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Effect of Continuous Care Model on Quality of Life and Pregnancy Maternofetal Outcomes after Bariatric Surgery 持续护理模式对减肥手术后生活质量及母婴结局的影响
Pub Date : 2022-07-01 DOI: 10.21608/ejnhs.2022.251412
Fatma Aboulkhair, O. Afifi, Rasha Elauoty, Shaimaa Mohamedy
Long-term outcomes after bariatric surgery and quality of life depend on how well-educated women are about how to support postoperative weight loss and engagement of health-related behavior need women to do. Nurses had an important role in caring of post bariatric surgery pregnant women to reduce maternal and neonatal risks. Aim of the current study was to evaluate the effect of continuous care model on quality of life and maternofetal outcomes of pregnancy after bariatric surgery. Design: Quasi-experimental design. Setting: The study was conducted in Obstetric and Gynecological out-patient clinic at Benha University hospital. Subjects : A purposive sample of total 108 of Primigravida women after bariatric surgery “were recruited in the current study, they were allocated into two groups: control group included (54) Primigravida women they had ordinary nursing care. Study group included (54) Primigravida women they had continuous care model. Tools: five tools were used for data collection, A self-administered questionnaire tool, Women’s knowledge questionnaire tool, Health-related behaviors questionnaire, World Health Organization Quality of Life BREF (WHOQOL-BREF) & Maternal and neonatal outcomes questionnaire. Results of the study showed a highly statistically significant differences regarding knowledge and self-care practice between study and control groups regarding self-care of pregnancy after bariatric surgery. Results: The study showed a highly statistically significant differences regarding knowledge and self-care practice between study and control groups regarding self-care of pregnancy after bariatric surgery (p<0.000) and there was a statistically difference between two groups regarding maternal and neonatal outcomes including anemia, antepartum hemorrhage, gestational diabetes, and postpartum hemorrhage among mother and between intrauterine growth retardation, low birth weight and the Apgar score at the 5 th minute among neonates. Conclusion: continuous care model had a positive effect on quality of life and maternofetal outcomes. Recommendation: Continuous care model should be incorporated as a nursing intervention for all post bariatric surgery pregnant women to promote their health behaviors and improve their quality of life.
减肥手术后的长期结果和生活质量取决于女性是否受过良好的教育,了解如何支持术后减肥和参与女性需要做的健康相关行为。护士在护理减肥手术后的孕妇以降低产妇和新生儿风险方面发挥了重要作用。本研究的目的是评估持续护理模式对减肥手术后妊娠的生活质量和母胎结局的影响。设计:准实验设计。研究地点:本研究在本哈大学附属医院妇产科门诊进行。研究对象:本研究有目的地招募了108名“减肥手术后”的“初迁女性”,将其分为两组:对照组包括54名接受普通护理的“初迁女性”。研究组包括54例接受持续护理模式的初产妇。工具:使用5种工具进行数据收集:自我管理问卷工具、妇女知识问卷工具、健康相关行为问卷、世界卫生组织生活质量BREF (WHOQOL-BREF)和孕产妇和新生儿结局问卷。研究结果显示,实验组和对照组在减肥手术后妊娠自我护理的知识和自我护理实践方面存在高度统计学上的显著差异。结果:研究结果显示,实验组与对照组在减肥手术后妊娠自我护理知识和自我护理行为方面差异有高度统计学意义(p<0.000),两组在母亲贫血、产前出血、妊娠糖尿病、产后出血等母婴结局及宫内发育迟缓之间差异有统计学意义(p<0.000)。低出生体重和新生儿第5分钟的阿普加评分。结论:持续护理模式对产妇的生活质量和母胎结局有积极的影响。建议:应将持续护理模式纳入所有减肥手术后孕妇的护理干预,以促进其健康行为,提高其生活质量。
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引用次数: 0
Effect of Stigma on Nurses' Mental Health and Social Support during COVID-19 Pandemic COVID-19大流行期间病耻感对护士心理健康和社会支持的影响
Pub Date : 2022-07-01 DOI: 10.21608/ejnhs.2022.251414
Heba Marzouk, Eman Ali Awad, Evon Sokre, A. Gomaa
