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Factors Affecting Quality of Life and Work Productivity among Patients with Gout 影响痛风患者生活质量和工作效率的因素
Pub Date : 2019-01-19 DOI: 10.12691/AJNR-7-2-4
M. Ali, S. Mosbah, N. M. El-Fadl
Gout is the most common inflammatory arthritis today, affecting 4% of the adult US population. It is a serious disease that can significantly affect physical function and quality of life (QOL), where it has been advocated as an important outcome domain in studies of chronic gout. Aim of the study: To assess factors affecting quality of life and work productivity among patients with gout. Descriptive design: Was used to conduct the current study in rheumatology outpatient clinics, at Benha Teaching Hospital during the period from beginning of March 2018 till the beginning of September 2018. Subjects: Purposive sample of 168 patients recruited according to the study formula based on the total number of patients who admitted to the study settings during 2017. Tools: Three tools were utilized for data collection, structured interviewing questionnaire sheet, Medical Outcomes Study Questionnaire Short Form 36 Health Survey (SF-36) and Work Productivity and Activity Impairment Questionnaire. Results: Showed that both QOL as well as work productivity and activity impairment were best predicted by pain severity, diet aggravating frequency of attacks, nature of work as well as age. Besides, there was a negative and significant correlation (p= Conclusion: Factors affecting QOL and Work productivity and activity impairment among patients with gout were concerning pain severity, diet aggravating frequency of attacks, nature of work as well as age. Besides, the impairment on different aspects of life is often negatively associated with impairment in work productivity and activity, where they were mainly affected by gout. Recommendation: Health educational instructions is required regarding pain management and diet regimen for patients with gout.
痛风是当今最常见的炎症性关节炎,影响了4%的美国成年人。它是一种严重的疾病,可以显著影响身体功能和生活质量(QOL),在慢性痛风的研究中,它被提倡作为一个重要的结果域。研究目的:探讨影响痛风患者生活质量和工作效率的因素。描述性设计:本研究于2018年3月初至2018年9月初在Benha教学医院的风湿病门诊进行。研究对象:根据2017年纳入研究的患者总数,根据研究公式招募168例患者。工具:使用三种工具进行数据收集:结构化访谈问卷、医疗结果研究问卷简表36健康调查(SF-36)和工作效率和活动障碍问卷。结果:疼痛程度、饮食、发作频率、工作性质和年龄最能预测患者的生活质量、工作效率和活动障碍。结论:痛风患者生活质量与工作效率和活动障碍的影响因素与痛风患者疼痛程度、饮食加重发作频率、工作性质和年龄有关。此外,生活不同方面的损害往往与工作效率和活动的损害负相关,其中痛风主要影响它们。建议:痛风患者需要关于疼痛管理和饮食方案的健康教育指导。
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引用次数: 3
Online Harassment and Cyberbullying Victimization and Its Emotional Impacts among Female Nursing and Non-Nursing Students 女护生与非护生网络骚扰、网络欺凌受害情况及其情绪影响
Pub Date : 2019-01-10 DOI: 10.12691/ajnr-7-2-1
H. Hassan, Eman Ali Abd El Moaty Sheha, W. Gamel, A. Arafa
Background: The increasing internet utilization is associated with various disadvantages. Online cyberbullying and harassment victimization is one of these disadvantages that pose negative emotional consequences. Aim: This study aimed to detect the prevalence of online cyberbullying and harassment victimization amongst nursing students from El-Fayoum University in comparison to students from other faculties at the same university. In addition to figuring out the most significant correlates of victimization and its emotional consequences. Subjects and methods: A total of 308 female nursing students and 320 female non-nursing students from El-Fayoum University participated in this cross-sectional survey. For data collection, §N self-administered questionnaire was designed and distributed. The questionnaire included 3 sections; personal characters of the included students, online cyberbullying and harassment victimization during the past year, and the emotional consequences of victimization. Results: Of the surveyed female university students, 84 (27.3%) of the nursing students and 88 (27.5%) of the non-nursing students stated online harassment victimization during the past year, with no statistically significant differences between both groups (§²>0.05). Almost two-thirds of the victimized students from nursing and non-nursing faculties reported online harassment, victimization more than once with no statistically significant differences between both groups (§²>0.05). Urban residence and more hours of internet use per day did not correlate with the prevalence of online harassment victimization (§²>0.05) but associated with frequent exposure (§²<0.05). Anger (74.4%) was the most commonly reported emotional impact of online harassment victimization. Hatred, fear, sorrow, loneliness, and disappointment came next, however, with considerably lower rates. Conclusion: Female university students from nursing and non-nursing faculties were exposed to online cyberbullying and harassment victimization in recognizable rates. Recommendations: Further studies on the coping techniques to online harassment victimization should be conducted. Interventional programs to increase awareness regarding the windows of interference against online harassment according to the Egyptian Penal Code to reduce such intrusions and minimize their emotional effects should be considered.
