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Prevalence of pregnancy complications in Nnewi, South-East Nigeria 尼日利亚东南部奈威的妊娠并发症患病率
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_14_21
A. Afonne, J. Okafor
Aims This study was set to determine the prevalence of pregnancy complications and associated sociodemographic factors in Nnewi, South-East Nigeria, from 2014 to 2018. Patients and methods This was a retrospective, descriptive study of pregnant women, who received antenatal care and/or delivered at the Nnamdi Azikiwe University Teaching Hospital, Nnewi. Results Of the 821 deliveries documented at Nnamdi Azikiwe University Teaching Hospital, Nnewi, 435 (52.98%) had complications. Sixteen clinical conditions were identified in the complicated pregnancies; the most common being malaria (20.23%), hemorrhage (13.79%), and HIV infection (10.11%). The least were ectopic pregnancy (2.07%), uterine rupture (2.07%), and placenta abruption (2.30%). The number of pregnancies with complications were significantly higher than those without (P=0.039). There was a statistical association between pregnancy complication and the woman’s occupation (P=0.028). Conclusion The prevalence of pregnancy complications in Nnewi was found to be 52.98%, with malaria being the most common complication (22.23%), and ectopic pregnancy and uterine rupture the least (2.07%). Recommendation Women are advised to access antenatal care during pregnancy to stem complications, while efforts should be intensified by relevant bodies to control malaria in pregnancy.
本研究旨在确定2014年至2018年尼日利亚东南部Nnewi地区妊娠并发症及相关社会人口因素的患病率。患者和方法这是一项回顾性、描述性研究,研究对象为在Nnewi Nnamdi Azikiwe大学教学医院接受产前护理和/或分娩的孕妇。结果在Nnamdi Azikiwe大学教学医院记录的821例分娩中,435例(52.98%)发生并发症。在复杂妊娠中发现了16种临床症状;最常见的是疟疾(20.23%)、出血(13.79%)和艾滋病毒感染(10.11%)。宫外孕(2.07%)、子宫破裂(2.07%)、胎盘早剥(2.30%)发生率最低。合并并发症的妊娠数明显高于未合并并发症的妊娠数(P=0.039)。妊娠并发症与职业有统计学相关性(P=0.028)。结论奈威省妊娠并发症发生率为52.98%,其中疟疾发生率最高(22.23%),异位妊娠和子宫破裂发生率最低(2.07%)。建议妇女在怀孕期间获得产前保健,以防止并发症,同时有关机构应加强努力,控制怀孕期间的疟疾。
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引用次数: 0
Pelvic inflammatory disease: improving women awareness regarding postabortive preventive measures 盆腔炎:提高妇女对流产后预防措施的认识
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_50_21
Magda Hasab Allah, S. Abdelnaem, Manar D. Mohammed, Amany Abdelrahim
Background Pelvic inflammatory disease (PID) is one of the most serious infections faced by women today. It is a common problem encountered in post natal, post abortions and family planning clinics. Aim To evaluate the effect of educational program on women awareness regarding postabortive preventive measures of PID. Patients and methods A quasi-experimental design was used to achieve the aim of the study, which was conducted at the outpatient clinics of Maternal and Child Minia University Hospital. Sampling A purposive sample of 100 women was recruited. Tools Three tools were used in the current study for data collection: tool 1, structured interviewing questionnaire; tool 2, knowledge assessment tool; and tool 3, self-reported practice assessment tool. Results Overall, 85% of women had poor level of knowledge regarding PID and its prevention at preeducational test; this improved at posteducational test to 90% of them having good level of knowledge about PID and its prevention. Moreover, 83% of women had unsatisfactory level of reported practices related to postabortion care at preeducational test; this improved at posteducational test to 88% of them having satisfactory level of reported postabortion care practices. There was a positive association between knowledge scores and reported practice scores of the women at posteducational program. Conclusion Application of health education program was significant in enhancing the knowledge and self-reported practices among women in postabortion period regarding preventive measures of PID. Recommendations More research studies are needed to increase women’s awareness regarding postabortive preventive measures of PID because there were few research studies in this field.
