Background Many patients with hypothyroidism still experience greater reduction in quality of life (QoL) and treatment satisfaction when on the recommended replacement dosage. Thus, nursing guidelines could improve patients’ knowledge, QoL, and treatment satisfaction among patients with hypothyroidism. Aim To evaluate the effect of nursing guidelines on knowledge, QoL, and treatment satisfaction among patients with hypothyroidism. Design A quasi-experimental pre–posttest control group design was used. Setting The study was conducted at endocrinology outpatient clinics in one of the teaching hospitals at Cairo University. Sample A convenient sample of 60 adult male and female patients diagnosed with primary hypothyroidism on a stable dose of levothyroxine was included. Tools Four tools were used to collect data pertinent to the study: (a) personal data form. It consists of two parts: (i) demographic data, including age, sex, education level, and place of residence, and (ii) medical data related to comorbid diseases and BMI; (b) Patients’ Hypothyroidism Knowledge Assessment Questionnaire; (c) Thyroid Patient-reported Quality-of-Life Questionnaire (ThyPRO39); and (d) Hypothyroid Treatment Satisfaction Questionnaire (ThyTSQ). Results There were no statistically significant differences between the study and control groups before application of nursing guidelines regarding demographic and medical variables as well as the total mean scores of patients’ knowledge about hypothyroidism, QoL, and treatment satisfaction. However, highly statistically significant differences were found between both groups at 1 and 2 months after implementation of nursing guidelines concerning patients’ knowledge about hypothyroidism, QoL, and treatment satisfaction (P=0.000 and 0.000, respectively). Conclusion Nursing guidelines could improve patients’ knowledge and QoL among patients with hypothyroidism by taking these nursing guidelines fully into account alongside the recommended treatment where nursing guidelines cover all suspected hypothyroid disease and thereby to improve knowledge, QoL, and treatment satisfaction. Recommendations: this study recommends that nurses provide verbal and written nursing guidelines for patients with hypothyroidism in both inpatient and outpatient clinics.
{"title":"Effect of nursing guidelines on quality of life, and treatment satisfaction among patients with hypothyroidism","authors":"H. Deif, A. El-Naby","doi":"10.4103/enj.enj_11_22","DOIUrl":"https://doi.org/10.4103/enj.enj_11_22","url":null,"abstract":"Background Many patients with hypothyroidism still experience greater reduction in quality of life (QoL) and treatment satisfaction when on the recommended replacement dosage. Thus, nursing guidelines could improve patients’ knowledge, QoL, and treatment satisfaction among patients with hypothyroidism. Aim To evaluate the effect of nursing guidelines on knowledge, QoL, and treatment satisfaction among patients with hypothyroidism. Design A quasi-experimental pre–posttest control group design was used. Setting The study was conducted at endocrinology outpatient clinics in one of the teaching hospitals at Cairo University. Sample A convenient sample of 60 adult male and female patients diagnosed with primary hypothyroidism on a stable dose of levothyroxine was included. Tools Four tools were used to collect data pertinent to the study: (a) personal data form. It consists of two parts: (i) demographic data, including age, sex, education level, and place of residence, and (ii) medical data related to comorbid diseases and BMI; (b) Patients’ Hypothyroidism Knowledge Assessment Questionnaire; (c) Thyroid Patient-reported Quality-of-Life Questionnaire (ThyPRO39); and (d) Hypothyroid Treatment Satisfaction Questionnaire (ThyTSQ). Results There were no statistically significant differences between the study and control groups before application of nursing guidelines regarding demographic and medical variables as well as the total mean scores of patients’ knowledge about hypothyroidism, QoL, and treatment satisfaction. However, highly statistically significant differences were found between both groups at 1 and 2 months after implementation of nursing guidelines concerning patients’ knowledge about hypothyroidism, QoL, and treatment satisfaction (P=0.000 and 0.000, respectively). Conclusion Nursing guidelines could improve patients’ knowledge and QoL among patients with hypothyroidism by taking these nursing guidelines fully into account alongside the recommended treatment where nursing guidelines cover all suspected hypothyroid disease and thereby to improve knowledge, QoL, and treatment satisfaction. Recommendations: this study recommends that nurses provide verbal and written nursing guidelines for patients with hypothyroidism in both inpatient and outpatient clinics.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125304448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background The most common sexual dysfunction problem for women with cervical cancer is decreased sexual desire. Aim The aim of the present study was to evaluate the effect of nursing counseling guided by BETTER model on sexuality, marital satisfaction, and quality of life among cervical cancer women. Design A quasi-experimental design was used. Patients and methods A purposive sample of 44 women with cervical cancer who attended the oncology outpatient clinic at Zagazig University Hospital and Elmabera Hospital in the Sharkia Governorate was recruited. Tools A structured interviewing questionnaire, Female Sexual Function Index (FSFI), and a short version of the Quality of Life Enjoyment and Satisfaction Questionnaire were used to gather data. Results The mean score of all female sexual function index domains was improved significantly (P<0.001) after intervention as compared with before intervention. Moreover, following applying nursing counseling guided by the BETTER model compared with before intervention, there was a highly significant improvement (P=0.0001) in the quality of life enjoyment and satisfaction among study participants. Following the adoption of the nursing instructions, there was a positive association between the overall Female Sexual Function Index score and quality of life. Conclusion The quality of life and sexual function of women with cervical cancer have improved. Recommendation Implement a BETTER sexual counseling model to handle sexual dysfunction in oncology units. The availability of facilities and decision-making aids for individuals in need, as well as the promotion of women counseling activities about cervical cancer and sexuality, are all necessary.