Background : Nurses always a public target of stigmatization through extensive infections and COVID-19 which lead to psychological and social disorders among them. Aim of this study was to evaluate the effect of Stigma towards nurses during COVID-19 pandemic on nurses , mental health and social support. Design : descriptive correlational was utilized. Setting : The study was conducted at the survey through a link shared on nurse networking sites. Sample : A purposive sample of 500 nurses was asked to complete an online survey. Data collection conducted from 8 May 2021 to 9 July 2021 in Egypt. Tools : an online semi-structured questionnaire consisted of 4 parts ; ( 1) personal data such as age, sex, residence, marital status, and level of education. (2) Effect 16 items COVID19 stigma (E16-COVID19-S); measuring level of stigma, (3) scale of Indicators of negative mental health impact to measure negative health impacts, and (4) scale of impact on social and family support to measure level of social support. Results : showed that nurses suffered from a moderate level of stigma and social support. But, one half of the nurses studied suffered from a high level of Negative impact on mental health. Statistical tests showed a statistically significant difference between all factors of stigma and years of experience, courses of training and worked in COVID-19 facility. Also, there was a positive effect of the stigma on impacts indicators of negative health, and negatively impacts social support. Conclusion : Stigma towards nurses during COVID-19 pandemic was positive predictors of the negative mental health impact, while being negative predictors of family and social support improvement. Recommendations : educational and Psychological intervention program about stigma and discrimination for nurses to ensure adequate adaptation and high quality of health care. E16-COVID19-S stigma factors. The current study showed that reveals that male nurses, those aged 20–30, highly educated nurses, trained nurses (11–20 years), and those working at COVID facilities or quarantine centers have the highest percentage of personalized stigma, disclosure concerns, public attitudes, and negative experiences. There is a statistical significance between all of them and all three stigma-related factors.
背景:由于广泛感染和COVID-19导致护士心理和社会障碍,护士一直是公众污名化的目标。本研究旨在评估COVID-19大流行期间对护士的耻辱感对护士心理健康和社会支持的影响。设计:采用描述性相关分析。设置:该研究通过护士社交网站上共享的链接在调查中进行。样本:有目的的500名护士被要求完成一项在线调查。2021年5月8日至2021年7月9日在埃及进行了数据收集。工具:一份由4部分组成的在线半结构化问卷;(一)年龄、性别、居住地、婚姻状况、文化程度等个人资料。(2)影响16项covid - 19污名(e16 - covid - 19- s);(3)负面心理健康影响指标量表,衡量负面健康影响;(4)社会和家庭支持影响量表,衡量社会支持水平。结果:护士存在中等程度的耻辱感和社会支持。但是,研究中有一半的护士在心理健康方面受到了高度的负面影响。统计测试显示,所有污名因素与经验年数、培训课程和在COVID-19设施工作之间存在统计学显著差异。此外,耻辱对负面健康影响指标有积极影响,对社会支持有消极影响。结论:在COVID-19大流行期间,对护士的污名是负面心理健康影响的正向预测因子,而是家庭和社会支持改善的负向预测因子。建议:对护士进行污名化和歧视的教育和心理干预,以确保适当的适应和高质量的医疗服务。e16 - covid - 19- s柱头因素。目前的研究表明,男性护士、年龄在20-30岁之间的护士、受过高等教育的护士、受过培训的护士(11-20岁)以及在COVID设施或隔离中心工作的护士的个性化污名、披露担忧、公众态度和负面经历的比例最高。三者与耻感相关因素均有统计学意义。
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引用次数: 0
Effect of Transcutaneous Electrical Nerve Stimulation Device on Pain Intensity among Female Students during Primary Dysmenorrhea 经皮神经电刺激装置对女生原发性痛经疼痛强度的影响
Pub Date : 2022-07-01 DOI: 10.21608/ejnhs.2022.251415
R. Abobaker, Rasha Abdalaziz