盆腔炎(PID)是当今女性面临的最严重的感染之一。这是产后、堕胎后和计划生育诊所常见的问题。目的评价教育方案对妇女产后预防盆腔炎意识的影响。患者和方法采用准实验设计来达到研究的目的,研究在Minia大学妇幼医院门诊进行。有目的的100名女性被招募。本研究使用了三种工具进行数据收集:工具1,结构化访谈问卷;工具二,知识评估工具;工具3,自我报告实践评估工具。结果总体而言,85%的女性在教育前测试中对PID及其预防知识水平较差;在教育后测试中,这一比例提高到90%,他们对PID及其预防有良好的认识。此外,83%的妇女在教育前测试中报告的流产后护理实践水平不理想;这在教育后测试中提高到88%的人有满意的水平报告堕胎后护理实践。在教育后项目中,女性的知识得分和报告的实践得分之间存在正相关。结论健康教育项目的应用对提高流产后妇女对盆腔炎预防措施的认识和自述行为具有重要意义。由于该领域的研究较少,需要更多的研究来提高妇女对产后盆腔炎预防措施的认识。
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引用次数: 1
Relation between decision-making styles among head nurses and their personality traits 护士长决策风格与人格特质的关系
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_45_21
K. Zaid, B. Basiony, Shimaa S. Adam
Background Decision-making styles differ from one head nurse to another one based on several factors and a variety of personality traits that collaboratively affect the proficiency of the decision. Aim This study aimed to assess the relation between decision-making styles among head nurses and their personality traits. Design A descriptive correlational research design was used in carrying out the current study. Setting This study was conducted at nine hospitals affiliated to the Ministry of Health at Beni-Suef governorate and included six central hospitals and three specialty hospitals. Patients A purposive sample of 137 head nurses was included as a study sample. Data-collection tools Three tools were used to carry out this study, namely (a) factors affecting decision-making questionnaire, (b) general decision-making style inventory, and (c) personality-trait questionnaire. Results The mean age of the study sample was 35.2±6.8. Majority (90.5%) of the head nurses had a low level of rational style, the highest mean was regarding psychoticism neuroticism trait (21.41±0.86). There was a statistically significant correlation between intuitive decision-making style of head nurses and their neuroticism traits. There was a statistically significant correlation between dependent decision-making style of head nurses and their psychoticism and lie traits. Conclusion There was a highly statistically significant correlation between spontaneous decision-making style of head nurses and their extraversion and neuroticism traits. Also, there was a highly statistically significant correlation between intuitive decision-making style of head nurses and their psychoticism trait. Recommendations Periodic training and evaluation of head nurses on decision-making skills and giving more attention for personality traits of head nurses and their effect on decision-making.
护士长的决策风格不同,基于几个因素和各种人格特征,这些因素和人格特征共同影响决策的熟练程度。目的探讨护士长决策风格与其人格特质的关系。设计本研究采用描述性相关研究设计。本研究在贝尼-苏韦夫省卫生部附属的9家医院进行,包括6家中心医院和3家专科医院。目的选取137名护士长作为研究样本。本研究使用三种工具进行研究,分别是(a)影响决策问卷、(b)一般决策风格量表和(c)人格特质问卷。结果研究样本的平均年龄为35.2±6.8岁。大部分护士长(90.5%)的理性风格水平较低,其中精神病性神经质特征的平均值最高(21.41±0.86)。护士长的直觉决策风格与神经质特质有显著的相关。护士长的依赖决策方式与其精神状态、谎言特征有显著的相关。结论护士长自发决策风格与其外向性、神经质特征有显著的相关。护士长的直觉决策风格与其精神特质有显著的相关。建议定期对护士长进行决策技能培训和评估,重视护士长的人格特质及其对决策的影响。
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引用次数: 1
Staff nurse’s perception about performance-appraisal fairness and its relation to their work engagement 护士长对绩效考核公平性的感知及其与工作投入的关系
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_53_21
Marwa Hamdeen, A. Elewa, S. Mohamed
Background An organization’s performance-appraisal system can be a practical tool for employee engagement, motivation, and development when employees perceive their performance appraisals as fair. Aim To assess staff nurses’ perception about performance-appraisal fairness and its relation to their work engagement at Beni-Suef University Hospital. Design A descriptive correlational design was utilized. Setting Data were collected from Beni-Suef University Hospital. Sample A convenient sample (n=250) of staff nurses who accepted to participate in the study. Tools Two tools were utilized to collect data: (a) performance-appraisal fairness perception questionnaire, (2) Utrecht Work Engagement Scale. Results The results of the study revealed that the majority of staff nurses highly perceived all domains of performance appraisal, interpersonal justice mean-percent score was 86.2% and distributive justice was 79.4%. They also had a high perception of work engagement, with a mean-percent score of 89.5% for the dedication domain, followed by vigor (83.7%) and absorption domain (82.7%). More than two-thirds of staff nurses (67.6%) reported high levels of work engagement, and there was a statistically significant positive correlation between total (r: 0.370, P: 0.00) and all domains of performance-appraisal fairness and work engagement. Conclusion The study findings concluded that staff nurses highly perceived performance-appraisal fairness and work engagement, more than two-thirds of staff nurses had high levels of work engagement, and there was a statistically highly significant positive correlation between staff nurses’ perception of performance-appraisal fairness and their work engagement. Recommendations: the administrator should develop a plan for continuous improvement of performance-appraisal fairness, continuous training of head nurses on how to perform sound performance appraisals, regularly revise, update, and disseminate performance-appraisal forms, suggest a plan to sustain a high level of engagement, and motivate staff to participate in performance-appraisal planning to be more engaged.
