| 1 |
Author(s):
Doaa Khaled Anwar, Entesar Fatouh Abdel Moneim, Shaimaa Hassan Mohamady, Doaa Shehta Saied.
Page No : 1-16
|
Study of Traditional Methods Utilized to Relieve Minor Discomfort During the third Trimester of Pregnancy
Abstract
Background: pregnant women suffer from minor discomforts during their pregnancy period. wich are due to hormonal change. The common of minor discomforts are nausea and vomiting, fatigue, constipation ,heart burn, backache ,dyspnea, leg cramps varicose vein, insomnia even though changes are not dangerous, still bothersome. Women use number of traditional methods remedies to relieve minor discomforts. Aim to study of traditional methods utilized to relieve minor discomfort during third trimester of pregnancy. Design: A descriptive design was used. Setting: The study was conducted at Heker Altebeen center and Alwehda Alrefeua bal Massaken Al-marazeq center. Subjects: A purposive sample include (75) pregnant women were involved in the study from the previous mentioned setting. Tools: Data were collected through using two tools; I- An Interviewing questionnaire sheet. II- Assessment of traditional practices. Results: The study revealed that statistical significant relationship between age and residence of the studied pregnant women and their knowledge regarding the utilized traditional methods for relieving minor discomforts during third trimester and statistical significant relationship between gravidity history of the studied pregnant women and their knowledge regarding the utilized traditional methods for relieving minor discomforts during third trimester. Conclusion: more than half of the studied pregnant women reported that the utilized traditional methods for relieving minor discomfort were high effective, while more than one quarter of studied pregnant women reported moderate effectiveness and less than one quarter of studied pregnant women reported mild effectiveness. Recommendations: Health education program for women should be developed to raise their awareness about the physiology of pregnancy and useful traditional practices during pregnancy.
| 2 |
Author(s):
Asmaa Ahmed Hasan Mahmoud, Baghdad H. Mahmoud, Sabah A. Ammar.
Page No : 17-32
|
Using the Deep Breathing Technique to Decrease Pain Intensity during Wound Care for Burned Patients
Abstract
Background: Burn is the worst tragedy among modern societies that individuals may experience. One of the most important problems of burns is pain; particularly at the time of treatment which includes burn dressings, debridement, surgical incisions and physiotherapy. The aim of this study was to assess the effect of using the deep breathing technique to decrease pain intensity during wound care for burned patients. Design: A quasi-experimental design was utilised. Setting: The study was conducted in the burn unit at El Minia general hospital. Sample: A purposive sample of (60) adult patients from both genders who were randomly and alternatively divided into two equal groups study and control (30 patients in each group). Tools: data were collected by three tools: tool I, Structured interview questionnaire, tool II, patient observational checklist and tool III, pain assessment scale. Results: The study revealed that there was a statistically significant difference in decreasing pain intensity among the study group after implementing the deep breathing technique. Conclusion: the application of the deep breathing technique for burned patients was effective in decreasing pain intensity. Recommendations: Apply the deep breathing technique for burned patients by teaching technique before wound care and apply it during and after wound care as routine and regular care to decrease pain intensity associated with wound care.
| 3 |
Author(s):
Aya Rabee Abd Alfataha, Shaimaa Hassan Mohamady, Doaa Shehta Said Farg.
Page No : 33-54
|
Assessment of Knowledge and Practice Regarding Breast Feeding among Working and Non-Working Mothers
Abstract
Background: Breastfeeding is widely acknowledged as the ideal method of providing optimal infant nutrition. Breast milk is the most complete food for babies and provides all of the nutrients needed for the first 6 months. Aim: assess the knowledge and practices regarding breastfeeding among working and non-working mothers. Design: Descriptive design was used for conducting the study. Sampling: A Purposive sample of 90 breast feeding mother. Setting: The study was carried out at El-Khosos central hospital Egypt. Tools: Two tools used for data collection: Tool I: A Structured interview questionnaire consist of demographic characteristics, obstetric history and knowledge assessment sheet. Tool II: Mother observational practice checklist regarding breast feeding. Results:the study showed that more than half of working mothers group was good knowledge regarding to breastfeeding. While non-working mothers' total Knowledge toward breastfeeding were poor knowledge. Regarding to non-working mothers' total practice toward breastfeeding the study results showed that majority of non-working mothers had inadequate practice. While study results show that more than half of working mothers had adequate practice regarding breastfeeding. Conclusion: There was highly significant difference between working mothers and non-working mothers according knowledge and practice regarding breastfeeding there were significant differences between working mothers and non-working mothers according to total mean score of knowledge and practice. Also there were highly significant relation between knowledge and practice in working mothers. Study also shows that there were highly significant correlation between knowledge and practice in working mothers and significant correlation between knowledge and practice.Recommendations: Mothers should be taught on how to breastfeed and maintain exclusive breastfeeding through breast feeding booklet.
| 4 |
Author(s):
Amr Shaban Ali Soliman, Dr. Huwida Hamdy Abd-Elmonem, Prof. Dr. Safaa Salah Ismail.