Background: primary dysmenorrhea is characterized by cramping, dull, and throbbing pain in the lower abdomen. The device of transcutaneous electrical nerve stimulation (TENS) is one of the non-pharmacological approaches to stimulate the nerves for therapeutic purposes. The gate control theory and the release of endogenous morphine are at the core of TENS' effect on primary dysmenorrhea. Aim: The study aimed to evaluate the effect of the Transcutaneous Electrical Nerve Stimulation device on pain intensity among female students during primary dysmenorrhea. Research design: A quasi-experimental study design was applied. Research setting: The study was performed in the medical clinic at Gulf Colleges, Hafr Al Batin Governorate, Saudi Arabia. Sampling: A purposive sample comprised of 100 students. They were assigned randomly into two different groups (50) the active TENS group (study group), and (50) for TENS placebo group (control group) Tools: three tools to collect data: Tool ( I) : socio-demographic and menstrual characteristics, Tool (II) : dysmenorrheal pain profile, Tool ( III) : Visual Analogue Scale (VAS). It was used to measure the intensity of pain for both groups. Results : There was a statistically significant difference found among students of the study group after the intervention, where (P-value<0.0001). Moreover, another high significant difference was also detected among students of the study group after the first and second months of intervention about their intensity of dysmenorrheal pain where (P-value=0.000). Conclusion: TENS is a non-pharmacological method for reducing the severity of pain and symptoms associated with primary dysmenorrhea. Recommendations: TENS should be advocated as a non-pharmacological method for the treatment of primary dysmenorrheal pain.
背景:原发性痛经以下腹痉挛、钝痛和搏动性疼痛为特征。经皮神经电刺激装置(TENS)是一种非药物刺激神经的治疗方法。门限控制理论和内源性吗啡的释放是TENS治疗原发性痛经的核心机制。目的:探讨经皮神经电刺激装置对女生原发性痛经疼痛强度的影响。研究设计:采用准实验研究设计。研究环境:本研究在沙特阿拉伯Hafr Al Batin省海湾学院的医学诊所进行。抽样:由100名学生组成的有目的的抽样。他们被随机分为两组(50人):活跃的TENS组(研究组)和安慰剂组(对照组)。工具:三种工具收集数据:工具(I):社会人口统计学和月经特征,工具(II):痛经概况,工具(III):视觉模拟量表(VAS)。它被用来测量两组人的疼痛强度。结果:实验组学生干预后差异有统计学意义(p值<0.0001)。此外,在干预的第一个月和第二个月后,研究组学生的痛经强度也出现了另一个高度显著差异(p值=0.000)。结论:TENS是一种减轻原发性痛经疼痛和症状的非药物治疗方法。建议:应提倡将TENS作为治疗原发性痛经的非药物方法。
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引用次数: 0
Effect of Life Style Modification on the health status for Patients with Ulcerative Colitis 生活方式改变对溃疡性结肠炎患者健康状况的影响
Pub Date : 2022-07-01 DOI: 10.21608/ejnhs.2022.251409
N. Mohamed, Amany Ahmed, S. Elhadary
Ulcerative colitis is a chronic inflammatory disease affecting the colon, and its incidence is rising worldwide. The pathogenesis is multifactorial, involving genetic predisposition, epithelial barrier defects, and environmental factors . Aim : The aim was to evaluate the effect of Life style Modification on Patients with Ulcerative Colitis. . Setting sample: A purposive sample, A quasi-experimental (pretest posttest) research design was adopted for the current study. Fifty-seven patients with ulcerative colitis were enrolled in this study in gastrointestinal out-patient clinic at Kafre El sheik University Hospital . Tools: Structured patient interview questionnaire and Healthy lifestyle questionnaire tools were used to collect the data. Results: The study results revealed that (56.1 %) of the study participant were male whereas (43.8%) were female. The results revealed that total knowledge scores of patients' post-interventions were improved than that of their pre-scores, in addition to increase the total score of healthy lifestyle adherence after the study interventions and follow-up compared to pre intervention with highly statistically significant differences between them at p < 0.001. Conclusion: Lifestyle modifications can be effective in improving selected outcomes for patients with ulcerative colitis. Recommendations: Replication of the study on larger probability sample selected from different geographical areas in Egypt is recommended to more generalizable data.