当员工认为他们的绩效评估是公平的时,组织的绩效评估系统可以成为员工敬业、激励和发展的实用工具。目的了解贝尼苏夫大学附属医院护士对绩效考核公平性的看法及其与工作投入的关系。设计采用描述性相关设计。数据来自贝尼-苏夫大学医院。方便样本(n=250)接受参与研究的护理人员。使用两种工具收集数据:(a)绩效评估公平感知问卷;(2)乌得勒支工作投入量表。结果研究结果显示,大多数护士长对绩效考核各领域的评价均较高,人际公平平均百分比得分为86.2%,分配公平平均百分比得分为79.4%。他们对工作投入的感知也很高,奉献领域的平均百分比得分为89.5%,其次是活力(83.7%)和吸收领域(82.7%)。超过三分之二(67.6%)的护工工作敬业度较高,总体与绩效考核公平和工作敬业度各领域呈正相关(r: 0.370, P: 0.00)。结论护理人员对绩效考核公平性和工作敬业度有较高的感知,超过三分之二的护理人员的工作敬业度较高,且护理人员对绩效考核公平性的感知与工作敬业度之间存在统计学高度显著的正相关。建议:管理者应制定持续改进绩效考核公平性的计划,持续培训护士长如何进行良好的绩效考核,定期修订、更新和传播绩效考核表格,提出保持高参与度的计划,并激励员工参与绩效考核计划,提高员工的参与度。
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引用次数: 2
Effect of cold application on intramuscular injection pain among patients with fractures 冷敷对骨折患者肌内注射疼痛的影响
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_51_21
H. Mahmoud, Salwa Abdel Aziz, M. Ibrahim
Background Intramuscular injection (IMI) is an invasive and painful procedure that is routinely used in health care settings. The knowledge regarding the efficiency of nonpharmacological methods of pain management, including cold application, is limited and needs further research studies. Aim The aim of the study was to evaluate the effect of cold application on IMI pain among patients with fractures. Design A quasi-experimental design (pre-posttest nonequivalent control group design) was used. Setting This study was conducted in the inpatient clinic of Orthopedic Surgical Department in Beni Suef University Hospital. Sample A convenient consecutive sample of 64 adult male and female patients was enrolled in the study. Tools Two tools were used for data collection: (a) structured interview assessment form, including sociodemographic and medical-related data, and (b) pain assessment forms. Results The study findings revealed that the mean age of the study and control groups was 39.2±11.1 and 34.8±11.9 years, respectively. When analyzing the numerical pain scale, a statistically significant difference was found between both groups, with higher reduction in the total mean score of pain from 6.78±1.6 to 2.34±0.9 among the group that received cold application before IMI. It also showed that there were highly statistically significant differences in the total mean score of the observational checklist of nonverbal pain indicators of the study group between preintervention and postintervention results during movement and at rest (P≤0.001). Conclusion This study concluded that cold application was an effective nursing measure in reducing the pain intensity associated with IMI. Recommendations Continuous education for nurses must be provided to improve their knowledge and practice regarding nonpharmacological methods such as cold application and its effect on relieving pain arising from IMI into the vastus lateralis muscle.
背景:肌内注射(IMI)是一种在卫生保健机构中常规使用的侵入性和疼痛性手术。关于疼痛管理的非药物方法,包括冷敷的有效性的知识是有限的,需要进一步的研究。目的本研究的目的是评价冷敷对骨折患者IMI疼痛的影响。设计采用准实验设计(测前-测后非等效对照组设计)。本研究在贝尼苏夫大学附属医院骨科住院门诊进行。64名成年男性和女性患者的方便连续样本被纳入研究。数据收集使用了两种工具:(a)结构化访谈评估表,包括社会人口统计学和医学相关数据;(b)疼痛评估表。结果研究结果显示,研究组和对照组的平均年龄分别为39.2±11.1岁和34.8±11.9岁。两组疼痛数值评分差异有统计学意义,IMI前冷敷组疼痛总平均评分由6.78±1.6降至2.34±0.9。实验组非语言疼痛指标观察表的总均分在干预前和干预后运动时和休息时的差异有高度统计学意义(P≤0.001)。结论冷敷是减轻IMI患者疼痛强度的有效护理措施。建议必须为护士提供持续教育,以提高他们对非药物方法的知识和实践,如冷敷及其对缓解股外侧肌IMI引起的疼痛的影响。
{"title":"Effect of cold application on intramuscular injection pain among patients with fractures","authors":"H. Mahmoud, Salwa Abdel Aziz, M. Ibrahim","doi":"10.4103/enj.enj_51_21","DOIUrl":"https://doi.org/10.4103/enj.enj_51_21","url":null,"abstract":"Background Intramuscular injection (IMI) is an invasive and painful procedure that is routinely used in health care settings. The knowledge regarding the efficiency of nonpharmacological methods of pain management, including cold application, is limited and needs further research studies. Aim The aim of the study was to evaluate the effect of cold application on IMI pain among patients with fractures. Design A quasi-experimental design (pre-posttest