背景:互联网使用率的提高伴随着各种不利因素。网络欺凌和骚扰是造成负面情绪后果的不利因素之一。目的:本研究旨在检测El-Fayoum大学护理专业学生中网络欺凌和骚扰受害者的普遍程度,并与同一大学其他院系的学生进行比较。除了找出受害的最重要关联及其情感后果。对象与方法:对El-Fayoum大学308名女护生和320名女非护生进行横断面调查。为了收集数据,设计并分发了§N份自我管理问卷。问卷包括3个部分;被调查学生的个人特征、在过去一年中遭受的网络欺凌和骚扰,以及遭受伤害的情感后果。结果:受访女大学生中,84名护生(27.3%)和88名非护生(27.5%)表示在过去一年中遭受过网络骚扰,两组差异无统计学意义(§2 >0.05)。几乎三分之二的护理和非护理学院受害学生报告了网络骚扰,受害不止一次,两组之间没有统计学上的显著差异(§2 >0.05)。城市居住和每天使用互联网的时间与网络骚扰受害的发生率无关(§²>0.05),但与频繁接触有关(§²<0.05)。愤怒(74.4%)是网络骚扰受害者最常见的情绪影响。其次是仇恨、恐惧、悲伤、孤独和失望,但比例要低得多。结论:护理系和非护理系女大学生对网络欺凌和骚扰的暴露率均有显著差异。建议:应进一步研究网络骚扰受害者的应对技巧。应考虑采取干预措施,根据埃及刑法,提高民众对网路骚扰干扰窗口的意识,以减少此类侵扰,并将其情绪影响降至最低。
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引用次数: 5
Effect of Evidence Based Practice Training Program on Professional Nurses’ Decision Making Abilities 循证实践训练计划对专业护士决策能力的影响
Pub Date : 2019-01-06 DOI: 10.12691/ajnr-7-1-13
Mahdia Morsi El Shahat, Nora Ahmed Abd Allah
Effective implementing of evidence based practice has potential benefits for professional nurses, patients, healthcare systems and reduces inappropriate deviations in healthcare practices, supplies a set of standards for enhancing clinical decision making abilities. Aim of the study: This study was aimed to assess of the effect of evidence based practice training program on professional nurses` decision making abilities. Design: A quasi experimental design was used in this study. Setting: This study was conducted at intensive care unit at Benha University Hospital and Benha Teaching Hospital. Subjects: A convenient sample of 68 professional nurses recruited from the presented units and had the following inclusion criteria; had a Bachelor degree in nursing science and willing to participate in the study. Tools for data collection: The study tools divided into four tools: Evidence-Based Knowledge Questionnaire, Evidence-Based Practice Questionnaire (EBPQ), Evidence-Based Practice Attitudes Scale and Decision Making Abilities Questionnaire. The results showed that, there was statistically significant improvement among the professional nurses' knowledge, skills, and attitudes regarding evidence based practice after implementation of the training program. There was highly statistical significant improvement in the professional nurses decision making abilities thorough program phases. As 40.7 % of them were able to make decision before the program which improved to 67.4% immediate post the program and decrease to 60.3% three months follow up the program. The study concludes that, the implementation of the Evidence-Based Practice training program was significantly succeeded in enhancing total knowledge, skills, and attitudes of professional nurses that significantly improves their decision-making abilities. The study recommended that: Conduct continuous in-service training and education programs for refreshing and updating professional nurses knowledge and skills about the evidence-based practice. A brief basic educational intervention on EBP with online and face-to-face learning can produce improvements in the knowledge and skills of clinical nurses.