溃疡性结肠炎是一种影响结肠的慢性炎症性疾病,其发病率在世界范围内呈上升趋势。其发病机制是多因素的,涉及遗传易感性、上皮屏障缺陷和环境因素。目的:评价生活方式改变对溃疡性结肠炎患者的影响。设置样本:目的样本,本研究采用准实验(前测后测)研究设计。57名溃疡性结肠炎患者在Kafre El sheik大学医院胃肠门诊参加了这项研究。工具:采用结构化患者访谈问卷和健康生活方式问卷工具收集数据。结果:研究结果显示,研究参与者中男性占56.1%,女性占43.8%。结果显示,干预后患者的总知识得分较干预前有所提高,研究干预和随访后的健康生活方式依从性总分较干预前有所提高,差异有高度统计学意义(p < 0.001)。结论:生活方式改变可有效改善溃疡性结肠炎患者的预后。建议:建议从埃及不同地理区域选取更大概率样本进行研究复制,以获得更一般化的数据。
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引用次数: 1
Effectiveness of In-service Training Program on Nurses’ Performance Regarding Patient Safety Practice Standards in Intensive Care Units 重症监护病房护士安全实践标准在职培训的有效性
Pub Date : 2022-07-01 DOI: 10.21608/ejnhs.2022.251411
Shimaa Ali, N. Saad
Background: Patient safety is a framework of organized activities that creates cultures, processes, procedures, behaviors, technologies, and environments in health care that consistently and sustainably: lower risks, reduce the occurrence of avoidable harm, make errors less likely and reduce its impact when it does occur. Nurses have tragedy a censoriously vital role in confirming patient safety whereas as long as give care directly to patients. This study aimed to evaluate the effectiveness of in-service training program on nurses’ performance regarding patient safety practices standards in intensive care units. Design: A quasi-experimental research design was utilized. Setting: The study was conducted at the main intensive care unit at the surgical building affiliated with Ain Shams University Hospital (El-Demerdash). Subject: A purposive sample of comprised of 65 staff nurses was working in previous mentioned setting. Tools: (I) A structured interviewing questionnaire; it covered demographic characteristics of nurses and interview knowledge questionnaire, (II) Nurses’ practical observational checklist. Results: There were improvements in the studied nurses' satisfactory level of knowledge and competent level of practice throughout pre/post and follow up phases, with a highly statistically significant difference between pre/post at (P < 0.003). There was statically highly significant relation between total level of studied nurses’ knowledge and practice for pre/post and follow-up at P > 0.000. Conclusion: The nurses' knowledge and practice regarding patient safety practice standards in intensive care units have been effectively improved throughout pre/post and follow-up phases of an in-service training program implementation. Recommendation: Designing a written educational programs and implementation of regular updating of nurses’ knowledge and practices concerning patient safety practices standards in intensive care units. catheter and tubing prevention of risk of prevention of risk of developing pressure ulcers, and a standardized approach to hand over at pre-implementation. Compared to (96.9, 96.9, 92.3, 95.4, 96.9, 96.9, 98.5, and 95.4%) who had a satisfactory level of knowledge three months after the in-service training program implementation at the follow-up phase, respectively, with a highly statistically significant difference for pre/post and post and follow-up phases at p < 0.001.