nonequivalent control group design) was used. Setting This study was conducted in the inpatient clinic of Orthopedic Surgical Department in Beni Suef University Hospital. Sample A convenient consecutive sample of 64 adult male and female patients was enrolled in the study. Tools Two tools were used for data collection: (a) structured interview assessment form, including sociodemographic and medical-related data, and (b) pain assessment forms. Results The study findings revealed that the mean age of the study and control groups was 39.2±11.1 and 34.8±11.9 years, respectively. When analyzing the numerical pain scale, a statistically significant difference was found between both groups, with higher reduction in the total mean score of pain from 6.78±1.6 to 2.34±0.9 among the group that received cold application before IMI. It also showed that there were highly statistically significant differences in the total mean score of the observational checklist of nonverbal pain indicators of the study group between preintervention and postintervention results during movement and at rest (P≤0.001). Conclusion This study concluded that cold application was an effective nursing measure in reducing the pain intensity associated with IMI. Recommendations Continuous education for nurses must be provided to improve their knowledge and practice regarding nonpharmacological methods such as cold application and its effect on relieving pain arising from IMI into the vastus lateralis muscle.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115919341","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}
引用次数: 0
Prevalence and associated risk factors of intrauterine fetal deaths among pregnant women at El-Manial University Hospital El-Manial大学医院孕妇宫内胎儿死亡的患病率及相关危险因素
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_2_22
Eman M. E. Ahmed, Yousria A. Elsayed, Aymen Elhalim, S. Ibrahim
Background and aim Stillbirth is one of the most dreaded consequence of pregnancy and is distressing when it occurs without warning in pregnancy. It is defined as death at a gestational age of 20 completed weeks or greater or if the fetal weight is 300 g or more. The aim of study was to determine the incidence of intrauterine fetal death (IUFD) among pregnant women and relationship between the risk factors and incidence of IUFD. Design A descriptive correlational design was adopted in this study. Setting The study was conducted at the casualty department (section 10) of El-Manial University Hospital affiliated to Cairo University. Sample A convenience sample of 450 pregnant women was recruited throughout a period of 1 year from February 2019 to January 2020 and retrospectively from archived women files 1 year before start of the study from February 2018 to January 2019. Results A total of 255 IUFDs were reported among 13 400 deliveries with a prevalence of 19.02/1000 live births in 2018 from archived files and 165 cases among 14 500 deliveries with a prevalence of 11.4/1000 live births in 2019. The maximum age group of the study sample ranged from 20 to 25 years, with a mean age of 29.59±6.6 years. The risk factors of IUFD were preeclampsia (P=0.00), gestational diabetes mellitus (P=0.050), antepartum hemorrhage (P=0.00), preterm premature rupture of membrane (P=0.033), maternal age (P=0.041), oligohydramnios (P=0.022), gravidity (P=0.005), residence (P=0.05), cardiac disease (P=0.001, previous abortion (P=0.003), and previous IUFD (P=0.000). Conclusion The incidence of IUFDs decreased to 11.4 per 1000 births in 2019. Preeclampsia, antepartum hemorrhage, cardiac disease, and previous IUFD were the major leading causes for IUFD. Recommendations It is recommended to increase the awareness of pregnant women regarding IUFDs with the help of booklets and brochures with emphasis on antenatal care and the benefits of regular attendance on early detection and management of deteriorated pregnancy conditions.
