. Sampling: A purposive sample of 48 elderly patients was recruited in this study.Tools of data collection: Three tools were used. Tool I: A structured interview questionnairesheet includes two parts; part 1.sociodemographiccharacteristics e.g. age, sex, educationlevel, part (2): clinical data includehistory of medical diseases, mobility, activities of dailyliving and falling. Tool II: The short from 12 health survey (SF-12) to measure health status.Tool III: Timed Up and Go Test (TUGT) to measure risk of fall. Results: There was astatistically significant difference in both health status and risk of fall total scores amongstudied subjects pre and post OEP.Concerning predictors of health status, it was found that,OEP, arthritis and medication number were statistically significant predictors of health status(ß= 0.624, p= 0.028), (ß= -2.935, p= 0.014) & (ß= -4.453, p=. 0.005) respectively.Meanwhile, fall predictors were OEP (ß=-1.067, p= 0.011), age(ß=0.246, p=0.042),medication number (ß= 6.763, p= 0.005)and frequencies of fall in the past year (ß=2.585, p= 0.010). Conclusion: The study concluded that application of OEP is appropriateway of improving health status and decreasing of risk of falls among older adults withchronic disease. Recommendation: This study recommended implementing OEP as part ofroutine primary care service provided for older adults.
Fall
health status
Older adults
Otago Exercise Program
Nursing
2021
03
01
84
104
https://ejhc.journals.ekb.eg/article_138119_0ff4f098a19ff580a41233aaf6817d9d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effects of Home Confinement due to COVID-19 on Physical, Social and Psychological status of Children and Adolescents'
Khadiga
Z.Moustafa
Bataa
M. Mohamed
Amira
A. El- Houfey
Background: The rapid expansion of corona virus (COVID-19) pandemic and inability inmost countries to control it in finding out an effective treatment or vaccine to prevent it,resulted in worldwide recourse to committing people to remain at home for a long time, whichhad many negative effects on individuals in all aspects of health. Aim of the study was toevaluate effects of home confinement during COVID-19 outbreak on the physical, social andpsychosocial status of children and adolescents. A descriptive cross sectional design was usedin carrying out the present study; the data were collected from a convenient sample of 183children and adolescents' survey, which distributed electronically. The survey targeted thepreparatory, secondary schools and university students send online via Egypt and SaudiArabia portals. A structured questionnaire that consists of personal characteristics of thestudied sample; plus effects of home confinement on physical activity; social andpsychological status children and adolescent. The results revealed that studied subjectssuffered from negative effects on physical, social and psychological status as result of homeconfinement. This study concluded that home confinement due to COVID-19 which hasnegative effect on physical status, social relations and worsening in the psychologicalbehaviors of children and adolescents. Therefore, this study recommended to designeducational interventions for children and adolescent to enable them to cope and adjust withemergency health hazards.
Effects
COVID-19
outbreak
Home Confinement
children
Adolescents
physical
Social
PSYCHOLOGICAL
Health
2021
03
01
105
120
https://ejhc.journals.ekb.eg/article_138120_3c0737601190702ab5a95de312f12609.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Educational Intervention on Psychiatric Nurses’ Knowledge Regarding Ethical and Legal Issues for Psychiatric Patients
Rasha
Mohammed Hussien
Farida
Mahmoud Hassona
Background: Nurses’ knowledge of legal and ethical aspects of healthcare is essential for allnursing professionals because nurses are expected to be professionally competent, providinghigh-quality care in an ethical manner.Aim: To assess the effectsof an educationalinterventionon psychiatric nurses’ knowledge regarding legal and ethical issues associatedwith psychiatric patient treatment. Design:A quasi-experimental, single-group, pre-test–posttest design was used. Setting:Al-Abbasia Mental Health Hospital in Cairo, Egypt.Sample: Aconvenience sample of 50 psychiatric nurses was recruited.Methods:Structured,selfadministered knowledge questionnaire developed by the researchers was used to assesspsychiatric nurses’ knowledge levels regarding legal and ethical responsibilities.Results:Nurses’ satisfactory knowledge before the intervention ranged between 4% for legal aspectsto 62% for violence and neglect. All areas of knowledge significantly improved after theintervention, with satisfactory knowledge ranging between 76% for definitions to 98% forneglect and unprofessional practices. Overall, only one (2%) nurse had satisfactory totalknowledge before the intervention, which increased to 90% after the intervention (p < 0.001).Nurses’ knowledge before the intervention was significantly and positively correlated withtheir qualifications. After the intervention, knowledge correlated negatively with their age andyears of experience.Conclusion:The educational intervention was effective for improvingpsychiatric nurses’ knowledge of the legal and ethical issues associated with their practice.Recommendations: This educational intervention is recommended for inclusion in theorientation program for the hospital,and in-service education programs should be conductedfor nursing staff working in similar settings.
Psychiatric Nurses
Legal
Ethical issues
and educational intervention
2021
03
01
121
139
https://ejhc.journals.ekb.eg/article_138121_96a3e51472741244b69a4ed0a0e4fd12.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Empowerment program for caregivers on Quality life of children with Cerebral palsy
Mervat
Amin Sayed
Huwida
Hamdy Abdelmonem
Faransa
Ali Ahmed
Background: Cerebral palsy (CP) is a multi-disorder which disturbs ability of child tomove, sustain posture and balance. Quality of life is increasingly recognized as a majorfactor in determining a child’s health and well-being. There are many ways to enhance thequality of life for children with (CP), such as empowering the caregivers. Aim: to evaluatethe effect of empowerment program for caregivers on quality life of children with cerebralpalsy. Design: A quasi-experimental research design (one group pre/posttest) wasconducted at neurology out- patient clinic of Children Hospital at Ain shams UniversityHospital. Sample: A purposive sample consisted of 75 children and their caregivers at thepreviously mentioned setting. Tools: Four tools were used as children and their caregivers’demographic characteristics, activity of daily living, child quality of life inventory andfamily empowerment scale. Results: revealed that 74.7% of the studied children werepartially dependent at total activities, while 50.7% of them were independent at postprogram, detected through p value difference related to physical, emotional and social function at pre and post program at p < /div>value program related school function at p value >0.05. Conclusion: There was high significantdifference between mean scores at pre and post empowerment program for caregivers ofchildren with cerebral palsy at p value positive effect on quality life of their children. Recommendation: Preparing continuousempowerment program for caregivers of children suffered from cerebral palsy.
empowerment
Quality life
Cerebral palsy
children
2021
01
11
140
155
https://ejhc.journals.ekb.eg/article_138611_d67fd401ba05cb657b042693c56e0694.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of self-learning package on nurses knowledge and practices regarding patient care undergoing laparoscopic cholecystectomy
Rasha
Awad A’elamgied Salime
Taghreed
Talaat shakweer
Background: Nurses caring for patients undergoing cholecystectomy spend more timewith patients than do any other health care providers and patient outcomes are affected bynursing care quality. Thus, improvements in patient safety can be achieved by improvingnurses' practice competence. Aim:to assess effects of the self-learning package (SLP) onnurses’ knowledge and practices regarding patient care undergoing laparoscopiccholesectomy.Setting:the study was carried out in saied Galal &Elhussien hospital at theAlazhar University Hospitals. Method: A quasi-experimental research design was utilized toconduct this study using a pretest-posttest and follow up test approach, using two tools toconduct this study (knowledge questionnaire sheet & Observational checklist sheetregarding patient care undergoing laproscopic cholecystectomy. A convenient sample of 60nurses were selected to achieve the aim of the present study. Study results: results of thisstudy revealed that there were highly statistically significant differences with the increaseof the total scores of nurses' knowledge and practice pre/post pre/follow up and post/follow up. The study concluded that, there was statistically significant positive effect ofSLP on nurses' knowledge and practice. As a result of this study, the study recommended;conduction of further researches in this area in order to enrich, improve, & update nurse'spractice. Periodic in-service education program regarding nursing care for patientundergoing laparoscopic cholecystectomy and self-learning package to be performed forpatients are recommended.
Self-Learning Package
Laparoscopic cholecystectomy
Post-operative care
2021
03
01
156
170
https://ejhc.journals.ekb.eg/article_138612_84be2ab6d8738d49efa332b6ae5da684.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effectiveness of implementation of evidence-based educational intervention regarding chest tube on clinical patient’s outcomes in cardiothoracic care unit
Rasha
Awad A’elamgied Salime
Wafaa
Wahdan Abd El-Aziz
Heba
A. Al-Metyazidy
Soheir
M. Weheida
Background: Ineffective evacuation of the accumulated intra-thoracic air and/or fluidafter cardiothoracic surgery may upsurge postoperative complications, morbidity, andmortality. So, chest drains are a prevalent intervention for patients admitted to acuterespiratory or cardiothoracic care areas. Aim: To evaluate the effectiveness of nurses’evidence-based educational intervention regarding the chest tube on clinical patient’soutcomes in intensive cardiothoracic care. Setting: The study was carried out at thecardio-thoracic care unit affiliated to Mansoura University Hospital. Method: Aquasi-experimental research design was utilized to conduct this study using a pretestposttest approach. A convenience sample of 55 nurses and 60 patients were selected toachieve the aim of the present study. The results revealed that there were a highlystatistically significant differences regarding total mean scores of nurses' knowledgeand practice pre and post implementation of evidence-based educational intervention.Also there were an improvement in total mean scores of the patients’ outcomesregarding chest tube. Conclusion: There was a statistical significant improvement innurses’ total mean knowledge and practice scores post evidence-based educationalintervention. Also, there was a statistically significant positive effect of nurses’evidence-based educational intervention regarding the chest tube on clinical patient’soutcomes in intensive cardiothoracic care. Recommendation: The nurses shouldimplement nursing care for patients undergoing cardiothoracic surgery based onevidence based practice. The nurses must enroll into internal and external trainingprograms and attain and participate in conferences to renovate their knowledge andpractices regarding EBP about chest tube post cardiothoracic surgery
Evidence-based practice
Educational intervention
Chest Tube
clinical outcomes
2021
03
01
171
192
https://ejhc.journals.ekb.eg/article_138613_377c4679a96fffdc52a2b81792d84820.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Improve Caregivers' Competency Level Regarding Care of Children Suffering from Hemophilia: An Educational Program
Amal
Gharib Sebaq
Safaa
F. Deraz
Background: Caregivers are an instrumental partner taking active participation inaffecting the nature and direction of care process of hemophilic children. Parentalcompetence and success in facing difficult circumstances may increase parentalself-efficacy and serve as a protective factor against negative outcomes forchildren. Aim: The aim of this study was to evaluate the effect of an educationalprogram on improving caregiver's competence level regarding care of childrensuffering from hemophilia. Design: A quasi-experimental design was utilized inthe current study. Settings: The study was conducted at inpatient pediatrichematology units in Benha and Nile Health Insurance Hospitals. Sample: Apurposive sample of 50 caregivers (mainly mothers) accompanying their childrenwere selected from the above mentioned settings. Tools of data collection: Threetools were used: A structured interviewing questionnaire sheet, mothers' reportedpractices and parenting sense of competence scale. Results: There was asignificant increase in mothers' competency level after one and three months ofprogram implementation compared to pre-program. Conclusion: The educationalprogram was an effective method in improving mothers' knowledge, their reportedpractices, and their competency level regarding care of children suffering fromhemophilia. Recommendation: Establish a regularly training program for motherswho have children suffering from hemophilia and were newly diagnosed in order toimprove their competency regarding care of their children
caregivers
children
competency level
Educational Program
haemophilia
2021
03
01
193
212
https://ejhc.journals.ekb.eg/article_138793_ece761975b103422ec7b8b53d4851774.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
The Effect of Implementing Initial Emergency Care Bundle on Early Outcomes among Acute Ischemic Stroke Patients
Wafaa
Wahdan Abd El-Aziz
Heba
A. Al-Metyazidy
Hend
Elsayed Mansour
Soheir
M. Weheida
Implementing an initial emergency care bundle for acute stroke patients bridges the gap < /div>between evidence-based and clinical practice to improve patients outcomes. Aim: Toevaluate the effect of implementing the initial emergency care bundle on early outcomesamong acute stroke patients. Setting: This study was conducted at the emergencydepartment and neurocritical care unit at Mansoura University Hospital, Egypt. Method:An experimental research design was utilized in this study. A random sample of 120 adultspatient with acute stroke was selected and divided into two equal groups of 60 patients ineach group. Two tools were utilized to collect data: Tool (I): Tool I: Stroke patientassessment. Tool II: Stroke patients' outcomes assessment. Results: It was noticed thatnearly one-third (30.0%) of patients of the control group were died compared to only11.7% of the study group during 7 days post-admission to the intensive care unit. Also,there were highly statistically significant improvements among patients of both control andstudy groups regarding patient outcomes which include physiological parameters, prefeeding assessment, hydration status, and activity level on admission, 3 days, and 7 daysfollowing implementation of stroke care bundle. Conclusions: Acute stroke patients whoreceived the initial emergency care bundle had a statistically significant reduction inmortality rate, higher independency, and normal pre-feeding assessment compared to thosewho receive routine care on admission, 3 days, and 7 days post-admissionRecommendations: The recent evidence-based practice should be integrated into themanagement of acute stroke patients to improve the patients' outcomes.
Acute ischemic stroke
Initial emergency care bundle
Patients’ outcomes
2021
03
01
213
234
https://ejhc.journals.ekb.eg/article_138795_6cb5d8b388ca1e9a0dc28170f0e65051.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Home Accidents Prevention and First aids Training Program on Elderly Caregivers' Knowledge and Practices
Sally
Mohammed Elsayed Ibrahim
Background: Safety is a major concern when providing care for elderly as they aremore susceptible to accidents and injuries than younger adults, So most home injuries canbe prevented through elderly caregivers training regarding home safety measures and firstaids practices. Aim: Evaluate the effect of home accidents prevention and first aids trainingprogram on elderly caregivers' knowledge and practices. Design: A Quasi- Experimentaldesign (one group pre/post design) will be used in this study. Setting: The study was carriedout at Geriatric Outpatient Clinics in the Specialized Medical Hospital that affiliated toMansoura University and in General Hospital that affiliated to the Ministry of health atMansoura City. Subjects: This study was carried out on 50 elderly caregivers whoseselected from the previously mentioned setting Tools: Three tools were used in this study;Elderly caregivers' demographic data structured interview schedule, Elderly caregivers'home accidents prevention and first aids knowledge structured interview schedule andElderly caregivers' first aids practices observational checklist Results: The study revealedthat, about half of elderly caregivers fluctuated from 30 to less than 45 years, with the meanage of 39.60 ± 10.95 years and female were constituted four fifth of them. Moreover,significant improvement in elderly caregivers total knowledge scores regarding homeaccident prevention and first aids and in total practices scores regarding first aids in dealingwith both fainting, fracture, bleeding ,wound , electrical accidents ,poisoning, choking, gassuffocation and burn were detected after implementation of the training program (P=0.000).Conclusion: The developed home accidents prevention and first aids training programproved to be effective in improving knowledge and practices of elderly caregivers.Recommendations: The developed home accidents prevention and first aids booklet shouldbe distributed to all elderly caregivers attending geriatric outpatient clinics at Mansoura citythrough the responsible personal to raise their knowledge and practices.
caregivers
Elderly
First aids
Home accidents
Knowledge
Practices
2021
03
01
235
261
https://ejhc.journals.ekb.eg/article_139797_18bf644d78510e8e00cbc7b80788315b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Emotion-Focused Couple-Based Interventions on Wives Emotional Abuse and Marital Satisfaction
Sabah
H. El-Amrosy
Sabah
E. Nady
kariema
I. EL Berry
Background: Emotional abuse is a serious type of abuse and comprises a large part ofmany couples’ lives. Marital relationship is in every society and is well-known as one of themost important resources in human relationships. Emotional Abuse Behaviors and maritalsatisfaction among married couples might be affected by an emotionally focused intervention.Emotionally focused intervention for couples gives a chance for wives and husbands to achieveadequate Foresight for their relationship of marriage and emotionally empower them to handletheir problems Aim: The study aimed to evaluate the effect of emotion-focused couple-basedinterventions on the wives’ emotional abuse and marital satisfaction Design: A quasiexperimental research design with a pretest-posttest was used to achieve the aim of the study.Setting: This study was conducted at the MCH center at El-Batanoon, Shebin EL-Kom,Menoufia Governorate, Egypt. Sample: sample was 50 couples (100 participants). Datacollection: Three tools were used; Structured interview questionnaire, Gottman emotionalabuse scale, and marital satisfaction Scale. Results: Revealed that there is a highly statisticallysignificant difference in all marital satisfaction dimensions as emotional satisfaction, sexualsatisfaction, general satisfaction, economical, time spending satisfaction, and total maritalsatisfaction score pre and post the emotionally focused interventions at (p-value = 0.001). Also,there is a highly significant reduction in emotional abuse post the emotionally focusedinterventions at p = 0.001 Conclusion: according to the results of the study, it was determinedthat the Emotion-focused couple-based interventions help reduce the wives' emotional abuseand improving marital satisfaction. Recommendations: Based on the findings of the presentstudy, implementation of the Emotion-focused couple-based interventions in the routinetreatments of Community Centers help reduce the wives' emotional abuse and improvingmarital satisfaction
Emotion-Focused Couple-Based Interventions
Emotional Abuse
Marital Satisfaction
2021
03
01
262
283
https://ejhc.journals.ekb.eg/article_139799_1b08fa84c872481f2ce69401133506e2.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Holistic Needs for Patients with Cancer and Suggested Nursing Guidelines
Maha
Desoky Saleh sakr
Rehab
Ragab Bayomi
Nadia
Mohamed Taha
Background: Cancer is a significant concern for public health for millions of peopleworldwide and it claims thousands of lives. Meeting the needs of cancer survivors in the longterm has become a significant concern for public health. This study aimed to assess holisticneeds for patient with cancer and suggest nursing guidelines. Descriptive design was used onhundred patients with cancer admitted to viruses' outpatient unit, in Zagazig UniversityHospital before receiving chemotherapy. Patient Interview Questionnaire was used to assesspatient condition including sociodemographic data, Patient knowledge about cancer, Needsof patient with cancer by scale based on quality of life. Results: Half of the studied patientshad unsatisfactory knowledge about cancer while nearly three-quarters of the studied patientshad high needs, the highest needs was for Psychological needs more than four-fifths of thestudied sample followed by physical need about three quarter, near three quarter for spiritualneeds, and above three fifth for socio-economic needs. Conclusion: There was a statisticalsignificant relation between patients' level of knowledge, total needs and their sociodemographic characteristics. In addition there was statistical significant relation betweenpatients' total needs and their level of knowledge. Recommendation: conducting proposedprotocol of patient's holistic needs management that's evidenced – based should beimplemented and evaluated.
Holistic Needs
Cancer
nursing guidelines
2021
03
01
284
300
https://ejhc.journals.ekb.eg/article_139801_f6fb4a1619442c9b8c2cd741e2969e28.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Pregnant Women' Knowledge and Attitude regarding Hepatitis B Virus Infection: a Structured Teaching Program
Fatma
Kamal Ali
Hanan
Amin Ali
Ola
Abdel-Wahab Afifi Araby
Background: Hepatitis B Virus infection is one of the world's most common viralhepatitis and a significant global public health issue with varied prevalence across the world.Aim of the research was to investigate the effectiveness of a structured teaching program onpregnant women' knowledge and attitude regarding hepatitis B virus infection withpregnancy. Design: A quasi-experimental research design was adopted. Setting: the researchwas performed at an outpatient clinic for obstetrics and gynaecology affiliated to the BenhaUniversity Hospital. Sample: A purposive sample of 220 pregnant women were recruited.Tools: three tools were used for data collection; a structured self-administered questionnaire,knowledge assessment sheet and modified likert scale for maternal attitude. Results:illustrated that there was a highly statistically significant improvement in relation to pregnantwomen’ knowledge and attitude regarding hepatitis B virus infection at post-interventionphase compared to pre-intervention phase (P ≤ 0.001). As well, there were a positive highlystatistically significant correlation between total knowledge and total attitude scores at preintervention and post-intervention phases (P ≤ 0.001). Conclusion: the structured teachingprogramme had a positive effect on the improvement of pregnant women' knowledge andattitude regarding hepatitis B virus infection with pregnancy. Recommendations:Educational program about hepatitis B virus infection should be a part of antenatal care forevery pregnant woman
Pregnant women
knowledge and attitude
hepatitis B virus infection
structured teaching program
2021
03
01
301
324
https://ejhc.journals.ekb.eg/article_140546_4181e68f241e67f060fd25674a3f130d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Cervical Cancer Relevant Knowledge and Preventive Behavior among Secondary School Females in Port Said City
Nor El-Hoda
Mohamed El-Sayed El-Shabory
Azhar
Abdel–Fatah Mohamed Shehata
Shymaa
Abdel- Rahman Osman Abdel-Haleem
Background: Cervical cancer remains a major public health problem, classifyingas the fourth mostly prevalent etiology of cancer incidence and mortality amongfemales all over the world. It is a preventable problem when applying suitablesurveying and prophylactic methods. Then, knowledge and awareness deficit causepreventive methods loss. Objective: The current study aimed to assess cervicalcancer relevant knowledge and preventive behavior among secondary schoolfemales in Port Said City. Method: A cross-sectional study was conducted in threesecondary schools in Port Said city. Participants were 250 female students selectedby systematic random sampling techniques. Data collected by questionnaires todetermine the knowledge of the adolescent girls on cervical cancer and itsprevention. Results: Only 21% of the students reported good knowledge levelconcerning cervical cancer and 76.8% of the studied sample had inadequate levelof knowledge. The present study revealed unsatisfactory preventive behaviorsabout cervical cancer. Conclusion and recommendation: The present studyrevealed unsatisfactory cervical cancer and prevention behaviors knowledge as adisease among the female students. Our research recommended that there is a needfor educational programs for secondary school females about cervical cancer andprevention behaviors
Cervical Cancer
Knowledge
Secondary School Females And Prevention Behaviors
2021
03
01
325
339
https://ejhc.journals.ekb.eg/article_141872_c590bb87368853290eab641afef7e788.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Post-Traumatic Stress Disorders and Burnout Syndrome among Community Paramedic Staff
Doaa
Abd El Salam Amin Yacout
Neama
Yousef Mohamed
Hanan
Hosni El Sherbini
Background: Community health nursing specialties is continuously changed andupdated according to the community needs, ambulance paramedics staff is one of thespecialties in community health nursing, and they play a vital role in emergencies evenat home, they play a role in advancing home care which reduces the cost in the healthcare system, they deal with serious conditions such as pandemic situation as in case ofCOVID-19 pandemic nowadays. So, this group of staff must be studied to understandthe occupational problems that might be facing them and help them to deal with it.Aims of the study: the current study aimed to assess the post-traumatic stressdisorders among paramedic staff, and to evaluate the burnout syndrome severityamong paramedic staff as a community paramedic. Material and Methods: Adescriptive exploratory research design was used. Settings: The study was carried outat once out of the seven regions served by the Egyptian Ambulance Organization(EAO) namely Alexandria region which serves three Egyptian governorates(Alexandria, Matrouh and Beheira governorate). Subjects: All paramedic staffworking at the chosen settings and meet the inclusion criteria (68) was recruited in thestudy. Tools: Data was collected through using three tools “Paramedic Staff HealthProfile and Sociodemographic Assessment Tool, Maslach Burnout Inventory – HumanServices Survey for Medical Personnel (MBI-HSS) Tool and the Clinicianadministered Post Traumatic Stress Disorder Scale for DSM-5 (CAPS-5) Past MonthVersion. Results: The current study indicate that the studied paramedic staff hasdifferent degree of burnout syndrome and post-traumatic stress disorder with asignificant association with multivariable such as age, marital status level of education,years of experiences, working hours per week, sleeping hours and their evaluation fortheir health condition. Conclusion and Recommendations: it was concluded that, theparamedic staff burnout inventory scale indicate that around one third of them havehigh emotional exhaustion level, whereas, more than two fifths of them have low levelof personal accomplishment. Around one third have high level of depersonalization.Furthermore, three quarters of the studied paramedic have mild, minimal distress ordisruption of activities followed by moderate, distress clearly present but stillmanageable. It was recommended that, regular screening of paramedic staff should bedone for evaluating stress, depression, and anxiety. Proper management must be held atearly stage of symptoms of BOS and PTSD. Inservice stress management trainingespecially for invoice community paramedic staff must be executive to raise theirawareness regarding the possibility of PTSD and BOS and how to deal with.
post traumatic
paramedic staff
Burnout
stressors
2021
03
01
340
363
https://ejhc.journals.ekb.eg/article_141874_46dfc16b5cea0ebe8cb9403c69ab20c9.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Elastic Abdominal Binder on Post Cesarean Pain, Distress, Mobilization and Women’s Satisfaction
Samia
I Hassan
Nagwa
Ibrahim El-Feshawy
Afaf
Hassan Ahmed
Background: Abdominal binder (AB) is one of the most effective nonpharmacological method that decreases many adverse events after cesareandeliveries as pain and distress, it can also improve physical function and increasewomen's satisfaction. Aim of the study: This study aimed to assess the effect ofelastic abdominal binder on post cesarean pain, distress, mobilization and women'ssatisfaction. Subjects and methods: Randomized Control Trial was utilizedcomparing two groups of intervention (AB) and control group (a routine hospitalcare). The study was carried out at New General Mansoura hospital specific atinpatient departments, and operative room, Egypt, from September 2019 to March2020. Data was collected through five tools, A Structured Interview QuestionnaireSchedule, the Numerical Rating Scale; Symptom Distress Scale ; 6MWT &womensatisfaction likert scale. Results: This study found that there was a highlystatistically significant difference about pain score in the 1st 8,24,48 hours afterdelivery and after one week in the binder group than control group, Also, a highlystatistically significant difference in the distress symptoms in the 1st 24 hours andin 48 hours as well as after one week from delivery, the present study reported thatthere were a highly statistically significant different in the binder group versus thenon-binder group related to 6MWT in the 1st 8 hours and on postoperative 24hrs,48hrs&1 week. Also, women in the binder group were satisfied by using it.Conclusion: this study concluded that using AB after CS had a significantlyimprovement in the post cesarean pain, lowering distress symptoms & fostermobilization. Also, in early initiation of breast feeding. Recommendations:Increase awareness of women health care providers about positive effect ofabdominal binder.