背景:患者安全是一个有组织的活动框架,它在卫生保健中创造文化、流程、程序、行为、技术和环境,从而始终如一和可持续地降低风险,减少可避免伤害的发生,减少错误的发生并减少其发生时的影响。护士在确保病人安全方面发挥着至关重要的作用,而只要直接照顾病人。本研究旨在评估在职培训计划对重症监护病房护士在患者安全实践标准方面表现的有效性。设计:采用准实验研究设计。环境:本研究在Ain Shams大学医院(El-Demerdash)附属外科大楼的主要重症监护室进行。对象:有目的的样本包括65名在上述环境中工作的护士。工具:(I)结构化访谈问卷;包括护士人口学特征和访谈知识问卷。(二)护士实用观察表。结果:研究护士在岗前和随访期间的知识满意度和业务胜任水平均有提高,与岗前和随访期间差异有高度统计学意义(P < 0.003)。被研究护士的知识与实践总水平与前后随访有显著的统计学意义,P > 0.000。结论:重症监护病房护士对患者安全实践标准的认识和实践在实施在岗培训前后及后续阶段得到了有效提高。建议:设计一份书面的教育计划,并定期更新重症监护病房护士关于患者安全实践标准的知识和实践。预防导管和管材风险,预防发生压疮的风险,并在实施前以标准化方法移交。在职培训项目实施3个月后随访期满意度分别为(96.9、96.9、92.3、95.4、96.9、96.9、98.5、95.4%),岗前、岗后、随访期差异有高度统计学意义(p < 0.001)。
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引用次数: 1
Assessment Risk of Nurses’ Exposure to COVID 19 At Quarantine Hospitals 隔离医院护士接触新冠肺炎风险评估
Pub Date : 2022-03-01 DOI: 10.21608/ejnhs.2022.227786
S. Shaheen, Asmaa Khaled, Engy Abdel, Rahman Khamis
Introduction: Protection of HCWs from infection is critical for resilience of the health system facing a major pandemic like COVID-19. However, despite all efforts to protect HCWs, some exposure is inevitable. Such exposure can occur at the workplace or outside the work environment in the community. Aim: assess risk of nurses' exposure to covid19 at quarantine hospitals. Methods: A descriptive research design was conducted among all available nurses who are involved in providing care for patients infected with Corona virus in quarantine hospitals affiliated to the Ministry of Health and Population (MOHP) in Alexandria. Tools: Tool I: personal and socio-demographic characteristics of nurses. Tool II: WHO COVID-19 virus exposure risk assessment form for Health Care Workers (HCWs). Results: there was a highly statistically significant correlation between the nurses' risk of exposure and their adherence to infection control measures during interaction with Covid-19 cases and aerosol generating procedures. Conclusion: The vast majority of nurses in quarantine hospitals had risk of exposure to infection and more than half of them had risk of accidents exposure which nurses are facing towards the battle against COVID19 infection. Recommendations: establishment of infection control system in quarantine hospitals: Empower nurses are in a better position to share and disseminate experiences to reduce the cross‐contamination associated with viruses such as COVID‐19. In relation to nursing education; Review of pedagogical frameworks in both in theoretical classes and in clinical teaching. Recognizing nurses' research as ongoing critical role encourages and informs further collaboration and serves as a catalyst to innovation for a healthier tomorrow.