{"title":"Nursing counseling utilizing BETTER model on sexuality, marital satisfaction and quality of life among cervical cancer women","authors":"Hanan Salim, Mervat Abdelmonem, A. Elsayed","doi":"10.4103/enj.enj_54_22","DOIUrl":"https://doi.org/10.4103/enj.enj_54_22","url":null,"abstract":"Background The most common sexual dysfunction problem for women with cervical cancer is decreased sexual desire. Aim The aim of the present study was to evaluate the effect of nursing counseling guided by BETTER model on sexuality, marital satisfaction, and quality of life among cervical cancer women. Design A quasi-experimental design was used. Patients and methods A purposive sample of 44 women with cervical cancer who attended the oncology outpatient clinic at Zagazig University Hospital and Elmabera Hospital in the Sharkia Governorate was recruited. Tools A structured interviewing questionnaire, Female Sexual Function Index (FSFI), and a short version of the Quality of Life Enjoyment and Satisfaction Questionnaire were used to gather data. Results The mean score of all female sexual function index domains was improved significantly (P<0.001) after intervention as compared with before intervention. Moreover, following applying nursing counseling guided by the BETTER model compared with before intervention, there was a highly significant improvement (P=0.0001) in the quality of life enjoyment and satisfaction among study participants. Following the adoption of the nursing instructions, there was a positive association between the overall Female Sexual Function Index score and quality of life. Conclusion The quality of life and sexual function of women with cervical cancer have improved. Recommendation Implement a BETTER sexual counseling model to handle sexual dysfunction in oncology units. The availability of facilities and decision-making aids for individuals in need, as well as the promotion of women counseling activities about cervical cancer and sexuality, are all necessary.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124639021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sherine Masoud, Salwa Abd-Elaziz, S. Mohamed, O. Abdo
Background Self-efficacy is the confidence in one’s ability to overcome barriers and perform a given task such as taking one’s medications and restrict the intake of fluids to attain the desired health outcomes for patients undergoing hemodialysis (HD). Aim To determine the relationship between self-efficacy and adherence to medication and fluid restriction among patient undergoing HD. Design A descriptive correlational design was used. Sample A purposive sample of 116 adult male and female patients undergoing HD was recruited. Setting The study was conducted at the HD unit in Kom Hamada Specialized Hospital affiliated to Ministry of Health. Tools Four tools were used to collect data: Demographic and Medical Form, Morisky Medications Adherence Questionnaire, Self-Efficacy Scale, and Fluid Control in Hemodialysis Patients Scale. Results The mean age of patients under the study was 52.5±13.7 years. A positive correlation was found between fluid control and self-efficacy (r=0.23; P=0.01). Medication adherence among HD patients was low, with a mean of 7.4±2.3. Conclusion There was an inverse correlation between self-efficacy and medication adherence. A statistically significant positive correlation was found between fluid control and self-efficacy. Recommendations Periodic counseling and educational sessions among HD patients can improve confidence and adherence to medication and fluid restriction.