Abdominal binders
Cesarean delivery
Pain
distress
mobilization & women satisfaction
2021
03
01
364
382
https://ejhc.journals.ekb.eg/article_141875_a4cc6eadf8a583af52bc119c96e2902d.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Pediatrics Basic Life Support Simulation training: Intern-ship Nursing Students' Performance and Self-Efficacy
Doaa
Bahig Anwr Akl
Maha
Mahmoud Saadoon
Zahra
Ahmed Sayed
Background: Simulation is the imitation of a real-world process over time.Theoretical education is not adequate alone for effective cardiopulmonaryresuscitation applying. So that the application must be given in accordance withtraining and manual guidelines. Aim: to evaluate effectiveness of a simulationbased learning on nursing intern-ship students' performance and self-efficacyregarding pediatrics basic life support. Design: quasi-experimental research designwas used. Setting: study conducted at Aswan University Hospital Training Center.Study subject: Convenient sample of 100 nursing internship students of NursingFaculty, Aswan University at academic year 2019-2020 from October 2019 toMarch2020.Data collection tools were included two basic tools, the first tool wasNursing Internship student’s Performance regarding pediatric basic life supportthat included socio-demographic characteristics, students ' knowledge, ' practice,and the second tool was self-efficacy assessment. Results revealed markedincrease in nurses' total knowledge, practice and self-efficacy after implementationof emergency pediatric basic life support compared to pretest with statisticallysignificant differences. Conclusions: simulation improved nursing student'performance and self-efficacy regarding pediatric basic life support and enhancethe simulation integration as active learning methods to improve nursing students 'performance. Recommendations: Repeating stimulation based learning trainingthroughout nursing education to increase stimulation practices effectiveness.
Pediatric Basic life support
Simulation training
performance
Self- efficacy and Intern ship nursing students
2021
03
01
383
403
https://ejhc.journals.ekb.eg/article_141881_2ebfc10032aa3443d234ec7f023037d3.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
The Relation between Gestational Age and Anthropometric Measurements among Newborns
Manal
Mohamed Ahmed Ayed
Rania
Mohamed Gad El-Bastwese
Thorea
Mohamed Mahmoud
Amina
Mohamed Thabet
Manal
Farouk Mohamed
Background: Growth monitoring and assessing its parameters have an importantrole because accurate gestational age and growth measurements are importantwhich reflects standard growth and morbidity, and mortality in newborns isdirectly, linked with gestational age and anthropometric measurements. This studyaimed to investigate the relationship between gestational age and anthropometricmeasurements among newborns. Design: A cross-sectional study was conducted inthe Obstetrics and Gynecology ward at Sohag University Hospital, from Dar El –Salam Abed- Allah Maternal and Child Health Center at Sohag City and Maternaland Child Health Center at Talkha City belonging to Dakhahlia Governorate withinsix months, including 280 newborns. Tools: A structured questionnaire,anthropometric measurement, and percentile charts from the 10th, 50th, and 90thpercentiles were utilized for collecting the data. A positive correlation was foundbetween gestational age and anthropometric variables. Conclusion: A positivecorrelation between gestational age and anthropometric measurements amongnewborns, and anthropometric variables can be used as simple tools for predictinggestational age
Relation
Gestational age
anthropometric measurements
Newborns
2021
03
01
404
417
https://ejhc.journals.ekb.eg/article_141883_dc9f1c3d70eb78074f7c8c65331cb81b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Iron Deficiency Anemia on Academic Performance among Primary School Children
Manal
Mohamed Ahmed Ayed
Amel
abd Elaziem Mohamed
Huwida
Hamdy Abd El-Monem
Introduction: anemia due to iron deficiency is considered a common global riskbetween primary school children that have a serious effect on their academicperformance. The current study aim was to investigate the effect of iron deficiencyanemia on academic performance among primary school children. Design: Adescriptive cross-sectional correlational research design was used. Materials andmethods: included 720 primary school children who selected randomly from twoprimary schools at Sohag city in October 2019 aged 6 to 12 years. Tools: Astructured questionnaire filled in by the parents and the Raven StandardsProgressive Matrices test was used to measure cognitive function and schoolacademic performance. Iron level was determined by measuring hemoglobin andserum ferritin concentrations. Results: In this study most of primary schoolchildren 82.0% suffered from intellectual deficit. Academic performance on theRaven Standards Progressive Matrices test was associated significantly withanemia due to iron deficit (p=0.035). A positive significant relationship was foundbetween ferritin values and academic performance between children (p=0.001).Conclusion: anemia due to iron deficiency anemia between children had effect onacademic performance impairments. Recommendation: Encourage healtheducational program for parents about children’s nutritional requirements speciallyiron requirement and frequent blood testing is required.
iron deficiency anemia
Academic Performance
Primary School Children
2021
03
01
418
432
https://ejhc.journals.ekb.eg/article_141885_c8ad0e979c67e5696200128f72cc634b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Knowledge, Attitude, and Emotional Problems Regarding COVID-19 among Undergraduate Nursing Students
Safaa
Mustafa Mohamed
Enace
Mohamed Abd Elaal
Eman
Ezz Elregal Ibrahim Eisa
Mona
Gamal Abd Elnaser Ahmed
Background: Undergraduate nursing students considered from the most vulnerablegroup who are at risk for SARS-CoV-2 infection. To protect undergraduate nursingstudents' healthcare authorities should keep them away from stress and anxiety andimprove their knowledge, attitude, and practice towards COVID-19. The studyaimed to assess knowledge, attitude, and emotional problems regarding COVID-19among undergraduate nursing students. Methods: Design: A descriptive, webbased-cross-sectional study was used. A convenient sample of all 280undergraduate nursing students in the Faculty of Nursing Sohag University wasincluded in the study from 20 June to 2 July 2020. Tools: A self-administeredrelated questionnaire was designed using Google forms regarding the COVID-19related KA, the link of the survey was sent to the respondents via Whatsapp groupsand depression, anxiety, and Stress Scale (DASS). Results: The majority of theundergraduate nursing students were knowledgeable about COVID-19 whichindicating a high level of knowledge and indicating optimistic attitudes. As regardemotional problems, the result presents that 70 % of the undergraduate nursingstudents suffered from a moderate level of stress, while only 11 % were normal.Regarding anxiety level, detected that 60 % of the undergraduate nursing studentssuffered from moderate anxiety, while 18 % of them were normal. Related todepression level, 35 % of undergraduate nursing students suffered from a moderatelevel of depression. Conclusion: more than two-thirds of undergraduates nursingstudents suffered from a moderate level of stress, less than two-thirds of themsuffered from moderate anxiety, while around one-tenth of them were normal, andmore than one third of them suffered from a moderate level of depression.Recommendations: the study suggested the need for additional research onpredictive factors affecting people's stress in the era of COVID-19 outbreak andcarried out intervention activities through various mediums to help undergraduatesnursing students become more knowledgeable during the COVID-19 epidemic.
Knowledge
Attitude
Emotional problems
COVID -19
Students
2021
03
01
433
447
https://ejhc.journals.ekb.eg/article_141888_0de867aee6aed090c58acfd4f85b3769.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Health Awareness Package to Avert Helicobacter Pylori Infection among Family Members
Donia
Atef Ibrahiem
Amany
Mohamed Saad
Helicobacter pylori are common bacteria that cause pain and may lead to ulcers orstomach cancer. The awareness package is a process that educates family membersto promote their knowledge and practice towards the prevention of infection.Aim: Evaluate the effect of a health awareness package to avert helicobacter pyloriinfection among family members. Design: A quasi-experimental design wasutilized. Setting: The study was carried out in the internal medicine outpatientclinic at Helwan General Hospital. Sample: A purposive sample includes seventyfive family members. Tools: An interview questionnaire was used, it included threeparts: Part I. Family member's socio-demographic characteristics. Part II.Knowledge about Helicobacter pylori infection. Part III. Reported practices.Results: Slightly three-quarters of the family members’ had poor knowledge prepackage, while more than three- quarters of them had good knowledge after thehealth awareness package. Also, there was a radical satisfactory improvementamong the majority of family members’ total score of reported practices after thehealth awareness package in the post-test rather than of the pre-test. (P-value =0.000). There was a statistically significant strong direct correlation between totalscores of pre and post-knowledge and reported practices of health awarenesspackage (p > 0.001). There were highly statistically significant relationshipsbetween family members’ total scores of knowledge and reported practices andsocio-demographic characteristics. Conclusion: Utilization of health awarenesspackages achieving significant improvements in the family members’ knowledgeand practice. Also, there was a positive correlation between total scores ofknowledge and reported family members’ practices and their socio-demographiccharacteristics. Recommendations: Healthy hygienic guidelines are needed toavert the incidence of H. Pylori infection and strengthen the knowledge andpractices among high-risk populations and low socioeconomic families
Health awareness package
Helicobacter pylori
Family members
2021
03
01
448
470
https://ejhc.journals.ekb.eg/article_142233_f34b46a33cc4da20fa438765993ecfc9.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
First Line Nurse Managers' Managerial Competency and its Relationship with their Staff Nurses' Work Engagement at Main Mansoura University Hospital.
Maysa
Fekry Ahmed
Asmaa
Moustafa Abd-ElGhani
Background: Managing healthcare complexity and challenges requires competentfirst-line nurse managers to apply their managerial functions, which are called managerialcompetency that can impact the achievement of hospitals, especially at the unit level. Firstline nurse managers are the main individual in building, preserving a healthy work setting,and achieving optimal work engagement of their staffا. Aim: The current study aims toinvestigate first line nurse managers' managerial competency and its relationship with theirstaff nurses' work engagement at Main Mansoura University Hospital. Design: A descriptivecorrelational design was utilized setting: The study was carried out at all general medicaland surgical units at Main Mansoura University Hospital (MMUH). Subject: The totalsample was 110 staff nurses. Tools: Two tools were utilized in this study, First-Line NurseManagers' Managerial Competency Scale and Utrecht Work Engagement Scale. Results:The major findings of this study indicated that statistical significant positive relation betweenstaff nurses' perception of their first line nurse managers' managerial competency and theirwork engagement. The highest percent of staff nurses showed moderate level of managerialcompetency and work engagement. Conclusion: Based on the results of this study, we canconclude that there is a probability of refining the work engagement of staff nurses throughimproving their first line nurse managers' managerial competency. Recommendations: Firstline nurse managers should become aware of changing their functions and responsibilities.Top-line managers should support and encourage first-line nurse managers to participate incontinuing education programs. To promote staff nurses' work engagement, it is necessary toimprove their first line nurse managers’ managerial competencies.
First line nurse manager
Managerial competency
work engagement
Staff nurses
2021
03
01
471
485
https://ejhc.journals.ekb.eg/article_142700_f1a7e2ba1e0eecf7bd0f67b9ec5c9048.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Family Empowerment Nursing Intervention on Caregivers' Strains and Health-Related Quality of Life of Children with Hepatitis C
Hemat
Mostafa Amer
Alyaa
Hosam El Din Salama
Reda
A. El Feshawy
Samia
Ali El-Nagar
Background: Hepatitis C virus infection is a community and pediatric problems,needs for supporting their mothers to decrease their strains and powering their childrenquality of life. Aim: To examine effect of family empowerment nursing intervention oncaregivers' strains and health-related quality of life of children with hepatitis C. Design: Aquasi-experimental research design. Setting: The study was carried out at outpatient clinicsin National Liver Institute at Shebin El-Kom, Menoufia University, Egypt. Sample:Purposive sample composed of 160 caregivers and their children with hepatitis C wererecruited. Tools of the study: 1. Structured interviewing questionnaire. 2. Modified Index ofCaregivers' Strain 3. Pediatric Quality of Life Inventory Version 4. Results: The mainfindings of current study showed that at pre family empowerment intervention, most (90%)of family caregivers had suffering from high level of strains while only 10% had low level ofstrains compared to post family empowerment intervention, there was statistically significantdecreased in high level of caregivers' strain. Additionally, there was statistical significanceimprovement in the quality of life of children having hepatitis C; at post familyempowerment intervention compared to pre intervention. Conclusion: Family empowermentintervention was effective in reducing family caregivers' feeling of strain and enhanceshealth related quality of life in children with hepatitis C. Recommendations: The need forestablishing health education units in every outpatient clinics to provide therapeuticeducation to children and their family caregivers
HCV infection
Family empowerment
Caregivers' strain
Children' quality of life
2021
03
01
486
500
https://ejhc.journals.ekb.eg/article_142737_f8bb0ac6c5f6d84439638ef700bc70ea.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of an Educational Program for Patients after Retinal Detachment Surgery on their Performance and Postoperative Pain Management
Hala
Abd El-Salam Sheta
Nehal
M.Abo El-Fadl
Background: Retinal detachment describes an emergency situation in which a thin layerof tissue (the retina) at the back of the eye pulls away from its normal position. Retinaldetachment separates the retinal cells from the layer of blood vessels that provides oxygenand nourishment. The longer retinal detachment left untreated, the greater the risk ofpermanent vision loss in the affected eye. Aim: The study aimed to evaluate the effect ofan educational program for patients after retinal detachment surgery on their performanceand postoperative pain management. Methods: The following hypotheses were formulatedto achieve the study aim. H1: Performance of the study group will be improved postprogram implementation than the control group. H2: The study group will be able tomanage pain post program implementation than the control group. H3: There will besignificant correlation between patients’ performance and pain management post programimplementation for the study group. A quasi-experimental research design was utilized toconduct the current study in the ophthalmology department at Benha University Hospital.A purposive sample of (100) adult patients post retinal detachment surgery were includedin this study. Three tools were used, the patients’ knowledge assessment questionnaire, thepatients’ practice observational checklist regarding eye care and visual pain analogue scaleto assess pain severity. Results: This study shows that most patients had an unsatisfactorylevel of total knowledge and inadequate total practice regarding the postoperative painmanagement after retinal detachment surgery pre-program implementation (68% and76%). This result improved significantly regarding all knowledge and practice elementspost-program implementation, where the majority of the patients had a satisfactory level oftheir total knowledge and adequate total practice (78% and 75%). Conclusion: Themajority of the studied patients had an unsatisfactory performance level (knowledge andpractice) concerning postoperative pain management after retinal detachment surgery preprogram implementation. In contrast, most of the studied patients had statisticallysignificant improvement in their performance post program implementation. Also, therewas a significant positive correlation between patients’ performance and pain managementpost program implementation that supports the research hypotheses. The studyrecommended continuous in-service training programs and repeating the study on a highprobability sample to achieve generalization of the findings.
Educational Program
Patients’ performance
retinal detachment surgery
postoperative pain management
2021
03
01
501
530
https://ejhc.journals.ekb.eg/article_143454_b2a4248981c369a08b7d39571b1db1c6.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Self- Care Management Strategy on SelfEfficacy for Patients with Myasthenia Gravis
Safaa
Mohamed Hamed
Rawia
Ali Ibrahim
Myasthenia gravis (MG) is a chronic, auto-immune disease of the neuromuscularjunction. The incidence is estimated to be 30 per 1,000,000 people per yearworldwide. Aim: the study aimed to evaluate the effect of self- care managementstrategy on self- efficacy for patients with myasthenia gravis. Design: Quasiexperimental design was utilized in this study .Setting :The study was carried outat the neurological departments and neurology outpatient clinic at Benha UniversityHospital during the period from the beginning of june2019 to the end of june2020.Sample :purposive sample of 50 patients. Tools: four tools used to collect thestudy data .These are structured interview questionnaire to assess patients'knowledge regarding myasthenia gravis, MG Activities of Daily Living Scale,fatigue severity scale and general self-efficacy scale Results :showed that themajority of the study sample were females , married , were living in rural area withfamily and half of them have secondary education, statistically significantdifference in term of increased in mean score of total knowledge among studysample, as well as a decrease in total mean score of MG activity of daily living,besides, lower degree of fatigue and improve level of self –efficacy for MG patientafter self –care management strategy implementation .Conclusion :Implementinga self-care management strategy for patients with myasthenia gravis was effectivein improving knowledge, MG activity of daily living score, self-efficacy anddecrease level of fatigue. Recommendation : Replication of the current study onlarger probability sample is recommended to achieve generalizability and broaderutilization of the designed program
Myasthenia gravis
self-care- management strategy
Self-Efficacy
2021
03
01
531
553
https://ejhc.journals.ekb.eg/article_143455_567b4f1fc4f8e88c55f11f25239cddee.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Prevalence and Association of Malnutrition with Lifestyle practices of Primary School Children in Assiut City
Salwa
Ali Marzouk
Youssria
El-sayed
Medhat
A. Saleh
Osama
M. El-Asheer
Thorea
M. Mohmoud
Amina
M. Mohamed
Coexistence of obesity and underweight in children is a public health challenge,and in order for a child to develop into a healthy adult, he must follow healthylifestyle practices in all aspects: nutrition, physical activity and recreation. Thisstudy aimed to determine prevalence of overweight/obesity, underweight andstunting among primary school children in Assiut city as well as to assess theirassociation with lifestyle practices Subjects and Methods: A descriptivecorrelational study design conducted in Assiut city. Four schools were randomlyselected (two public and two private) and 850 children from the last three gradeswere included in the study. A self-administered questionnaire was designed toassess personal data, lifestyle practice and anthropometric characteristics. Results:The prevalence of underweight, overweight and stunting of primary school childrenwere 41.2%, 14.4% and 13.8%, respectively. These proportions were high amongmales versus females without significant difference and were affected significantlyby age (p < 0.05). Frequency of meals >3 times, always eating during screeningtime, irregular physical activity, not eating vegetables or breakfast and consumedsnacks regularly were highly significant risk factors for being overweight/obese (P<0.001). Whereas, no association between most life style practices and stunting.Conclusion: The prevalence of stunting and underweight was high among boys,while girls tend to be overweight / obese. These abnormal weight categories(overweight/obesity and underweight) were significantly associated with lifestylepractices of school children. Therefore, there is need to develop behavioralapproach policies to motivate children to change their unhealthy behaviors.
Malnutrition
Lifestyle practices and School children
2021
03
01
554
575
https://ejhc.journals.ekb.eg/article_143458_7c39923e894ac1b7fa73a38325b67b46.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Influence of Premarital Counseling Regarding Consanguineous Marriage on Knowledge and Attitude among University Students
Nagia
Shawky Abd El-Samie Ebid
Sahar
Mossa Soliman
Kamilia
Ragab Abo-Shabana
Nevin
Samir Metwaly
Background: Consanguineous marriage is a tradition habit in Arab countries leading tohigher rates of autosomol recessive genetic disorders.Aim of the study: to study theinfluence of premarital counseling regarding consanguineous marriage onknowledge andattitude among university students. Methods: A quasi experimental designwas used.Setting: The study was conducted in (Faculty of Nursing Ain Shams University) .Sampletype: A purposive sample was selected .Sample size: 178 students were included in thestudy. Tools for data collection: two tools of data collection were used named Arabicstructured -administrated questionnaire sheet and Likert attitude scale. Results: the studyindicated that three fourth of studied sample had total correct knowledge and positiveattitude regarding consanguineous marriage post intervention. Conclusion: improvementof student's knowledge and attitude after counselling sessions.recommendations:integrate premarital counseling concepts regarding consanguineous marriage atundergraduate university education curriculum
Premarital Counseling
consanguineous marriage
Genetic disorders
2021
03
01
576
586
https://ejhc.journals.ekb.eg/article_143459_7319bd103e6c024df8d6d60ec7bb247f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effects of Reflexology on Post-Operative Pain Severity after Laparoscopic Appendectomy for Patients at Surgical Units
Nehal
M.Abo El-Fadl
Background: Reflexology is a type of massage that involves applying differentamounts of pressure to the feet, hands, and ears. It is based on a theory that, thesebody parts are connected to certain organs and body systems. Aim: The study wasaimed to evaluate the effect of reflexology on post-operative pain severity afterlaparoscopic appendectomy for patients at surgical units. Methods: A quasiexperimental research design was utilized to conduct this study in the generalsurgery department at Benha University Hospital. A purposive sample of (60) adultpatients post laparoscopic appedectomy were included in this study. Three toolswere used; (Tool I) patients’ knowledge assessment questionnaire, (Tool II)patients’ practice observational checklist and (Tool III) visual pain analogue scaleto assess pain severity. Results: This study showed that most patients (study group)had an unsatisfactory level of total knowledge and inadequate total practiceregarding reflexology technique after laparoscopic appendectomy pre intervention(22% and 2%). This result improved significantly regarding all knowledge andpractice elements post intervention, where the majority of patients (study group)had satisfactory level of total knowledge and adequate total practice (82% and95%). Also, there was marked improvement in pain severity among the studygroup pre and post intervention.While, there was no improvement noticed in thecontrol group regarding their total knowledge, practice, and pain severity pre andpost intervention.Conclusion: The current study concluded that, performance ofthe study group post intervention concerning pain severity has been greatlyimproved after application of reflexology technique that supports the first andsecond research hypotheses. Also, there was a significant negative correlationbetween patients’ performance and pain severity immediate post intervention forthe study group that supports the third research hypothesis. The studyrecommended continuous in-service training programs and repeating the study ona high probability sample to achieve generalization of the findings.