导言:保护卫生工作者免受感染对于卫生系统抵御COVID-19等重大流行病至关重要。然而,尽管努力保护卫生工作者,一些接触是不可避免的。这种接触可能发生在工作场所或社区的工作环境之外。目的:评估隔离医院护士接触新冠肺炎的风险。方法:采用描述性研究设计,对亚历山大市卫生和人口部(MOHP)附属检疫医院中参与护理冠状病毒感染患者的所有护士进行调查。工具:工具一:护士的个人和社会人口特征。工具二:世卫组织卫生保健工作者COVID-19病毒暴露风险评估表。结果:在与Covid-19病例和气溶胶产生过程中,护士的暴露风险与遵守感染控制措施之间存在高度统计学意义的相关性。结论:绝大多数隔离医院护士存在接触感染风险,超过一半的护士存在事故暴露风险,这是护士在抗击新冠肺炎感染中面临的风险。建议:在检疫医院建立感染控制系统:使护士能够更好地分享和传播经验,以减少与COVID - 19等病毒相关的交叉污染。与护理教育有关;对理论课和临床教学中教学框架的回顾。认识到护士的研究是持续的关键作用,鼓励和通知进一步的合作,并作为创新的催化剂,为更健康的明天。
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引用次数: 0
Impact of Awareness Program Regarding Health Consequences of Climate Change on Knowledge, Perception and Daily Life practices among Nursing Students 气候变化对护理学生健康影响的认知项目对知识、感知和日常生活实践的影响
Pub Date : 2022-03-01 DOI: 10.21608/ejnhs.2022.227958
Zainab Abdallah, Ayiat allah Wagdy Farag
Introduction: Climate Change is an environmental impact of the recent and ongoing increase in the average temperature of earth surface and oceans. It could affect human health, plants, animals as well as governmental economies which lead to many negative consequences. Aim: to evaluate the impact of awareness program on the knowledge, perception and daily life practices of nursing students regarding health consequences of climate change. Research design: a quasi-experimental design was conducted. Setting: the study was conducted at the Faculty of Nursing, Modern University for Technology and Information (MTI). Sampling: A systematic random sample consists of 300 nursing students. Tools: Self-administered questionnaires were used pre & post program implementation. 1) Nursing students' socio-demographic characteristics and knowledge assessment questionnaire to assess the nursing students' knowledge. 2) Modified perception likert scale questionnaire to assess students' perception. 3) Daily life practices questionnaire to assess the nursing students' daily life practices. Results of this study indicated that, the mean age of nursing students was 20.2±1.58. There was an improvement in the total good knowledge level, positive perception and adequate daily life practices of nursing students regarding climate change after implementation of the awareness program (80.6%, 83.25% & 64.3%) with a highly statistically significant differences between pre & 3 months' posttest. Also, there was a positive highly statistical significant correlation between total daily life practices & perception of nursing students and their total knowledge level at P<0.001. Conclusion: The awareness program proved a significant positive impact on the nursing students' total knowledge, perception and daily life practices regarding climate change. Recommendation: Awareness programs should be conducted regularly for improving the university students' knowledge, perception & daily life practices regarding climate change.
导言:气候变化是地球表面和海洋平均温度最近和持续上升所造成的环境影响。它可能影响人类健康、植物、动物以及政府经济,从而导致许多负面后果。目的:评价气候变化对护生健康影响的认知、认知和日常生活行为的影响。研究设计:采用准实验设计。环境:本研究在现代科技与信息大学护理学院进行。抽样:采用系统随机抽样方法,对300名护理专业学生进行抽样调查。工具:在项目实施前后采用自填问卷。1)护生社会人口学特征及知识评估问卷,对护生知识进行评估。2)改进知觉李克特量表,对学生的知觉进行评定。3)日常生活实践问卷,评估护生日常生活实践情况。结果显示,护生平均年龄为20.2±1.58岁。实施气候变化意识项目后,护生对气候变化的总体良好知识水平、积极认知和日常生活习惯均有提高(80.6%、83.25%和64.3%),且在测试前和3个月后差异有高度统计学意义。护生的总生活实践和感知与总知识水平有高度统计学意义的正相关(P<0.001)。结论:气候变化认知项目对护生对气候变化的总体认知、认知和日常生活行为有显著的正向影响。建议:应定期开展宣传活动,提高大学生对气候变化的认识、认知和日常生活实践。
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引用次数: 5
