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Effectiveness of Telelactation Intervention on knowledge, Breastfeeding and Relationship between Primiparas and Their Newborns 远程哺乳干预对初产妇与新生儿知识、母乳喂养及关系的影响
Pub Date : 2023-06-01 DOI: 10.21608/menj.2023.312885
Nehmedo Osman, S. Hassan, Doaa Wady, Mona Abd El-hamed
: Background: Breastfeeding has multiple benefits for mothers and infants which protects against health problems. Telelactation services can sustain breastfeeding at any location through, audio visual technology. Purpose: To investigate effectiveness of telelactation intervention on knowledge, breastfeeding, and relationship between Primiparas and their newborns. Design: Quasi-experimental (control & intervention) design was done at antenatal, delivery and postpartum department of maternity and children Minia university hospital. A randomized sample of fifty four pregnant women per each group was included. Four instruments were used for data collection (breast feeding structured interview, postpartum bonding, mother infant attachment scale and maternal satisfaction of telelactation) questionnaire. Results: Primiparas in the intervention group had higher mean level of knowledge in the intervention group than control group (26.22± 2.62Vs13.74±2.83), primiparas in the intervention group initiated breastfeeding earlier (48.1%) than primiparas in the control group (14.8%) and the majority of primiparas in the study group were satisfied from using telelactation intervention for breastfeeding consultation. Conclusion: The study concluded that telelactation intervention was effective in improving primiparas’ knowledge and relationship between Primiparas and their newborns. Recommendation : Telelactation nursing intervention must be used to improve knowledge of Primiparas and solve breastfeeding problems.
背景:母乳喂养对母亲和婴儿有多重好处,可以防止健康问题。远程哺乳服务可以通过视听技术在任何地点维持母乳喂养。目的:探讨远程泌乳干预对初产妇知识、母乳喂养及初产妇与新生儿关系的影响。设计:采用准实验(对照干预)设计,在南京大学附属妇幼医院产前、分娩、产后科室进行。每组随机抽取54名孕妇作为样本。采用四种工具(母乳喂养结构化访谈、产后依恋量表、母婴依恋量表和母亲远程哺乳满意度)问卷进行数据收集。结果:干预组初产妇的平均知识水平高于对照组(26.22±2.62Vs13.74±2.83),干预组初产妇开始母乳喂养的时间比对照组(14.8%)早(48.1%),研究组绝大多数初产妇对远程哺乳干预进行母乳喂养咨询感到满意。结论:远程泌乳干预能有效提高初产妇对新生儿的认知和关系。建议:必须采用催乳护理干预,提高初产妇知识,解决母乳喂养问题。
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引用次数: 0
Effect of Educational Guidelines Program about COVID-19 Precautions on Children and Their Caregivers COVID-19预防教育指南项目对儿童及其照顾者的影响
Pub Date : 2023-06-01 DOI: 10.21608/menj.2023.313210
Shimaa Ahmed, Samar Maklad, Mai Elsharkawy
Background: One of the most impactful communicable diseases present today is COVID-19.Children are one of the groups of society vulnerable to infection with the Corona virus. Hence, awareness programs about COVID-19 precaution guidelines for children and their caregivers may play an important role in reducing the spread of infection. The study aimed to evaluate the effect of educational guidelines program about COVID-19 precautions on knowledge and practices of children and their caregivers. Research Design: A quasi-experimental research design was utilized (pre and posttest). Setting: The study was conducted at pediatric outpatient clinic of Tanta Main University Hospital which includes Hematology, Chest, Neurology, Renal, Hepatic, Genetic, Endocrinal and Diabetes Departments. Sample: A purposive sampling approach of sixty children between 8-15 years of age and their caregivers were included from the previously mentioned setting. Two tools of data collection were used (Children and their Caregivers structured interview and Children and their Caregivers reported practice checklist). Results: the total mean score of children and their caregivers regarding knowledge and practice about COVID-19 and its precaution guidelines had improved after the program implementation with positive correlation between children's caregivers and children's knowledge and practice pre and post educational guidelines program. Conclusion: children and caregivers who received the educational guidelines program regarding COVID-19 and its precaution guidelines had higher levels of knowledge and practices on posttest than pretest. Recommendations : Continuous educational and awareness programs about COVID-19 and precaution guidelines must be provided periodically to help children and their caregivers to improve their knowledge and practice, therefore limit spread of infection.