有效实施循证实践对专业护士、患者和医疗保健系统都有潜在的好处,可以减少医疗保健实践中的不适当偏差,为提高临床决策能力提供一套标准。研究目的:本研究旨在评估循证实践训练计划对专业护士决策能力的影响。设计:本研究采用准实验设计。环境:本研究在本哈大学附属医院及本哈教学医院重症监护室进行。对象:从各单位招募的68名专业护士作为方便样本,纳入标准如下:具有护理学学士学位并愿意参与研究。数据收集工具:研究工具分为四种工具:循证知识问卷、循证实践问卷(EBPQ)、循证实践态度量表和决策能力问卷。结果显示,实施循证执业培训方案后,专业护士的循证执业知识、技能和态度均有显著改善。在整个计划阶段,专业护士的决策能力有高度统计学意义的改善。有40.7%的人能够在项目前做出决定,在项目结束后立即提高到67.4%,在项目结束后三个月下降到60.3%。研究结果表明,实施循证实践培训计划在提高专业护士的整体知识、技能和态度方面取得了显著的成功,显著提高了专业护士的决策能力。研究建议:开展持续的在职培训和教育项目,以更新和更新专业护士的循证实践知识和技能。通过在线学习和面对面学习对EBP进行简单的基础教育干预,可以提高临床护士的知识和技能。
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引用次数: 1
The Impact of Chest Physiotherapy Technique (CPT) on Respiration, Pain and Quality of Life Post Thoracic Wall Fixation Surgery among Flail Chest Patients (FC) 胸部物理治疗技术(CPT)对连枷胸患者胸壁固定术后呼吸、疼痛及生活质量的影响
Pub Date : 2018-10-31 DOI: 10.12691/AJNR-6-6-15
H. Mohamed, Eslam I. Ragab, M. A. Bary, M. Elshazly, A. Latif, M. Beshay
Background: FC is the most extreme type of blunt chest wall casualty with death rate up to 20%. These patients may require prolonged days of mechanical ventilation for ongoing respiratory dysfunction, leading to high rates of pulmonary complications. This study aimed to assess the impact of CPT on respiration, pain and quality of life post thoracic wall fixation surgery in Flail Chest Patients. It followed a quasi-experimental, pretest-posttest comparison. The study was carried out in cardiothoracic surgery intensive care unit (ICU) at Qena university hospital. A convenience sample comprised of 30 adult patients from both sexes with flail chest and no contusion. They were given pharmacological epidural and oral analgesic medications to reduce pain during physiotherapy practice post chest stabilization surgery. Tool 1: A self-reporting Assessment Questionnaire were comprised pain rating index scores pre and post CPT and prior epidural analgesic administration, and symptoms associated with pain, Health-related quality of life and Dyspnea scale. Sociodemographic characteristics were attached to the tool 1. Tool 2: A clinical data base assessment were taken pre and post CPT, included: Part I: Laboratory investigation of a Standardized lung function tests which Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1) and Peak Expiratory Flow (PEF) were recorded and ABGs includes PaO2, PaCo2, SO2, and PH in addition to vital signs ( Part II) and Diagnostic test assessment includes Chest x-ray, and chest tomography CT was done before chest stabilization surgery to confirm the diagnosis in accordance of study criteria(Part III). Tool 3: CPT include, breathing and coughing exercise and IPPB., secretion mobilization techniques like chest wall percussion, and vibration and incentive spirometer. Results/conclusion: the majority of the studied sample was male and were from 50 - 60 years and illiterate. The effect of CPT on the symptoms associated pain, and pain intensity were still persistent in decrease post discharge at late follow up till 6th month. The majority of subjects had no dyspnea on 3rd and 6th month of follow up. so, their HRQOL scores improved with a high significance in the area of mobility, self-care, anxiety and depression, the performance of usual activities and pain and discomfort on 6 months of late follow-up. Also, it was noticed that the mean of Pulmonary Function Test (PFT), and ABGs improved in the late follow-up. This improvement has been definitively shown in all outcomes parameter post chest physiotherapy performed after surgical fixation of FC. Recommendation: Moreover, this study recommended that all the physiotherapy approaches should be planned and applied as an individual programs tailored to the FC patients following a comprehensive evaluation.