Effect of Reflexology Foot Massage on Pain intensity and Physical Functional Abilities Among Patients with Knee Osteoarthritis 足底按摩对膝关节骨性关节炎患者疼痛强度及身体功能的影响
Pub Date : 2022-03-01 DOI: 10.21608/ejnhs.2022.227785
Narges Mohamed Seyam, R. Yakout, H. M. Eldesoky
Introduction: Knee Osteoarthritis is the eighth leading cause of disability and a degenerative disease that deteriorates over time. It is the chief contributor to impaired mobility and occurrence of chronic pain. Hence, early diagnosis and treatment remains the key in the management of Osteoarthritis. Non-pharmacological methods such as reflexology have been used to alleviate symptoms and to improve patients’ functional ability. Aim: Evaluate the effectiveness of Reflexology Foot Massage on pain intensity and physical functional abilities among patients with Knee Osteoarthritis. Research hypothesis: Patients with knee osteoarthritis, who receive Reflexology Foot Massage experience less pain intensity, improvement in health status and physical functional abilities than those who do not receive such intervention. Methods: A quasi experimental research design was utilized to conduct this study on 60 patients with Knee Osteoarthritis at the Rheumatology and Rehabilitation clinic of El-Hadra Orthopedic and Traumatology University Hospital, Alexandria. Tools: Three tools were used in this study for data collection. Tool I: Patient's Socio-demographic and Clinical Data Structured Interview Schedule, Tool II:Western Ontario and MCMaster Osteoarthritis Index (WOMAC) questionnaire structured interview schedule, and Tool III: Range of Motion Exercise of the knee joint assessment. Results: Patients’ pain intensity, knee joint stiffness, and function abilities were improved significantly in the study group immediately after second, third and fourth foot reflexology sessions, moreover, the mean difference for knee R.O.M between the patients in the study group including, knee flexion and extension were improved significantly immediately after second, third and fourth foot reflexology sessions than those in the control group. Conclusion: The therapeutic effects of Reflexology massage sessions on the study group were much better than that of control group in relation to decrease patients’ pain intensity, improvement in their health status and physical functional abilities. Recommendations: Illustrated self-administered Reflexology massage intervention booklets distributed to patients with knee osteoarthritis, could be of help, and development and implementation of Reflexology training program for nurses, health care personnel and caregivers should be applied. non-pharmacologic therapies Non-pharmacologic modalities for KOA generally divided into educational, and physical approaches. Educational approaches are based on lifestyle pattern changes including; diet, exercise, and joint protection techniques by using different walking aids ( Cutolo et al., 2015) . Physical exercises include aerobic activity, muscle strengthening and range-of-motion exercises. Physiotherapy strategies such as Electrotherapy, thermal modalities and manual therapy are recommended according to each patient condition