Page No : 55-68
|
Assessment of Nurses’ Performance Regarding Infant Sleep Position on Sudden Infant Death Syndrome at Neonatal Intensive Care Units
Abstract
Background: Sudden infant death syndrome (SIDS) is the sudden unexplained death of an infant during sleep. It is the most common cause of post neonatal mortality. Aim: This study aimed to assess nurses' performance regarding infant sleep position on sudden infant death syndrome at Neonatal Intensive Care Units (NICUs). Design: A descriptive research design was used to conduct this study. Settings: This study was carried out at NICUs in Helwan General Hospital affiliated to Ministry of health and Mustafa Hassan Pediatric Hospital affiliated to Fayoum University Hospitals. Sample: A convenience sample of seventy nurses who providing care for preterm and low birth weight infants admitted to NICUs in the previous mentioned settings. Tools: Two tools were used for data collection; 1st tool: A structured interview questionnaire sheet consists of two parts: Part (1) to assess characteristics of studied sample, Part (2) to assess nurses' knowledge regarding infant sleep position on SIDS, 2nd tool: Observational checklist to assess nurses' practice regarding infant sleep position on SIDS. Results: The mean age of studied nurses was 25.47±4.26 years and the mean gestational age of infants was 32.43±2.71 weeks, 55.7% of the studied nurses had unsatisfactory level of knowledge regarding infant sleep position on SIDS. Also, the study proved that, 58.6% of studied nurses had incompetent level of practice regarding infant sleep positions at NICUs. Conclusion: It can be concluded that, more than half of the studied nurses had unsatisfactory total level of knowledge regarding infant sleep position on SIDS and more than half of them had incompetent practice. Additionally, there were statistically significant differences between nurses’ total level of knowledge and their characteristics namely educational qualifications (P =0.033) and attendance of previous educational courses about the infant sleeping position at the NICUs (P =0.005), while there were highly statistically significant differences between nurses’ total level of practice and their years of experience at NICUs (P<0.001).Recommendations: Continuous training program for nurses to improve their performance regarding infant sleep position on sudden infant death syndrome.
| 5 |
Author(s):
Emejulu Yewande Anne M., Ezenduka Pauline Ojinika, Nwankwo Clementina Ukamaka.
Page No : 69-81
|
Mothers’ Satisfaction Towards Maternal and Child Healthcare Services Rendered at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra Stat
Abstract
Patient satisfaction has been identified as a major index in the assessment of quality of healthcare globally. Mothers judge the quality of maternal and child healthcare services received based on their satisfaction with the services provided, thus influencing their utilization of healthcare facilities. The aim of this cross-sectional study is to determine the satisfaction of mothers towards maternal and child healthcare services rendered at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Two research questions and three research hypotheses guided the study. Using Taro Yamane’s formula for calculating sample size, a total number of four hundred (400) women were recruited, using convenient sampling techniques. The instrument for data collection was the questionnaire which was validated by three experts and a reliability coefficient of 0.99. Frequency counts and percentages were used to answer the research questions. Findings revealed that the respondents’ satisfaction with the maternal and child health services was above average as 41.5% were very satisfied with the antenatal care services received while 53% identified health providers’ attitude as one of the factors affecting their satisfaction. An association was found to exist between maternal age and satisfaction with quality of care and subsequently utilization of the services. There is no statistically significant relationship between maternal education and parity, and satisfaction with maternal and child health services. The null hypothesis was accepted at P>0.05. Though the overall maternal satisfaction on the maternal and child healthcare services provided was very good, the few domains of dissatisfaction identified need to be addressed by healthcare professionals and policymakers to sustain and improve utilization of orthodox healthcare services amongst mothers, thereby contributing to achieving the third Sustainable Development Goal. Hence, midwives should pay attention to women’s needs and provide opportunities for them to state how they feel and be carried along with their care.
| 6 |
Author(s):
Alfred Eboh, Grace Oremeyi Akpata, James Enemona Onoja.