{"title":"Self-efficacy and adherence to medication and fluid restriction among patients undergoing hemodialysis: a correlational study","authors":"Sherine Masoud, Salwa Abd-Elaziz, S. Mohamed, O. Abdo","doi":"10.4103/enj.enj_4_23","DOIUrl":"https://doi.org/10.4103/enj.enj_4_23","url":null,"abstract":"Background Self-efficacy is the confidence in one’s ability to overcome barriers and perform a given task such as taking one’s medications and restrict the intake of fluids to attain the desired health outcomes for patients undergoing hemodialysis (HD). Aim To determine the relationship between self-efficacy and adherence to medication and fluid restriction among patient undergoing HD. Design A descriptive correlational design was used. Sample A purposive sample of 116 adult male and female patients undergoing HD was recruited. Setting The study was conducted at the HD unit in Kom Hamada Specialized Hospital affiliated to Ministry of Health. Tools Four tools were used to collect data: Demographic and Medical Form, Morisky Medications Adherence Questionnaire, Self-Efficacy Scale, and Fluid Control in Hemodialysis Patients Scale. Results The mean age of patients under the study was 52.5±13.7 years. A positive correlation was found between fluid control and self-efficacy (r=0.23; P=0.01). Medication adherence among HD patients was low, with a mean of 7.4±2.3. Conclusion There was an inverse correlation between self-efficacy and medication adherence. A statistically significant positive correlation was found between fluid control and self-efficacy. Recommendations Periodic counseling and educational sessions among HD patients can improve confidence and adherence to medication and fluid restriction.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115941066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Acute leukemia is a major malignancy in children. Multiagent chemotherapy protocols are the main treatment option for acute leukemia. Still chemotherapy has a significant effect on children’s well-being, improving the physical, psychological, and social status of children, and also, it has a remarkable effect on self-image and self-esteem. Aim The aim was to assess self-esteem of acute leukemic children undergoing chemotherapy. Patients and methods A descriptive exploratory research design was used. The study was conducted at two pediatric oncology outpatient clinics at Tanta Cancer Center and National Cancer Institute at Cairo University. A purposive sample of 80 children with acute lymphoblastic leukemia was recruited. Their ages were between 10 and 16 years old. A structured interview questionnaire and Coopersmith Self-esteem Inventory were used, and IRB approval was obtained from the National Cancer Institute for performing this study. Results The age of half of the children (50%) ranged between 14 and 16 years, with mean±SD age of 13.21±1.62 years. Overall, 61.3% were males. Less than half of the children (47.5%) received intravenous chemotherapy, whereas 46.2% of the children had both oral and intravenous chemotherapy. More than half of the children (62.5%) had low self-esteem regarding general self, whereas the vast majority of children (90%) had low self-esteem regarding their social self-peers. All children had low self-esteem toward their home parents, whereas the highest percent (98.8%) of children had low self-esteem regarding their school academic. The vast majority children (98.8%) had low self-esteem regarding the lie scale. All dimensions of self-esteem were significantly correlated with total score of self-esteem. Conclusion Children with acute leukemia undergoing chemotherapy had low self-esteem regarding general self, home parents, school academic, and social peers. Self-esteem was negatively affected among school age and adolescent children with acute leukemia who underwent chemotherapy. Regarding the lie domain, most children always told the truth. Recommendations Training programs should be designed and constructed for nurses in how to assess self-esteem for children with acute leukemia. Empowerment program should be directed to children with acute leukemia and their caregivers to improve their self-esteem.