Reflexology
Laparoscopic appendectomy
patients
postoperative pain severity
2021
03
01
587
606
https://ejhc.journals.ekb.eg/article_143460_45ff40c8ed2fe2ee89d6f0263683a43c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effectiveness of Hoffman's Exercise on the Level of Breastfeeding among Primiparous Women with Inverted Nipple
Nadia
Youssef Ahmed Abd-Ella
Shaimaa
Fouad Mohammed
Background: Breastfeeding is one of the most natural, beneficial and ideal formfor feeding newborns to promote their healthy growth and development as well asfor better maternal health. Some mothers facing the problem of nipple inversiondepleting them of being able to feed their babies as well as taking its advantages.Aim: this study aimed to evaluate the effectiveness of Hoffman’s exercise on thelevel of breastfeeding among primiparous women with inverted nipple. Methods:A quasi-experimental research design was conducted at a private antenatal clinic atMansoura City, Dakahlia Governorate, Egypt. A non-probability purposive sampleof 110 pregnant women was allocated either to the control group who received theroutine antenatal care or to the intervention group who practiced Hoffman'sexercise. Data were collected using a structured interview schedule, LATCH andLikert scales. Results: More than half (58.2%) of the subjects in intervention group < /div>had good level of breast feeding compared to 7,3 % in the control group withstatistical significant difference among both groups (p < 0.001). Also about 34,5%and 29,1% of the subjects in the intervention group were either strongly satisfied orsatisfied respectively compared to only 3,6% and 5,5% of the control group on thesame scale. Conclusion: The current study hypotheses were accepted whereHoffman's exercise was an effective intervention for managing inverted nipple,improving level of breastfeeding and is associated with higher satisfaction levelwith breastfeeding in the intervention group compared to the control group.Recommendations: The current study recommended that, Hoffman’s exercise canbe integrated into nursing care practices for managing inverted nipples amongprimiparous women.
breast feeding
Hoffman's exercise
Inverted nipple
2021
03
01
607
624
https://ejhc.journals.ekb.eg/article_143538_a3cf76e3ad14bbf09371b7d6da1ece66.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Education program on improving patient reported recovery profile post Hyperthermia Intraperitoneal Chemotherapy for Peritoneal Carcinomatosis
Aml
Said Taha
Rasha
fathy mohamed
Background; Cytoreductive surgery (CRS) and hyperthermic intraperitonealchemotherapy (HIPEC) is associated with improved survival for patients withabdominal malignancies with peritoneal dissemination .This study aimed toevaluate the effect of Education program on improving patient reported recoveryprofile post Hyperthermia Intraperitoneal Chemotherapy for PeritonealCarcinomatosis .Design: Quasi-experimental design was utilized in this study .Setting :The study was carried out at intensive care unit at the National CancerInstitute (NCI), Cairo University. During the period from the beginning of January2019 till the beginning of January 2020 Sample :Purposive sample of 97 patientsTools :Two tools used to collect the study data .These are structured interviewquestionnaire to assess patients' knowledge regarding Hyperthermia IntraperitonealChemotherapy, and Patient-Reported Recovery Profile Results :Showed that therewas statistically significant difference in term of increased knowledge level amongstudy group , as well as a increase in total mean score in patient-reported recoveryProfile pre ,immediately and after education program implementation ,shows highstatistically significant negative correlation between of length of hospital stay andreported recovery profile immediately post and after program implementationinverse relationship. Conclusion :Implementing a designed education program forpatients with Hyperthermia Intraperitoneal Chemotherapy was effective inimproving knowledge, and patient-reported recovery. Shows high statisticallysignificant negative correlation between length of hospital stay and reportedrecovery profile immediately post and after program implementation.Recommendation :additional demographic variables. Manuals, informationbooklets and self-instruction module should be developed in areas of HyperthermiaIntraperitoneal Chemotherapy management
Hyperthermia intraperitoneal chemotherapy (HIPEC)
PatientReported Recovery Profile, Peritoneal Carcinomatosis
2021
03
01
625
645
https://ejhc.journals.ekb.eg/article_144290_f9ce43015568245c6283dbea63101b3c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Determinants and Symptoms Severity of Pelvic Organ Prolapse and Its Effect on Physical Activities among the Elderly versus Childbearing Women
Rokaia
Fathi Mohammed
Manar
D. Mohammed
Amany
Hassan Abd El-Rahim
Background: Pelvic organ prolapse (POP) is a common reproductive problem affecting morethan one-third of women between 20–59 years of age, and more than half of women over 60years worldwide, and negatively affecting their daily physical activities. Aim: To assessdeterminants and symptoms severity of pelvic organ prolapse and its effect on physicalactivities among the elderly versus childbearing women. Methodology: A descriptive researchdesign was carried out on a purposive sample of 300 cases (150 for each childbearing and oldage women) attended to the outpatient gynecologic clinic of Minia Maternal and ChildUniversity Hospital, at Minia governorate, Egypt, over a period of six months from October2019 till March 2020, and met the following inclusion criteria: Females were of childbearingage (≥ 18-49 yrs.), and of old age (≥60 yrs.), diagnosed as pelvic organ prolapse (POP), able tocommunicate and agree to participate in the study. Tools: Three tools were utilized to collectdata. First tool: A Structured questionnaire sheet covered (demographic data, medical andobstetrical history, and self-reported symptoms of POP). Second tool: Severity of POPassessment tool. Third tool: Physical activities assessment scale (ASS). Results: It was foundthat 50% of the elderly women versus (23%) of the childbearing women had severe symptomsof POP, moreover, (66.7% & 13.3%) of them respectively had greater impairment in theirphysical activities with a highly statistically significant difference between the two studiedgroups, and there was a positive correlation between the severity of prolapse symptoms and thedegree of physical impairment among both studied groups. Furthermore, multiple linearregression analysis reflected that age, higher parity, vaginal deliveries, level of education, bodymass index, duration of prolapse, and chronic constipation were significantly affected theseverity of prolapse symptoms among both studied groups. Conclusion: The severity of POPsymptoms was higher among the elderly versus childbearing age women which consequentlylowering their physical activities. Additionally, (aging, malpractice of pelvic floor exercise,higher parity, vaginal deliveries, overweight, chronic constipation, and heavy lifting) are thecommonest leading determinants of POP and are significantly associated with the severity ofprolapse symptoms among the studied sample. Recommendations: An urgent need for healtheducational intervention by health care providers targeting the primary prevention consideringthe concluded leading determinants of prolapse, as well as secondary prevention for womenwith mild to moderate degree of genital prolapse at all places especially in the ruralcommunities.
determinants
Childbearing women
elderly women
Pelvic organ Prolapse
physical activities
Symptoms severity
2021
03
01
664
685
https://ejhc.journals.ekb.eg/article_145421_0476684011edea1eaa4aea8332d38770.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
The effect of Aromatherapy Parent Education in Alleviating Injection Pain Among Children Submitting to Vaccination
Hend
Hassan Ali
Nouran
Yousef Salah
Hoda
Wahid Amer
Hoda
Ragab Mohamed
Eman
Hussein Abdelhalim
Background: Aromatherapy parents’ education about pain alleviation during childvaccinations supports family-centered care and has the potency to progress pain caremanagement in children. Aim of the study: evaluate the effect of aromatherapy parenteducation intervention (massage with lavender oil) in alleviating injection pain amongchildren submitting to vaccination. Subject and methods: Quasi experimental design twogroups have been utilized in this study at vaccination clinics in El-Demerdash healthoffice" affiliated to Abbasis zone and Elkhalij Elmasry primary health center in HadayekElkobba Zone, governmental medical centers, Ministry of Health and Population, Cairo,Egypt. It included 120 children Submitting to Vaccination selected by purposive samplingtechnique according to inclusion criteria, and randomly designate into two groups; registereither in control (60) or study (60) group. The data was collected by using 1) Structuredinterviews questionnaire in Arabic to assess personal data characteristic of children andparent; 2) knowledge assessment tool (pre/post) to assess parent’s knowledge regardingaromatherapy treatment and pain management after children vaccination;3) beliefs andattitudes of parent assessment tool;4) procedural pain assessment tools which included twoparts, the first portion was Modified Behavioral Pain Scale (MBPS) , developed by(Taddio et al, 1995)and the second portion was Cry duration in seconds. The data wascollected between a period of august 2019 and January 2020. Results: A significantimprovement was in total knowledge about aroma treatment and pain management aftervaccination among children’s parent in posttest as compared to pretest assessment(p < 0.0001). A significant improvement was in total mean scores of MBPS components instudy group with lavender oil massage during five minutes after vaccine injection ascompared to control group with highly statistically significant (p < 0. 001). A significantimprovement was in the total mean cry duration in study group as compared to controlgroup with highly statistically significant (p < 0. 001). Conclusion: Aromatherapy parents’education, leg massage by lavender oil was found efficient in alleviating vaccine injectionpain. Recommendation: Applying Aromatherapy Education programs for new parents inall pediatric primary health care centers to increase parents’ awareness about vaccineinjection pain alleviation.
Aromatherapy
Parent Education
Pain
Vaccination
2021
03
01
686
706
https://ejhc.journals.ekb.eg/article_146728_39a07a10c413295c314e7ada55229b7b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Professional Values, Clinical Decision-Making, and Organizational Commitment among Nurses: Analytic Cross-Sectional Study
Nadia
Mohamed El-Sayed Ghonem
Hanaa
Mohamed Abdrabou
Background: Professional values reflect an individual’s belief and loyalty to his/herprofession. It has a positive impact on nurses’ practice of patient care. Aim of study: to assessprofessional values among nurses at Suez-Canal University Hospitals, and to examine itsrelationships with their decision-making and organizational commitment. Subjects andmethods: This analytic cross-sectional study was carried out at Suez Canal UniversityHospitals. A purposive sampling technique was used (171 nurses). A self- administeredquestionnaire with scales for nursing Professional Values, Nurse Decision-Making andOrganizational Commitment was used in collecting data. The fieldwork was from March toMay 2019. Results: Nurses’ age 21-55 years, and 91.8% were females. In total, the meanvalues out of a maximum of 5 for professional values was 3.47, 2.64 for decision-making, and3.85 for organizational commitment. The scores of professional values and clinical decisionmaking had a strong positive significant correlation (r=0.865). In multivariate analysis, theprofessional values score was a positive predictor of the decision-making score. Conclusions:The nurses in the study settings have high professional values and organizational commitment,with lower decision-making skills. Professional values is a positive predictor of decisionmaking. Recommendations: It is recommended that hospital administration enhances nurses’abilities in decision-making through staff development programs. A study of the effect ofprofessional values on nurse and patient outcomes is proposed.
2021
03
01
707
721
https://ejhc.journals.ekb.eg/article_148841_2424b07cbf77d5bc70e2a3b0faff2082.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Palliative Care Program on Quality of Life for Hepatocellular Carcinoma of Elderly Patients
Raefa
Refaat Alam
Nadia
Mohamed Hassan Saleh
Eman
Hassan Mounir Radwan
Background: Hepatocellular carcinoma (HCC) incidence is growing especially in elderly, andadversely affects quality of life (QOL). The increased access to palliative care services will behelpful for the elderly population. Aim: Determine the effect of palliative care program on thequality of life for hepatocellular carcinoma of elderly Patients. Design: the researcher used quasi-experimental research design. Setting: outpatient clinics at Gastrointestinal Surgery Center (GISC)hepatology unit affiliated to Mansoura University, Dakahlia governorate, Egypt. Subjects: Thestudy subjects included a random purposive sampling of 72 HCC elderly patients of both sexdiagnosed at least 6 months. Tools: Data collection is done by two tools namely Patients' interviewschedule sheet (elderly Demographic and Health Relevant Characteristics) and FunctionalAssessment of Cancer Therapy- For elderly patients with Hepatobiliary cancer (FACT-Hep)Version4: Results: the age of the studied participants ranged from 60 to above 70 years. The elderlypatient in study group total quality of life scores increased significantly in post one and post threefollow up after implementation of palliative care program (P=0.000), while no improvement wasobserved in the control group. Conclusion: the QOL of elderly patients with HCC is improved byimplementation of palliative care program. Recommendation: distribution of developed illustratedpalliative care program booklet to all elderly patients and their families at Mansoura UniversityHospitals and Centers should be done
Elderly
Palliative Care
hepatocellular carcinoma and quality of life
2021
03
01
722
734
https://ejhc.journals.ekb.eg/article_153389_07e04df64063fba405a900d52951b684.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Enteral Feeding Protocol to Improvement Functional Outcome in Stroke Patient
Entisar .
G. Shabaan
Ahmad .
M. Abdelwarith
Thanaa .
M. Diab
Background: dysphagia and other swallowing difficulties in stroke patients may lead tomalnutrition which will reflect on health status and clinical outcomes including disability, andmortality, especially patients admitted to stroke unit. Aim: determine the effects of enteral feedingprotocol as a role to improvement nutritional status in patients with recent stroke and its impact onanthropometric measurements, complications, and functional outcomes. Setting and Subjects: Atotal of 75 adult patients (26 male and 49 female) and 35 controls admitted to stroke unit andneurology department at Aswan university hospital. Study Design: A quasi-experimental researchdesign was utilized in this study. Tools of data collection: tool l Nutritional status assessment tooland Protocol for the enteral nutrition support in stroke patient, MRS (Modified Rankin scale) andNIHSS (National Institute Health Stroke Scale). Results: Marked improvement with highlysignificant difference (P<0.001) comparing follow-up with baseline and control group in allsymptoms (nausea, vomiting, esophageal reflux and malabsorption). Also significant difference(P<0.001) between groups such as improvement of daily energy and protein intake, weight, BMI,Hemoglobin (Hb), Platelets, lubricating lips and replace tape with follow-up between all groups.MRS and NIHSS significantly improved on follow up. Conclusion: The application of the enteralfeeding protocols may result in low incidence of malnutrition, gastrointestinal complications andenhance improvement in patients with recent stroke. Recommendations: Protocol for enteralnutrition in patients with acute stroke and disturbed level of consciousness to improve functionaloutcome in those patients and shortens hospital stay.
Enteral Feeding
Nutritional Status
stroke
2021
03
01
735
745
https://ejhc.journals.ekb.eg/article_149446_50fbf5b4414a378d8fd46a4b79e70673.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Palliative Care Plan On end-stage renal disease Patients Undergoing Hemodialysis
Asmaa
Abouda Abdelhamed Soultan
Mariam
Sabry Shehab
Background: Palliative care is defined as a treatment given to control pain andundesirable symptoms of chronic or serious illnesses where there is no reasonableanticipation of a cure for patients. Determination patient and early referral topalliative care decrease suffering and improve symptom management in thesepatients; also it can reduce overall health care utilization and costs if initiated earlyin the disease course. Aim of the study was to evaluate the effect of Palliative CarePlan On end-stage renal disease Patients Undergoing Hemodialysis. Study design:A quasi-experimental design was used in the conduction of this study. Setting:This study was carried out at hemodialysis unit at Alazhar University Hospital atnew Damietta city. Subjects: A convenient sample of 35 patients. Tools of DataCollection: The following tools were used to collect the necessary data:1)Structured interview sheet, 2) Self-care questionnaire, 3) Dialysis symptom index,and 4) Palliative care plan. Results: increased total mean score of patientsknowledge and practice t ,with highly statistically significant differences at pre vspost test& pre vs follow up test (p <0.01) for both tests. Conclusion: the palliativecare plan had positive effect in decreasing and control severity of those symptomsin patients undergoing hemodialysis. Recommendations Dialysis units shouldequipped by palliative care programs. Set up a counseling room inhemodialysis
End-stage renal disease
Palliative Care
and Hemodialysis
2021
03
01
746
760
https://ejhc.journals.ekb.eg/article_149625_6dce98d5ecea5695c33fd682a592d80c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Assessment of implementing the Safety Measures and Prevention to reduce the spread of Coronavirus Disease (COVID-19) pandemic in Egypt
Eman
Sobhy Elsaid Hussein
Fatma
Abdou Eltaib
Background: The coronavirus disease (COVID-19) has caused significant mortality, soimplementation of universal safety measures and prevention in all countries led to an improvementin social and economic aspects, and long-term health outcomes for many communities. The studyaimed to assess the implementation of safety measures and prevention to reduce the spread ofcoronavirus disease (COVID-19) pandemic in Egypt. Methods: Descriptive design was used; a selfadministered questionnaire was distributed among adult Egyptians at the various governorates“theGreat Cairo, Al-Dakahlia, and Assuit” through social media. Sample: 400 adult respondentswho completed the questionnaire were enrolled in the study pertaining to inclusive criteria.Tools: Structured questionnaire included the socio-demographic characteristics of respondentsand knowledge assessment sheet about coronavirus disease (COVID-19) pandemic and a selfadministered structured questionnaire about the safety measures and prevention. Results: The meanage of the respondents was 26.265+10.868; 27.5% of the respondents were living in Cairo and 25%in Giza, respectively; 30% of the respondents had a satisfactory level of knowledge about COVID-19 with social media as their source of information, and 98% of them had a satisfactory level ofknowledge about the spread of new Coronavirus disease. The respondents were highly positiveabout hand washing, wearing medical masks, and home quarantine as safety measures andprevention. Conclusion: The majority of respondents possessed a satisfactory level of knowledgeabout COVID-19, ways through which the virus spreads, and implementation of the safety measuresand prevention to reduce the spread of coronavirus disease (COVID-19) pandemic in Egypt.Recommendations: It is recommended that the study be applied to a larger population, especiallywith the arrival of the second wave of the virus, and also health awareness be increased aboutCOVID-19 by WHO based in Egypt with the help of multi-social media like twitter or periodicalSMS with health instructions from Egyptian Ministry of Health to the population.
(COVID-19) pandemic
prevention
Safety measures
2021
03
01
761
776
https://ejhc.journals.ekb.eg/article_150723_ae24e94f3717b97df6445a13f9510443.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Student Health Champions Program about COVID- 19 Safety Precautions on School Members knowledge and Practices
Doaa
Abd El Salam Amin Yacout
Rodaina
Ahmed Mokbel
Reem
Bassiouny Mahmoud El lassy
Elham
Hassan Tawfik
Background: Schools are important environment for promotion of healthy behaviors. COVID 19preventive precautionary behaviors become mandatory worldwide for everyone. School healthchampion program is considered one way for school students to maintain and sustain their healthand wellness knowledge and practices especially now regarding COVID 19 and help todisseminated it to other school members. Aim of study: to evaluate the effect of student healthchampions program about COVID-19 safety precautions on school members’ knowledge andpractices. Study Design: A quasi-experimental one group pretest - posttest research design wasused. Study Setting: The current study was held in five preparatory shared-gender public schoolsallocated in five educational administrations in El- Beheira Governorate, Egypt. Study Subjects:The study included two subjects; 60 Student Health Champions were enrolled in the first semesterfor 2020-2021 academic year and 40 School Members in the same schools. Data collection tools:Three tools were used to collect the required data :Student Health Champions’ /School Members’COVID-19 Safety Precautions Knowledge Structured Questionnaire, COVID-19 Safety PrecautionsPractices of Student Health Champions’ /School Members’ Structured Observational Checklist andStudent Health Champions’ educational program satisfaction Structured Questionnaire Results:Statistically significant relation was noticed between the students’ knowledge and practices beforethe program application (r= 0.528, P= 0.000) and between their knowledge and practice scores afterthe program (r= 0.250, P= 0.054,). Also school members’ knowledge and practices were improvedpost health champion program (75%, p < 0.001). As regard students’ satisfaction towards COVID-19 school health champion safety precautions program, the majority of them (95%) had generalsatisfaction regarding the entire implemented program and they recommended other colleagues toparticipate in such programs in future. Conclusion: The present study demonstrated theeffectiveness of the student health champions’ program concept in learning and education deliveryto other school members covering all aspects of COVID-19 knowledge and practices, consequently,increasing their knowledge and practices significantly. Recommendations: Disseminate theconcept of school health champion in different schools with different topics. Encouraging the massmedia to highlight the benefits of the study on motivating school students to participate in volunteerwork in order to promote the health of others.
School health
COVID 19
Health champion
precautionary measures
knowledge and practices
2021
03
01
777
800
https://ejhc.journals.ekb.eg/article_153168_ddf28aa0d64a793fd140971e7dfdc205.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Abdominal Massage on Gastrointestinal Function among Enterally Fed Critically Ill Patients
Howyda
Ahmed Mohamed
Zeinab
Hussein Bakr
Ahmed
Mohamed Naguib
Background: Critically ill patient need a nursing practice that can enhance getting all benefits ofenteralfeeding and improving the gastrointestinal function. Gastrointestinal function was gastricresidual volume, abdominal distension, vomiting and constipation. Aim: This study aimed toexplore the effect of abdominal massage on gastrointestinal function of enteral-feed critical illpatients. Research Design: A Quasi experimental design was used. Setting: the study wasconducted at General Intensive Care Units in El Demerdash Hospital Affiliated from Ain ShamsUniversity Hospital. Subjects: A purposive sample of 60 Patients who distributed randomly toequal intervention and control groups from the previous mentioned setting. Results: there werestatically significant difference between the study group and control group subjects regardingGastric Residual Volume (GRV)was statistically significant in the 3rd, 4th, and 5th days indicatinghigher GRV among control group. The abdominal circumference between the five days wassignificantly in the two groups. None of patients in the study group were vomited along the studyperiod (5days) in compared to 5% of control patients without statistical significant differences.Conclusions: The abdominal massage was significantly effective in lowering GRV, preventingdistension and avoiding vomiting. Recommendations: the current study recommended that thispractice can be applied as a caring procedure in the daily ICU care program.
Abdominal massage
Critical ill patient
Enteral-feeding
Gastrointestinal function
2021
03
01
801
813
https://ejhc.journals.ekb.eg/article_153169_6b2346e412af628770897cf43906be1b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of nurse-led lifestyle intervention protocol on associated symptoms and self-efficacy among patients with systematic lupus erythematosus
Rasha
Mohamed Elmetwaly
Aziza
Younis Ahmed
Yosreah
Mohamed Mohamed
Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease. In addition to variousclinical manifestations, it has spiritual, psycho-social and economic consequences. Aim: this studyaimed to assess the effect of nurse-led lifestyle intervention protocol on associated symptoms andself-efficacy of patients with systematic lupus erythematosus. Design: A quasi-experimentalpre/post-test one-group design. Setting: This study was conducted at Rheumatology unit, affiliatedto Ain Shams University Hospitals. Subjects: A purposive non-probability/nonrandomized sampleof 100 patients diagnosed with systemic lupus erythematosus. Tools: data were collected using twotools: I. Structured interview questionnaire for patients with systemic lupus erythematosus, II.General Self Efficacy Scale-GSE.III. British Isles Lupus Assessment Group (BILAG) Index.Results: there was a highly statistically significant difference between associated signs andsymptoms of SLE pre and post implementation of life- style intervention protocol regardingtreatment and self-management of SLE at p value (0.0001), there was a statistically significantdifference regarding studied patients’ self-efficacy and patients’ lupus awareness pre and post lifestyle intervention protocol implementation. Conclusion: the implementation of nurse-led lifestyleintervention protocol affected positively the lupus awareness, self-efficacy and improve theassociated symptoms for patients with systematic lupus erythematosus. Recommendations:Continuous educational sessions to improve patients’ awareness, self-efficacy and improve theassociated symptoms.
Systemic lupus erythematosus
Nurse-Led
lifestyle intervention protocol
Self-Efficacy
2021
03
01
814
830
https://ejhc.journals.ekb.eg/article_156266_fde4e8de87d5577558ce68a51345495b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Nursing Rehabilitation Program on Dizziness and Imbalance among patients with Peripheral Vestibular disorders
Hoda
Abdou Abd El-Monem El-Deeb
Background: Dizziness and imbalance are the most common patient’s complaints results fromPeripheral Vestibular disorders. Nursing interventions for Peripheral Vestibular disorders (PVD(patients are focus on assessment and prevention of potential problems, patient’s teaching andeducating vestibular rehabilitation exercises. Aim of the study was to evaluate the effect of nursingrehabilitation program on dizziness and imbalance among patients with peripheral vestibulardisorders. Research design: A quasi experimental research design with a pretest-posttest controlgroup was utilized. Settings: The study was conducted at otolaryngology clinic of the one-daytreatment center, Alexandria Main University Hospital, Egypt. Subjects: Purposive samples of 60adult patients were selected according to eligibility criteria. They were divided into two equalgroups 30 in each study and control group. Tools of data collection: three tools were used tocollect the necessary data namely: Structured interview questionnaire, Dizziness Handicap < /div>Inventory Scale and The Activities-specific Balance Confidence (ABC) Scale. Results: the studyresults revealed that there was a statistically significant difference between the study and controlgroups in favor of the study group in relation to all items physical, emotional and functional ofDizziness Handicap Inventory subscales at second and third assessment. Regarding levels ofphysical functioning balance there were statistically significant differences between both groups atthe second and third assessment (P=0.005*& 0.001*). Conclusion: nursing rehabilitation programsignificantly improve dizziness and imbalance in patients with peripheral vestibular disorders.Recommendations: the developed booklet with its straightforward instructions and illustrationsshould be utilized in hospitals as a teaching aid for patients with peripheral vestibular disorders.
Nursing Rehabilitation Program
imbalance
dizziness
Peripheral Vestibular disorders
2021
03
01
831
849
https://ejhc.journals.ekb.eg/article_158316_e5f2691ba75ec8a03a18d8f9aa0ff17b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Application of Multiple Services Educational Package Program for Patient with Epilepsy in Out Patient Clinic, Cairo city, Egypt
Aliaa
Mohammed Othman El – afandy
Enas
Ebrahiem Elsayed Aboelfetoh
Background: Epilepsy is one ofthe most common and widespread neurological disordersand affects people of all ages, races, social classes, and geographical locations. Aim: this studyaimed to assessthe application of multiple services educational package program for patient withepilepsy in outpatient clinic, Cairo city, Egypt. Research design: A quasi-experimental designwas used in this study. Setting: The study was conducted at neurology (epileptic) Out-PatientClinic affiliated to Ain shams Hospitals, Cairo, Egypt. Subjects: A convenient group thatincluded (200) patients with epilepsy. Tools: A Structured interview Questionnaire tool thatcover six parts. Part I: demographic characteristic, part II: patients clinical data, part III: patientsknowledge, part IV attitude, part V brief coping and part VI stress management (pre and post).Results: Thisstudy showed statistically significant improvement in patient's knowledge, attitude,brief coping and stress management (21.47± 4.11 to 32.37±7.15) (22.19± 4.89 to 32.05 ± 5.27)(47.24±4.36 to 78.35±7.22) (28.75±.43 to 13.27 ±.83), respectively post programimplementation. Conclusion: The currentstudy revealed that the importance of multiple serviceseducational package program for patient with epilepsy to improve their knowledge, coping skills,attitude, and stress management. Recommendation: Continuity of multiple services andeducational program for patient with epilepsy in different health care setting.
multiple services
Educational
package program
patient with epilepsy
Outpatient Clinic
2021
03
01
850
868
https://ejhc.journals.ekb.eg/article_159845_ba0ee0fcfe60791c4e2dac8c94400d08.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Teaching Booklet on Compliance to Oral Anticoagulant Drugs among Patients with Deep Venous Thrombosis
Attyiat
Hassan Hussein
Neama
Mamdouh Mostafa
Magda
Abdo Thabet
Background: Treatment for patients with deep venous thrombosis relies onpersuading the patient to adhere entirely to the therapeutic plan. Patient education is animportant aspect in increasing compliance. Aim: To evaluate the effect of teaching bookleton compliance to oral anticoagulant drugs among patients with deep venous thrombosis.Research design: Quasi-experimental research design. Setting: The study was conducted atvascular surgery department and trauma unit at Assiut University Hospital. Sample: Apurposive sample of 60 male and female adult patients. This sample was divided into studyand control group (30 patient for each) diagnosed with DVT, their age ranged from18 to 65years. Tools: Tool I: Patient assessment sheet, Tool II: Compliance of patients withmedications by using Morisky Medication Adherence Scale. Results: There was astatistically significant difference between study and control group regarding compliance tooral anticoagulant drugs post application of teaching booklet. Conclusion: Teaching bookletwas effective in improving patient's compliance to oral anticoagulant drugs, lower incidenceof bleeding and recurrence of thrombus among patients with deep venous thrombosis.Recommendations: Teaching booklet for DVT patients to improve adherence to oralanticoagulant should be available in vascular surgery department.