背景:FC是最极端的钝性胸壁损伤类型,死亡率高达20%。由于持续的呼吸功能障碍,这些患者可能需要长时间的机械通气,导致肺部并发症的高发率。本研究旨在评估CPT对连枷胸患者胸壁固定手术后呼吸、疼痛和生活质量的影响。它遵循了一种准实验的、前测后测的比较。该研究在Qena大学医院心胸外科重症监护病房(ICU)进行。一个方便的样本包括30名成年患者从男女连枷胸和没有挫伤。在胸部稳定手术后进行物理治疗时,给予硬膜外药物和口服镇痛药物以减轻疼痛。工具1:自我报告评估问卷包括CPT前后和硬膜外镇痛前后的疼痛评分指数,疼痛相关症状,健康相关生活质量和呼吸困难量表。该工具附带了社会人口特征1。工具2:CPT前后进行临床数据库评估,包括:第一部分:实验室调查标准化肺功能测试,记录用力肺活量(FVC)、用力呼气量(FEV1)和呼气峰值流量(PEF), ABGs包括PaO2、PaCo2、SO2和PH以及生命体征(第二部分),诊断测试评估包括胸部x线检查,胸部CT检查在胸部稳定手术前根据研究标准确认诊断(第三部分)。CPT包括呼吸和咳嗽运动以及IPPB。分泌动员技术,如胸壁叩击和振动刺激肺活量计。结果/结论:大多数研究样本为男性,年龄在50 - 60岁之间,文盲。CPT对症状相关疼痛的影响,疼痛强度在出院后持续下降,随访至6个月。大多数受试者在随访第3、6个月无呼吸困难。因此,在6个月的后期随访中,他们的HRQOL得分在活动能力、自我护理、焦虑和抑郁、日常活动表现和疼痛和不适方面有显著提高。此外,我们注意到肺功能测试(PFT)和ABGs的平均值在随访后期有所改善。在FC手术固定后进行胸部物理治疗后的所有结果参数中都明确显示出这种改善。建议:此外,本研究建议,所有的物理治疗方法都应在综合评估后作为针对FC患者量身定制的个人方案进行计划和应用。
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引用次数: 1
Effect of Nursing Program on Improving Nurses’ Knowledge and Skills Regarding Care of Eclamptic Women 护理方案对提高子痫妇女护理知识和技能的影响
Pub Date : 2018-10-09 DOI: 10.12691/ajnr-6-7-4
EkbalAbd El Rheem Emam, Nahed Mousa Saber
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引用次数: 2
Risk Factors of Academic Underachievement among Preparatory School Students in El-Behira Governorate El-Behira省预科学生学业成绩不佳的风险因素
Pub Date : 2018-10-08 DOI: 10.12691/ajnr-6-7-3
Naglaa Kamel Abduallah Hussein, Marwa Mohamed Ahmed Ouda
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引用次数: 0
Effectiveness of Exercises on Fatigue Level in Patients with Systemic Lupus Erythematosus 运动对系统性红斑狼疮患者疲劳程度的影响
Pub Date : 2018-10-06 DOI: 10.12691/ajnr-6-6-7
F. Kamel, N. El-Mokadem, O. Latif, A. A. A. Soud
Systemic Lupus Erythematosus (SLE) is a rheumatic disease characterized by a variety of symptoms, especially fatigue and pain. Currently there is no effective pharmacological treatment for fatigue in SLE. Research suggests that exercise can reduce feelings of fatigue. Aim: to examine the effects of exercise intervention on fatigue level among patients with SLE. Methods: A quasi-experimental (pre-post test) design was used. The study was conducted at the Chronic Illness Clinics in Menoufia University Hospital, at Shebin El-Kom district, Menoufia Governorate. A convenient sample of 70 patients was recruited. Tools: A Semi Structured Demographic Sheet; Piper Fatigue Scale to assess fatigue level. Results: There was a statistically significant difference between the study and the control group regarding fatigue level post intervention, 54.3% and 40% of the study and the control groups respectively experienced severe fatigue pre intervention compared with 17.1% and 31.4% post intervention. Also, there was a relationship between fatigue level and gender as well as educational level among the study group. Conclusion: Fatigue should be considered as an important factor influencing patient daily life independent of disease activity. Recommendations: Prepare training programs for nurses about the importance of adding exercise to patient’s schedule for the reduction of fatigue among patients with SLE along with the routine hospital care.