{"title":"Self-esteem of acute leukemic children undergoing chemotherapy","authors":"Fatma Behiry, M. Darwish, E. Hassan, M. Mahmoud","doi":"10.4103/enj.enj_2_23","DOIUrl":"https://doi.org/10.4103/enj.enj_2_23","url":null,"abstract":"Background Acute leukemia is a major malignancy in children. Multiagent chemotherapy protocols are the main treatment option for acute leukemia. Still chemotherapy has a significant effect on children’s well-being, improving the physical, psychological, and social status of children, and also, it has a remarkable effect on self-image and self-esteem. Aim The aim was to assess self-esteem of acute leukemic children undergoing chemotherapy. Patients and methods A descriptive exploratory research design was used. The study was conducted at two pediatric oncology outpatient clinics at Tanta Cancer Center and National Cancer Institute at Cairo University. A purposive sample of 80 children with acute lymphoblastic leukemia was recruited. Their ages were between 10 and 16 years old. A structured interview questionnaire and Coopersmith Self-esteem Inventory were used, and IRB approval was obtained from the National Cancer Institute for performing this study. Results The age of half of the children (50%) ranged between 14 and 16 years, with mean±SD age of 13.21±1.62 years. Overall, 61.3% were males. Less than half of the children (47.5%) received intravenous chemotherapy, whereas 46.2% of the children had both oral and intravenous chemotherapy. More than half of the children (62.5%) had low self-esteem regarding general self, whereas the vast majority of children (90%) had low self-esteem regarding their social self-peers. All children had low self-esteem toward their home parents, whereas the highest percent (98.8%) of children had low self-esteem regarding their school academic. The vast majority children (98.8%) had low self-esteem regarding the lie scale. All dimensions of self-esteem were significantly correlated with total score of self-esteem. Conclusion Children with acute leukemia undergoing chemotherapy had low self-esteem regarding general self, home parents, school academic, and social peers. Self-esteem was negatively affected among school age and adolescent children with acute leukemia who underwent chemotherapy. Regarding the lie domain, most children always told the truth. Recommendations Training programs should be designed and constructed for nurses in how to assess self-esteem for children with acute leukemia. Empowerment program should be directed to children with acute leukemia and their caregivers to improve their self-esteem.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121546212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sabah Ali Elsisi, M. Mostafa, Mohamed A. Khalil, S. Mohamed
Background Drug addiction among adolescents represents a public health concern that receives attention from policy experts, academics, and government officials. Many factors that may affect addiction potential among nursing students are parenting styles and personality traits. This study aims to investigate the impact of personality traits and perceived parenting styles on addiction potential among nursing students. Setting Faculty of Nursing, Cairo University. Design A cross-sectional survey and descriptive research design. Sample Stratified random sample included 380 nursing students. Tools Personal data sheet, parental styles questionnaire, potential addiction scale, and personality inventory for DSM-5 Brief from (PID-5-BF). Results 28.8% of the studied sample had personality traits of addiction potential. They perceived their parent style as authoritative style (69.5%), Permissive style (47.7%), and authoritarian style (35.2%). About 56.8% of the nursing students experienced moderate addiction potential levels. Parenting authority and personality traits demonstrated a statistically significant positive correlation. Conclusion The study concluded that parenting style and personality traits are the main risk factors contributing to addiction potential among nursing students. Recommendation Design a counseling program for parents on the effect of various parenting styles on the risk of addiction potential among adolescents and personality.
{"title":"Perceived personality traits and parenting styles on addiction potentiality among nursing students","authors":"Sabah Ali Elsisi, M. Mostafa, Mohamed A. Khalil, S. Mohamed","doi":"10.4103/enj.enj_12_22","DOIUrl":"https://doi.org/10.4103/enj.enj_12_22","url":null,"abstract":"Background Drug addiction among adolescents represents a public health concern that receives attention from policy experts, academics, and government officials. Many factors that may affect addiction potential among nursing students are parenting styles and personality traits. This study aims to investigate the impact of personality traits and perceived parenting styles on addiction potential among nursing students. Setting Faculty of Nursing, Cairo University. Design A cross-sectional survey and descriptive research design. Sample Stratified random sample included 380 nursing students. Tools Personal data sheet, parental styles questionnaire, potential addiction scale, and personality inventory for DSM-5 Brief from (PID-5-BF). Results 28.8% of the studied sample had personality traits of addiction potential. They perceived their parent style as authoritative style (69.5%), Permissive style (47.7%), and authoritarian style (35.2%). About 56.8% of the nursing students experienced moderate addiction potential levels. Parenting authority and personality traits demonstrated a statistically significant positive correlation. Conclusion The study concluded that parenting style and personality traits are the main risk factors contributing to addiction potential among nursing students. Recommendation Design a counseling program for parents on the effect of various parenting styles on the risk of addiction potential among adolescents and personality.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"98 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130989216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salwa Hagag Aziz, Esraa El Monem Sultan, Heba Ramadan, Ola Abd
Background Diabetes is the most popular chronic clinical condition targeted by mHealth (mobile health). A progressively increasing number of medical applications have recently emerged to cover the needs of patients with diabetes. Aim To evaluate the effect of using smartphone application on self-care activities among patients with diabetes mellitus Design Quasi-experimental pre-posttest nonequivalent control group design Sample A convenient sample of 60 adult male and female patients with a confirmed diagnosis of diabetes were enrolled in the current study. Tools Two tools were utilized to collect data: (a) Demographic and Medical Data Form, (b) Diabetes Self-Care Activities Scale. Results The age of study sample ranged between 19 to 60 years, with mean age of 36.2±12.2 years. There was a significant improvement in self-care activities among the study group using mobile phone application. Conclusion Self-care activities among diabetic patients in the study group improved after using mobile phone application. Recommendations Nurses should establish a management plan for diabetic patients including educational sessions to raise awareness about importance of using smart phone application.