Compliance
Deep Venous Thrombosis
oral anticoagulant drugs
2021
03
01
869
880
https://ejhc.journals.ekb.eg/article_159846_ccbb49a307bafe503301415a5ac389e1.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Tele-Nursing (Phone- Based Follow Up) and Educational Package on Life Style and Clinical Status for Diabetic Patients
Fathya
Rady Magbool
Lobna
F.Eltoony
Ghona
Abd El-Nasser Ali
Attyiat
Hassan Hussein
Background: Diabetes mellitus is one of the global health problems. Tele-nursing isthe use of technological resources and communication systems in nursing to provide patientcare. Aim of the study: to evaluate the effect of tele-nursing (phone- based follow up) andeducational package on life style and clinical status for diabetic patients. Research design:Quasi-experimental design. Setting: The study was conducted at endocrine & diabetic unit inMedical Department at Assiut University Hospitals. Sample: A purposive sample of 100male and female adult patients diagnosed with diabetes mellitus, their age ranged from18 to65 years. Tools: tool (I) Patients assessment sheet, it was consisted of three parts: Part I:Demographic data, Part II: Medical data, Part III: Clinical and laboratory data includingBody Mass Index (BMI), weight, height, blood pressure, fasting, postprandial blood glucose(PPG), Glycated Hemoglobin (HbA1c). Tool (II): Health promoting life style profile.Results: There was significant difference of life style and clinical data for patients beforeand after telenursing education. Conclusion: Tele-nursing was effective nursing strategy forimproving life style and clinical status for diabetic patients. Recommendations: Telenursing should be programmed as a part of health plan for patients with diabetes mellitus indifferent health setting.
diabetes
Tele-nursing
Educational Package
Life Style
Nursing
2021
03
01
881
891
https://ejhc.journals.ekb.eg/article_159848_620bda3ecf3a7367e5a0936d6a3e2f05.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of educational training program about polarity management on Nurse Managers' knowledge and Skills
Fatma
Rushdy Mohamed
Nahed
Shawkat Abo Elmagd
Yosryia
Elsaied Yussief
Background: Most leadership problems involve more complexity than that, wherethe outcome isn’t predictable, and frequently require the ongoing management of tensionbetween two or more seemingly opposite but nevertheless interdependent values. Theleaders should recognize polarities and the value that each pole brings their solutions. Aim:The present study aimed to assess effect of educational training program on nursemanagers' knowledge about polarity management at Assuit University Hospital. Subjectand methods: A quasi-experimental research design was used to conduct this study. Aconvenience sampling technique was used to select a group of (50) nurse managers. Twotools were used throughout the study phases. Tool (I): classified into three parts; personaldata sheet, Knowledge questionnaire about polarity management, and polarity map < /div>application test. Tool (II) : Evaluation of the education training program (opinionnairesheet) . Results: The majority of nurse managers had lacking in knowledge about polaritymanagement and also had poor skills in polarity management before training. There was asignificant improvement in all items and a total score of nurse managers' knowledge andskills of polarity management after implementation of training program than before.Conclusion: Training program was highly effective in improving nurse managers'knowledge and skills in polarity management. Recommendations: Polarity managementawareness should be included in the orientation programs for the newly appointedmanagers, polarity management should be involved in performance appraisal for nursingmanagers, and the curriculum of nursing administration course in faculties of nursing inEgypt should add topics of polarity management.
Nurse managers
Polarity management
Polarity map
Training program
2021
03
01
892
903
https://ejhc.journals.ekb.eg/article_159849_a6b1726f03b6385129039b84ef1d7b4a.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Nursing Knowledge and Practices Regarding Delirium as an Under-Recognized Syndrome in Intensive Care Units (ICU psychosis)
Lamiaa
Hassnin Eita
Heba
Mohamed Abdelaal
Background: Delirium is an acute and fluctuating change in mental status thatcharacterized by marked disturbance of attention, with associated deficits in memory andorientation, disorganized thinking, perceptual disturbance, anxiety, sleep problems, agitationand motor unrest. The aim of this study was to assess the nurses' knowledge and practicesregarding to delirium of critically ill patients in ICU. Design: A descriptive design was used.Subjects: A sample of convenience 64 critical care nurses who were currently available atmorning shifts working was recruited for this study. Tool: Delirium awareness and practicein ICUs Questionnaire to measure healthcare professionals’ awareness and practice related todelirium in the ICU. Results: The results revealed that lower significant knowledge score wasobserved for nurses who were not mentioned the definition of delirium and only one nurseattended training course/lecture about delirium within last year (1.6%), while 98.4% did notattend any training courses/ lecture about delirium last year. Conclusion: Based on this result,it was concluded that delirium was a problem that requires active interventions from the healthcare providers and it is under-diagnosed syndrome. Recommendations: Condensed trainingrequired to optimally manage the condition of delirium is needed for earlier intervention andgreater interdisciplinary collaboration and more involvement of psychiatric services areneeded.
Delirium
Nursing
intensive care unit (ICU)
ICU Psychosis
psychosis psychiatric emergency
2021
03
01
904
920
https://ejhc.journals.ekb.eg/article_159850_59e2e03daabf7eccc0e5829658f2ff9b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Preoperative Patient Education on Quality of Recovery for Patient Undergoing lumber discectomy
Shimaa
Mohamed Abdou Rizk
Samer
Mahmoud Mohamed Ali
Background: Lumbar discectomy is one of the most common operations performed in spinalsurgery practice and preoperative patient education (PE) has been used by many hospitals fortransaction with patient’s overall satisfaction. The aim of the current study was to evaluate theeffect of preoperative patient education on quality of recovery for patient undergoing lumberdiscectomy. A quasi experimental research design was utilized. Setting, the study was conductedat Orthopedic surgery department at Mansoura University Hospitals, Egypt. A convenience sampleconsisting of 100 patients who present in hospital during the period of the program. Two tools wereused in data collection; tool 1 a structured interviewing questionnaire, part 1: Socio-demographiccharacteristics of patients, part 2: Patients’ past and present medical, surgical history. part 3patients’ habits. Tool 2: Quality of Recovery Scale. Results revealed that there was statisticaldifference in mean of all quality of recovery scale domains between the pretest and posttest and ahighly statistically significant difference between the pretest and posttest regarding overall qualityof recovery scale with (p. value 0.001). Conclusion: Application of Preoperative Patient educationprogram has positive effect on quality of recovery for patients after lumber discectomy.Recommendation; Similar studies are needed to assess the long-term effects of such educationalprograms and establishment of health care educational center in the orthopedic surgery department.
patient education
Quality of Recovery
lumber discectomy
2021
03
01
921
937
https://ejhc.journals.ekb.eg/article_162346_9667f85af473985e3dd73e7b6171570f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Storytelling on Preoperative Anxiety and Fear among Children Undergoing Surgery
Hoda
Wahid Amer
Hussein
Mohamed Magdi Fakhreldin Mohamed
Safaa
Abdelazem Osman Ali
Nagwa
Ahmed Mohamed Souilm
Donia
Elsaid Fathi Zaghamir
Background: Children who are faced with surgical operations may experience anxiety, panic andfear before surgery and they are needed to both physical and psychological preparation. Aim of thestudy: Evaluate the effect of storytelling on preoperative anxiety and fear among childrenundergoing surgery. Design: Quasi-experimental research design was utilized in the current study.Subjects: 100 children from 4-8 years were equally and randomly assigned into two groups, thefirst was the control group and the second was storytelling intervention group. Setting: The currentstudy was conducted at the General Pediatric Surgical Unit at Cairo University Specialized PediatricHospital (CUSPH). Tools: an Interview Structured Questionnaire was developed by the researchers,State-Trait Anxiety Inventory for Children, and Children's Fear Scale was utilized for collecting thedata. Results: Preoperative anxiety scores and fear were lower among children after storytellingintervention than before. Highly statistically significant differences were detected between the totalmean score of anxiety scores and fear in the pretest and posttest before surgery (P=0.000).Conclusion: Storytelling method is an effective distraction technique for reducing preoperativeanxiety and fear among children undergoing surgery compared to children in the control group whoreceived routine hospital care. Recommendations: Application of the storytelling technique as non-pharmacological management beside routine hospital programs for children undergoing surgery isrecommended among nurses who care children in order to reduce preoperative anxiety, panic andfear level.
storytelling
preoperative anxiety
Fear
children
Surgery
distraction
2021
03
01
938
947
https://ejhc.journals.ekb.eg/article_163257_f3b203f613bff4e60849a6c4a174db8f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Telehealth Nursing program Regarding Covid-19 among Pregnant Women
Hanaa
Kamal Helmy
Faten
Said Abdelhady Garf
Rasha
El –Sayed Ibrahim
Background: A COVID-19 pandemic is emerging infections and a horrible disease has been shownto have a fatal impact on pregnant women and their fetuses. Telehealth nursing program via SMSmessages has become vital to ensure safe and effective health for maternal and fetal conditionsAim: The study aimed to evaluate the effect of telehealth nursing program regarding Covid-19among Pregnant Women. Design: A quasi-experimental study design was used. Setting: the studywas conducted at Beni-Suef Governorate. Data collected for 6 months from the first of April 2020 tillthe end of September 2020. Sample: An online snowball sample approach of sixty pregnant womenincluded in the study. Tools: Three tools were used for data collection; demographic and clinicaldata structured interviewing sheet, knowledge, attitude of pregnant women towards Covid-19questionnaire, and Covid-19 Practice questionnaire. Results: nearly half of the studied women witha mean age of (28.80±5.24), three-quarters of them had a university education. A statisticallysignificant improvement of COVID-19 knowledge, attitude, and practices of the studied womenafter implementation of COVID-19 educational program via telehealth nursing and SMS messages,and the improvement still apparent across all the studied sample regardless of their demographiccharacteristics and clinical data. The studied women's COVID-19 knowledge was positivelyassociated with their attitude and practice. A positive relation was found between studied women'sCOVID-19 attitude and practices Conclusion: Implementation of telehealth nursing program duringCovid 19 pandemic showed a positive impact and effective improvement in pregnant knowledge,attitudes, and practices. Recommendation: Application of educational program via telehealthnursing for pregnant women in various antenatal clinics should be conducted, and designing a longterm plan by healthcare providers to improve Obstetric conditions and access to education viatelehealth nursing after COVID-19.
Telehealth nursing
Pregnant women
Knowledge
Attitude
Practices
and COVID-19
2021
03
01
973
986
https://ejhc.journals.ekb.eg/article_165206_9a6b12c403de6e421ba5c8caa1056bcb.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Olive Oil, Coconut Oil, Breast Milk on Nipple Soreness among Lactating Mothers: Comparative Study
Reda
M. Hables
Ebtsam
S. Mahrous
Introduction: Advantages of breastfeeding are indubitable. But painful, sore nipples are upsettingfor the mothers and may lead to stop nursing before the commended time. Aim of the study:explore the effect of olive oil, coconut oil, breast milk on nipple soreness among lactating mothers.Methodology: Experimental study involved 135 postpartum women visited outpatient aspostpartum follow up for labor in Itay El-baroud Central Hospital and National Medical Institute ofDamanhour City, Egypt. They were randomly categorized into three groups: Group 1 (using Oliveoil), group 2 (using Coconut oil) and group 3 (Using breast milk). Nipple trauma score (NTS) wasused to assess nipple soreness at 1st, 7th, 14th day post intervention. Results: there was highlysignificant difference between mean score of olive oil group and coconut oil group at 1st , 7th , 14thwith p value <0.01. While, there was slight significant difference at breast milk group at p value<0.05. While, there was highly significant difference between mean scores of three groups at 7thand 14th day with p value <0.01. But, there was no significant difference between three groups at1st day with p value >0.05. Conclusion: According to these findings, the current study detected thatolive oil, coconut oil and breast milk had positive effect on management of nipple soreness, breastmilk had least effect while olive oil had highest effect.
olive oil
Coconut oil
Breast milk
Nipple soreness
lactating mother
2021
03
01
987
994
https://ejhc.journals.ekb.eg/article_165207_d3d3780be24cbe118be858c215226f09.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Upgrading Mothers' Awareness Regarding Cardiovascular Diseases on their self-efficacy to promote their children life style
Samya
Mohamed Ahmed Hegazy
Basma
Mahmoud Abd Elhamid Dawood
Background: The progressive atherosclerotic process begins in childhood and develops graduallyunder the influence of conventional risk factors such as obesity and low levels of physical activityso continuous educational program for their caregivers is important. Aim: to evaluate the effect ofupgrading mothers' awareness regarding cardiovascular diseases on their self- efficacy to promotetheir children life style. Setting: The study was conducted at the pediatric medical department andpediatric outpatient clinic affiliated to Tanta University Hospital, Tanta city, Egypt. Sample: aconvenient sample of 60 mothers of school age children who attended the previously mentionedsettings. Tools: two tools for data collection Were used: Tool I Structured interview questionnaire,it consisted of three parts. Socio-demographic data of the studied mothers, past and present familyhistory for cardiovascular, diseases. The third part is mothers' knowledge about cardiovasculardiseases. Tool II: Mothers' self-efficacy questionnaire. Results: the present study found that 91.67%of mothers had unsatisfactory practices level regarding their children life style before theeducational intervention while 80% had satisfactory practices immediately after the educationalintervention. Conclusion: there was a significant improvement in mothers' practices regarding theirschool age children life style Recommendations: educational programs for care giver should beconducted periodically and regularly regarding cardiovascular diseases risk factors among children.
Mothers' awareness
cardiovascular diseases & Children
2021
03
01
995
1010
https://ejhc.journals.ekb.eg/article_165458_71d9d0fa04807a0ac324528204caf11c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Head Nurses' Leadership Effectiveness, Communication Skills and Mindfulness: It's' Relation to Staff Nurses' Innovative Work Behavior
Hemat
Abdel Azem Mostafa
Howida
Hassan EL-Sayed Mahfouz
Background: In today’s quickly evolving environment of healthcare, increase need for effectivenurse leader in order to achieve qualified care results, an equally compatible leadership standard inteamwork is fundamental. Mindfulness, with inherent focus on being present and non-judgmental, seemsparticularly suitable for enhancing leadership qualities and promoting the quality of communicationskills, and enhance attractive and supportive work environment that is critical to innovation for staff. Thestudy aimed to: Assess the head nurses' leadership effectiveness, communication skills and mindfulnessand assessing its relation to innovative work behaviors among staff nurses. Design: A descriptivecorrelational design was utilized to conduct this study. Setting: the study was conducted in all units atBenha University Hospitals. Subjects: Consisted of head nurses group: 150 head nurses and theirassistance and staff nurses group: A convenient sample of 300 staff nurses. Tools: Four tools were usedfor data collection; first: Leadership Effectiveness Questionnaire, second: Communication SkillsQuestionnaire third: Mindfulness Questionnaire, and the fourth tool: Innovative Work BehaviorQuestionnaire. Results: Showed that the highest percentage (61.5%) of head nurses had goodcommunication skills, also more than half (54.9% & 52.6%) of them had high perception levels towardleadership effectiveness and mindfulness respectively. in addition to about two thirty (72%) of staffnurses had high perceptions level toward innovative work behaviors. Additionally the highest meanpercentages (83.81%, 83.33%, and 80.08%) of head nurses were related to relational leadership < /div>effectiveness, creating a clear, well-crafted message of communication skills, the acceptance ofmindfulness respectively, and the highest mean percentages (84.67% & 82%) of staff nurses were relatedto idea championing and idea implementation/starting activities of innovative work behaviorsrespectively. Conclusions: The study concluded that there were highly statistically significant positivecorrelation among head Nurses' leadership effectiveness, communication skills, mindfulness, and staffNurses' innovative work behavior. Recommendations: Selection of head nurses to be effective leadersmust be based upon combination of many factors such as level of education and management skills notonly upon the years of experience, and creating innovation as a job requirement.
communication skills
Head Nurses
Innovative Work Behaviors
leadership effectiveness
Mindfulness
and Staff Nurses
2021
03
01
1011
1032
https://ejhc.journals.ekb.eg/article_167098_4258d906bed44d376a721c53f8d6bfee.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Interactive Training Session Regarding Fetal Movements Counting and its Effect on Maternal Outcomes among High-Risk Pregnant Women
Amany
M. Ahmed
Mona
Hamdy Mostafa
Rania
El-Kurdy
Context: Fetal movement counting (FMC) has been proposed as a primary method of fetalsurveillance especially for high-risk pregnancy. Aim: This study aimed to examine the effect ofinteractive training session regarding fetal movements counting on maternal outcomes among highrisk pregnant women. Methods: An experimental (pretest-posttest control group) research designwas adopted. A simple random sample of 140 high-risk pregnant women was recruited. This studywas conducted at the obstetrics and gynecology departments of Mansoura University Hospital,Egypt. Data were collected using two tools: structured interview schedule, and state-trait anxietyinventory. Results: the results revealed that pre-intervention, 100.0% of both the intervention andthe control groups have a poor level of knowledge. While post-intervention, 90.0% of theintervention group have a high level of knowledge as compared to 100.0% of the control group havea poor level of knowledge. Regarding compliance to FMC, pre-intervention, 14.3% of theintervention group compared to 15.7% of the control group count their fetal movements. However,post-intervention, 100.0% of the intervention group count their fetal movements compared to 15.7%of the control group. Concerning anxiety, pre-intervention, 51.4% of the intervention group has ahigh anxiety level compared to 48.6% of the control group. While post-intervention, 87.0% of theintervention group has low anxiety level as compared to 62.9% of the control group that reportedhigh anxiety level. Conclusions: After implementation of the training session, there is a highlystatistically significant difference between the intervention and control groups regarding the level ofknowledge, the compliance to FMC, and the level of anxiety (p < 0.001). Therefore, conductingsuch simple and effective training sessions should be encouraged and recommended for high-riskpregnant women.
interactive training session
fetal movement counting
maternal outcomes
high-risk pregnant women
2021
03
01
1033
1045
https://ejhc.journals.ekb.eg/article_170294_b7ea0698fb8e0b52a069be787382ebc8.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Impact of Urinary Incontinence on Psychological Well-being and Quality Of Life among Elderly People
Rehab
Elsayed Mohammed
Mawaheb
Mahmoud Zaki
Hend
Ahmed Mostafa
Background: Urinary incontinence is a highly prevalent health problem among elderlypeople with a relevant impact on physical and psychological aspects of life with consequenteffect on the quality of life. Aim: Study aimed to assess the impact of urinary incontinence onpsychological well-being and quality of life among elderly people. Research design: Adescriptive design was utilized to fulfill the aim of this study. Setting: The study was conductedin Urological outpatient clinic at Benha University Hospital at Benha City, KaluobiaGovernorate. Sample: The sample of the study was purposive sample of (100) elderly peoplewho are attending at the above mentioned settings. Tools: Tool (I):- A structured interviewingquestionnaire sheet which comprised of two parts: part (1) socio-demographic characteristics& part (2) clinical characteristics of the studied sample. Tool (II): Goldberg’s psychologicalwell-being scale, and Tool (III) Incontinence related quality of life scale. Results: Findingsshowed that nearly two thirds of the studied sample had low level of psychological well-beingwhile, more than two thirds of them had low level of quality of life and also, there was a highlystatistically significant positive correlation between total Goldberg’s psychological well-beingScale and total Incontinence-related quality of life scale. Conclusion: Based on the result ofthis study it was concluded that urinary incontinence is a chronic disease that has a negativeimpact on psychological well-being of elderly people which subsequently impacts negativelyon their quality of life in the form of performing activities of daily living and enjoying theirnormal life. Recommendation: The study recommended that recurrent assessment forpsychological status and all quality of life domains for elderly people should be a part of theroutine nursing care.
Urinary incontinence
psychological well-being
quality of life
Elderly people
2021
03
01
1046
1062
https://ejhc.journals.ekb.eg/article_170487_e85fc5e1f8e2ccf63da07b75dae354e8.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Infertility Clinic Nurse Communication Skills Training on Women Satisfaction
Doaa
Lotfi Afifi Alqersh
Background: Effective communications skills are necessary in each area of life, butof particular importance in the field of nursing. Communication is the process of transmittingthoughts, feelings, and facts It is an essential element of the nurse-patient relationship.Nurses are core in strengthening the health system through effective communication withwomen which affects their level satisfaction. Aim: to evaluate the effect of infertility clinicnurse communication skills training on women satisfaction. Methods: Research Design:quasi experimental design (pre-post training). Setting: Private infertility center (Elbasmacenter). Sample: A purposive sample of all nurses working in the previously mentionedcenter; 20 nurses evaluated by 200 women were recruited for the study. Instruments: Fourinstruments were used for data collection a) Two interviewing questionnaires b)Communication skills assessment instrument c) Satisfaction assessment instrument. Results:This study revealed that there was a high significant difference at nurses communicationskills and women satisfaction scores pre and post the training program. Conclusion:Communication skills training program had high significant effect on improving totalcommunication skills of nurses and women satisfaction scores. Recommendations: On-going education for infertility clinic nurses regarding communication skills and its positiveeffect on women satisfaction and replication of the study with large sample size to furthersettings.
Infertility
nurse
communication
communication skills
Training
women satisfaction
2021
03
01
1063
1078
https://ejhc.journals.ekb.eg/article_170483_9ecf70f3d98fd957940b57c9d051707e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Two Different Nursing Techniques on Labor pain, Duration, and Anxiety Level among Primiparous Women
Amany
Arafat Goda
Reda
M. Nabil Aboushady
Hanan
Fawzy Abbas Soliman
Background: Labor pain is considered as one of the most intense forms of pain. Psychologicalchallenge such as anxiety can contribute towards women’s perception of pain and may affect theirlabor and birth experience. Aromatherapy is one of modern many non-invasive methods and is themost popular complementary therapy to relieve pain during childbirth. The aim of this study was toevaluate the effect of two different nursing techniques on labor pain, duration, and anxiety levelamong primiparous women. A Quasi-experimental design was utilized to achieve the aim of thestudy, conducted at labor and delivery unit at Shaqra Governate general hospital, KSA. Sample: Atotal of 150 laboring women were recruited (75 for each group). Tools: four tools were used; 1) Astructured interviewing questionnaire schedule, 2) Subjective labor pain scale (visual-analoguescale [VAS]), 3)- Partograph and 4)- Spielberger state-trait anxiety questionnaire. Results: Therewere statistically significant differences between the two groups in labor pain scores at active phaseafter the intervention at (p < 0.001), and in transitional phase after the intervention at (p = 0.06).There was significant difference toward total labor duration among studied sample. Nearly half(49.3%) of the lavender group were satisfied and referenced it for future pregnancies. Conclusion:Two different nursing techniques were effective methods for reducing pain intensity, duration oflabor and anxiety level. It can be clinically recommended as an alternative, safe and affordablemethod of pain relief during labor. However, lavender aromatherapy is more effective in decreasingpain during labor, and anxiety than breathing technique. Recommendations Educational programfacilities and methods about non-pharmacological methods as; lectures, handout, and videos shouldbe developed and become accessible to all pregnant women in the outpatient clinics.
Primiparous laboring women
Breathing Technique
lavender aromatherapy
Labor Pain
duration of labor and anxiety level
2021
03
01
1079
1090
https://ejhc.journals.ekb.eg/article_171686_9e03e64f2c98895a12afcfce4acf43f6.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Learning Styles Preferences and Critical Thinking Disposition as A predictor of Student Goal Attainment
Rehab
Mohamed Rashad Ebrahim
Mona
Thabet
Nursing profession students have multiple challenges that stimulate them to use different learningstyles and acquire more skills as problem solving, decision making, critical thinking and goalattainment. The aim of the study was to investigate the learning style preferences and criticalthinking disposition as a predictor of student goal attainment. Design: was a cross sectionalcorrelational design. Setting was Faculty of Nursing at Benha University and Minia University.Subjects: systematic random sample of 30% of total number of students during academic year2020/2021 (sample size=1415). Tools: Three tools were used to collect data for this current studyincluding I- learning styles preferences questionnaire, II-California critical thinking dispositionsinventory scale and III- Goal attainment scale. Results: all students of both Faculties of Nursing(Benha and Minia Universities) scored high score for multi-modal learning style, and high score forcritical thinking dispositions, as well high level of goal attainment. Conclusion: there were positivecorrelations between learning styles, critical thinking dispositions, as well goal attainment amongnursing students at both study setting. Recommendations: Students should be encouraged todetermine their learning style to help them be more critical thinker and have goal attainment skill.
Critical Thinking Disposition
Goal Attainment
Learning Styles and Student
2021
03
01
1091
1107
https://ejhc.journals.ekb.eg/article_176795_9df00e0ca6b5ef88607df1c34d36e492.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Resilience and Perceived Social support among Family Caregivers of Patients with Schizophrenia
Heba
Mohamed Abdelaal
Lamiaa
Hassnin Eita
Mahmoud
Mohamed Khedr
Background: Psychological distress and burden among family caregivers of patients withschizophrenia can be mediated by resilience and perceived social support from family members,friends, and other significant caregivers. These are integral to bring positive changes in recoveryand adaptation of family caregivers. Those reduce stress characteristics, also improve quality of lifeand quality of care provided for patients by family caregivers. Aim: This study aimed to determinethe relationship between level of resilience and type of perceived social support among familycaregivers of patients with schizophrenia. Design: A descriptive correlational design was used inthis study. Setting: The study was conducted at Elmaamoura Hospital for Psychiatric Medicine inAlexandria, Egypt. Subjects: Subjects of this study consisted of 200 family caregivers of patientswith schizophrenia. Tools: Three tools were used to collect necessary data namely a socio-demographic structured interview schedule, Connor-Davidson Resilience Scale (CD-RISC-10) andthe Multidimensional Scale of Perceived Social Support (MSPSS). Results: Among the studiedcaregivers 76% had low level of resilience and most of the caregivers 82.5% had moderateperceived social support. A statistically significant positive relationship was found betweenresilience and total score of perceived social support & its three subscales (family social support,important people social support and friends social support). On further analysis using stepwisemultiple regression, the study revealed that family social support emerged as the first predictor ofresilience. Conclusion: It can be concluded that most of the studied patients had low level ofresilience and moderate perceived social support. Moreover, perceived social support is related toand can predict more resilience among family caregivers.