背景:当前最具影响力的传染病之一是COVID-19。儿童是易受冠状病毒感染的社会群体之一。因此,针对儿童及其照顾者的COVID-19预防指南宣传计划可能在减少感染传播方面发挥重要作用。该研究旨在评估关于COVID-19预防措施的教育指南项目对儿童及其照顾者的知识和实践的影响。研究设计:采用准实验研究设计(前测和后测)。环境:本研究在坦塔大学附属医院儿科门诊进行,包括血液科、胸科、神经科、肾科、肝科、遗传科、内分泌科和糖尿病科。样本:有目的的抽样方法,包括60名8-15岁的儿童和他们的照顾者,从前面提到的设置。使用了两种数据收集工具(儿童及其照顾者结构化访谈和儿童及其照顾者报告实践清单)。结果:项目实施后,儿童及其照顾者对COVID-19及其预防指南的知识和实践的总平均得分有所提高,儿童照顾者与儿童知识和实践前后教育指南项目呈正相关。结论:接受COVID-19及其预防指南教育指导方案的儿童及其照料者对后测的知识和实践水平高于前测。建议:必须定期提供关于COVID-19的持续教育和宣传计划以及预防指南,以帮助儿童及其照顾者提高他们的知识和实践,从而限制感染的传播。
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引用次数: 0
Effect of Pre-Cesarean Section Wound Care Guidelines on Occurrence of Post-Operative Infection among Women / 剖宫产术前创面护理指南对女性术后感染发生的影响
Pub Date : 2023-06-01 DOI: 10.21608/menj.2023.307408
S. Ali, Enas Qasem, S. Ahmed
: Background: A cesarean section is a surgical procedure in which incisions are made through a woman's abdomen and uterus to deliver her baby. Surgical site infections are a common complication among cesarean section patients. Further, SSIs increase maternal morbidity, stay in the hospital and the cost of treatment. The purpose of the study was to evaluate the effect of applying of pre-cesarean section wound care guidelines on occurrence of postoperative infection among women. Methods: The quasi-experimental design was utilized. Sample : A purposive sample consisted of two hundred pregnant women undergoing cesarean section. Setting: The study was carried out at the Obstetrics and Gynecological Department & outpatient clinic at Beni-suef University Hospital in Beni-suef Governorate, Egypt. Instruments: An interviewing questionnaire, self-care practice tool, and follow-up assessment tool. Results: There was a statistically significant reduction in postoperative infection in the study group compared to the control group. Conclusion: The women in the study group who applied wound care guidelines were less exposed to cesarean section incision infection than those who had not received wound care guidelines. Recommendations: More knowledge, beliefs, and practices related to cesarean wound healing need to be corrected. Self-wound care guidelines should be incorporated as an essential part of routine antenatal care and post-partum before discharge after a cesarean section.