{"title":"Effect of Using Smart Phone Application on Self-Care Activities among Patients with Diabetes Mellitus","authors":"Salwa Hagag Aziz, Esraa El Monem Sultan, Heba Ramadan, Ola Abd","doi":"10.4103/enj.enj_6_23","DOIUrl":"https://doi.org/10.4103/enj.enj_6_23","url":null,"abstract":"Background Diabetes is the most popular chronic clinical condition targeted by mHealth (mobile health). A progressively increasing number of medical applications have recently emerged to cover the needs of patients with diabetes. Aim To evaluate the effect of using smartphone application on self-care activities among patients with diabetes mellitus Design Quasi-experimental pre-posttest nonequivalent control group design Sample A convenient sample of 60 adult male and female patients with a confirmed diagnosis of diabetes were enrolled in the current study. Tools Two tools were utilized to collect data: (a) Demographic and Medical Data Form, (b) Diabetes Self-Care Activities Scale. Results The age of study sample ranged between 19 to 60 years, with mean age of 36.2±12.2 years. There was a significant improvement in self-care activities among the study group using mobile phone application. Conclusion Self-care activities among diabetic patients in the study group improved after using mobile phone application. Recommendations Nurses should establish a management plan for diabetic patients including educational sessions to raise awareness about importance of using smart phone application.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130179045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Nursing is a core job in the healthcare system; nursing staff constitutes the largest human resource element in healthcare organizations and therefore they seem to have a great impact on the quality of care, patient outcome, and satisfaction. The study aimed to investigate the relationship between staff nurse motivation and patient satisfaction. Design A descriptive correlational design was used to achieve the aim of the current study. Setting The study was conducted at Soad Kafafy Private University Hospital. Sample Two groups of samples were selected: the staff nurses sample consisted of (100 staff nurses) and the patient sample consisted of 100 patients. Tools Two tools were used in the study the first: the patient satisfaction questionnaire assesses patient satisfaction; it contains seven dimensions with a total of 51 items and the second: the staff nurses’ motivation questionnaire developed by the researchers to assess the nurses’ motivational factors. It contains seven dimensions with a total of 48 items. Result The results showed that there is a positive correlation between patient’s satisfaction and nurse’s motivation. Conclusion There was a significant relationship between staff nurses’ motivation and patient satisfaction. Recommendations The study recommended that hospitals should adopt motivation strategy for their nurses to motivate them, ensure nurses’ participation in decision-making processes that will enhance the clinical and organizational outcome, availability of motivation and incentive policies and procedures at every unit in the hospital, and further research should be done concentrating on adherences to motivational strategy.
{"title":"Relationship Between Staff Nurse Motivation Level and Patient Satisfaction In Selected Hospital and the Appreiviation are Staff Nurse Motivation and Patient Satisfaction","authors":"Howida Abo Aly, F. Abed, Maaly A. Mohamed","doi":"10.4103/enj.enj_32_22","DOIUrl":"https://doi.org/10.4103/enj.enj_32_22","url":null,"abstract":"Background Nursing is a core job in the healthcare system; nursing staff constitutes the largest human resource element in healthcare organizations and therefore they seem to have a great impact on the quality of care, patient outcome, and satisfaction. The study aimed to investigate the relationship between staff nurse motivation and patient satisfaction. Design A descriptive correlational design was used to achieve the aim of the current study. Setting The study was conducted at Soad Kafafy Private University Hospital. Sample Two groups of samples were selected: the staff nurses sample consisted of (100 staff nurses) and the patient sample consisted of 100 patients. Tools Two tools were used in the study the first: the patient satisfaction questionnaire assesses patient satisfaction; it contains seven dimensions with a total of 51 items and the second: the staff nurses’ motivation questionnaire developed by the researchers to assess the nurses’ motivational factors. It contains seven dimensions with a total of 48 items. Result The results showed that there is a positive correlation between patient’s satisfaction and nurse’s motivation. Conclusion There was a significant relationship between staff nurses’ motivation and patient satisfaction. Recommendations The study recommended that hospitals should adopt motivation strategy for their nurses to motivate them, ensure nurses’ participation in decision-making processes that will enhance the clinical and organizational outcome, availability of motivation and incentive policies and procedures at every unit in the hospital, and further research should be done concentrating on adherences to motivational strategy.