系统性红斑狼疮(SLE)是一种以多种症状为特征的风湿病,尤其是疲劳和疼痛。目前尚无有效的药物治疗SLE患者的疲劳。研究表明,运动可以减轻疲劳感。目的:探讨运动干预对SLE患者疲劳水平的影响。方法:采用准实验(前后测试)设计。这项研究是在Menoufia省Shebin El-Kom区Menoufia大学医院的慢性病诊所进行的。我们方便地招募了70名患者作为样本。工具:半结构化人口统计表;Piper疲劳量表评估疲劳程度。结果:干预后实验组和对照组的疲劳程度差异有统计学意义,干预前实验组和对照组的严重疲劳率分别为54.3%和40%,干预后实验组和对照组的严重疲劳率分别为17.1%和31.4%。研究对象的疲劳程度与性别、受教育程度有关。结论:疲劳是影响患者日常生活的重要因素,与疾病活动无关。建议:为护士准备培训计划,使其了解在SLE患者的日常医院护理中增加锻炼对减轻患者疲劳的重要性。
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引用次数: 2
Self-Care Practices of Preparatory School Students with Type 1 Diabetes Mellitus in ELBehira Governorate ELBehira省预科学校1型糖尿病学生的自我保健实践
Pub Date : 2018-10-06 DOI: 10.12691/ajnr-6-7-2
Naglaa Kamel Abduallah Hussein, Samiha Hamdi Sayed Ramadan, Amal Yuosef Abd ElWahed
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引用次数: 0
Effect of Educational Program on Knowledge and Health Care Practices about Nephrotic Syndrome among Mothers of Pre-School Children 教育项目对学龄前儿童母亲肾病综合征知识和保健实践的影响
Pub Date : 2018-06-18 DOI: 10.12691/AJNR-6-5-5
N. Abolwafa, Y. Hossein
Background: Nephrotic syndrome is a clinical state that is common in preschool children includes massive proteinuria, hypoalbuminemia, hyperlipemia, and edema. Mothers are the primary care giver; if they have adequate knowledge and awareness about therapeutic facilities to treat children from nephrotic syndrome through educational program. The aim of the study: to evaluate the effect of educational program on knowledge and health care practices about nephrotic syndrome among mothers of pre-school children. Design: pretest-posttest design was utilized to conduct this study. Setting: The study conducted in pediatric word at Minia University Hospital for Obstetrics and Pediatrics Sample: 50 mothers of pre-school children about nephrotic syndrome. Tools: Pre-designed questionnaire sheet, sheet about reported practices and Educational program. Results: Result of this study showed significant improvement in mothers knowledge and health care practices about nephrotic syndrome in post/test. Conclusion: After program implementation there was remarkable improvement of mothers knowledge and health care practices about nephrotic syndrome. Recommendations: A developed program should be applied and repeat again in the same study setting.
背景:肾病综合征是一种常见于学龄前儿童的临床状态,包括大量蛋白尿、低白蛋白血症、高脂血症和水肿。母亲是初级照护者;如果他们有足够的知识和意识,通过教育项目治疗儿童肾病综合征的治疗设施。本研究的目的:评估教育计划对学龄前儿童母亲肾病综合征知识和保健实践的影响。设计:本研究采用前测后测设计。背景:本研究在米尼亚大学妇产科医院儿科进行。样本:50名患有肾病综合征的学龄前儿童的母亲。工具:预先设计的问卷表,关于报告实践和教育计划的表。结果:本研究结果显示,母亲对肾病综合征的认知和保健行为在测试后有显著改善。结论:项目实施后,母亲对肾病综合征的认识和保健行为有了显著提高。建议:应在相同的研究环境中应用和重复制定的方案。
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引用次数: 2
期刊
American Journal of Nursing Research
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