背景剖宫产是一种外科手术,在妇女的腹部和子宫上切开一个切口来分娩婴儿。手术部位感染是剖宫产术中常见的并发症。此外,ssi增加了孕产妇发病率、住院时间和治疗费用。本研究的目的是评价应用剖宫产前伤口护理指南对女性术后感染发生的影响。方法:采用准实验设计。样本:目的样本包括200名接受剖宫产手术的孕妇。环境:该研究在埃及贝尼苏韦夫省贝尼苏韦夫大学医院的妇产科和门诊进行。工具:访谈问卷、自我护理实践工具、随访评估工具。结果:与对照组相比,研究组术后感染发生率明显降低。结论:实验组采用创面护理指南的妇女比未采用创面护理指南的妇女更易发生剖宫产切口感染。建议:需要纠正更多与剖宫产伤口愈合有关的知识、观念和做法。自我伤口护理指南应作为常规产前护理和剖宫产术后出院前的产后护理的重要组成部分。
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引用次数: 0
Effect of Self-Directed Management Implementation on Short-Term Complications among Patients with Type II Diabetes Mellitus 自我管理实施对2型糖尿病患者短期并发症的影响
Pub Date : 2023-06-01 DOI: 10.21608/menj.2023.312768
Abeer El Sol, Nahid El-Gahsh, Tarek Abdl-Rahaman, Hytham Badr, E. Mohammed
: According to the World Health Organization (WHO), the primary component of patient-centered treatment is self-management practices, which serves as the foundation for the management of diabetes mellitus. Purpose: to examine the effect of self-directed management implementation on short-term complications among patients with type II diabetic patients. Design: Quasi Experimental design. Setting: The outpatient medical clinic of Menoufia University Hospital in Egypt. Sampling: A consecutive sample, which included 240 diabetic persons with Type II Diabetes Mellitus, the sample was selected randomly to assign them into of 120 in each group; 120 in control group, while study group was divided into subtype groups (study1 and study2) 60 patient in each group. Instruments: Three instruments used to collect the current data; Instrument (I): Diabetes Mellitus Structured Questionnaire; Instrument (II): Bio physiological measurements. Instrument (III): Patient's self-practices in management. Results: the existing outcomes recorded that; study2, who implemented self-directed management practices with olive oil have been associated with better improvement in all lab investigations as blood glucose 146.33± 25.74, while 167.17 ± 46.28 & 266.94± 63.27 respectively; in study1 and control group; furthermore high density (HDL) in study2 65.90± 2.72 if compared with 62.68 ± 4.04& 65.90± 2.72 respectively; in study1 and control group, also decreasing in low-density lipoprotein (LDL) in study2 than other groups (94.63± 3.31, 96.40 ± 3.35&153.39± 13.99) respectively; highly significance difference among studied groups in short term diabetes complications frequency after application of self-management practices (study2 better than study1&control group). Conclusion: The existing study concluded that implementing of directed self-management practices with olive oil as part of a health dietary plan is likely to produce better Type II Diabetes Mellitus outcomes and reduce short term complications when combined with physical exercise. Recommendation: Replicate the study in another setting and using a larger sample size to generalize the search results. Self-management program can be applied as a hospital routine care for patient with diabetes.
根据世界卫生组织(世卫组织),以病人为中心的治疗的主要组成部分是自我管理做法,这是糖尿病管理的基础。目的:探讨自我管理实施对2型糖尿病患者短期并发症的影响。设计:准实验设计。地点:埃及Menoufia大学医院门诊部。抽样:连续抽取240例合并2型糖尿病患者,随机分为每组120例;对照组120例,研究组分为亚型组(研究1和研究2),每组60例。仪器:三台仪器,用于收集电流数据;工具(一):糖尿病结构化问卷;仪器(II):生物生理测量。仪器(III):患者自我管理实践。结果:现有结局记录为;研究2中,采用橄榄油自我指导管理方法的患者在所有实验室检查中血糖分别为146.33±25.74、167.17±46.28和266.94±63.27,均有较好的改善;研究1和对照组;研究2的高密度脂蛋白(HDL)分别为65.90±2.72、62.68±4.04和65.90±2.72;研究1和对照组的低密度脂蛋白(LDL)也较其他组降低(分别为94.63±3.31、96.40±3.35和153.39±13.99);采用自我管理措施后,两组患者短期糖尿病并发症发生率差异有显著性意义(研究2优于研究1和对照组)。结论:现有的研究得出结论,将橄榄油作为健康饮食计划的一部分,实施有针对性的自我管理实践,可能会产生更好的II型糖尿病治疗效果,并在结合体育锻炼的情况下减少短期并发症。建议:在另一个环境中重复研究,并使用更大的样本量来推广搜索结果。自我管理程序可作为医院对糖尿病患者的常规护理。
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引用次数: 0