Resilience
perceived social support
family caregivers
Schizophrenia
2021
03
01
1108
1122
https://ejhc.journals.ekb.eg/article_179109_e9c55c29caf7a56e3e57bbc44d9363ef.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Instructional Guidelines Regarding Minor Discomforts on Reducing Depression, Anxiety, and Stress Level among Primigravida
Nour
El Hoda Mostafa Mohamed
Safaa
Abdelazem Osman Ali
Nagwa
Ahmed Mohamed Souilm
Faten
said Abdelhady Garf
Mona
Abd Elhaleem Ebraheem Elagamy
Hormonal changes during pregnancy lead to minor discomforts in all the women's body as nausea,vomiting, constipation, excessive urination, and fatigue cause anxiety for them. Most of theirdiscomforts can be managed by self-care measures or healthful practices ones can do. Aim: Thisstudy aimed to evaluate the effect of instructional guidelines regarding minor discomforts onreducing depression, anxiety, and stress level among primigravida. Subjects and method: Studydesign: A quasi-experimental research design was used on a convenient sample of 150 pregnantwomen from a population of through 386 women in six-months, from June 2019, until December2019, who attended at the antenatal clinic at Sohag University Hospital, Egypt. Tools of datacollection: Two tools were utilized to collect the data in this study: (1) A self-administeredquestionnaire, (2) Depression, Anxiety, and Stress Scale (DASS). Results: The present studyrevealed that there were statistically significant differences between primigravida pregnant women'sknowledge about minor discomforts and their anxiety levels before and after the implementation ofthe instructional guideline. Also, pregnant women's anxiety was severe before the implementationof the guideline while these levels become low after guideline implementation. Conclusion: Theinstructional guidelines were effective in minimizing primigravida pregnant women's anxietyregarding minor discomforts and rising their knowledge about minor discomforts afterimplementation of the instructional guideline. Recommendations: health educational programsabout minor discomforts and their self-care practices should be taught to all pregnant women andpsychological support to help them to cope and become more resilient during their pregnancy aboutminor discomforts.
depression
anxiety
and stress
Instructional guidelines
Primigravida
minor discomforts
2021
03
01
1123
1135
https://ejhc.journals.ekb.eg/article_150263_3f6f0f5e712e387a464a2aff8350a218.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Interactive Digital-Based Educational Intervention on knowledge, Misconceptions, and Preventive Practices of COVID -19 among Damanhour University Students
Abeer
Abd-El AzizMohamed Madian
Samiha
Hamdi Sayed
Background: The pandemic of COVID-19 is currently a threat to global health. Prevention and control largely depend on population awareness and behavior. Aim: Evaluate the effect of interactive digital-based educational intervention on knowledge, misconceptions, and preventive practices of COVID -19 among Damanhour university students. Methods: A randomized controlled educational trial design was employed (pre-post-test/control group). The study was accomplished in four literature faculties in Damanhour University, where 400 students were equally and randomly allocated into intervention and control groups by using multi stage sampling technique. Online structured questionnaire was used contained three tools: students’ knowledge and misconceptions toward COVID-19, students' preventive practices toward COVID-19, and students' satisfaction scale with the educational intervention. Results: A statistically significant positive mean change was found for total COVID-19 knowledge and preventive practices scores after one and three months of the educational intervention. A statistically significant negative mean change was observed for the total misconceptions score after one and three months of the educational intervention. COVID-19 preventive practices were found to be positively correlated with total knowledge (r=0.768, P=0.000) while it was negatively correlated with total misconception (r= -0.541, P=0.003) scores. A higher satisfaction with the overall COVID-19 digital-based educational intervention was found among 75.0% of the intervention group. Conclusion: of the present study support the research hypotheses and the digital-based educational intervention was effective in improving university students’ COVID-19 knowledge and preventive practices and lowering their misconceptions. Henceforth, expanding the experience of digital-based health educational programs about COVID-19 is recommended to improve the community practices and enhance their self-reliance and empowerment to combat the disease.
COVID-19
Interactive Digital-Based Education
Knowledge
Preventive Practices
misconceptions
faculty students
Damanhour University
2021
03
01
1136
1154
https://ejhc.journals.ekb.eg/article_181876_6c67800456d00c32e6ee7e3fb094d030.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Forward Action Plan for adherence to Infection Prevention And Control to Health Care Workers During Care For Suspected or Confirmed Covid-19 Patients
Manal
Saleh Moustafa Saleh
Hanan
Elsaid Elsabahy
Awatef
Abdel Hamid Mohamed
Zaineb
Naiem Abdelhamid
Background: Healthcare workers are the frontline armies in the fight against the Corona virusdisease-2019 (COVID-19) pandemic, and their safety should be an urgent focus in the globalresponse to the pandemic. The study aims to suggests a forward action plan for adherence toinfection prevention and control to health care workers during care for suspected or confirmedCovid-19 patients at Hospitals based on gaps, weaknesses, and barriers from health care workers(HCWs) perspective. Design: A cross-sectional study was used. Tools: A validated electronic self-assessment tool built-in Google drive and was distributed to HCWs who have been exposed to thepatient(s)with suspected or confirmed COVID-19 in at different Cities (Zagazig city, Mansoura city,and Cairo city) in Egypt. Two tools were used 1) included three sections: personal and jobcharacteristics of HCWs, the COVID-19 infection rate among HCWs, adherence of HCWs toinfection prevention and control during health care, and 2) the barriers to applying preventivemeasures. EQUATOR research checklist (STROBE) were used by the researchers. Results: Around439 HCWs participated in the study; 225 were males and 214 were females. (63.1%) of therespondents were nurses. (59.7%) of the respondents were contacted and 13.2% were infected andCOVID-19 test results were positive. Conclusions: Strengths in adherence of HCWs regardingtriage, early recognition, and source control, standard precaution for all patients, empiric additionalprecautions, wearing and removing protective equipment and administrative controls play importantrole in infection control. However, a number of gaps and weaknesses were revealed in applyingpreventive measures to control infection with COVID-19.
infection controls
COVID-19 patients
Nurses
Health Care Workers
2021
03
01
1155
1169
https://ejhc.journals.ekb.eg/article_186186_6cdae33f70f836e9ab18a6d595466d65.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Influence of Care Protocol on Nurses’ Performance and Clinical Outcomes for Patients with Tube Thoracostomy
Dina
Mohamed Maarouf
Dalia
Ali Ameen
Background: Tube thoracostomy is a life-saving implementation for patients presenting with pneumothorax, effusions and hemothorax. Aim: This study aimed to evaluate influence of care protocol on nurses’ performance and clinical outcomes for patients with tube thoracostomy. Design: A quasi experimental design. Setting: The study was conducted at chest intensive care unit at Ain Shams University Hospitals. Sample: A convenient sample of all available nurses (30 nurses) from the previous mentioned settings willing to participate in the study and a purposive sample of 50 patients with tube thoracostomy divided into two groups: study & control group (25 patients in each group). Tools of data collection: I-Nurses’ performance assessment tool (demographic characteristics of nurses, nurses’ knowledge questionnaire and nurses’ practice observational checklist) II-Clinical outcomes assessment tool. Results: Concerning nurses’ level of performance (knowledge and practice) regarding tube thoracostomy care pre and post implementation of care protocol, there were statistically significant differences between mean scores of the pre and post-tests. Regarding clinical outcomes for patients with tube thoracostomy, there were statistically significant differences between control group and study group all over the variables of outcomes. Conclusion: Application of care protocol for patient with tube thoracostomy has a positive influence on nurses’ performance; and consequently had a positive influence in refinement the outcomes for patients in the study group rather than the control group with a statistically significant difference. Recommendations: Importance of presence of care protocol related to care of patients with tube thoracostomy and further researches should be done to assess and evaluate the clinical outcomes for patients with tube thoracostomy.
Care protocol
clinical outcomes
Nurses’ Performance
Tube thoracostomy
2021
03
01
1170
1185
https://ejhc.journals.ekb.eg/article_187653_8f568631161db2897fbde0fc210ad8e7.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Assertiveness and Self-esteem of Final Year Nursing Students: Effect of Psycho-Educational Nursing Intervention
Fatma
Mohammed Ibrahim Morsi
Hanaa
Ezz-Eldin Prince
Background: Nursing students- as the future professionals- who can behave assertively develop self-worth, self-respect, and high self-esteem while communicating professionally and practicing competently. Aim: This study aimed to assess the assertiveness among final year nursing students; assess the self-esteem among final year nursing students; and to assess the effect of psycho-educational nursing intervention implementation on assertiveness and self-esteem of final year nursing students. Design: A quasi-experimental study design on one group pre/post assessment was utilized on 45 final year nursing students who were enrolled in psychiatric/Mental Health Nursing Department, Faculty of NursingAin Shams University. Tools of data collection: The data was collected using an interview questionnaire that included three sections as the following: 1) student's demographic characteristics; 2) Rathus Assertiveness Schedule (RAS); and 3) Rosenberg self-esteem scale. Results: the current study revealed that: there were improvement in the studied nursing students` levels of assertiveness and self-esteem post- psycho-educational nursing intervention implementation; there were highly statistically significant differences between assertiveness levels; and self-esteem levels of the studied nursing students pre- and postpsycho-educational nursing intervention implementation; as well, there was a highly statistically significant direct correlation between levels self-esteem and assertiveness of the studied students post psycho-educational nursing intervention implementation. Conclusion: The study concluded that, the psycho-educational nursing intervention implementation had positive effect on assertiveness and self-esteem of final year nursing students. Recommendation: incorporating assertiveness training as an eligible training course of the undergraduate nursing program
assertiveness
Nursing Student - Self-Esteem - Psycho-Educational Nursing Intervention
2021
03
01
1186
1200
https://ejhc.journals.ekb.eg/article_187654_91f7f61764916483f727528dfeea97e2.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Family Involvement in Patient Care on Preventing Intensive Care Units Acquired Weakness
Nora
Nasr Abd-elsamea Mohamed Nasr
Suad
Elsayed Abdelmotalb
Amer
Abdallah Attia Elsaid Elhanafy
Background: The Intensive care units acquired weakness detected in 30 to 50% of ICU patients leading to high morbidity and complication, family engaging family in early mobility process that reported benefits including reduced ICU-acquired weakness, improved functional recovery within the hospital, improved walking distance at hospital discharge and reduced hospital length of stay. This study aimed to Determine the effect of family involvement in patient care on preventing intensive care units acquired weakness. Methods: Quasi experimental research was conducted in surgical and general ICUs in the main Mansoura university and emergency hospitals, which included 60 adult newly ICU admitted patients. Tools: Three tools were used to collect the data of this study namely “Intensive care unit acquired weakness assessment”, “Early progressive mobility protocol” and “Patients’ family satisfaction with early mobility protocol involvement”. Results: Only 6.7% of the intervention group had a weakness at the end of the study with no significant difference (0.150) was found in muscle strength from the start and end of the study. While about a third of the control group (26.7%) had a weakness at the end of the study. A statistically significant difference (0.038) in muscle strength was found between intervention and control group. Furthermore, About two-thirds (70%) of patients' family members of the intervention group were satisfied by giving them a role in participation in their patient care. Conclusion: Critically ill patients whose families were involved in their mobility protocol had less intensive care units acquired weakness rates than those who were not. Recommendation: Evaluation of muscle strength should be a routine part of ICU examination. Family centered care concept should be adopted in ICUs by allocating them in daily activities involvement with enough support and cooperation
Effect
Family involvement
mobility
ICUAW
2021
03
01
1201
1216
https://ejhc.journals.ekb.eg/article_187655_e90e590bed69a0b8e74467b2bbe3892c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Educational Intervention Based on PRECEDE Model on Preventive Behaviors among High-Risk Individuals for Diabetes Type 2
Reham
El Ashery Ashery Asker
Manal
Mansuor Mostafa
Manal
Ibrahem Abd El Fatah Yassen
Early detection of high-risk factors for diabetes can be prevented by informative programs designed and implemented to decrease the high prevalence and prevent complications. Aim: To determine the effect of educational intervention based on PRECEDE model on preventive behaviors among high-risk individuals for diabetes type 2. Design: Quasi-experimental research design pre-post-test was utilized. Settings: The study was applied in the medical outpatient clinics at El-Fayoum Medical University Hospital. Sample: A purposive sample of 160 individuals diagnosed as high- risk for diabetes type 2. Tools: Four tools were used: (1) Structured interviewing questionnaire, (2) Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire), (3) High- risk individual's reported practices questionnaire of diabetes preventive behavior, and (4) High-risk individual attitude questionnaire regarding diabetes prevention. Results: Mean score of knowledge, enabling factors and reinforcing factors have been increased with statistical significance immediately and after intervention. High-risk individuals had good practices toward diabetes type 2 preventive measures after three months post-intervention in comparison to the pre-intervention. High-risk individuals had a positive attitude toward diabetes type 2 preventive measures after three months post-intervention in comparison to the pre-intervention implementation. There was a statistically significant relationship between knowledge, enabling, reinforcing factors score and practices scores of diabetes type 2 preventive measures throughout the intervention phases. Conclusion: It was concluded that the PRECEDE model was effective in promoting preventive behaviors among high-risk individuals for diabetes type 2. Recommendation: The educational intervention based on PRECEDE model about preventive behaviors should be integrated into care among high-risk individuals for diabetes type 2.
Diabetes type 2
Educational intervention
Precede model
Preventive Behavior
2021
03
01
1217
1229
https://ejhc.journals.ekb.eg/article_187663_f78bb0f3119fcd71d332eb4c5476e990.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Instructional Guidelines on Nurses' Knowledge and Practices Regarding Care for Infants with Bronchitis
Amira
Adel Mohammed
Yasmen
Adel Mohammed
Background: Bronchitis is acute or choric inflammation of the large airway passages and lungs, which increased mortality rate among infant. The study aimed to evaluate the effect of instructional guidelines on nurses' knowledge and practices regarding care for infants with bronchitis. Design: A quasi-experimental design was applied; this study was conducted at inpatient pediatric department at Benha university hospital affiliated to Benha Governorate. Sample: A purposive sample of 43 nurses and 36 infants hospitalized with bronchitis. Tools: Structured interview questionnaire and follow up observational checklist. Results: this study reflects, a highly statistically differences for mean scores pre/post-test for nurses' knowledge and practices regarding care for infants with bronchitis. Conclusion: nurses' knowledge and practices regarding care for infants with bronchitis were improved post implementing the instruction guidelines than before. Recommendation: Instructions guidelines regarding care of infants with bronchitis should be periodically in pediatric inpatient departments in hospitals.
Knowledge
Practices
Instruction guidelines
Care
bronchitis
2021
03
01
1230
1239
https://ejhc.journals.ekb.eg/article_189639_02bd44be08617a48efe9681e9b4e6643.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Peer Learning Model for Critical Thinking and Self-Efficacy in Clinical Practice Education among Nursing Students
Rania
Maher Alhalawany
Samah
Mohamed Elhomosy
Neanaa
M., Fayed
Background: Nursing education previously had been focused on traditional learning approaches. However, today, changes and development in information and technology require the foundation of active nursing education. One of these active learning approaches is peer learning. This study aimed to investigate the effect of the peer learning model for critical thinking and self-efficacy in clinical practice education among nursing students. A quasi-experimental research design was implemented. This study was carried out in three different departments; gynecology and Pediatric departments affiliated to University Hospital and Psychiatric Department at Shebin El-Kom Teaching Hospital, Menoufia Governorate, Egypt. A convenient sample of 100 undergraduate nursing students in the academic year 2019-2020 was recruited for this study. They divided randomly into the intervention and comparison groups (each group involves 50 students). Instruments used for data collection were three: instrument 1 was sociodemographic characteristics of students; instrument 2 was the Critical Thinking Motivation Scale, and instrument 3 was the Students' Self-Efficacy scale. The findings indicated that the total mean score of critical thinking and self-efficacy in the intervention group (peer learning group) was higher than in the comparison group (traditional group). The study concluded that applying the peer learning model among nursing students in clinical practice supervision effects on critical thinking skills and self-efficacy to a greater extent than traditional supervision does. So, it is recommended that the peer learning model can be applied during clinical practice for nursing students to enhance critical thinking skills and self-efficacy
Peer Learning model
Nursing Clinical education
critical thinking
Self-Efficacy
2021
03
01
1240
1252
https://ejhc.journals.ekb.eg/article_191875_f6ac17c981de46e535ba76c00936ddb7.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Efficacy of drainage self-care management on mastectomy patients' outcomes
Neima
Ali Riad
Seham
Mohamed Abd Elalem
Omima
Said M.H. Shehata
Om Elhana
Kamel Abo Shehata
Background: Self-management following surgical treatment of breast cancer is an effective way to promote optimal coping and improve health through the participation of patients and their families in the decision making, acquiring knowledge and skills that help them in dealing with their illness. Aim: The aim of our research was to evaluate the efficacy of drainage self-care management on mastectomy patients' outcomes. Design: A quasi-experimental research design was used. Sitting: The study was carried out at the general surgical department in emergency Hospital of Menoufia University Hospital at Shebin El-Kom District, Menoufifia Governorate, Egypt. Sample: the sample size was one hundred and fifty breast cancer patients that were assigned alternatively and randomly into 2 equal groups a study and a control group, each one consisted of seventy-five patients. Tools: Five tools were used; Tool 1: An Interviewing Questionnaire sheet. Tool II: Patient’s knowledge, Tool III: observational checklist. Tool IV: The Cancer Behavioral Inventory-Brief (CBI-B). Tool V: drainage complications assessment. Results: There was a highly statistically significant increase in knowledge and self-efficacy scores, practice level, and decrease in the occurrence of drain complications of a study group than a control group. Conclusions: Self-management of drainage care is one of the key concepts for increasing patient's knowledge, practice, and self-efficacy that help for reducing drain complications. Recommendation: self-management of drainage care after mastectomy should be taken into account when providing nursing care to increase patient's selfefficacy and improve outcomes through enhancing patient's knowledge, practice, and role management.
Self-care management
mastectomy
patients' outcomes
2021
03
01
1253
1267
https://ejhc.journals.ekb.eg/article_193006_93dc65258b9f5a5ae03745f1e69a2d12.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Instructional Guidelines on Knowledge, Practice, and Fatigue Level among Patients with Brain Tumors
Hanan
Ali Ibrahim Almanzlawi
Hanaa
Farahat Ibrahim Ahmed
Inas
Mohamed Mohamed lofty
Manal
Ibrahem Abd El Fatah Yassen
Fatigue is recognized as one of the most common and distressing adverse effects of cancer disease and treatment. Educational guidelines are providing general information about fatigue and introducing new concepts regarding energy conservation, self-care, and confrontation techniques. Aim was to evaluate the effect of instructional guidelines on knowledge, practice, and fatigue level among patients with brain tumors. Subjects and method: Design: A quasi-experimental research design was utilized to fulfill the aim of this study. Setting: the research was conducted in the neurosurgery department and neurosurgery outpatient clinic of Fayoum Oncology Center. Subjects: A purposive sample of 50 adult patients was included. Four tools were used: Tool (I) a structured interview questionnaire, Tool (II) adult patients' knowledge regarding brain tumors, Tool (III) adult patients' practice regarding brain tumors (pre/post), and Tool (IV) Fatigue assessment scale. Results: More than half of adult patients were having a family history of cancer. The majority of adult patients reported that the main source of information regarding their knowledge was doctors. There was a positive significant correlation (P=0.005) between adult patients' knowledge scores and their practice post-three months of instructional guidelines implementation. There were highly significant improvements in adult patients' knowledge and practice regarding brain tumors post instructional guidelines implementation (P=0.005). Statistical highly significant differences and reductions were detected between fatigue mean scores pre and post-three-months of instructional guidelines implementation. Conclusion: The instructional guidelines implementation had a highly significant positive effect on reducing fatigue level among adult patients with brain tumors. Recommendations: The instructional guidelines regarding brain tumors should be conducted, discussed, integrated into the rehabilitation programs, and taught to the adult patients using the booklet and illustrated pamphlets for each one to improve their information and reduce their fatigue level and replication of the current study with a larger sample of an adult patient with brain tumors in different settings is required for generalizing the results
Instructional guidelines
Knowledge and practice
fatigue level
adult patients diagnosed with brain tumors
2021
03
01
1268
1280
https://ejhc.journals.ekb.eg/article_193386_d6a8ef41e9086ed59458d418d06898c9.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Clinical Risk Management in Healthcare Organization as Perceived by Staff Nurses
Nancy
Sabry EL Leithy
Heba
Mohamed Al Anwer Ashour
Background: Clinical risk management (CRM) is the cornerstone of the system approach to achieve patient safety, human error management in health care, and reduction of the incidence and impact of preventable adverse events. It is related to risk management of clinical care in healthcare setting. Research objectives: The main purpose of this study is to assess the perception of staff nurses of the clinical risk management in private and governmental hospital. Subjects and Methods: A descriptive research design was used in carrying out this study. It was conducted at two hospitals: private and governmental hospital. Subjects of the study included 300 nurses. The data collection forms consisted of two tools namely, clinical risk management questionnaire and risk program occurrence checklist. Results: The overall study subject had perceived moderate level of CRM (40.54 ± 16.89). However, the studied nurses in the private hospitals had perceived higher level of clinical risk management than nurses in governmental hospital (53.23 ± 15.43, 27.85 ± 3.17) respectively. Conclusion: This study concluded that all the studied staff nurses perceived moderate level of CRM. However, there was a significant difference according to hospital ownership, as the governmental hospital perceived lower level of CRM and risk management program than those in private hospital. Recommendation: Developing training programs for nurses to improve their knowledge and skills of CRM
Clinical risk
clinical risk management
Nurses
risk programs
perception
healthcare organization
2021
03
01
1281
1298
https://ejhc.journals.ekb.eg/article_193389_0567ecb379251c35e3395238aed7f57b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Job Stress and Presenteeism Prevalence among Nursing Staff during the Outbreak of Pandemic Coronavirus Disease 2019
Lobna
Khamis Mohamed
Shereen
Ragab Dorgham
Walaa
Mostafa Eid
Background: Job stress and presenteeism are perplexing issues in the nursing profession duringthe crisis of COVID-19 pandemic that must receive increasing attention. Aim: It aimed to assess thejob stress and presenteeismprevalence, as well as verify the association between two concepts amongnursing staff during the outbreak of coronavirus disease 2019. Design: It utilized a descriptive,correlational design. Setting: It was conducted in the Main Tanta University and EmergencyHospitals. Subjects: All nursing staff (503), who had a Diploma, Bachelor of Sciences, or Master ofSciences in nursing. Tools:The questionnaire involved nursing staff’s demographic data, the adaptedExtended Nursing Stress Scale, the Presenteeism Prevalence Questionnaire, and the StanfordPresenteeism Scale.Results: The organizational factors were the dominant reasons for presenteeismamong nursing staff rather than the personal factors. Workload, inadequate emotional preparation,death and dying, and conflict with supervisors were the most prominent factors for causing stress.Furthermore, there was a positive correlation between job stress factors and nursing staff’s perceptionof presenteeism. Conclusion: Presenteeism behavior is evidence for organizational risk-takingbehavior with diverse implications in the nursing profession, in which the nursing staff perceived ahigh level of job stress associated with a high prevalence of presenteeism behavior during thecoronavirus pandemic. Recommendations: Develop a policy and practices with more guidelines toavoid the vagueness regarding what nursing staff should do while sick. Moreover, promoting thecoping strategies and conflict resolution for managing job stress among nursing staff to reducepresenteeism behavior.
Coronavirus disease 2019
Nursing Staff
Job stress
prevalence
Presenteeism
2021
03
01
1299
1316
https://ejhc.journals.ekb.eg/article_196303_2137d49fa8b54c19a3a8ef7db1b30697.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Health Care Workers Compliance with Preventive Measures for Covid-19 in Intensive Care Units
Mona
Aly Mohammed
Asmaa
Aly Mahgoub
Marzoka
Abd El-Aziz
Mona
Abd Elaziem Ahmed
Background: Healthcare workers are at the forefront of COVID-19 intervention. Unfortunately,due to highly infected patients with novelty of the virus and the unequipped of hospital to deal withthe sudden influx of situations. Aim: to describes the health care workers compliance withpreventive measures for covid-19 in ICUs. Setting: The study was carried out on intensive careunits (trauma=19, chest=15, general =12, post-operative=12 obstetric=22 ICUs). All health careworkers received a cumulative training of standard and additional precautions at health care facility.Method: A prospective cross-sectional study design was conducted among 80 HCWs with COVID-19 infection at Assuit University Hospitals within one year. Two tools were utilized to collect data;Each participant was contacted individually by the researchers; the questionnaire was distributed tothe participants. Data were collected using a self-administered, valid, structured questionnaire.Results: The high percent of healthcare workers (82.5%) always use alcohol-based hand rub or soap < /div>and water after touching a patient, (70%) follow recommended hand hygiene practices, (91.3%) hadcough and 68 (85 %) had sore throat. Conclusion and Recommendations: The incidence ofinfection increase, while HCWs followed infection prevention and control measures. Thus vaccinateall health care workers are recommended. In addition, high-risk HCWs could be assigned dutiesaway.