背景和目的死胎是怀孕最可怕的后果之一,当它在怀孕期间毫无征兆地发生时,是令人痛苦的。定义为胎龄满20周或更大或胎儿体重大于或等于300克死亡。研究的目的是确定孕妇宫内胎儿死亡(IUFD)的发生率以及危险因素与IUFD发生率的关系。设计本研究采用描述性相关设计。研究是在开罗大学附属El-Manial大学医院的伤病科(第10科)进行的。在2019年2月至2020年1月的一年中,我们招募了450名孕妇作为方便样本,并从2018年2月至2019年1月研究开始前一年的存档女性档案中进行回顾性研究。结果2018年13400例分娩中报告宫内节育器255例,患病率为19.02/1000活产;2019年14500例分娩中报告宫内节育器165例,患病率为11.4/1000活产。研究样本的最大年龄为20 ~ 25岁,平均年龄29.59±6.6岁。IUFD的危险因素为先兆子痫(P=0.00)、妊娠期糖尿病(P=0.050)、产前出血(P=0.00)、早产早破膜(P=0.033)、产妇年龄(P=0.041)、羊水过少(P=0.022)、妊娠(P=0.005)、居住(P=0.05)、心脏病(P=0.001)、既往流产(P=0.003)、既往IUFD (P=0.000)。结论2019年宫内节育器发生率降至11.4 / 1000例。子痫前期、产前出血、心脏疾病和既往IUFD是IUFD的主要原因。建议在小册子和小册子的帮助下,提高孕妇对宫内节育器的认识,强调产前保健和定期就诊对早期发现和管理妊娠恶化情况的好处。
{"title":"Prevalence and associated risk factors of intrauterine fetal deaths among pregnant women at El-Manial University Hospital","authors":"Eman M. E. Ahmed, Yousria A. Elsayed, Aymen Elhalim, S. Ibrahim","doi":"10.4103/enj.enj_2_22","DOIUrl":"https://doi.org/10.4103/enj.enj_2_22","url":null,"abstract":"Background and aim Stillbirth is one of the most dreaded consequence of pregnancy and is distressing when it occurs without warning in pregnancy. It is defined as death at a gestational age of 20 completed weeks or greater or if the fetal weight is 300 g or more. The aim of study was to determine the incidence of intrauterine fetal death (IUFD) among pregnant women and relationship between the risk factors and incidence of IUFD. Design A descriptive correlational design was adopted in this study. Setting The study was conducted at the casualty department (section 10) of El-Manial University Hospital affiliated to Cairo University. Sample A convenience sample of 450 pregnant women was recruited throughout a period of 1 year from February 2019 to January 2020 and retrospectively from archived women files 1 year before start of the study from February 2018 to January 2019. Results A total of 255 IUFDs were reported among 13 400 deliveries with a prevalence of 19.02/1000 live births in 2018 from archived files and 165 cases among 14 500 deliveries with a prevalence of 11.4/1000 live births in 2019. The maximum age group of the study sample ranged from 20 to 25 years, with a mean age of 29.59±6.6 years. The risk factors of IUFD were preeclampsia (P=0.00), gestational diabetes mellitus (P=0.050), antepartum hemorrhage (P=0.00), preterm premature rupture of membrane (P=0.033), maternal age (P=0.041), oligohydramnios (P=0.022), gravidity (P=0.005), residence (P=0.05), cardiac disease (P=0.001, previous abortion (P=0.003), and previous IUFD (P=0.000). Conclusion The incidence of IUFDs decreased to 11.4 per 1000 births in 2019. Preeclampsia, antepartum hemorrhage, cardiac disease, and previous IUFD were the major leading causes for IUFD. Recommendations It is recommended to increase the awareness of pregnant women regarding IUFDs with the help of booklets and brochures with emphasis on antenatal care and the benefits of regular attendance on early detection and management of deteriorated pregnancy conditions.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125599542","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}
引用次数: 0
Family Caregiver’s Attitudes and Preventive Measures toward Home-Quarantine Guidelines for COVID-19 Patients 家庭护理人员对COVID-19患者居家隔离指南的态度及预防措施
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_1_22
M. Elsawy, Rehab Abd El Koddous, K. Mousa
Background Home quarantine is an important way to stop the spread of coronavirus disease 2019 (COVID-19), and one of the key elements to control the transmission of COVID‐19 is to decrease the source of infection and transmission to the community. Aim To assess the attitudes and preventive measures of the family caregivers toward home-quarantine guidelines for COVID‐19-infected patients. Design A descriptive-exploratory design was used. Setting The study was conducted at Dar El Salam Family Health Center, Cairo Governorate. Sample A purposive sample of 140 family caregivers was included. First tool Family caregivers’ home quarantine attitude scale that has two parts. Part 1 Demographic data of the family caregivers and part 2: family caregiver’s attitudes. Second tool: Family caregivers’ reported home quarantine preventive measures. Results A positive attitude and good reported preventative measure scores were reported by more than two-thirds of family caregivers, whereas a minority had a negative attitude and fair reported preventive measure scores toward home-quarantine guidelines for COVID‐19-infected patients. Family caregivers’ attitudes and reported preventative measures were positively correlated. A highly statistically significant positive correlation was found linking total attitude and reported preventative measure scores with the family caregiver’s place of residence, education, and having COVID-19. Total attitudes and reported preventative measure scores had a statistically significant positive correlation with monthly income. Conclusion More than two-thirds of family caregivers had positive attitude and good reported preventive measure scores toward home-quarantine guidelines for COVID‐19-infected patients. Recommendation It is advised that a health education program be developed to encourage positive attitude and maintain safe practices toward home-quarantine guidelines for COVID‐19-infected patients and family caregivers to avoid the spread of the infection.