Obstacles Encounter Head Nurse' Role Excellence: Development and Validation of a Research Instrument 护士长角色卓越遇到的障碍:一种研究工具的开发与验证
Pub Date : 2023-04-19 DOI: 10.21608/menj.2023.295950
M. Aref, H. Mahfouz, F. Kamel
: Background : Head nurses play one of the most challenging roles in organizational healthcare. They directly managing the nursing staff at unit level and ensuring that they act in accordance with hospital rules and procedures. Head nurses also, have a significant managerial impact because they have the ability to influence the performance and quality of healthcare organizations. They are faced with many obstacles in their daily work that might encounter their excellence performance. Aim: The study aimed to develop an obstacles encounter head nurse' role excellence instrument. Research design: Methodological research design was used to conduct this study involving the use of both qualitative and quantitative methods. Setting: The study was carried out in eight hospitals at Qalyubia Governorate as follows: Benha university hospital, Benha educational hospital, and Benha fever hospital, Benha ophthalmology hospital, Sheben El Qanater fever hospital, Sheben El Qanater central hospital, Toukh central hospital, and Toukh fever hospital. Sample: Two samples were utilized to achieve study' purpose; multistage random sample included 104 head nurse (was utilized for gathering qualitative data that was required to define the main domains and themes which make up the instrument), and convenience sample consisted of 160 head nurse (was utilized to test the reliability and construct validity of the developed instrument). Instruments: three instruments were used in this study: (a) An obstacles encounter head nurses' role excellence open-ended questionnaire, (b) obstacles encounter head nurses' role excellence version one, and (c) obstacles encounter head nurses' role excellence version two. Results: the study revealed that developed instrument has high score for content validity index (.92) deducted that sample of items for the construct being measured was appropriate, Cronbach's alpha coefficient was calculated to be good (.93), Kaiser-Meyer-Olkin was high (.76), Bartlett's test was highly significant, and varimex rotation extracted four components with eigenvalue >1.0 and accounted variances ≥ 40%. Conclusion: The final version of developed instrument is considered to be valid and reliable based on statistical analysis. It contains 46 items within four domains categorized as follows: obstacles related to working conditions, obstacles related to head nurses, obstacles related to nurse managers at middle and top levels and obstacles related to staff nurses. Recommendations: it recommends that: using the developed instrument to assess obstacles encounters head nurses' role excellence in different healthcare settings, examine obstacles encounter head nurses from senior managers and staff nurses' point of view. Furthermore, develop strategy to overcome obstacles.
背景:护士长是组织医疗保健中最具挑战性的角色之一。他们直接管理单位一级的护理人员,并确保他们按照医院的规则和程序行事。护士长也具有重要的管理影响,因为他们有能力影响医疗保健组织的绩效和质量。他们在日常工作中面临着许多障碍,这些障碍可能会遇到他们的卓越表现。目的:研制护士长遇到障碍的角色优化量表。研究设计:本研究采用方法学研究设计,包括使用定性和定量方法。环境:本研究在Qalyubia省的八家医院进行:本哈大学医院、本哈教育医院、本哈发热医院、本哈眼科医院、Sheben El Qanater发热医院、Sheben El Qanater中心医院、Toukh中心医院和Toukh发热医院。样本:采用两个样本达到研究目的;多阶段随机样本包括104名护士长(用于收集定性数据,以确定构成工具的主要领域和主题),方便样本包括160名护士长(用于检验开发的工具的信度和结构效度)。工具:本研究使用了三种工具:(a)遇到障碍的护士长角色卓越开放式问卷,(b)遇到障碍的护士长角色卓越版本一,(c)遇到障碍的护士长角色卓越版本二。结果:本研究开发的量表具有较高的内容效度指数得分(0.92),即被测项目样本合适,Cronbach's alpha系数计算良好(0.93),Kaiser-Meyer-Olkin系数计算较高(0.76),Bartlett检验高度显著,varimex rotation提取了特征值>1.0且占方差≥40%的4个成分。结论:经统计分析,最终版本的仪器是有效可靠的。它包含四个领域的46个项目,分类如下:与工作条件有关的障碍,与护士长有关的障碍,与中高层护士管理人员有关的障碍以及与普通护士有关的障碍。建议:它建议:使用开发的工具评估护士长在不同医疗保健环境中所遇到的障碍,从高级管理人员和护士长的角度审查护士长遇到的障碍。此外,制定克服障碍的战略。