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"57 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120811694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reem El Sayed Ezz, A.S. El- Hamed, Reda M. Nabil Aboushady, Walaa El Rahman
Background Urinary tract infections (UTIs) are the most common bacterial infection during pregnancy. UTIs in pregnancy are associated with maternal as well as fetal morbidity. The aim of the current study was to assess the health profile of pregnant women with asymptomatic bacteriuria (ASB). Design A descriptive research design was adopted to obtain the stated aim. Sample A purposive sample of pregnant women with UTIs without symptoms throughout 1 year but the sample not less than 100 pregnant women was recruited. Setting The study was performed at woman’s care clinic at Al Kasr Al Ainy University Hospital. Tools Two tools were utilized: (a) urine analysis record and (b) structured interviewing questionnaire schedule. Results The study findings showed that the mean age of the pregnant women with ASB was 29.00±5.48 years old. Overall, 26% of them could not read and write, and 96% of them were housewives. Regarding place of residence, 82% of the selected sample was from rural areas. Half of the selected sample was multigravida, whereas 55% of them were multipara. Overall, 61% of them had a history of abortion. Furthermore, 86% of the selected sample used new latrine toilet, and 61% had a previous history regarding infection. In addition, 63% of the selected sample used contraceptive methods, and 58% of them had previous normal vaginal delivery. Concerning trimester, 73% were in the third trimester. Conclusion The current study’s findings revealed that age, cannot read and write, rural areas, housewives, usage of new latrine toilet, multigravida, multipara, history of abortion, normal vaginal delivery, usage of contraceptive methods, history of previous infection, and third trimester were represented the health profile of the pregnant women with ASB that might increase the incidence of a symptomatic bacteriuria infection. Recommendation Pregnant women should be made aware regarding personal hygiene through classes on motherhood.
尿路感染(uti)是怀孕期间最常见的细菌感染。妊娠期尿路感染与母体及胎儿发病率相关。本研究的目的是评估无症状细菌尿(ASB)孕妇的健康状况。设计采用描述性研究设计来达到既定目的。有目的的样本为1年内无症状的尿路感染孕妇，但样本不少于100名孕妇。本研究在Al Kasr Al Ainy大学医院的妇女护理诊所进行。工具采用两种工具:(a)尿液分析记录和(b)结构化访谈问卷表。结果研究结果显示，ASB孕妇的平均年龄为29.00±5.48岁。总的来说，26%的人不会读写，96%的人是家庭主妇。在居住地方面，82%的样本来自农村地区。所选样本中有一半是多胎妊娠，而55%是多胎妊娠。总的来说，61%的人有堕胎史。此外，86%的选定样本使用新厕所，61%有感染史。此外，63%的选定样本使用避孕方法，58%的人以前有正常的阴道分娩。在妊娠中期，73%发生在妊娠晚期。结论年龄、读写能力、农村地区、家庭主妇、使用新厕所、多次妊娠、多次分娩、流产史、阴道正常分娩、使用避孕方法、既往感染史和妊娠晚期是ASB孕妇的健康状况，可能增加症状性细菌感染的发生率。建议应通过母亲教育课程提高孕妇的个人卫生意识。
{"title":"Health profile of pregnant women with asymptomatic bacteriuria","authors":"Reem El Sayed Ezz, A.S. El- Hamed, Reda M. Nabil Aboushady, Walaa El Rahman","doi":"10.4103/enj.enj_53_22","DOIUrl":"https://doi.org/10.4103/enj.enj_53_22","url":null,"abstract":"Background Urinary tract infections (UTIs) are the most common bacterial infection during pregnancy. UTIs in pregnancy are associated with maternal as well as fetal morbidity. The aim of the current study was to assess the health profile of pregnant women with asymptomatic bacteriuria (ASB). Design A descriptive research design was adopted to obtain the stated aim. Sample A purposive sample of pregnant women with UTIs without symptoms throughout 1 year but the sample not less than 100 pregnant women was recruited. Setting The study was performed at woman’s care clinic at Al Kasr Al Ainy University Hospital. Tools Two tools were utilized: (a) urine analysis record and (b) structured interviewing questionnaire schedule. Results The study findings showed that the mean age of the pregnant women with ASB was 29.00±5.48 years old. Overall, 26% of them could not read and write, and 96% of them were housewives. Regarding place of residence, 82% of the selected sample was from rural areas. Half of the selected sample was multigravida, whereas 55% of them were multipara. Overall, 61% of them had a history of abortion. Furthermore, 86% of the selected sample used new latrine toilet, and 61% had a previous history regarding infection. In addition, 63% of the selected sample used contraceptive methods, and 58% of them had previous normal vaginal delivery. Concerning trimester, 73% were in the third trimester. Conclusion The current study’s findings revealed that age, cannot read and write, rural areas, housewives, usage of new latrine toilet, multigravida, multipara, history of abortion, normal vaginal delivery, usage of contraceptive methods, history of previous infection, and third trimester were represented the health profile of the pregnant women with ASB that might increase the incidence of a symptomatic bacteriuria infection. Recommendation Pregnant women should be made aware regarding personal hygiene through classes on motherhood.