背景家庭隔离是遏制2019冠状病毒病(COVID-19)传播的重要途径,减少感染源和社区传播是控制COVID-19传播的关键因素之一。目的了解家庭护理人员对COVID - 19感染患者居家隔离指南的态度和预防措施。设计采用描述性探索性设计。该研究在开罗省的Dar El Salam家庭保健中心进行。有目的的样本包括140名家庭照顾者。第一个工具家庭护理人员居家隔离态度量表分为两部分。第一部分是家庭照顾者的人口统计数据,第二部分是家庭照顾者的态度。第二个工具:家庭照顾者报告的居家隔离预防措施。结果超过三分之二的家庭护理人员对COVID - 19感染患者的家庭隔离指南持积极态度和良好的预防措施报告得分,而少数家庭护理人员对COVID - 19感染患者的家庭隔离指南持消极态度和一般的预防措施报告得分。家庭照顾者的态度与报告的预防措施正相关。研究发现,总体态度和报告的预防措施得分与家庭照顾者的居住地、教育程度和是否患有COVID-19呈高度统计学显著正相关。总态度和报告的预防措施得分与月收入有统计学上显著的正相关。结论超过三分之二的家庭护理人员对COVID - 19感染患者家庭隔离指南持积极态度,报告的预防措施得分较好。建议制定健康教育计划,鼓励对COVID - 19感染患者和家庭护理人员的积极态度和安全做法,以避免感染的传播。
{"title":"Family Caregiver’s Attitudes and Preventive Measures toward Home-Quarantine Guidelines for COVID-19 Patients","authors":"M. Elsawy, Rehab Abd El Koddous, K. Mousa","doi":"10.4103/enj.enj_1_22","DOIUrl":"https://doi.org/10.4103/enj.enj_1_22","url":null,"abstract":"Background Home quarantine is an important way to stop the spread of coronavirus disease 2019 (COVID-19), and one of the key elements to control the transmission of COVID‐19 is to decrease the source of infection and transmission to the community. Aim To assess the attitudes and preventive measures of the family caregivers toward home-quarantine guidelines for COVID‐19-infected patients. Design A descriptive-exploratory design was used. Setting The study was conducted at Dar El Salam Family Health Center, Cairo Governorate. Sample A purposive sample of 140 family caregivers was included. First tool Family caregivers’ home quarantine attitude scale that has two parts. Part 1 Demographic data of the family caregivers and part 2: family caregiver’s attitudes. Second tool: Family caregivers’ reported home quarantine preventive measures. Results A positive attitude and good reported preventative measure scores were reported by more than two-thirds of family caregivers, whereas a minority had a negative attitude and fair reported preventive measure scores toward home-quarantine guidelines for COVID‐19-infected patients. Family caregivers’ attitudes and reported preventative measures were positively correlated. A highly statistically significant positive correlation was found linking total attitude and reported preventative measure scores with the family caregiver’s place of residence, education, and having COVID-19. Total attitudes and reported preventative measure scores had a statistically significant positive correlation with monthly income. Conclusion More than two-thirds of family caregivers had positive attitude and good reported preventive measure scores toward home-quarantine guidelines for COVID‐19-infected patients. Recommendation It is advised that a health education program be developed to encourage positive attitude and maintain safe practices toward home-quarantine guidelines for COVID‐19-infected patients and family caregivers to avoid the spread of the infection.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125882344","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}
引用次数: 1
Supportive cryotherapy nursing intervention toward diminishing oral mucositis and associated pain among patients with cancer 支持冷冻治疗护理干预对减轻癌症患者口腔黏膜炎及相关疼痛的影响
Pub Date : 2022-01-01 DOI: 10.4103/enj.enj_49_21
A. Saad, S. Ramadan, S. Mohamed
Background Oral mucositis is a common problem with chemotherapy treatment. Cryotherapy is supportive in oncology, by preventing chemotherapy-induced complications such as oral mucositis and its related pain, through placing ice chips in the mouth. Aim To evaluate the effect of supportive cryotherapy nursing intervention toward diminishing oral mucositis and associated pain among patients with cancer. Design A quasi-experimental design was used. Setting The study was carried out at the chemotherapy outpatient clinic affiliated to El-Nasr Health Insurance Hospital, Helwan. Sample A purposive sample of 60 patients was equally divided into two groups: cryotherapy and control. Tools Four tools were used: (a) structured interview questionnaire, which included patient demographic characteristic and medical history; (b) the WHO oral mucositis assessment scale; (c) the oral assessment guide; and (d) the visual analog pain scale. Results There was a statistically significant difference in incidence and severity of oral mucositis and pain between cryotherapy and control groups at 7, 14, and 21 days of chemotherapy. Moreover, there were highly statistically significant differences in mean scores of oral assessments between both groups throughout the study phases. Conclusion Supportive cryotherapy nursing intervention for patients with cancer receiving chemotherapy had a positive effect on diminishing oral mucositis and associated pain in the cryotherapy group compared with the control group. Recommendations Training courses should be conducted for oncology patients receiving chemotherapy drugs about applying oral cryotherapy. Moreover, further research studies are recommended on a wider scale to counsel patients with cancer about the effect of oral cryotherapy on oral mucositis with recent chemotherapy treatment.
