Document Type : Original Article
Authors
1
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Menoufia University
2
Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University
3
Assistant Professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University
4
lecture of Pediatric Nursing, Faculty of Nursing, Cairo University, Assistant Professor, King Saud Bin Abdulaziz University for Health Sciences, Collage of Nursing
Abstract
Background: Nonsynostotic Plagiocephaly (NSP) is acquired cranial asymmetry that usually
caused by external pressure on infant's skull. The aims, of this study were two folds: to evaluate the
effect of Evidence-Based guidelines for prevention of nonsynostotic Plagiocephaly on nurses’ and
parent knowledge and to determine the effect of applying the Evidence-Based Guidelines on the
occurrence rate of NSP. Design, A quasi experimental design was used in this study. Setting, the
study was carried out in the following four health care centers in Menoufia Governorate in Egypt
(the health center in Barakat Al-Sabaa, the health care unit in Barakat Al-Sabaa, and the health unit
in the village of Al-Shaheed Fikry the health unit in the village of Al-Rawda). Sample,
Convenience sample of 58 nurses and purposive sample of 295 mothers and their infants. Tools,
three tools were used for data collection tool one: part one ,Nurses’ Biosocial Characteristics
Questionnaire, part two Nurses ‘knowledge assessment Questionnaire. Tool two, the Parents
knowledge assessment Questionnaire. Tool three, Part 1: Biosocial characteristics for infants, and
Part 2: Cranium assessment scale. Results, this study showed improvements in nurses’ and parents’
knowledge about the prevention of NSP in the study group post-intervention compared to the
control group. Therefore, there are high statistical significance differences between pre and post-
intervention in the study group at a 1% level of significance. The occurrence of nonsynostotic
plagiocephaly among study group was (18.2%) at 4 months, while it decreased at 6 months it
reaches (7.3%) after implementing evidence-based guidelines, instead of the control group which
the occurrence of NSP reach 27.5% and 22% at 4 and 6 months respectively. Conclusions,
implementation of evidence-based guidelines regarding prevention of nonsynostotic plagiocephaly
significantly increases parents’ and nurses’ knowledge, also, it decreased the occurrence rate of
nonsynostotic plagiocephaly among infant. Recommendation: Continuous training of evidence-
based guidelines should be established in each maternal and child health care centers to enhance
parents adherence to evidence base regarding preventive measure of nonsynostotic plagiocephaly.
Keywords
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