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127550002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Following coronary artery bypass graft (CABG), the main causes of postoperative morbidity and mortality are postoperative pulmonary complications, respiratory dysfunction, and arterial hypoxemia. Aim To evaluate the effect of postoperative incentive spirometry (IS) on dyspnea severity among patients undergoing CABG. Research hypothesis H1: there is a statistically significant improvement in dyspnea severity among patients undergoing CABG after using IS when compared with before use. Design A quasi-experimental (one group pretest–posttest) design was used in the current study. Setting This study was conducted at selected cardiothoracic care units and cardiothoracic ward affiliated to Cairo University Hospitals. Sample A convenient sample of 49 adult patients undergoing CABG was included. Tools Three tools were used to collect data: first, demographic characteristics and health relevant data; second, chest auscultation; and third, dyspnea severity score. Results There were statistically significant improvements found in the dyspnea severity score on first day, second day, and third day after using IS compared with before using spirometry among the patients. Moreover, there was significant improvement in chest auscultation before and after using spirometry. Half of the patients (53.1%) revealed regaining of normal breath sounds on the third day after using IS versus before using spirometry, where only 28.6% had normal breath sounds on the third day. Conclusion It can be concluded that postoperative IS decreased dyspnea severity and improved respiratory function among patients undergoing CABG. Recommendation Future trials may be carried out with adequate research grants with postoperative IS after major surgery and other respiratory diseases to improve dyspnea severity without medication.
{"title":"The effect of postoperative incentive spirometry on dyspnea severity among patients undergoing coronary artery bypass graft","authors":"Nora El-Reabai, N. Khalil, Ayman MageedGado","doi":"10.4103/enj.enj_45_22","DOIUrl":"https://doi.org/10.4103/enj.enj_45_22","url":null,"abstract":"Background Following coronary artery bypass graft (CABG), the main causes of postoperative morbidity and mortality are postoperative pulmonary complications, respiratory dysfunction, and arterial hypoxemia. Aim To evaluate the effect of postoperative incentive spirometry (IS) on dyspnea severity among patients undergoing CABG. Research hypothesis H1: there is a statistically significant improvement in dyspnea severity among patients undergoing CABG after using IS when compared with before use. Design A quasi-experimental (one group pretest–posttest) design was used in the current study. Setting This study was conducted at selected cardiothoracic care units and cardiothoracic ward affiliated to Cairo University Hospitals. Sample A convenient sample of 49 adult patients undergoing CABG was included. Tools Three tools were used to collect data: first, demographic characteristics and health relevant data; second, chest auscultation; and third, dyspnea severity score. Results There were statistically significant improvements found in the dyspnea severity score on first day, second day, and third day after using IS compared with before using spirometry among the patients. Moreover, there was significant improvement in chest auscultation before and after using spirometry. Half of the patients (53.1%) revealed regaining of normal breath sounds on the third day after using IS versus before using spirometry, where only 28.6% had normal breath sounds on the third day. Conclusion It can be concluded that postoperative IS decreased dyspnea severity and improved respiratory function among patients undergoing CABG. Recommendation Future trials may be carried out with adequate research grants with postoperative IS after major surgery and other respiratory diseases to improve dyspnea severity without medication.