口腔黏膜炎是化疗的常见问题。冷冻疗法通过在口腔内放置冰片,预防化疗引起的并发症,如口腔黏膜炎及其相关疼痛,对肿瘤学有支持作用。目的评价支持性冷冻治疗护理干预对减轻癌症患者口腔黏膜炎及相关疼痛的效果。设计采用准实验设计。本研究在Helwan El-Nasr健康保险医院附属的化疗门诊进行。目的将60例患者平均分为两组:冷冻治疗组和对照组。工具采用四种工具:(a)结构化访谈问卷,包括患者人口统计学特征和病史;(b)世界卫生组织口腔黏膜炎评估量表;(c)口头评估指南;(d)视觉模拟疼痛量表。结果化疗后第7、14、21天,冷冻治疗组与对照组口腔黏膜炎、疼痛的发生率、严重程度比较,差异均有统计学意义。此外,在整个研究阶段,两组之间的口头评估平均得分有高度统计学意义的差异。结论支持冷冻护理干预对肿瘤化疗患者的口腔黏膜炎及相关疼痛的减轻效果优于对照组。建议对接受化疗药物的肿瘤患者进行口服冷冻治疗的培训。此外,建议在更大范围内进行进一步的研究,以咨询癌症患者口腔冷冻治疗对近期化疗口腔黏膜炎的影响。
{"title":"Supportive cryotherapy nursing intervention toward diminishing oral mucositis and associated pain among patients with cancer","authors":"A. Saad, S. Ramadan, S. Mohamed","doi":"10.4103/enj.enj_49_21","DOIUrl":"https://doi.org/10.4103/enj.enj_49_21","url":null,"abstract":"Background Oral mucositis is a common problem with chemotherapy treatment. Cryotherapy is supportive in oncology, by preventing chemotherapy-induced complications such as oral mucositis and its related pain, through placing ice chips in the mouth. Aim To evaluate the effect of supportive cryotherapy nursing intervention toward diminishing oral mucositis and associated pain among patients with cancer. Design A quasi-experimental design was used. Setting The study was carried out at the chemotherapy outpatient clinic affiliated to El-Nasr Health Insurance Hospital, Helwan. Sample A purposive sample of 60 patients was equally divided into two groups: cryotherapy and control. Tools Four tools were used: (a) structured interview questionnaire, which included patient demographic characteristic and medical history; (b) the WHO oral mucositis assessment scale; (c) the oral assessment guide; and (d) the visual analog pain scale. Results There was a statistically significant difference in incidence and severity of oral mucositis and pain between cryotherapy and control groups at 7, 14, and 21 days of chemotherapy. Moreover, there were highly statistically significant differences in mean scores of oral assessments between both groups throughout the study phases. Conclusion Supportive cryotherapy nursing intervention for patients with cancer receiving chemotherapy had a positive effect on diminishing oral mucositis and associated pain in the cryotherapy group compared with the control group. Recommendations Training courses should be conducted for oncology patients receiving chemotherapy drugs about applying oral cryotherapy. Moreover, further research studies are recommended on a wider scale to counsel patients with cancer about the effect of oral cryotherapy on oral mucositis with recent chemotherapy treatment.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126399553","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}
引用次数: 0
Nurses’ versus patient’s awareness about patient rights and nurses’ compliance to these rights 护士与患者对患者权利的意识和护士对这些权利的遵守
Pub Date : 2021-09-01 DOI: 10.4103/enj.enj_28_21
Walaa Abd El Sayed Yousef, F. Abed
Background In spite of the achievements concerning patient rights and ethical problems in healthcare in Egypt, several problems still persist, including the unethical behavior of some healthcare workers, and patient understanding of the concepts of the patient rights. Aim To assess nurses’ versus patient’s awareness about patient’s rights and nurses’ compliance to these rights. Research design Comparative descriptive design. Setting The study was conducted in two types of hospitals in Egypt, three governmental hospitals (university hospital, health insurance hospital, and ministry of health hospital) and one of them private hospital. Study sample Two groups of the patients were included in the present study: a total of 400 nurses who provide direct care to patients (100 in each hospital), and a total of 400 patients who present at the time of the study (100 in each hospital). Tool There were three tools used for data collection: I. nurses’ awareness toward patient rights’ questionnaires, II. patient’s awareness toward patient rights’ questionnaires, and III. nurses’ compliance to the patient’s rights from patients’ point-of-view questionnaire, these structured questionnaires were adopted by Said (2010) to assess nurses’ versus patients’ awareness toward the patient’s rights and compliance of nurses to these rights. Results The results revealed that 60.75% of nurses had a high level of awareness to patients’ rights and 34.23% of patients had good awareness toward their rights, in addition, there was a statistical significant difference in the compliances of nurses about patients’ rights between private hospitals and governmental hospitals (P=0.001). Conclusion The study findings showed that there was a significant difference in nurses’ compliance regarding patients’ bill of rights in four hospitals, especially in governmental hospitals. Recommendations The study recommended that the concept of patients’ rights should be given as a regular and specialized educational program and retraining and putting it as a course in curriculum.