Page No : 82-100
|
Awareness, Knowledge and Observance of COVID-19 Non-pharmaceutical Protocols in a Tertiary Health Care Facility in Kogi State, Nigeria
Abstract
Background and Aim: There appears yet to be a permanent therapy for COVID-19 as several countries of the world have deliberately adopted some measures and strategies aimed at preventing and mitigating the impact of the virus on human lives. It was on this basis that the study investigated the extent of awareness, knowledge and the use of non-pharmaceutical protocols in COVID-19 prevention among the Health Care Workers (HCWs) of Kogi State University Teaching Hospital (KSUTH), Anyigba, Kogi State. Methods: It was survey research that relied completely on the use of a structured, close-ended questionnaire to study 226 health workers through an internet-based Open Data Kit (ODK). Meanwhile, descriptive statistics were used for the analysis of the data and it was facilitated by the deployment of SPSS version 23 software. Results: The results showed that most of the health care workers (59%) are males. The medical/ clinical staff accounted for 38.3% of the total workforce. There was high awareness and knowledge of the disease among the workers even as social media remained the most source of information for them. Apart from skin rash, all the clinical symptoms such as high fever, coughing, vomiting, elevated body temperature, sore throat and runny nose, and flu were correctly identified. Except for greetings by handshake, all the non-pharmaceutical protocols were observed by the workers. Moreover, the study established a significant association between awareness and knowledge of the disease and observance of the non-pharmaceutical preventive protocols. Conclusion: The authors concluded that observance of the non-pharmaceutical protocols remained probably the best approach to containing COVID-19 for now because even the various vaccines being produced across the world have not been able to completely eliminate the pandemic.
| 7 |
Author(s):
Doha Ibrahim Rateb Khodier, Furat Hussein Mahmoud, Eglal Hassanein Abdel Hakeim, Shimaa Attia Ali Mohamed.
Page No : 101-123
|
Assessment of Nurses’ Knowledge and Practice Regarding Prevention of Deep Venous Thrombosis Among Hospitalized Patients with COVID-19
Abstract
Background: Venous thromboembolism (VTE) is a leading cause of patient morbidity in hospitalized patients with COVID-19; it is a common and potentially fatal complication. Knowledge and effective practice on VTE prophylaxis are vital for the proper patients’ management. Inadequate knowledge and poor practice of health professionals towards VTE prophylaxis increased patients' complications. The aim of the study: assess nurses' knowledge and practice regarding prevention of deep venous thrombosis among hospitalized patients with COVID-19. Design: A descriptive exploratory design. Setting: The study was conducted at Al Kasr Al Einy Teaching Hospital (Cairo University Hospitals). Subject: A convenient sample includes 100 nurses from the previously mentioned setting. Tools: Data were collected using two tools; a Knowledge self-administrated questionnaire and a practical observational checklist. Results: results showed that less than half of the studied nurses were more than 30 years. Majority of them were female, more than half had Institute of nursing, and majority of them had experience more than 6 years. There was no a statically significant correlation between nurses' knowledge and practices and the demographic data. Conclusion: The findings of this study indicated about two-thirds of studied nurses were an unsatisfactory level of knowledge and the majority of them had an incompetent level of practice regarding prevention of DVT among hospitalized patients with COVID-19. Furthermore, there was a statically significant correlation (P<0.05) between total nurses' knowledge and practices. Recommendations: Continuous educational programs to enhance the nurse's knowledge and practices regarding DVT prevention among hospitalized patients with COVID-19.
| 8 |
Author(s):
Hind Magdy Hashim Kamel, Afaf Salah Abdel-Mohesen, Amany Abdel-Aziz Gomaa, Mayada Taha Mahmoud.
Page No : 124-145
|
Risk Factors of Acne Vulgaris in Preparatory School Students in Fayoum City
Abstract
Background: Acne vulgaris (AV) is a multifaceted skin defect. It is the most popular skin disease, and it usually appears among preparatory school students. Aim: was aimed to assess risk factors of acne vulgaris in preparatory school students in Fayoum City. Research Design: A descriptive research design was used in this study. Setting: The current study was conducted from 49 preparatory schools in Fayoum City. Sample: A purposive sample was used to select 400 students diagnosed with acne vulgaris. Tools: the investigator used one tool: An interviewing questionnaire which consists of four parts patients socio-demographic data, Assess family past history and past medical history of preparatory school students diagnosed with acne vulgaris, preparatory students' knowledge regarding acne vulgaris, and risk factors that lead to acne are divided into hormonal factors, diet habits, hygiene habits, use of cosmetics products, sun exposure, and another habit. Results: This study showed, 48.5% of studied preparatory school students were in the age group 15 years, 65.0% of them were females, 40.25% of preparatory school students had average knowledge and 53.2% and 51.8% of students had a high level of risk factors about acne vulgaris related to hormonal factor and sun exposure factor, 46.8%, 44.8% and 56.7% of them had a moderate level of risk factors about acne related to dietary habits, personal hygiene, and other habits, 51.8% of them had a low level of risk factors about acne related to using cosmetics. Conclusion: There was a significant relationship between sexes with total risk factor levels. Additionally, it was a significant relationship between total risk factors level and student's family history of acne vulgaris. Recommendations: Periodic health education for community health nurses and school nurses about acne vulgaris that is helpful in early detection and management decrease those complications and improve preparatory school students' quality of life.
