COVID 19 Outbreak and Care Givers' Management Approach of their Children who undergoing Hemodialysis

Document Type : Original Article

Authors

1 Lecturer of Pediatrics Nursing Department, Faculty of Nursing, Aswan University-Egypt

2 Lecturer of Community Health Nursing Department, Faculty of Nursing, Aswan University. Egypt.

3 Lecturer of Pediatrics Nursing Department, Faculty of Nursing, Port Said University

4 Assistant professor, Department of pediatric health nursing, college of Applied Medical Sciences, Prince Sattam Bin Abdul-Aziz University, Alkharj, Saudi Arabia.

Abstract

Background: COVID-19 is an acute pulmonary infection caused by a coronavirus and
characterized by several clinical characteristics ranging from asymptomatic to respiratory failure that
required special care. Aim: Evaluate the impact management approach for caregivers regarding
prevention and control strategies of COVID19 for their children undergoing hemodialysis. Study
Design: Quasi-experimental design was used. Setting: The study was conducted at pediatrics dialysis
units at Mansoura University Children’s Hospital. Subjects: A convenient sample of (34) children
undergoing hemodialysis therapy & their caregivers who accompanied them. Tools: three tools used in
this study; Tool (I): Include three parts: Socio-demographic characteristics of the studied children,
Clinical information of the studied children undergoing hemodialysis, and Sociodemographic
characteristics of children's caregivers. Tool (II): included two parts; Knowledge of caregivers related
to hemodialysis, knowledge of caregivers related to COVID19, and Preventive and control strategies of
Covid19 used by caregivers for their children undergoing hemodialysis therapy. Tool (III): Strategies
and precautions followed by caregivers related to hemodialysis therapy and preventive and control
strategies of Covid19 used by caregivers for their children undergoing hemodialysis therapy. Results:
The results revealed that there was a statistically significant effect on caregiver’s knowledge regarding
hemodialysis, COVID-19. In addition to there was a statistically significant difference in the
application of COVID19 prevention precautions followed by caregivers for their children undergoing
hemodialysis through the program phases with P<0.001.Conclusion: a significant improvement of
caregiver’s knowledge regarding the hemodialysis, COVID-19 post & follow up implementation
phases compared with the pre-implementation phase. In addition to there was also a significant
improvement in the application of preventive and control strategies of Covid19 followed by studied
caregivers for their children who undergoing hemodialysis after the program application.
Recommendation: Infectious disease guidelines of the COVID-19 epidemic should be conducted by
healthcare staff in pediatric dialysis centers in order to reduce the transmission of
infection among
children with chronic renal failure.

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