背景尽管在埃及医疗保健方面取得了关于患者权利和伦理问题的成就,但一些问题仍然存在,包括一些医疗工作者的不道德行为,以及患者对患者权利概念的理解。目的评估护士与患者对患者权利的认知及护士对这些权利的遵守情况。研究设计比较描述性设计。本研究在埃及的两类医院进行,三家政府医院(大学医院、健康保险医院和卫生部医院)和其中一家私立医院。本研究包括两组患者:总共400名直接护理患者的护士(每家医院100名)和总共400名在研究时在场的患者(每家医院100名)。工具数据收集使用了三种工具:1 .护士患者权利意识问卷调查;患者权利意识问卷调查;护士对患者权利的遵守情况来自患者观点问卷,Said(2010)采用这些结构化问卷来评估护士和患者对患者权利的意识以及护士对这些权利的遵守情况。结果结果显示,60.75%的护士对患者权利的认知度较高,34.23%的患者对患者权利的认知度较好,私立医院与公立医院护士对患者权利的认知度差异有统计学意义(P=0.001)。结论四家医院护士对患者权利法案的依从性存在显著差异,尤其是公立医院。该研究建议,应将患者权利概念作为一项定期和专门的教育项目和再培训,并将其作为课程中的一门课程。
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引用次数: 1
Cancer patients’ satisfaction toward health services provided by non-governmental organizations 癌症患者对非政府组织医疗服务的满意度
Pub Date : 2021-09-01 DOI: 10.4103/enj.enj_17_21
S. Ibrahim, M. Shenouda, M. Elsawy
Background Nongovernmental organizations (NGOs) play a significant role for cancer patients in Egypt and helping to build capacity for cancer prevention, treatment, and improve access to care. Patient satisfaction has long been considered as an important indicator when measuring health outcomes of care. Aim The aim of the study was to assess cancer patients’ satisfaction toward health services provided by non-governmental organizations. Design A descriptive exploratory research design was utilized in this study. Setting Three NGOs were selected randomly from all cancer organizations at Cairo governorate. Sample A purposive sample of 100 cancer patients chosen by specific inclusion criteria. Tool for data collection A structured interviewing questionnaire that consisted of three parts was used to collect data pertinent to the study. First part: personal data of patients. Second part: data about the level of social relationships (communication) regarding cancer patients. Third part: data about patient’s satisfaction toward service offers by NGOs. Results More than two-thirds of patients were satisfied with the overall services provided by NGO. Also, the majority of patients were satisfied with services in Bahia Foundation, then satisfied with Breast Cancer Foundation of Egypt, and the last one was Association of Friends of the National Cancer-free initiative. A highly statistical difference in patients’ satisfaction toward health services was provided by NGOs according to their sex. Conclusion The study concluded that more than two-thirds of patients were satisfied with the overall services provided by NGO services, the majority of cancer patients in Bahia Foundation have satisfaction about the services provided. Recommendation Based on the study results, it is recommended to develop a health-education program for cancer patients and their community to raise the awareness about nongovernmental services for cancer patients about how to involve them in organization’s services.
非政府组织(ngo)在埃及的癌症患者中发挥着重要作用,帮助建立癌症预防、治疗和改善获得护理的能力。长期以来,患者满意度一直被视为衡量医疗保健结果的重要指标。目的本研究的目的是评估癌症患者对非政府组织提供的医疗服务的满意度。设计本研究采用描述性探索性研究设计。从开罗省所有癌症组织中随机抽取三个非政府组织。根据特定的纳入标准选择的100例癌症患者的有目的的样本。数据收集工具采用结构化访谈问卷,由三部分组成,用于收集与研究相关的数据。第一部分:患者个人资料。第二部分:关于癌症患者社会关系(沟通)水平的数据。第三部分:患者对ngo服务的满意度数据。结果超过三分之二的患者对NGO提供的整体服务感到满意。此外,大多数患者对巴伊亚基金会的服务感到满意,其次是埃及乳腺癌基金会,最后是全国无癌倡议之友协会。非政府组织提供的病人对保健服务的满意度根据性别有很大的统计差异。结论:超过三分之二的患者对NGO服务提供的整体服务感到满意,巴伊亚基金会的大多数癌症患者对所提供的服务感到满意。建议根据研究结果,建议针对癌症患者及其社区制定健康教育计划,以提高他们对非政府癌症患者服务的认识,以及如何让他们参与组织的服务。
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引用次数: 0
期刊
Egyptian Nursing Journal
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