膝骨关节炎是致残的第八大原因,是一种随时间恶化的退行性疾病。它是活动能力受损和慢性疼痛发生的主要原因。因此,早期诊断和治疗仍然是骨关节炎治疗的关键。非药物方法如反射疗法已被用于缓解症状和改善患者的功能能力。目的:评价足底按摩对膝关节骨性关节炎患者疼痛强度和身体功能的影响。研究假设:膝关节骨性关节炎患者接受足部反射按摩治疗后,疼痛强度较未接受足部反射按摩治疗的患者减轻,健康状况和身体功能得到改善。方法:采用准实验研究设计,对亚历山大市El-Hadra骨科与创伤大学医院风湿病与康复门诊的60例膝骨关节炎患者进行研究。工具:本研究使用了三种工具进行数据收集。工具一:患者的社会人口统计学和临床数据结构化访谈计划,工具二:安大略省西部和麦克马斯特骨关节炎指数(WOMAC)问卷结构化访谈计划,工具三:膝关节活动范围评估。结果:研究组患者在第二次、第三次、第四次足部按摩后疼痛强度、膝关节僵硬度、功能能力均有显著改善,且研究组患者在第二次、第三次、第四次足部按摩后膝关节R.O.M、屈曲、伸直的平均差异均较对照组显著改善。结论:研究组在减轻患者疼痛强度、改善患者健康状况和身体机能方面的治疗效果明显优于对照组。建议:向膝骨性关节炎患者分发有插图的自我管理的反射疗法按摩干预小册子,可能会有所帮助,并且应该为护士、卫生保健人员和护理人员制定和实施反射疗法培训计划。非药物治疗KOA的非药物治疗方式一般分为教育方法和物理方法。教育方法基于生活方式的改变,包括;饮食、运动和关节保护技术,通过使用不同的助行器(Cutolo等,2015)。体育锻炼包括有氧运动、肌肉强化和活动范围锻炼。物理治疗策略,如电疗,热模式和手动治疗建议根据每个病人的情况
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引用次数: 0
Effect of Palliative Care Training Program on Pediatric Nurses’ Perception among Children with Terminal Illness 姑息治疗培训计划对儿科护士对绝症患儿认知的影响
Pub Date : 2022-03-01 DOI: 10.21608/ejnhs.2022.227799
F. Mohamed, T. Abdelhamed
Introduction: Palliative care has grown increasingly significant in nursing management as the number of children requiring support in their final stages of life has increased. A deficient education and a negative attitude among nurses are some of the most prevalent barriers to excellent palliative care. AIM: To measure the effect of palliative care training programs on pediatric nurses’ perception among children with a terminal illness. Methods: A quasi-experimental research design with study, the study was conducted at dialysis intensive care units and pediatric intensive care units at children hospitals affiliated with Ain Shams University. A study was conducted on 100 nurses who directly provided care to terminally ill children. Researchers used tools that included characteristics, knowledge, and attitude level of nurses. Results: In terms of total knowledge, more than two-thirds of nurses (67%) have a low level of knowledge before program intervention. On other hand and over one-third (39%) have a good level of knowledge after program intervention. According to the findings, there was a highly statistically significant change (P 0.01**) in nurses' attitudes after intervention in all aspects measured. Conclusion: This study found that pediatric nurses' understanding, and practice of palliative care improved significantly after completing a training program. There was also a strong association between pediatric nurses' knowledge and attitudes toward palliative care. Recommendation: Periodical revision of training program about terminally ill children, and guide nurses for their perception concerning the care of terminally ill children.
导读:随着生命最后阶段需要支持的儿童数量的增加,姑息治疗在护理管理中变得越来越重要。缺乏教育和护士的消极态度是优秀姑息治疗的一些最普遍的障碍。目的:探讨姑息治疗培训项目对儿科护士对绝症患儿认知的影响。方法:采用准实验研究设计,在艾因沙姆斯大学附属儿童医院透析重症监护病房和儿科重症监护病房进行研究。对100名直接照顾绝症儿童的护士进行了一项研究。研究人员使用的工具包括护士的特征、知识和态度水平。结果:在总知识方面,超过三分之二(67%)的护士在项目干预前知识水平较低。另一方面,超过三分之一(39%)的人在项目干预后具有良好的知识水平。结果显示,干预后护士的态度在各方面均有极显著的统计学差异(P < 0.01**)。结论:本研究发现,完成培训项目后,儿科护士对姑息治疗的理解和实践有了显著提高。儿科护士对姑息治疗的知识和态度也有很强的相关性。建议:定期修订临终儿童培训计划,指导护士对临终儿童护理的认识。
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引用次数: 0
Relationship between Resilience and Emotional Intelligence among Community-DwellingOlder Adults during COVID-19 Pandamic in Alexandria, Egypt 埃及亚历山大市2019冠状病毒病大流行期间社区老年人恢复力与情商的关系
Pub Date : 2022-03-01 DOI: 10.21608/ejnhs.2022.227794
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引用次数: 0
期刊
Egyptian Journal of Nursing and Health Sciences
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