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引用次数: 0
Effect of Patient’s Safety Educational Program on Nurses’ Performance for Patients Undergoing Cardiac Catheterization 患者安全教育计划对心导管置入术患者护士工作表现的影响
Pub Date : 2023-03-01 DOI: 10.21608/menj.2023.290973
A. Hamed, Amal Shehata, Gehan. H. Soliman, W. Elwan
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引用次数: 0
Power Distance Orientation and Empowering Leadership: its Relation to Staff Nurses Promotive and Prohibitive Voice 权力距离导向与授权型领导:与护士促进与禁止声音的关系
Pub Date : 2023-03-01 DOI: 10.21608/menj.2023.294872
M. Aref, F. Kamel
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引用次数: 0
Effect of Preventive Measures on Chemotherapy Induced Phlebitis among Patients with Cancer 预防措施对肿瘤患者化疗性静脉炎的影响
Pub Date : 2023-03-01 DOI: 10.21608/menj.2023.294033
H. El-Sayad, Samira E. Aboalizm, Asmaa Abd Elhy
: Chemotherapy Induced Phlebitis (CIP) is an unpleasant side effect of peripheral intravenous therapy, particularly after chemotherapy. The nurses take precautions to avoid the development of (CIP). Using Sesame oil and cold compresses can play an important role in reducing CIP. Purpose: To examine the effect of preventive measures on chemotherapy induced phlebitis among patients with cancer. Setting: The study was conducted in the outpatient clinic and the Oncology department of Menoufia University Hospital. Research design: A quasi-experimental (study/control) research design was utilized. Subjects: A consecutive sample of 100 adult patients with cancer of both sexes who were receiving chemotherapy treatment was selected. Instruments: instrument (I): Structured Interview questionnaire: instrument (II): Vein Quality Assessment Tool (VAT), and instrument (III): Visual Infusion Phlebitis (VIP) scale. Results: There was a highly statistical significant difference between both groups related to Chemotherapy Induced phlebitis post intervention (p<0.001). Conclusion: applying Sesame oil and cold compress have positive significant effect on preventing chemotherapy induced phlebitis. Recommendation: Oncology patients should be educated about identifying and reporting any changes in their vein condition. Collaborating with other institutions to implement Sesame oil and cold compresses as a preventive measures to reduce the incidence of (CIP) among patients who were receiving chemotherapy.
化疗诱发性静脉炎(CIP)是外周静脉治疗的一个令人不快的副作用,尤其是化疗后。护理人员采取预防措施,避免发生CIP。使用芝麻油和冷敷对降低CIP有重要作用。目的:探讨化疗对肿瘤患者静脉炎的预防效果。环境:本研究在Menoufia大学医院门诊和肿瘤科进行。研究设计:采用准实验(研究/对照)研究设计。研究对象:选取连续100例正在接受化疗的成年癌症患者,男女皆有。仪器:仪器(一):结构化访谈问卷;仪器(二):静脉质量评估工具(VAT);仪器(三):视觉输液静脉炎(VIP)量表。结果:两组干预后化疗性静脉炎相关指标差异有高度统计学意义(p<0.001)。结论:麻油冷敷对预防化疗性静脉炎有显著的积极作用。建议:应教育肿瘤患者如何识别和报告其静脉状况的任何变化。与其他机构合作,将芝麻油和冷敷作为预防措施,以减少化疗患者的CIP发生率。
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引用次数: 1
Effect of Motivation Based Nursing Intervention on Physical Activity and Cardiac Self-Efficacy among Patients with Coronary Heart Diseases 动机型护理干预对冠心病患者身体活动及心脏自我效能感的影响
Pub Date : 2023-03-01 DOI: 10.21608/menj.2023.289272
Elham Elzyen, Entsar Abd Elsalam, E. Ibrahim, H. Amer
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引用次数: 0
Relationship between Mechanical Ventilation Outcomes and Body Mass Index at Emergency Hospitals 急诊医院机械通气结果与体重指数的关系
Pub Date : 2023-03-01 DOI: 10.21608/menj.2023.288652
A. Mostafa
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引用次数: 0
期刊
Menoufia Nursing Journal
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