Health Care Workers
prevention measures & COVID 19
2021
03
01
1317
1326
https://ejhc.journals.ekb.eg/article_197884_91455e08119385c7773af3b5136cd23e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Toolkit Teaching Strategy on Pediatric Nursing Students' Practical Skills Regarding Neonatal Resuscitation
Rehab
Ibrahim Mostafa Radwan
Abeer
Abd El-Razik Ahmed Mohammed
Zohour
Ibrahim Rashwan
Noha
Mohamed Arafa
Background: Effective learner-centric innovative teaching strategies are currently being used to encourage active students' participation, enhance creative thinking and improve their problem-solving abilities. Toolkit strategy is one of these teaching strategies, which involves an integration of diversity teaching methods that improve undergraduate nursing students’ learning capabilities and their confidence in the clinical setting. Aim: The aim of this study was to determine the effect of toolkit teaching strategy on pediatric nursing students’ practical skills regarding neonatal resuscitation. Setting: The study was carried out in Pediatric Nursing Labs at the Faculty of Nursing, Damanhour University. Subjects: The subjects of the present study comprised of "70" students divided randomly into "study and control" groups 35 students per group. Tools: Two tools were used, namely, Neonatal Resuscitation Practical Skills Observational Checklist and Pediatric Nursing Students’ Satisfaction Assessment Scale. Results: The study revealed a statistically significant difference between the study and control groups in relation to their practical skills in the performance of neonatal resuscitation procedure immediately after the conduction of teaching (P<0.000*). Moreover, all students in the study group were highly satisfied after performing the procedure using toolkit strategy. Meanwhile, less than half of the students in the control group (42.9%) were highly satisfied with the traditional method of practical training and the difference was statistically significant (P< 0.000*). Conclusion: It can be concluded that applying toolkit teaching strategy as a method of teaching has a positive effect on the practical skills of nursing students. Additionally, it improves their satisfaction level with the teaching process. Recommendation: The main recommendation of the current study was to apply toolkit teaching strategy as an innovative method of teaching in all academic nursing departments which possess practical skills in their academia courses at the Faculty of Nursing, Alexandria University and Damanhour University.
Toolkit teaching strategy
pediatric nursing
Students’ Practical Skills
Neonatal Resuscitation
2021
03
01
1327
1344
https://ejhc.journals.ekb.eg/article_198464_4a3ffcd6de3c19f87a8b64c626652b85.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Factors Associated with Transmission of COVID-19 Infection among Nursing Staff in Kafr Eldawar Fever Hospital 2021
Walaa
El shahat Ahmed El gammal
Maysa
saber Mohamed Ismail
Azza
Ibrahim Abdelkader Habiba
Background: COVID-19 seriousness may result from its pandemic infection from human-to-human transmission and evidence of transmission from animal to human as well. Mainly COVID-19 is transmitted by respiratory droplets while aerosol transmission can occur in specific situation mainly in crowded poor ventilated spaces. This transmission affects individual, health care workers (HCWs), health institutions and the whole community Aim of the Study: to identify factors associated with transmission of COVID-19 infection among nursing staff in Fever hospital, Kafr Eldawar, 2021. Research Design: Cross sectional research design was used. Setting: The present study was conducted at This study was conducted in Kafr Eldawar Fever hospital. Subjects: A convenient sample of 104 nurses out of total number of hospital nursing staff (who are on duty, accessible at the time of the study and agreed to participate in the study) is 169 nurses in all hospital units. Tools: one tool was developed by the researchers in the form of self-administered questionnaires “factors associated with COVID-19 infection”. It consisted of four parts, part I: socio-occupational data, part II:" Factors predisposing nursing staff to COVID-19", part III: "Adherence to infection prevention and control (IPC) measures information" and part IV: " Nursing staff opinions". Results: Majority of nurses were directly assigned beds to patients diagnosed with COVID-19, more than two thirds of them worked in a COVID-19 isolation ward and were touching their cheeks, nose, or mouth at work. Conclusion: There is significant relation between Participation in in-service training program related to dealing with COVID-19 infection and previous COVID-19 infection and factors predisposing one to COVID-19. Recommendation: Well-established hospital information systems (MIS), personal digital assistant (PDA) systems, and a local intranet to avoid unnecessary contact with COVID-19 infection.
transmission of COVID-19 pandemic
Nurses
Infection
prevention and control
Predisposing factors
2021
03
01
1345
1361
https://ejhc.journals.ekb.eg/article_198475_365af525e075b647e4ffef22c337fefd.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Metacognitive Ability and Academic Self-Efficacy: Their Relations to Role Transition as Perceived by Nursing students
Zienab
Ibrahim Ismail Ibrahim
Rehab
Mohamed Rashad Ebrahim
Background: Nursing students are challenged to think and impart in ways that will prepare them for practical work in a complex healthcare environment, Metacognition ability refers to an individual’s knowledge of his thinking allowing them to design their thinking properly. In addition, high self-efficacy enhances students' accomplishment and personal well-being since student with high assurance in their capabilities approach difficult tasks as challenges to be mastered. Aim: To explore metacognitive ability and academic self-efficacy and their relation to role transition as perceived by nursing students. Design: Descriptive correlation design was utilized. Setting: The study was conducted at Faculty of nursing, Benha University. Subjects: A convenient sample of 4th year nursing students who enrolled in nursing administration department in the first term of academic year 2020/2021, the final number of sample size was 214. Tools: Three tools were used for data collection as follows; Metacognitive ability scale, Academic self-efficacy scale and Modified Perceptions of role transition questionnaire. Results: Two thirds of nursing students have high level of metacognitive abilities, more than half of them have high level of academic self-efficacy and more than two fifth perceived role transition moderately. Conclusion: There was a highly statistically significant correlation between metacognitive ability and academic self-efficacy, and a highly statistically significant positive correlation between academic self-efficacy and role-transition. Recommendations: Implementing learning strategies that promote nursing students' development of metacognitive abilities, studying the impact of academic self-efficacy and meta-cognitive ability on clinical decision-making ability among nursing students. And providing an orientation program for nursing students about role transition.
Academic Self Efficacy
Metacognitive ability
Nursing students
Role-transition
2021
03
01
1362
1379
https://ejhc.journals.ekb.eg/article_198478_9a1840c38cd799d1d61a3094bc970e08.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Knowledge, Practices, and Quality of Life of Elderly Patients with Peptic Ulcer Disease at Zagazig University Hospitals
Eman
Shokry Abd Allah
Reda
El Sayed El Badawy
Hassanat
Ramadan Abdel-Aziz
Background: Peptic ulcer disease (PUD) is one of the common gastrointestinal disorders and health challenges that resulted in a significant burden on elderly people. Aim: To assess knowledge, practices, and quality of life of elderly patients with PUD. Design: A Cross-sectional descriptive study design. Setting: Gastroenterology outpatient clinic at Zagazig University Hospitals. Subjects: A purposive sample included 150 elderly patients with PUD. Four tools of data collection: I) An interview questionnaire consisted of two parts about demographic characteristics and medical history of the studied elderly. II) Knowledge about PUD scale. III) Practices regarding PUD scale. IV) The WHO Quality of Life (QOL) Instrument-Short Form. Results: The study revealed that 51% of the studied elderly had satisfactory knowledge about PUD and 85% of them had satisfactory practices regarding PUD. Regarding the total QOL score, 83.3% of the studied elderly had poor QOL. Also, the study revealed that there was a significant negative correlation between the total score of elderly QOL and their total knowledge score about PUD (r = -0.168). Conclusion: The study concluded that half of the studied elderly had satisfactory knowledge about PUD and the majority of them had satisfactory practices regarding PUD. Also, the majority of the elderly patients had poor QOL and there was a significant negative correlation between QOL of the elderly and their knowledge about PUD. Recommendation: Developing and implementing appropriate and effective health education programs for elderly patients with PUD to increase their knowledge about PUD and to improve their quality of life.
Knowledge
Practices
quality of life
elderly patients
Peptic Ulcer Disease
2021
03
01
1380
1399
https://ejhc.journals.ekb.eg/article_199137_e83aff8d60c0b391a7196c9e83c54fe3.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Cognitive Behavior Therapy to Control Internet Addiction among Nursing Institute Students in Beni-Suef University, Egypt
Noha
Ahmed Mohamed
Hayam
Ahmed Mohamed
Sameer
Hamdy Hafez
Background: Addiction to the internet has become a social and public health issue, particularly among teenagers and adults. The study aimed to evaluate the effect of cognitive behavior therapy to control the internet addiction among nursing institute students in Beni-Suef University. A quasi experimental research design was used. The setting and sample: 40 students of the first year at nursing institute in Beni-Suef University who were diagnosed with internet addiction were included in the study. Tools: data were collected using an interviewing questionnaire composed of four parts; Part I: demographic data and pattern of internet use, Part II: Internet Addiction Diagnostic Questionnaire, Part III: negative consequences associated with internet addiction' questionnaire, Part IV: knowledge' questionnaire about internet addiction. The results; the present study findings indicated that after implementing the cognitive behavior therapy, the mean score of internet addiction among the studied sample was significantly decreased from 6.1±0.8 to 3.1±.1.2 (P=.00001). The results also added that the mean score of negative consequences was significantly decreased (P<0.05). Conclusion: The present study findings showed that the cognitive behavior therapy had significant impact on reducing the mean score of internet addiction and mean hours of internet use among nursing institute students, and was an effective strategy to reduce the negative consequences. Recommendations: Further studies aimed at improving students' awareness of internet addiction, and empowering them with the knowledge and skills they need to successfully avoid this problem.
Cognitive Behavior Therapy
Internet Addiction
Nursing institute students
2021
03
01
1400
1409
https://ejhc.journals.ekb.eg/article_202568_d11b6cb1aeed9ab2c374268b40401303.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Foot Massage on Fatigue and Incisional Pain among Post Caesarean Women
Hayam
Fathey Ahmed Eittah
Fatma
Saber Nady Mohammed
Nagat
Salah Shalaby salama
Noha
Hassan AbdElfattah Mohamed
Background: Cesarean section is accompanied by persistent post-operative pain. Alternative techniques such as acupressure and massage therapy are fairly efficient for minimizing post-cesarean pain and reducing fatigue levels in some trials. Foot massage appears to be effective, affordable, low-risk, adaptable, and simple to use. Aim: To determine the effect of foot massage on fatigue level and incisional pain among post-cesarean women.Subjects and Methods: Design: A quasi-experimental design was utilized to conduct this study. Setting: The study was conducted at obstetrics department in Beni-Seuif university hospital/ Egypt. Subject: A purposive sampling technique was employed to choose a sample of 100 post-cesarean women who were then randomly assigned into two groups, with 50 post-cesarean women in each group (the intervention and control groups). Tools: Three tools were used (I) a structured interview questionnaire, (II) a fatigue assessment scale, and (III) Visual Analogue Scale. Results: The current study revealed that the majority of intervention group experienced mild pain during the posttest when compared to the control group. Additionally there was highly statistical significant differences regarding to the scores of fatigue and pain in the intervention group as compared to control group pain ( P= <0.05. Conclusion: Foot massage was useful in reducing fatigue level and incisional pain among post-cesarean women. Recommendations: Post cesarean women should be provided with a simple and applicable strategy to reduce fatigue levels and control pain.
Foot massage
fatigue level
Incisional Pain
post cesarean women
2021
03
01
1410
1418
https://ejhc.journals.ekb.eg/article_205004_8760fe35251a7b2e77fb44449875419f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Instructional Guidelines on Pregnant Women' Knowledge and Practice regarding Complementary Therapies
Hala
Hassan Saied Khalil
Nagat
Salah Shalaby salama
Basma
Abdelhamed Deyab
Nahed
abd elazeem abd elsalam fathla
Nahla
Ali Maher Nashaat
Complementary therapies (CT) are used by millions of people. Such therapies are used to treat a wide range of medical conditions, but they are especially common during pregnancy. Aim: To determine the effect of instructional guidelines on pregnant women' knowledge and practice regarding complementary therapies. Subjects and methods: Design: A quasi-experimental research design was used to achieve the study's aim. Setting: The study was conducted in Antenatal Outpatient Clinic at Obstetrics and Gynecology Hospital at Port Said City. Subjects: A total of 100 pregnant women were selected from previous settings based on the non-probability purposive sampling technique is used. Tools: Tool I: A structured interview questionnaire; it consisted of two parts; (1) Demographic characteristics, (2): Obstetric history, Tool II: Pregnant women’s knowledge regarding complementary therapy, and Tool III: Pregnant women' self-reported practices regarding complementary therapy. Results: Regarding the source of information about complementary therapies, it was revealed that only less than one-third received knowledge about complementary therapies from their peer groups. The results revealed that post instructional guidelines knowledge and practice regarding complementary therapies was improved and statistically significantly higher than pre- instructional guidelines implementation among pregnant women. Conclusion: The results of the current study concluded that the instructional guidelines had a positive effect in improving pregnant women's knowledge and practice regarding complementary therapies. Recommendations: Maternity and community health nurses should play a role in providing frequent training and workshops to pregnant women in antenatal clinics about the importance of complementary therapies
Complementary therapies
Knowledge
Practice
Pregnant women
2021
03
01
1419
1434
https://ejhc.journals.ekb.eg/article_207203_81c988afc2d0926a3f03bfccd3ae5d64.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Ketogenic Diet: Golden Intervention for Breast Cancer Patients with Type II Diabetes Mellitus an Intervention Study, Mansoura, Egypt
Aml
Ahmed Mohammed ELmetwaly
Entisar
Gaad El moula Shaaban
Ateya
Megahed Ibrahim
Safaa
Salem Salem Shetawy
Eman
Mahmoud Hafez Mohamed
Ketogenic diets (KDs) have increased popularity among patients and researchers comparable due to their putative anti-tumor mechanisms plus its effect in reducing body weight in obese patients, and improving glycemic& lipid metabolism of diabetic patients. Aim: The study aimed to evaluate the effect of ketogenic diet on blood glucose level, body mass index and quality of life among breast cancer patients with type 2 diabetes mellitus. Design: A quasi-experimental research design was utilized. Setting: The study was conducted at inpatient department at oncology center Mansoura University, and follows those patients at outpatient clinics. Subjects: A purposive sample of 26 type 2 diabetes mellitus breast cancer obese patients was enrolled in this study. Tools: Two tools were used. Tool I: Structured interview questionnaire. Tool II: SF-8 Questionnaire. Results: The mean and SD of body mass index, hemoglobin A1C and fasting blood sugar of females’ patients were 34.78±7.176, 8.94±1.156 and 223.50±41.84 respectively, before starting Ketogenic diet, which changed with significant difference to become 32.76±6.841, 7.33±0.686 and 135.00±29.28 respectively, after applying Ketogenic diet. Conclusion: The data presented in the present study showed that a ketogenic diet can help as a natural therapy for significant weight reduction in obese patients, glycemic control and improving quality of life for type 2 diabetic breast cancer patients. Recommendation: This study recommended that Ketogenic diet should be incorporated in the dietary regimen for patients suffering from obesity, breast cancer and type 2 diabetes.
breast cancer
Glycemic control
Ketogenic diet
Obesity
quality of life
and Type 2 diabetes mellitus
2021
03
01
1435
1446
https://ejhc.journals.ekb.eg/article_209967_2dcec963f8c562ae75e8343a73ede73c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Assessment of Compliance for Postoperative Patients with Bariatric Surgery
Ahmed
Elsayed Ibrahiem
Salwa
Samir Ahmed
Asmaa
Abdel Rahman Abdel Rahman
Amr
Hamed Afifi
Background: Obesity remains a continuing global health concern that associated with increased risk of numerous chronic diseases. Bariatric surgery is indicated as a strategic alternative for rapid weight loss, remission or improvement of co-morbidities. Aim: This study aimed to assess compliance for postoperative patients with bariatric surgery. Design: A descriptive study design was utilized to achieve the aim of this study. Setting: The study was conducted in bariatric surgery outpatient clinic and bariatric surgery department at El- Demerdash Hospital of Ain Shams University. Subject: A purposive sample of 104 patients with postoperative bariatric surgery who are selected according to certain inclusion criteria. Tools of data collection: (1) Postoperative bariatric surgery patients' interview questionnaire. (2) Patients' compliance assessment questionnaire. Results: The results of this study showed that 80 percent of the studied patients had poor level of compliance postoperative bariatric surgery. Conclusion: The current study concluded that most of the studied patients had poor level of compliance postoperative bariatric surgery. Recommendations: The current study recommended that, developing of guidelines protocol regarding patients' compliance post- operative bariatric surgery to maintain health and improve patients' outcomes.
Assessment
Postoperative Bariatric Surgery
Patients' Compliance
2021
03
01
1447
1462
https://ejhc.journals.ekb.eg/article_209972_e9b8fe16f3c34cbb0bd3c2fb30a0f325.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Knowledge, Believes and Behaviors toward Preconception Care among Women at Childbearing period: Suggested Plan of Action
Reda
M. Nabil Aboushady
Mona
Abd El-kareem Hegazy
Mona
M Ebrahim Abd Elnabi
Background: Preconception care is a set of interventional care that aims to identify and modify medical, behavioral, psychosocial and social risks for the better maternal and childbirth outcome. Aim: the current study was conducted to appraise knowledge, believes and behaviors toward preconception care among women at childbearing period and design suggested plan of action. Design: a descriptive exploratory research design was adopted. Sample: A purposive sample of 300 participants was recruited in the research through a period of four months. Setting: Outpatient clinics at Maternity hospital, El Galaa teaching hospital. Tools: Four tools were used; 1) - Structured interviewing questionnaire, 2)-Preconception knowledge tool, 3)- Likert belief scale regarding preconception care and 4)- Self-reported behavior regarding preconception care. Results: the mean age of the study sample was 24.30 ±4.56 years with the ranged from 18-34 years. Fifty four percent of the study sample had average knowledge score with mean total knowledge was 46.6 ±4.7 and 79% of them had moderate preconception health beliefs. While, 64% of the study sample had not acceptable preconception health behavior. Conclusion: Women in childbearing period have average knowledge and beliefs towards preconception care. However, they have not acceptable preconception health behavior. Recommendation: Apply health education program to all reproductive women who attend outpatient clinics.
Knowledge
Attitude
Preconception Health care
Women at Childbearing period
2021
03
01
1463
1474
https://ejhc.journals.ekb.eg/article_215599_43deb91111cd2309a5ec9b7a44dd8105.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Physical and Psychosocial Adaptation Strategies for Patients with Multiple Sclerosis
Hamda
Ahmed Eldesoky
Nagia
I. Hassan
Mona
Abdelmoksoud Amer
Heba
Mahmoud Mahmoud
Background: Multiple sclerosis (MS) is one of the most serious autoimmune neurological diseases. It can restrict the patient's functional abilities, social relationship, life pattern, occupational maintenance and wellbeing. Aim: This study aims to determine the physical and psychosocial adaptation strategies used by patients with multiple sclerosis. Research design: A cross sectional descriptive design was adopted to carry out this study. Settings: The study was conducted at neuropsychiatric outpatient clinic of Al Hadara Alexandria University Hospital. Subjects: A purposive sample of 110 patients admitted to the above mentioned setting and diagnosed with multiple sclerosis was recruited in this study. Tools: Four tools were used for data collection namely: Patients' demographic characteristics and clinical data sheet, Multiple Sclerosis Patients’ Physical and Psychosocial Assessment Structured Interview Schedule, Physical Adaptation Strategies Structured Interview Schedule of Patients with Multiple Sclerosis and Psychosocial Adjustment to Illness Scale–Self- Report (PAIS- SR). Results: The study results revealed that sensory and motor symptoms scores was the highest mean of all physical disturbances parameters. More than half of the patients had high psychological and social disturbance. Physical, psychological, social disturbance score was negatively correlated with the total physical, psychosocial adaptation strategies score. Conclusion: MS has a negative impact not only on the physical activities, but also on the psychological, social and financial aspects of life. Recommendations: The developed booklet with its simple instructions and illustrations should be utilized in hospitals as a teaching aid for patient with MS. Periodic training program should be carried out for nurses working in the MS unit about health education and rehabilitation programs.
Multiple sclerosis
Physical Adaptation Strategies
Psychosocial Adaptation Strategies
2021
03
01
1457
1490
https://ejhc.journals.ekb.eg/article_215908_f6ace66be080b8d6160df4fb7b67c04b.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Quality of Life of Patients pre/post Pacemaker Implantation
Soheir
Mohammed Weheida
Heba
Gebril
Heba
Mohamed Mohamed
Yasmin
Fathy
Assessing the quality of life for patients pre/ post pacemaker implantation can help nurses better understand how disease and treatment affect patients’ lives. Aim: The aim of this study was to compare the quality of life of patients pre/post permanent cardiac pacemaker implantation. Design: A descriptive comparative study was utilized for conducting the study. Setting: This study was conducted at the cardio electrophysiology unit at Alexandria Main University Hospital, Alexandria, Egypt. Subjects: purposive sample comprised sixty patients undergoing permanent cardiac pacemaker implantation. Tools: two tools were used; Tool I: Patients’ socio-demographic and clinical data structured interview schedule. Tool II: Euro Quality of life -5 Dimensions (EQ-5D) structured interview schedule. Results: There were highly statistically significant differences between the pre and post assessments of the studied patients' quality of life one and three months post permanent pacemaker implantation (P< 0.001). Also, highly statistically significant differences were found between pre /post assessment of the studied patients regarding the Euro Quality of life Visual Analogue scale one and three months post permanent pacemaker implantation (P<0.001). Conclusion: Based on the findings of the present study, it can be concluded that highly statistically significant differences were observed between the pre / post assessment of the studied patients regarding their quality of life after one and three months' post-permanent pacemaker implantation. However, the patient's QOL significantly declined after three months of implantation compared to one month. Recommendations: Nurses should attend updated conferences and in service training programs/or workshops about post permanent pacemaker implantation instructions to be learned to their patients through videos, and printed materials. Replication of the study on large probability sampling should be conducted.
quality of life
pre/post pacemaker implementation
2021
03
01
1491
1502
https://ejhc.journals.ekb.eg/article_220348_fc8d2cc7f437a96bf08bd88d4a22bc6c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Pictorial Information Booklet on Mothers’ Care of Their Children with Leukemia
Hanan Mohamed
Mohamed Tork
Fathia
Ahmed Mersal
Background: The improvement of health literacy in general is a major concern worledwide. We assumed that mothers of children who are recieving treatment for leukaemia experience practical challenges in caring for their children. Treatment adherence and improved health outcomes for children with Leukemia require easily understandable of caregivers for health information. Objective: To evaluate the effect of pictorial information booklet on mothers’ care of their children with Leukemia in Cairo, Egypt. Methods: Design of this study was A quantitative, quasiexperimental pre-posttest group design. The samplewere 65 mothers who had children with leukemia in Cairo, Egypt. A pectorial information booklet was given, and in the post-test period the same structured knowledge questionnaire was used. Practice was assessed using the interview method by direct observation. Results: The findings revealed that 78.5% of mothers had unsatisfactory knowledge regarding leukemia pre education program while 86.2% of them had satisfactory knowledge regarding leukemia post education program with highly statistically significant differences between pre and post education program using pictorial information booklet (p < 0.000). Approxmitly 76.9% of mothers had adequate total practice regarding Leukemia post education program with highly statistically significant differences between pre and post education program using pictorial information booklet (p < 0.000). Conclusion: Based on the study findings, it can be concluded that the pectorial information booklet effectively improved mothers' knowledge and practices regarding care of their children with leukemia. Recommendations: It is recommended that future studies investigate mothers improvement in knowledge and practices as well as retention of knowledge over an extended period of time.
Information Booklet
Knowledge and practice
Mother’s Care
Children with leukemia
2021
03
01
1503
1513
https://ejhc.journals.ekb.eg/article_221376_9af4536ac24558dabcad078304b210df.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effectiveness of Web-Based Psychoeducational Interventions on Adolescents' Knowledge and Future Anxiety during Covid-19 Outbreak
Rasha
Shawky Elashry
Ebtsam
Abd Elmoim Mohamed
Eslam
Mohamed Ahmed Gado
Background: Adolescents' opportunities for social progress have been negatively impacted by the COVID-19 epidemic. Education ,physical and general wellbeing are negativelyaffected . Action must be taken immediately to lessen the long-term effects of the epidemic and safeguard adolescents' futures. The aim of the study: To evaluate the effectiveness of web-based psychoeducational interventions on adolescents' knowledge and future anxiety during Covid-19 outbreak. Subjects and Method: A quasi-experimental research design was used in this study. A purposive sample of 52 adolescents from Tanta city in Algharbia Governorate was included in the study. This study was an online study that used Google forms.Tools:Three tools were utilized: Tool I: Adolescents' knowledge regarding covid-19questionnaire , Tool II: Perceived Stress Scale – 10, and Tool III: Future anxiety scale. Results: The majority of the studied adolescents had poor knowledge levels regarding COVID-19 pre the psychoeducational interventions, while all the studied adolescents had good knowledge post the psychoeducational interventions.There was a decrease in the the studied adolescents' perceived stress and future anxiety levels during COVID-19 post the psychoeducational interventions.And also, a moderate negative correlation between the studied adolescents' knowledge, their perceived stress and future anxiety post the psychoeducational interventions Conclusion: The present study highlighted that web-based psychoeducational interventions effectively increased adolescents' knowledge regarding Covid- 19 and decreased their stress and future anxiety levels. Recommendation: Further research design is needed to determine the psychological wellbeing of adolescents during COVID- 19 as well as reinforce the appropriate measures to maintain their mental health.