| 9 |
Author(s):
Shimaa Abdel Monsef Abdel Karem, Furat Hussein Mohamed, Sedeka Sadek Ramadan.
Page No : 146-158
|
The Effect of Using Mobile Applications on Facilitating Nursing Intervention in Critical Care Units
Abstract
Background: Mobile applications and cellular phone usage at critical care units have grown exponentially in the recent years with introduction of new communication systems and newer and smaller phone models. The aim of this study was to assess the effect of using mobile application in facilitating nursing intervention in critical care units. Design:. A descriptive exploratory design was utilized to achieve aim of the study. Setting: the study was conducted at critical care units at Bahtem Hospital. Sample: A convenient sample of 50 nurses were included in the study. Tools: Tool I: Structured interviewing questionnaire: included three parts. Part I: Socio demographic characteristics of nurses, Part II: Mobile phone data, Part III: Nurses’ knowledge regarding mobile phone, electromagnetic waves and their effects. Tool II: Observational checklist of nurses’ practices regarding use of mobile and mobile applications at CCU Results: The study results founded that half of studied nurses had satisfactory total knowledge level regarding mobile phone, electromagnetic waves and their effects, while the majority of them were using web services to download medical information and to translate incomprehensible medical terms, were using social media programs to send information to the medical team and were exchanging practical information within private groups (Whats App). Conclusion: there was a high statistically significant correlation between total level of knowledge of the studied nurses and their total practices of using of mobile phones applications at critical care units and there was a statistically significant correlation between total level of knowledge and total practices level. Recommendations: continuous health education about mobile phone applications should be planned to the staff and health care professional, Sharing and participation in the knowledge of the latest modern medical programs that contribute to raising the level of nursing in the health care provided to patients with intensive care.
| 10 |
Author(s):
Sahar Ramadan Abd El ghani Hamzway, Dr. Afaf Salah Abd El- Mohsen, Dr. Amal Ibrahim Foud, Dr. Aliaa Mohammed Othman El-Afandy.
Page No : 159-177
|
A Foot Ulcer Prevention Guideline Program for Elderly Diabetic Patients at EL – Fayoum General Hospital
Abstract
Background: Diabetic foot ulcer is a serious complication of diabetes and a major cause of morbidity and mortality among diabetic elderly patients, and good prevention guideline programs will inhibit the diabetic foot ulcer and further complication. Aims: This study aimed to evaluate the effect of a foot ulcer prevention guideline program for elderly diabetic patients at EL- Fayoum General Hospital. Research design: A quasi-experimental research design was used to utilize this study. Setting: The study was conducted at the medicine outpatient clinic in EL- Fayoum General Hospital. Subjects: A purposive sample was used to choose 300 elderly diagnosed with diabetes. Tools for data collection: Two tools for data collection were used. 1st tool: Structured interviewing questionnaire included demographic characteristics of elderly patients, past and current medical history, knowledge assessment questionnaire, patients reported practice questionnaire. 2nd tool: Observational checklist to assess foot ulcer risk included neurological foot assessment and peripheral vascular assessment. Results: It was revealed that there was a highly statistically significant improvement in total knowledge, good score and satisfactory reported practice represented as (7% to 85.3%) and (40.3% to 93.30%) respectively pretest versus posttest. In addition, there was a highly statistically significant improvement in total neurological foot items and total right and left peripheral vascular items represented as (14.23±3.004 to 16.97±1.800), (11.38±2.57 to 12.22±2.11) and (11.32±2.63 to 12.15±2.14) respectively pretest versus posttest. Conclusion: The current study concluded that after applying the foot ulcer prevention guideline program, level of knowledge, reported practice and foot ulcer risk scale of elderly diabetic patients improved. Recommendation: Periodic prevention guideline program and reduction sessions regarding the prevention of foot ulcer in diabetic elderly patients.