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125415647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Prolonged postoperative ileus (PPOI) is one of the most common complications following colorectal surgeries, which leads to increased postoperative morbidity, mortality, and length of hospital stay. Aim The aim of this study was to examine preoperative correlates of PPOI among patients undergoing colorectal surgeries. Design A descriptive correlational research design was used in this study. Setting The study was conducted at selected General and Emergency Surgery Departments of Kasr El Eini Hospital affiliated to Cairo University hospitals. Sample A convenient sample of 60 adult male and female patients was recruited to answer the research question. Results The main study findings revealed that the incidence of PPOI occurred in 66.7% of patients. A statistically significant correlation was found between PPOI occurrence and surgical approach (laparotomy, 87%,and colectomy, 65%), duration of preoperative intravenous fluid administration (87.5%), preoperative antibiotics (55%), low hemoglobin and hematocrit level (72.5%), preoperative prolonged duration of fasting for liquids more than 24 h (57.5%), and lack of preoperative teaching about recovery plan for most of the study participants. Conclusion Preoperative correlates of PPOI according to the current study findings are the laparotomy surgical approach, the colectomy procedure, duration of intravenous fluids administration, low hemoglobin and hematocrit levels, prolonged fasting for liquids, and lack of teaching about preoperative recovery plan. Recommendations Further research studies are required to determine the best practice for prevention and reduction of PPOI incidence. Comprehensive education programs for health team members and the patients regarding the guidlines of caring for colorectal surgery within the context of enhanced recovery after surgery program are required.
背景术后延长性肠梗阻(PPOI)是结直肠手术后最常见的并发症之一，它会导致术后发病率、死亡率和住院时间的增加。目的本研究的目的是检查术前结肠直肠手术患者PPOI的相关因素。设计本研究采用描述性相关研究设计。本研究在开罗大学附属医院Kasr El Eini医院选定的普通外科和急诊外科进行。我们方便地招募了60名成年男性和女性患者来回答研究问题。结果主要研究结果显示，66.7%的患者发生PPOI。PPOI的发生与手术入路(开腹87%，结肠切除术65%)、术前静脉输液时间(87.5%)、术前抗生素(55%)、低血红蛋白和红细胞压积(72.5%)、术前禁食时间超过24 h(57.5%)、缺乏术前恢复计划教学等因素有统计学意义的相关。结论术前与PPOI相关的因素有开腹手术入路、结肠切除术方式、静脉输液时间、血红蛋白和红细胞压积低、禁食时间过长以及缺乏术前恢复计划的教学。建议需要进一步的研究来确定预防和减少PPOI发病率的最佳做法。需要对卫生团队成员和患者进行全面的教育，以了解在增强术后恢复计划的背景下护理结直肠手术的指导方针。
{"title":"Preoperative correlates of prolonged postoperative ileus among patients undergoing colorectal surgeries","authors":"Ola M. Sayed, Hanan Al Sebaee, Lilian Iskander","doi":"10.4103/enj.enj_44_22","DOIUrl":"https://doi.org/10.4103/enj.enj_44_22","url":null,"abstract":"Background Prolonged postoperative ileus (PPOI) is one of the most common complications following colorectal surgeries, which leads to increased postoperative morbidity, mortality, and length of hospital stay. Aim The aim of this study was to examine preoperative correlates of PPOI among patients undergoing colorectal surgeries. Design A descriptive correlational research design was used in this study. Setting The study was conducted at selected General and Emergency Surgery Departments of Kasr El Eini Hospital affiliated to Cairo University hospitals. Sample A convenient sample of 60 adult male and female patients was recruited to answer the research question. Results The main study findings revealed that the incidence of PPOI occurred in 66.7% of patients. A statistically significant correlation was found between PPOI occurrence and surgical approach (laparotomy, 87%,and colectomy, 65%), duration of preoperative intravenous fluid administration (87.5%), preoperative antibiotics (55%), low hemoglobin and hematocrit level (72.5%), preoperative prolonged duration of fasting for liquids more than 24 h (57.5%), and lack of preoperative teaching about recovery plan for most of the study participants. Conclusion Preoperative correlates of PPOI according to the current study findings are the laparotomy surgical approach, the colectomy procedure, duration of intravenous fluids administration, low hemoglobin and hematocrit levels, prolonged fasting for liquids, and lack of teaching about preoperative recovery plan. Recommendations Further research studies are required to determine the best practice for prevention and reduction of PPOI incidence. Comprehensive education programs for health team members and the patients regarding the guidlines of caring for colorectal surgery within the context of enhanced recovery after surgery program are required.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114569728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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