Adolescents
COVID -19
future anxiety
Knowledge
Psychoeducational intervention
web-based
2021
03
01
1514
1529
https://ejhc.journals.ekb.eg/article_221377_677773b70aba86db354c124b21916bfb.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Life Review Intervention on Psychosocial Outcomes Among Older Adults
Asmaa
Hafez Afefe Barakat
Rasmia
Abd El-Sattar Ali
Hoda
Sayed Mohamed
Background: life review is a mental process in which older adults recall and evaluate life experiences and can help them to find meaning in one’s accomplishment, positive outcome of the life review process leads to the development of psychosocial wellbeing. Aim: This study aimed to determine the effect of life review intervention on the psychosocial outcomes among older adults. Setting: The study was conducted in five residential homes representing five sectors in Greater Cairo east, west, middle, south, and north. Subjects: a purposive sample of 60 older adults from the mentioned setting. Tools: Three questionnaires were used: 1) An interview questionnaire to assess demographic characteristics and physical health assessment among subjects 2) Psychological outcomes that measured by Ego-integrity Scale, a meaning in life Questionnaire, Accepting the Past Scale and Flourishing Scale, 3) Social outcomes which measured by social participation Scale. Results: The study results showed that there were significant differences between the 1st and the 2nd assessment in the three scales of the psychological outcomes; the mean scores of ego-integrity, meaning of life, accepting the past were changed from 39.30, 35.55, 61.48 to 49.714, 51.79, 80.626 respectively at p participation scale after the life review intervention; the mean score changed from 30.99 to 39.75 at p Conclusion: The implementation of life review intervention sessions had a positive effect on the improvement of psychosocial outcomes for older adults in which they submitted higher scores on psychosocial scales after the life review intervention. Recommendation: the current study recommended that psychiatric/ Mental Health and Community Health Nursing should provide training for formal and informal caregivers of older adults to apply life review as a part of older adults’ management protocol.
Life review
Psychosocial
outcomes
Older adults
2021
03
01
1530
1548
https://ejhc.journals.ekb.eg/article_222441_84f382d2a50cc9fa446bb4a7b2fe4cb6.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Passive and Active Stretching Exercises on Controlling Leg Cramps for Patients undergoing Hemodialysis
Fatma
Mohmmed Abouelala
Nermen
abdelftah Mohamed
Nagla
Hamdi Kamal Khalil
Walaa
El shahat Ahmed El gammal
Background: One of the most prevalent physical symptoms among patients undergoing hemodialysis is muscle cramping. Active and passive stretching exercises may be helpful in alleviating leg muscles cramps for those patients. Study aims to: Evaluate the effect of practice passive and active stretching exercises on controlling muscle cramps for patients on hemodialysis. Subjects and method: Quasi experimental pretest-posttest research design was employed. Setting: It was conducted at hemodialysis unit at Kafrelsheikh general hospital, one of the hospitals of Ministry of health, Kafrelsheikh governorate, Egypt. Subjects: A purposive sample of 50 hemodialysis patients divided equally into study group who practice stretching exercises and control group who received ordinary hospital care. Tools: two tools were used. Tool (I) "Structured Interview questionnaire" It was created by the researchers to collect data about demographic and clinical data. Tool (II) "Muscle cramps questionnaire chart": it used to assess the intensity level of muscle cramp for patients on hemodialysis. Results: There was statistically significant reduced in the muscle cramps intensity level of the study group after practice stretching exercises (p= <0.001*). Conclusion: Active and passive stretching exercises have positive effect on reducing level of leg muscle cramps among hemodialysis patients. Recommendation: Enroll Intradialytic stretching exercises with routine nursing care for hemodialysis patients.
Active and passive stretching exercises
Hemodialysis
Leg cramps
2021
03
01
1549
1562
https://ejhc.journals.ekb.eg/article_231286_ed24223e87cdf8a499dafde403797802.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Relationship between Exposure to Domestic Violence and Depression among Women with Infertility
Neamat
Mohamed Ali
Hanaa
Ezz Eldin Prince
Background: Infertile women show a higher level of distress, sense of loss of identity, anxiety, feeling of self-defectiveness, and incompetence due to exposure to domestic violence associated with their inability to bear children which may lead to the development of depression. Aim: The current study aimed to examine the relationship between exposure to domestic violence and depression among women with infertility. Design: A descriptive-analytical design was used in this study. Subjects: A purposive sample consisted of 86 women with infertility who were exposed to domestic violence. Setting: The current study was conducted at gynecology outpatient clinics, an In vitro fertilization (IVF) unit, obstetric, and gynecology hospital, affiliated with Ain Shams University hospitals. Tools of data collection: The data was collected using; 1) Infertile Women Interviewing Questionnaire, 2) Infertile Women Exposure to Violence Scale (IWEVS) 3) Beck Depression Inventory. Results: The current study showed that the highest percentage of infertile women understudy subjected to more than one type of violence involve domestic violence, punishment, social pressure, exposure to traditional practice, and social exclusion, representing 37.21±4.69, 25.26±4.03, 22.66±3.52, 11.92±3.00, and 9.05+2.48 respectively. Also, 40.7% of infertile women who were exposed to domestic violence had a mild level of depression and 30.2% of them had borderline clinical depression. Conclusions: Women with infertility experience different types of violence involving domestic violence, punishment, social pressure, exposure to traditional practice, and social exclusion, and more than one-third of them had a mild level of depression. Moreover, there was a highly statistically significant correlation between exposure to domestic violence and levels of depression among infertile women under study. Recommendations: This study recommended that a counseling clinic should be established for infertile women and their partners to improve their coping with stressors associated with infertility and apply an educational interventional program for the prevention of domestic violence, and depression among them.
Domestic violence
depression
Women
Infertility
2021
03
01
1563
1575
https://ejhc.journals.ekb.eg/article_231779_3e3457d94779166cbf7a34d63e47b5e9.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Assessment of Nurse Interns̛ Knowledge and Practice &Attitude regarding Occupational Health Hazards
Heba
Nasser Rayan
Samia
Mohamed Abdallah
Hanaa
Mohamed Abdrabou
Background: The occupational hazards and injuries in the nursing are higher than average compared with all occupations. In the medical profession, nurses constitute the largest group of healthcare workers, and experience a higher rate of workplace hazards exposure than other health care workers. The aim of thisstudy:was to assessing nurse interns' knowledge and practice &attitude regarding occupational health hazards.Design: A descriptive research design.Setting:The study was conducted at four hospitals affiliated to Ain Shams University. Subject:The subjects of this study included 91 nurse interns.Tools of data collection: Data were collected by using three tools namely: Self - administered Questionnaire, Observation Checklist, and attitude scale. Results: Physical hazards were at a first rank level of hazards which more than two fifth of nurse interns were exposed to physical hazards as perceived by them, while chemical hazards was at the last rank level of hazards which lowest percentage of nurse interns were exposed to. Minority of nurse interns had satisfactory practice level regarding occupational health hazards. Score ofnurse interns' attitude towards protection from hazards was generally low. Conclusion: There was a positive statistically significance correlations between total practice score and total attitude score regarding occupational health hazards among nurse interns. Recommendations: providing training program about occupational hazards and especially about protective measures, perform regularly routine check-ups of nurse interns to ensure occupational health, and further future must be made to investigate the relation between perception of occupational hazards and nurses’ safety practices.
Attitude
Nurse interns
Practice
Occupational health hazards
2021
03
01
1576
1590
https://ejhc.journals.ekb.eg/article_234457_34a91be7dc1c30e0c619e7c30e305b6f.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Brain Gym Training on Intelligence, Knowledge and Information Retention among Children with Developmental Disabilities
Fatma
Mohamed El swerky
Amel
abd Elaziem Mohamed
Hanan
Abdallah Mohammed
Manal
Mohamed Ahmed Ayed
Wael
Alghamdi
Hanan
Elsayed Awad Negm
Samar
Ahmed Mahmoud
Background: Brain Gym is a simple and pleasant movement, consisting of 26 simple movements that are believed to enhance academic and behavioral performance by activating both hemispheres of the brain through neurological re-patterning to promote whole-brain learning. Aim: To evaluate the effect of brain gym training on intelligence, knowledge, and information retention among children with developmental disabilities. Method: A quasi-experimental research design was used to achieve this study. Settings: The study was conducted in integration classes at ten primary schools in Sohag City. Subjects: A purposive sample of 100 students with developmental disabilities as (autism and Attention Deficit Hyperactivity Disorder) was involved in this study were randomly assigned and divided into two equal groups of 50 students in each group. Group (I) was called the study group that was exposed to brain gym training and Group (II) was the control group. Tools for data collection: Tool I Howard Gardner Multiple Intelligence Test and Tool II: Achievement Retention Test. Results: The present study revealed that there were statistically significant differences between study and control groups and within study group before and after the application of brain gym technique with improvement after the application regarding all types of intelligence and achievement retention test total score. Conclusion: Brain gym training had a higher intelligence, knowledge, and information retention score in the study group than those of the control group. Recommendations: The brain gym technique should be incorporatedin nursing theory and clinical education to improve the level of students’ knowledge and retention.
Brain gym Training
intelligence
Knowledge and Information retention
children with developmental disabilities
2021
03
01
1591
1603
https://ejhc.journals.ekb.eg/article_238552_1b8e7329cb1f2ee85fe9668929dbeeef.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Aquatic Therapy -Based Exercises on Motor Outcomes among Children Suffering from Spastic Hemiplegia
Eman
A. Ali
Radia
Abdel sattar
Huda
Shawky Mahmud
Spastic hemiplegia is a type of spastic cerebral palsy that affects one side of the body dueto damage to the part of the brain controlling movement. Children with spastic hemiplegia havelimited activities of daily living, such as dressing, feeding, and functional mobility, due to problemswith hand function Aim of the study was to measure the effect of aquatic therapy-based exerciseson motor outcomes among children suffering from spastic hemiplegia. A Quasi-experimental designwas utilized in this study. The setting was the Physiotherapy unit in Children's Hospital affiliated toAin Shams University Hospitals. Sample: A purposive sample consisted of 60 children with spastichemiplegia aged from 6 to 12 years was included in the study. Tools:1- A structured InterviewingQuestionnaire Sheet,2- Modified A shworth Scale,3- Range of Motion scale,4- PeabodyDevelopmental Motor Scale. Results: It was found that before aquatic therapy-based exercises themean muscle tone was 1.5±0.6 in the study group while after intervention it become 2.4±0.9 with apercentage change of 50% (0%-200%) with a highly statistically significant difference between thestudy and control groups (p value = < 0.001). Hand strength was improved in the study group morethan in the control group (56.6% vs 40% respectively), the highest improvement was in holdingobjects with hands, followed by the ability to grasp objects. Conclusion: Evidence of reduction ofspasticity in children with spastic hemiplegia after 12 weeks of aquatic therapy-basedexercise. Recommendation: Replication of the study on large samples of children with spastichemiplegia in different places in Egypt.
Motor outcomes
Aquatic therapy-based exercises
children
Spasticity
2021
03
01
1604
1613
https://ejhc.journals.ekb.eg/article_238554_d86c75e4a1f431512ca01c2fdf8f63af.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Psycho- social Program to Overcome Psychosocial Problems among Patients with Acne Vulgaris
Eman
Nabawy Abo Zeid
Faten
Mohamed Ahmed Wafa
Fathyea
Said Sayed Ibrahim
Background: Acne vulgaris remains the most commonly skin disease treated by physicians with prevalence reaching up to 80% during adolescence. There is no single disease which causes more psychic trauma, more general insecurity and feelings of inferiority and greater sums of psychic assessment than does acne vulgaris .The aim of study was to assess the effect of psycho-social program on psycho social problems among patients with acne vulgaris. Methods: A quasi - experimental design was utilized to achieve the aim of study. The study was conducted at the outpatient clinic of the Dermatological Hospital in Benha City. The target of this study consisted of 50 patients with acne vulgaris who were staying in the above mentioned setting. Three tools were used for data collection: -A Semi Structured Interview Questionnaire, Social Phobia and acne vulgaris Depression Checklist. Results: The main findings of the study were: nearly half of the studied patients have no social phobia post program and more than half of them have moderate degree of depression post program. There are highly statistically significant differences between total social phobia and acne degree post program and there are statistically significant differences between total depression and acne degree post program. Conclusion Based on the findings of the present study, it was concluded that the psycho- social program had a positive effect to overcome psychosocial problems among patients with acne vulgaris. Recommendations: Expand public awareness through mass media about stages of acne vulgaris and the effect of being emotionally stable on mental health and all life aspects.
Psycho-social
Program
Overcome
Psychosocial Problems
patients
Acne vulgaris
2021
03
01
1614
1627
https://ejhc.journals.ekb.eg/article_242107_ac0d7da29ac36143795d71d59500a338.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Bite-Sized Teaching Sessions on Mothers’ Care of Their Children with Methylmalonic Acidemia
Rehab
Hanie Elkazaz
Hoda
Waheed
Fatma
Mohamed Mohamed
Background: Methylmalonic acidemia (MMA) is a metabolic disease in which proper dietary treatment may benefit pediatric patients' growth and development. Aim: Effect of Bite-Sized Teaching Sessions on Mothers’ Care of Their Children with Methylmalonic Acidemia. Design: A quasi experimental design was used. Setting: This study was conducted at the Specialized Genetic Outpatient Clinic at Children's Hospital affiliated with Ain Shams University Hospitals. Subjects: A conveinience sample consisting of 50 mothers accompanying their children with Methylmalonic acidemia. Tools: Tools of data collection included a structured interview questionnaire &Mothers reported practice checklist related to the care of their children with methylmalonic acidemia. Results: The results showed highly statistical significant improvement in the studied mothers' knowledge and reported practice regarding the care of their children with methylmalonic acidemia .Conclusion: Bite-Sized Teaching Sessions implementation had statistical significant positive effect on improving mothers' knowledge & reported practice regarding caring of children with methylmalonic acidemia. Recommendation: Continuous Bite-Sized Teaching Sessions should be provided for all mothers caring of children with methylmalonic acidemia
children
Knowledge
Practice
Methylmalonic Academia &Mothers
2021
03
01
1628
1639
https://ejhc.journals.ekb.eg/article_243485_e059cee55732122339d87107844c44b0.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Utilizing Smartphone Apps in Improving Pregnant Women’s Knowledge and Practices towards Pandemic COVID-19 Precautionary Measures
Suzan
El-Said Mansour
Adel
Al Al-Wehedy Ibrahim
Nagwa
Ibrahim El-Feshawy
The current study aimed to evaluate the effect of utilizing smartphone apps in improving pregnant women’s knowledge and practices towards pandemic COVID-19 precautionary measures. Materials and method: A quasi-experimental pre-posttest design was used. The study was conducted at antenatal clinics in Mansoura University Hospital, Egypt. Purposive sample technique was applied and included fifty-seven high-risk pregnant women. Data was collected through a structured interview questionnaire, an online electronic survey on the Google platform to assess the level of knowledge and practices regarding covid-19 precautionary measures, and the Satisfaction Likert scale. Results: There was a statistically significant improvement among the pregnant women regarding covid-19 knowledge in favor of post-intervention (P<0.001) as the percentage of good levels increased from 19.3 before intervention to 77.2% after the intervention. Likewise, there was a significantly (P<0.001) higher average practical score after the intervention, and a good practice level significantly (P<0.001) improved from 12.3% before intervention to 89.5% after the intervention. It was evident that there was a significant, mild, positive correlation between the knowledge score of the studied women after intervention and their scores of reported practical preventive measures (r=+0.274, P0.039). Moreover, the satisfaction level of studied women regarding the method and content was high ranging from 91.2% to 96.5% and 84.2% to 94.7% respectively. Conclusion: It was evident that utilizing smartphone apps was effective and had significantly improved knowledge level and practices average score among pregnant women toward COVID-19 protective measures. Recommendations: Utilizing modern technologies such as smartphone apps should be launched to solve the challenges posed by the COVID-19 crisis and bring innovative solutions to the problems associated with this major disruption, as well as an attempt to stem contagion and effectively increase awareness, especially during the COVID -19 outbreak and Quarantine.
COVID-19
Knowledge
Practices
precautionary measures
Pregnant women
2021
03
01
1654
1666
https://ejhc.journals.ekb.eg/article_256111_4ea5818e1584123f38f779b91ceeb498.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Health Preventive Program toward COVID-19 on Knowledge, Perceptions, and Practices among Older Adults
Zakia
T. Toama.
Ola
Gouda Mohamed Elshiekh
Ola
Ezzat Eltohamy Mohamed
Nermeen
Mahmoud Abd El-Aziz
Background: Older adults are more vulnerable to COVID-19 disease due to their reduced immunity and comorbidity. Awareness of dealing with extremely infectious respiratory diseases plays an important role in limiting the spread of the infection. Aim of the study: Is to investigate the effect of applying health preventive program toward COVID-19 on knowledge, perceptions and practice among older adults in Damanhur city. Subjects & method: 120 older adult from social and silver club affiliated in Damanhur city. Research design: A quasi experimental Tool I: Older adults' health status and, socio – demographic characteristics, Tool II: Knowledge questionnaire about COVID-19 among older adults, & Tool III: perceptions of the older adults about COVID-19. In addition to, Tool IV: practices of the participants related to COVID-19. Data were analyzed using percentages & ANOVA with repeated measures, Friedman test and Student t-test. Results: Statistically significant improvement of COVID-19 Knowledge, Perceptions, and Practices immediately after the program implementation and the improvement still apparent across all the studied subjects regardless of their demographic characteristics and clinical data. Conclusion: It was concluded that older adult’s knowledge, perceptions, and practice toward COVID-19 was greatly enhanced by applying the health preventive program. Additionally, improve the older people’s perception of their own vulnerability to COVID-19 and the effectiveness continuation for COVID-19 related application of preventive measures. Recommendation: Development of health preventive programs targeting older adults, designing guidelines by healthcare authorities to improve access for education and health services.
COVID-19
aging
Knowledge
Perceptions
Practice
Older adults
2021
03
01
1667
1688
https://ejhc.journals.ekb.eg/article_222519_2b286c06007b3d6d58ddf282d4417297.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Efficacy of COVID-19 Prevention Educational Program on Nurses’ knowledge and Practices at Hemodialysis Unit
Nafisa
Moustafa Elpasiony
Marwa
Fathallah Mostafa
Wessam
Fathy Gabr
Background: COVID -19 infection, the current pandemic, is a global emergency inmore than 150 countries. Health care professionals are struggling to prevent the transmissionof this highly contagious disease. Although there are numerous publications relating todialysis and COVID-19, many are in the form of preliminary reports. Aim: The current studyaimed to assess the efficacy of the COVID-19 prevention educational program on nurses’knowledge and practices at hemodialysis unit. Method: A quasi-experimental pre/post-intervention design was used with a convenience sample of 30 nurses working in theHemodialysis Unit at Mansoura University Hospital. The data were collected by using threetools: COVID_19 infection structured questionnaire, nurses' practices observational checklist,and COVID-19 infection control perceived barriers. Results: Statistically significantdifferences were noted in the total mean scores of nurses' knowledge and practices regardingthe prevention of COVID-19 infection before and after the educational program.Overcrowded at a hemodialysis unit and insufficient supplies for implementation of infectioncontrol practices have been mentioned as perceived barriers by the majority (93.3%) of ourparticipant nurses. Conclusion and Recommendations: Educational program had a positiveeffect in improving nurses' knowledge and practices toward the prevention of COVID-19infection, and this will be positively reflected on patients' outcomes. Hence, it isrecommended to provide the nurses more organizing continuous educational programs withcontinuous follow-up to keep them competent and up-to-date.
COVID-19 Infection
Educational Program
Nurses Knowledge
Practices
2021
03
01
1689
1703
https://ejhc.journals.ekb.eg/article_179460_eaa021a534a94d6dc5b56d9abe7a09cc.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Quality of life for Preschool Children Suffering from Hearing Impairment in Rural Area
Heba
Said Mohamed Khawwas
Faten
Khirat Elgendy
Mervet
Mohamed Hassan
Background: Preschool children hearing impairment is considered one of the most prevalent global health concerns. Early identification and intervention of hearing impairment may have lifelong effects on the child’s life. Aim of the study: to assess quality of life for Preschool Children Suffering from hearing Impairment. Design: A descriptive design was utilized in this study. Setting: The study was carried at outpatient audio clinics of Elmenofeya University Hospital, Health insurance clinics, special speech clinics and audio clinic. Sample: Purposive sample used in this study. They were 308 students; 161 male and 147female.predetremind inclusion criteria (The age from 3 < 6 years (pre-school age), Free from any other health problem. Study tool: The data for this study were collected by using two tools: Tool I: structured interview questionnaire: it consisted of Part 1: socio-demographic characteristics for children. Part 2: socio-demographic characteristics of mothers. Part 3: Past and present medical history of the children. Part 4: knowledge of mothers about hearing impairment. Tool II: Practice of mothers regarding hearing impairment. Tool III: Assessment of the quality of life of preschool children with hearing impairment. Results: it was found near to half of the preschool children was aged from 5 to 6 years, more than half of them were male, more than half of them were going to nursery, more than one third of children's mothers were Secondary education, near to half of them reported that the cause of the hearing impairment was Inflammation in the middle ear, more than half of the preschool children used Medical hearing aids, majority of the preschool children had speech problem, more than half of them had Consanguinity between parents, more than half of the mothers had unsatisfactory knowledge about hearing impairment, that only less than One-third of the mothers had good practice that improve the communication skills and their behavior, near to half of the preschool children had average quality of life. Conclusion: There was significant relation between health problems of preschool children with hearing impairment and their quality of life, also there was significant relation between socio- demographic characteristics and health problems of preschool children with hearing impairment. Recommendation: health education program to increase the mother’s knowledge, improve their practice, and teach them the importance of early treatment and language training.
Hearing Impairment
preschool age
quality of life
Early intervention
2021
03
01
1718
1731
https://ejhc.journals.ekb.eg/article_256662_dec7f242a0d2a55848496a9defe32452.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Health Education Program for Improving Quality of Life of Older Adults Suffering from Chronic Constipation
Sabah
Abdel Mobdy Radwan
Magda
Abd-EL-Sattar Ahmed
Nadia
Hamed Farahat
Azza
Saied Ahmed Zaied
Background: Chronic constipation is a major global health problem affecting millions of people, particularly in the older adults with significant impact on their quality of life and health expenses. Aim: the aim of the present study is to evaluate the outcomes of health education program on improving quality of life of older adults suffering from chronic constipation. Study Design: A quasi-experimental design was utilized. Setting: This study was conducted in geriatric homes situated within Cairo Governorate which comprises twenty districts. Sampling: A multistage random sample technique chosen 25% from the total districts and purposive sample of 58 older adults with chronic constipation were included, male and female aged ≥ 60 years old in this study. Tools: Three tools were used for data collection. First Tool: An interviewing questionnaire for older adults with chronic constipation including six parts: Rome III Diagnostic Criteria for Assessment Chronic Constipation and Mini Mental status test were used as initial measure to screen participants for inclusion criteria, socio-demographic characteristics, past and present medical history, assessment of older adults awareness regarding chronic constipation, Patient Assessment of Constipation Symptoms (PAC-SYM), and Patient Assessment of Constipation Quality of Life (PAC-QOL). Second Tool: lifestyle practices questionnaire for older adults with chronic constipation include two parts; Bristol Stool Form Scale (BSF) and Aspects of Lifestyle Health Practices. Third tool: Observation Check List for assessment geriatric home environment. Results: The study revealed that more than three quarters of the older adults had satisfactory level of awareness about chronic constipation post program implementation. The Total Score of PAC-SYM and subscale (Abdominal, Rectal and Stool symptoms) reached highly statistically significance difference. The Total Score of the PAC-QOL and subscale (Physical discomfort, Psychosocial discomfort, Worries & concerns, and Satisfaction) reached highly statistically significance between score pre/post implementation of the health educational program.Conclusion:The health education program reported remarkable improvement in older adult’s awareness, decreased the severity of constipation symptoms, improved discomfort able subscales of quality of life and raised satisfaction subscales through lifestyles practices modifications post health education program. Recommendations: Raising public awareness through educational campaigns and mass media about healthy lifestyle for older adults in the geriatric homes to improve their quality of life toward chronic constipation.
chronic constipation
Health education program
Older adults
quality of life
2021
03
01
1732
1748
https://ejhc.journals.ekb.eg/article_256663_791915e0a559be06e3288d1acb5607da.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Nutritional Guidance on Parents' Awareness and Nutritional Status of Children Undergoing Hemodialysis
Neanaa
M. Fayed
Hanan
T. Elbahnasawy
Lobna
A. Seliem
Fatma
A. Abd Elrazek
Background: Chronic kidney disease is a progressive deterioration of kidney functions which associated with metabolism, fluids and electrolytes disturbances. In addition, impairment of growth and development. Purpose: it was to examine the effect of nutritional guidance on parents’ awareness and nutritional status of children undergoing hemodialysis. A Quasi-experimental design was utilized. Setting: Pediatric Hemodialysis Unit, EL-Menoufia University Hospital in Shebein El-kom city. Sample: purposive sample of 30 children and their parents were included in the study. Instruments for data collection:three instruments were used, instrument one; A structured interview questionnaire developed by the investigators to collect data regarding the study consists of 2 parts: 1st part: socio demographic data of children, 2nd part: Parents' knowledge toward chronic kidney disease; instrument two was anthropometric measures and 24 hours dietary recall; instrument three was a structured interview questionnaire to assess parents awareness about nutritional requirements of their children. The results of this study showed that, more than half of children were under weight, around two thirds of children achieved normal weight on follow up test. The study concluded that implementation of nutritional guidance improved parents’ awareness about adequate nutrition for their children and improved nutritional status of children undergoing hemodialysis on post and follow up tests than on pretest. Therefore, it was recommended that regular nutritional assessment of children should be maintained throughout their hemodialysis period and nurses should provide nutritional education for their mothers.
Parent awareness
Hemodialysis
Nutrition of children
Nutritional Guidance
2021
03
01
1749
1762
https://ejhc.journals.ekb.eg/article_256664_1711f484ce99e634bd24379624eb3a1c.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Communication Skills Training Program and its Effect on Head Nurses' Assertiveness and Self-Esteem
Azza
El-said Mohammed
Mona
M. Shazly
Hemat
A. Mostafa
Background: Communication is a basic function of human beings, of vital importance to developing interpersonal relationships, and for groups, organizations, and society to function well. Aim: The study aims to assess the communication skills training program effect on head nurses' assertiveness and self-esteem. Setting: The study was conducted at Nasser Institute Hospital for Research and Treatment. Design: A one group pretest- posttest quasi-experimental study design was used to carry out the study. Subjects: 50 head nurses. Tools: The data of this study were collected through three tools namely: a knowledge questionnaire, an Assertiveness Assessment Scale and Sorensen Self-esteem Scale. Results: findings revealed that, (46%) of head nurses had satisfactory total knowledge of communication, (70%) from head nurses had high assertiveness at the pretest and improved at posttest and follow up phases reaching (94%), (34%) of head nurses had high self- esteem at pretest; it improved to 78% at posttest and slightly decreased to 76% at follow up (p < 0.001). Conclusion: The results of the study lead to the conclusion that a high percentage of the head nurses in the study setting have unsatisfactory knowledge of communication skills in its various domains and have low self-esteem, but have high level of assertiveness. The implementation of the training program in communication is effective in improving their knowledge, self-esteem, as well as their assertiveness. This improvement is lasting for at least three months. Recommendations: the study recommends application of developed program to all head nurses in the study setting and in similar ones. Such training programs should adopt the adult learning approaches, with more focus on applied knowledge and practical skills. Workshops and seminars dealing with communication should be regularly conducted to improve head nurses’ assertiveness and self-esteem. Orientation and preparatory programs for newly appointed head nurses should be organized and tailored to their identified needs to be able to fulfill their new role; the attendance of such programs should be a pre-requisite for promotion to such job positions.
communication skills
assertiveness
Self-esteem
Head Nurses
2021
03
01
1763
1774
https://ejhc.journals.ekb.eg/article_257840_50a2912ca7af1ea83d0c0591bd378b0e.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Stigma and Shame among Substance Abuser Women
Samah
Fathy Mohamed
Ghada
Mohamed Mourad
Rania
Abed El Hamid Zaki
Background: Women who use drugs have to face very hazardous consequences, self- stigma, internalize shame and stigmas of society as compared to men’s. They have less social support; are more influenced in issues relating to drug use and recovery by their parental role and through their partners; and are at a greater risk of exposure to violence and blood-borne infections. Aim: to assess the level of self stigma and shame among substance abuser women. Study design: a descriptive exploratory study design was used. Setting: this study was conducted at inpatient department for substance abusers women in Abbasiya for Mental health Hospital- Cairo city. Subject: convenient sample of 30 substance abuser women. Data collection tools: 1) Socio- demographic questionnaire for women. 2)Substance Abuse Self Stigma Scale, SASSS. 3) The Internalized Shame Scale, ISS. Results: the result of this study revealed that half of the studied substance abuser women had “high” level of self-stigma, less than half of them recorded “average” level, and the less of them had “low” level of self stigma related to substance abuse. Also, half of the studied substance abuser women had “average” level of shame, less than half recorded “high” level, and the less of them had “low” level of internalized shame related to substance abuse. Conclusion: the study concluded that, there were highly statistically significant positive correlations between total level of self-stigma and internalized shame among studied substance abuser women. Recommendations: A hotline must be available to solve immediate problems of substance abuser women with self stigma and shame. Expand primary health care services in community services frequently used by substance abuser women.
self-stigma
internalize shame
substance abuser women
2021
03
01
1775
1784
https://ejhc.journals.ekb.eg/article_257843_52234dd26d6a29b2532abdbb31c68373.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Women Perception Related To Genital Tract Infections
Samah
Mohamed Abdallah
Nadia
Hamed Farahat
Asmaa
Talaat Mohamed
Background: Genital tract infections are a global health problem for women at reproductive age. These infections threat the women’s health and cause of reproductive morbidity due to lack of perception about these infections. Aim: Assessing women’s perception related to genital tract infections. Research Design: A descriptive design was used. Setting: The study was conducted at 3 MCH centers at Al-wasta city, Bani- suef Governorate, Egypt. Sample: A purposive sample of 389 women. Tools of data collection: Two tools were used first, self-administered questionnaire tool composed of four parts to assess women's knowledge and practices, Second tool perception scale to assess women's perception Results: The study finding revealed that the mean ages of women at reproductive age group were 29.67 ± 5.42 years and more than three quarter of them had genital tract infections. The present study revealed that, less than two thirds of women had unsatisfactory knowledge related to genital tract infections. Also; less than half of women with genital tract infections reported healthy practices and the total perception of women were less than half had positive perception toward genital tract infection. Conclusion: Finding showed that, highly statistically significant relation between total knowledge with age, education level, occupation and place of residence (p-value <0.001**). A highly statistically significant relation between total knowledge and total practices (p-value <0.001**). Recommendations: Develop and implement educational program for women about genital tract infections to increase their awareness at MCH centers, Replication of the study on a larger sample and in different geographical areas in Egypt is recommended for generalization of findings.
Genital tract infections
perception
women at reproductive age
2021
03
01
1785
1797
https://ejhc.journals.ekb.eg/article_257844_3f2ed9b5a2e63bb86eceda824f8da5b8.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Lived Experience of Recovered COVID-19 Nursing Intern Students: A Qualitative Study
Mohamed
Gamal Mostafa
Mervat
Mamdouh Abu Zead
Background: Since its inception, Corona virus disease (COVID-19) has severely overburdened hospitals and all healthcare workers. One of the important key people were the nurses who did their best to provide nursing care for COVID-19 patients over extended hours. Due to the increased need for nursing staff, nursing intern students were deployed to help. The aim of the current study was to explore the lived experience of recovered COVID-19 nursing intern students. Materials and Methods: This phenomenological qualitative study was carried out in Cairo-Egypt. A purposive sample of 15 nursing intern students was recruited who worked at Internal medicine hospital (isolation hospital), which is affiliated to Cairo University hospitals. Data was collected through a semi-structured individual interview using a video recording zoom meeting. The technique of Colaizzi’s data analysis was used to extract, organize and analyze the data. Results: Five themes emerged from the data analysis as follows: response toward working with COVID-19 patients; readiness and preparation; challenges of the disease process; support system and coping; and post recovery state. Conclusion: Findings of the current study provide information about the challenges confronted by the participants and highlight support needs. Continuous education and training should be provided to assure that intern students are confident in taking care of patients during a pandemic. Also, the government should consider including intern students in the labor law to ensure adequate health care coverage for them.
COVID
19
Nursing
Qualitative
Recovered
Experience of intern
2021
03
01
1798
1809
https://ejhc.journals.ekb.eg/article_260883_2ee79e3a3fe96dc613ad15e0d44952ba.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Junior Nursing Students’ Attitude towards the Profession during Covid-19 Pandemic
Abeer
Abdallah Ali Hassan
Essam
Ahmed Abdelhakam Ahmed
Background: Attitude is very important concept in nursing due to high ambiguities and roleconflicts within that profession. The globally widespread outbreak of COVID-19 pandemic all overthe world affected all races and socioeconomic classes with its unprecedented negative effect on theusual way of living. This survey study aimed to identify junior nursing students’ attitude toward theprofession during COVID-19 pandemic. Methods: Utilizing a quantitative cross-sectional designthrough an electronic survey form developed by the investigators in two parts on personal profileitems and the attitude toward nursing profession scale was carried out for collecting data using totalenumeration as sampling technique; all students enrolled in the 1st and 2nd academic levels at theFaculty of Nursing – Minia University during the Academic year 2020/2021 (n= 1406) wereinvolved in the survey with voluntary and anonymous participation. Results: The study findingsrevealed that most of the students had a positive attitude toward nursing profession (97.3%) whileonly (2.7%) had a negative attitude with total mean score of the attitude level was 161.3 ± 19.2.Significant differences in overall attitude of the participated students in relation to their personalprofile were favored to females, rural resided and second academic level students. Conclusion: Theattitude of the junior nursing students during COVID-19 pandemic appeared to be positive towardstheir future profession. Against the investigators’ expectations, findings indicated that 2nd yearstudents exhibited more positive attitude toward the nursing profession during COVID-19 pandemicthan 1 st. year students.
nursing profession
Junior Students
Attitudes
COVID
19 Pandemic
2021
03
01
1810
1818
https://ejhc.journals.ekb.eg/article_266183_eb4d54e654ba883666b800f91134b3e9.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Community knowledge toward risk prediction of colorectal cancer
Shereen
Ahmed Ahmed Qalawa
Background: Colorectal cancer (CRC) is considered as a significant worldwide healthproblem1 and there is strong suggestion that screening can reduce CRC mortality rate. Thus, theeffectiveness of awareness toward screening may be encouraged screening performance andscreening intensity to those at highest risk. Aim: to find out community knowledge toward riskprediction of colorectal cancer at port-said city, Egypt. Subject and methods: A descriptive cross-sectional study was carried out using A purposive sampling on 220 female from age more than 20year at outpatient clinics from governmental hospitals (Alsalam general ,Port-fouad general hospitalAlgawhara hospital at Port-Said city, Egypt responded to the self-administered online survey .Statistical tools such as frequency, percentage, were used for the descriptive analysis. Results: There are a statistically significant relation was found between participant’s intentions to bescreened for colorectal cancer with their socio-demographic characteristics mainly in the itemsrelated to level of education and their occupation with ps= (0.015, 0.005) respectively .Recommendations: The community need for receive regular; periodic in-service preventiveprogram contains early signs, risk factors, and screening methods of colorectal cancer. There is anevident necessitate for designed modules, workshops, social media regarding preventive strategiesof colorectal cancer and screening. Further studies are needed to study barriers of colorectal cancerscreening on the large sample and wide geographical areas.
Community knowledge
Risk
prediction
colorectal cancer
2021
03
01
1819
1829
https://ejhc.journals.ekb.eg/article_271806_2958ced8bf5cfcac78c6dce8c9fd8996.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Tele-Rehabilitation Program for older adults Post COVID-19
Ferial
Fouad Melika
Fatma
Gomaa Mohamed Amer
Background: Tele-rehabilitation" means delivery of rehabilitation care services via a number of
technologies to older adults Post COVID which characterized with lung impairment, decrease
activities of daily living, risk of depression, anxiety, and poor quality of life. Aim: The study aimed
to evaluate the effectiveness of tele-rehabilitation program for older adults post COVID-19. Study
design: A quasi-experimental design was used to conduct this study. Subject: A purposeful sample
consisting of 112 older adult posts COVID-19. Setting: This study was conducted in the Ain Shams
University Specialized Hospital El Obour, Egypt. Tools: Self-reported electronic questionnaire was
designed in Arabic language to collect data through Microsoft form which consisted of 5parts to
assess demographic data, activities of daily living, quality of life, depression, and anxiety level.
Results:41.1% of the studied sample ranged between 65: ˂ 70 years, 93.8% of them suffered of
comorbidity, 87.5% suffered of breathlessness, 50.9% were dependent, 63.4% experienced poor
quality of life, 18.8% of them suffered from severe depression and 22.3% severe anxiety,
preprogram intervention which significantly improved post program implementation. Also, there
were positive correlation between rehabilitative care practices post COVID-19 and activities of
daily living, and quality of life while negative correlation with depression and anxiety level with p
value < .001. Conclusion: The study proved that the tele- rehabilitation program for older adult post
COVID-19 was effective to optimize functioning of activities of daily living and which lead to
improve independence level, and maximize quality of life, further, to relieve anxiety and depression.
Significantly with p value ˂ 0. 001. Recommendation: Further research to identify obstacles that
have been associated with applications of tele-communication technology, more home-based
programs, and enhancing the resilience of older adults to cope with stresses of COVID-19.
Tele-Rehabilitation
Older adult
post COVID-19
2021
03
01
1830
1845
https://ejhc.journals.ekb.eg/article_274760_034509d4d12068522ad11ab9210416c1.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effects of Nepotism on Nursing Staff Job Satisfaction, Organizational Commitment and Intention to Quit.
Heba
Abdelghany Mohamed
Karima
Hosny Abdel-Hafez
Background: Nepotism (favoritism) considered as unprofessional behaviors in work life
among nursing staff, which is still exists and continues. Aims: Evaluate the effects of nepotism on
nursing staff job satisfaction, organizational commitment and intention to quit. Subject: all
available nursing staff (n=1647) at Main Assiut University hospital (MAUH). Deign: Descriptive
correlation, Study tools: Two tools were used, tool I: included personal characteristics sheet, tool II:
included 4 parts; 1st part: measuring nepotism perception (n=37), 2nd part: effect of nepotism on
individual job satisfaction (n=5), 3rd part: effect of nepotism on organizational commitment (n=8),
4th part: effect of nepotism on intention to quit (n=5) among nursing staff. Results: the majority of
the nurse managers (83.5 %) had low level of nepotism perception, while the majority of staff
nurses had a high level (88.2%). There was a highly significant positive correlation of nepotism
with intention to quit, and there was a highly significant negative correlation with job satisfaction
and organizational commitment. Conclusion: The findings of the study indicated that, nepotism had
highly statistically adverse effects on almost all dimensions of the current study (nepotism paralyzed
individual job satisfaction, and leading to intention to quit among nursing staff. Recommendation:
The management of the hospital should pay attention to the workplace conditions, nepotism, and
organizational commitment, additional research to teach managers how to cultivate inventiveness
and creativity in order to perform at their best, rather than employing nepotism.
Nepotism
Job Satisfaction
organizational commitment
Intention to quit
Nursing Staff
2021
03
01
1846
1855
https://ejhc.journals.ekb.eg/article_274781_dd42ca27ec375dcc017882e95d8541f3.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Health Needs and Problems among Clients with Second-Degree Burn during Follow-Up
Lamiaa
Fathy Mohamed
Hala
Mohamed Mohamed Hussein
Mervat
Mohamed Hassan
Background: Second-degree burn represents an extremely stressful experience for both the
burn client as well as their families, second-degree burn profoundly affects the client's physical,
psychological, financial situation and family relations. Aim: Assess health needs and problems
among clients with second-degree burn during follow-up. Research design: A descriptive design
was used. Setting: The study was conducted at the Outpatient Burn & Plastic Clinic at Suez Canal
University Hospital at Ismailia Governorate, Egypt. Sample: Purposive sample composed of 150
clients with second-degree burn who attended to the previously mentioned setting. Tool: Data were
collected using one tool; A structured Interviewing questionnaire consists of 6 parts; (1) Socio-
demographic characteristics of the participants, (2) Burn characteristics, (3) clients’ knowledge, (4)
clients’ reported practices related to second-degree burn, (5) Health needs, and (6) Health problems
among clients with second-degree burn. Results: The study revealed that 60.7% of clients with
second-degree burn had unsatisfactory level of total knowledge regarding burn, and 65.3% of them
had incorrect level of total reported practices towards care of burn. Furthermore, there were 71.3%
of the studied clients their total physical, psychological, social and financial health needs were not
achieved, while, 67.7% of them had physical, psychological, social and financial problems related
to their second-degree burn. Conclusion: More than two-thirds of the studied clients their health
needs were not achieved, and suffered from health problems related to second-degree burn. There
was a highly statistically significant relation between clients’ knowledge, reported practices
regarding second-degree burn and their health needs. While, there was a statistically significant
relation between clients’ knowledge regarding second-degree burn and their health problems.
Additionally, there was a highly statistically significant relation between clients’ reported practices
and their health problems. Recommendations: Establishing Health education programs for clients
with second-degree burn to improve their level of knowledge and practices regarding burn. Further
studies are needed to determine the health needs and problems of clients at different age stages with
every degree of burn using large group size, and different settings
Second-Degree Burn
health needs
Health problems
2021
03
01
1856
1868
https://ejhc.journals.ekb.eg/article_275547_5548c34847c36f688440006029345ad1.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Educational Program on Compassion Fatigue and Compassion Satisfaction Among Psychiatric Nurses
Safaa
Mohamed Metwaly
Hala
Ahmed Elsayes
Background: Compassion fatigue among nurses has a negative influence on them and the quality of care they
provide. The aim of this study was to evaluate the effect of an educational program on compassion fatigue and
compassion satisfaction among psychiatric nurses. Subjects and Methods: Research design: A Quazi
experimental design (single group pre-post-test) was utilized in this study. Subjects: A purposeful sample of
105 psychiatric nurses was included in this study. Setting: This study was carried out at El-Azazi Mental Health
Hospital in Abo Hamad City, Elsharkia Governorate, Egypt. Tools of data collection: Nurse’s Interviewing
Questionnaire sheet and Professional Quality of Life Scale were used to collect data for this study. Results: The
percent of nurses experiencing high level of compassion satisfaction have been increased from (58.1%) at
pre-program to (85.7%) at post program period. While, burnout score has been decreased from 70.5% at
pre-program to 34.3% at post program period among studied nurses. As well as secondary traumatic stress
score have been decreased from 73.3% at pre-program to 61.9% at post program period among studied nurses.
Conclusion: The educational program was effective in reducing the level of burnout and secondary traumatic
stress (compassion fatigue) and enhancing the level of compassion satisfaction among studied psychiatric
nurses. Recommendations: Providing psychosocial counseling for psychiatric nurses experiencing compassion
fatigue (CF) can increase their abilities to understand the ways compassion fatigue affects various dimensions of
their lives, so they can be better equipped to develop and refine internal coping skills which help them in
managing the difficult nature of their job.
Compassion fatigue
Compassion Satisfaction
Professional Quality of Life
mental health hospital
2021
03
01
1869
1887
https://ejhc.journals.ekb.eg/article_275743_b62cd67131f0c304d838c68fb27d8218.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Aspects Allied with Quality of Life among El-Beheira Governorate Post-Mastectomy Women: A Mobile-Based Health Education
Hend
Abo Elsoud Ahmed
Lucy
Ahmed AbuElEla
Fathia
Khamis Kassem
Maha
Mahmoud Abdelaziz
Background: Women’s health is mostly affected by their quality of life; when it comes to breast cancer in particular, the loss of a breast traumatically affects a women’s quality of life. Health education and community health support are aids to improve these group health as well as their quality of life. The aims of this study are to determine aspects allied with quality of life among El-Beheira Governorate post-mastectomy women and assess the levels of women’s satisfaction regarding mobile-based health education. Research design: a descriptive research design was used. Settings: This study was carried out in Damanhour Oncology Center (DOC). Subjects: this study was carried out on a convenient sample of 200 women. Data collection tools: data were collected using two tools: the women’s structured interview questionnaire sheet and the Quality-of-Life Assessment Instrument (WHOQOL-100). Results: More than half of the studied women (56.0%) had poor quality of life, and the physical domain received the lowest percent score (45.24±16.07) followed by the spiritual domain (47.28±18.70). Conclusion: the study concluded that the Quality of life of post-mastectomy women on hormonal therapy may be positively affected in the domains of environment, and level of independence. Otherwise, it may be affected negatively in physical and spiritual health domains. Women were satisfied by the mobile-based health education delivered to them. Recommendations: Mobile-based health education must be intensified to raise public awareness and raise their QoL. Health education interventions to improve the quality of life of post-mastectomy women should be focused on the physical and spiritual health domains.
aspects
Allied with
quality of life
Mobile-based education
and Postmastectomy
2021
03
01
1888
1906
https://ejhc.journals.ekb.eg/article_278783_bae69930e191474451147accde2dc013.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Comparison Study between Traditional, Online and Hybrid Teaching Strategies among Obstetrics Nursing Students Regarding to Perception, Satisfaction, Academic Stress, and Self-efficacy during the Epidemic Covid- 19
Mona
Ahmed Abd-Elhamed
Samar
Elrefaey Abaza
Reda
Taha Ahmed Abou- Elazab
Seham
Shehata Mostafa
Background: Rapid changes occurred all around the globe because of the pandemic crisis. As a
result of "covid19," the educational sector had also suffered, and a widespread use of digital tools
had accelerated. Aim of this study: to Compare the effect of Online, Traditional and Hybrid
Teaching strategies among Obstetrics nursing students on their Perception, Satisfaction, Academic
Stress, and Self-efficacy during the Epidemic Covid- 19. Subjects and Methods: Comparative
descriptive research design was conducted at Faculty of Nursing -Minia University. Sample: A
randomized sample of six hundred students was included in this study. Data were collected through
five main tools: Tool I: Interviewing assessment, Tool II: Online learning perception, Tool III:
Students' Satisfaction, Tool IV: Academic Stress Scale (ASS) and Tool V: Self-Efficacy scale.
Results: The study revealed that the mean age of study students was 21.1 ± 2.5 years, 54.8% of
them were females. (58.5%) of traditional group had poor perceptions about quality of technology
and effectiveness of online teaching method,74.0% of the traditional teaching group had satisfactory
satisfaction with their teaching methods, 80.5% of the online teaching group students had high
stress level related to academic expectation, faculty work, and examination, and students’ academic
self-perception with statistically significant differences (P-Value < 0.001). Conclusion: This study
found that most of the students were satisfied with the traditional teaching method, academic stress
was present across all three groups (traditional, online, and hybrid), and the greatest levels of stress
were found among obstetrics nursing students who had taken the course via the online method with
low total perceptions and self-efficacy. Recommendations: Faculties should prioritize hybrid
learning that focuses on raising students' success and accommodates their unique learning styles.
Both educators and students would benefit much from specialized training programs in the use of
computers and internet and the management of the faculties should make concerted efforts to
facilitate this development providing educators with the resources they need to reduce student stress
in the classroom via the use of hybrid learning and other strategies. Additional research on the
connection between hybrid learning and academic success may be conducted.
Hybrid
perception
Satisfaction
Self-Efficacy
Academic Stress
COVID-19
2021
03
01
1907
1927
https://ejhc.journals.ekb.eg/article_283397_f660a73c86708a3322e59a3f6acb6627.pdf
Egyptian Journal of Health Care
1687-9546
1687-9546
2021
12
1
Effect of Evidence Based Guidelines on Nurses' Performance Regarding Pandemic COVID-19 in Isolation Units
Mona
Abdullah Mohammed
Magda
Kamal El-Shishtawy
Samah
Mahmoud Mohamed
Healthcare workers (HCWs) are on the front line of defense against the coronavirus disease 2019 (COVID19) pandemic. Inadequate knowledge and negative attitudes among HCWs can directly affect practices, leading to delayed diagnosis, poor infection control practices, and the spread of disease. Knowledge, attitude, and practice (KAP) is necessary for better management of COVID-19. Aim: This study aimed to evaluate the effect of evidence based guidelines on nurses' performance regarding pandemic COVID -19 in Isolation Units. Design: A quasi experimental design was used. Setting:This study was conducted in Isolation Units at internal medicine Hospital with Agar, Internal Medicine Hospital, and Cardiothoracic Hospital attached to Zagazig University Hospitals in Sharkia Governorate, Egypt. Sample: A purposive sample of 50 nurses.Tools:1) Self-Administered questionnaire for nurses to assess nurses' demographic characteristics, and nurses' knowledge regarding COVID-19 disease (Pre/ Post test), 2) Nurses' practices regarding COVID-19 (Pre/Posttest), and 3) Nurses' attitude Likert Scale towards COVID-19 (Pre/Posttest) Results: Most (96.0%) of the studied nurses had adequate self-reported practices towards preventive measures against COVID19 after the intervention, compared to less than two-thirds (60.0%) had reported total inadequate practices in the pretest itself. There was a highly statistically significant positive correlation between nurses' total knowledge, practices and their attitudes towards COVID-19 before and after the intervention (P<0.01). Conclusion: the implementation of evidence-based guidelines regarding COVID19 had a statistically significant effect in improving knowledge, practices and attitudes of nurses. Additionally, there was a highly statistically significant positive correlation between nurses' knowledge, practices, and their attitudes towards COVID-19 before and after the intervention, supporting the proposed hypotheses. Recommendations: The illustrated developed booklet should be accessible to all nurses caring for people with COVID-19 to use as a reference guide in their practice.
Evidence based guidelines
Nurses' Performance
and Pandemic COVID -19
2021
03
01
1928
1945
https://ejhc.journals.ekb.eg/article_288314_0309dac74da2eb5111cc0b68ea6fa695.pdf