Mona Youssef Al-Seady, Eman A. Fadel, Alaa Mohamed El-Gohary, Tyseer Marzouk
This study aimed to compare labour pain and satisfaction of primipara assume upright versus recumbent positions during first stage of labour. Subjects and method: A quasi-experimental research design was used at the Labour and delivery room of Mansoura University Hospital. A purposive sample of 134 parturient women in 1 st stage of labour enrolled in this study, they divided into two groups; study group (n=67) assumed one of upright positions as walking, sitting, standing, kneeling, and squatting during first stage of labour and control group (n=67) assumed one of recumbent positions as supine, semi-recumbent and lateral position during the same stage. Three tools were used for data collection; a structured interview questionnaire, Visual Analogue Scale and maternal satisfaction with assumed position questionnaire. Results: parturient women who were assumed upright positions had lower labour pain and higher satisfaction scores compared to those assumed recumbent positions (p = <0.001). Conclusion and recommendations: upright position was an effective method in reducing labour pain and improving parturient women's satisfaction with assumed position. Thus, it is recommended to encourage parturient women to maintain upright positions during first stage of labour.
{"title":"Labour Pain and Satisfaction of Primipara Assume Upright versus Recumbent Positions during First Stage of Labour","authors":"Mona Youssef Al-Seady, Eman A. Fadel, Alaa Mohamed El-Gohary, Tyseer Marzouk","doi":"10.9790/1959-0604022430","DOIUrl":"https://doi.org/10.9790/1959-0604022430","url":null,"abstract":"This study aimed to compare labour pain and satisfaction of primipara assume upright versus recumbent positions during first stage of labour. Subjects and method: A quasi-experimental research design was used at the Labour and delivery room of Mansoura University Hospital. A purposive sample of 134 parturient women in 1 st stage of labour enrolled in this study, they divided into two groups; study group (n=67) assumed one of upright positions as walking, sitting, standing, kneeling, and squatting during first stage of labour and control group (n=67) assumed one of recumbent positions as supine, semi-recumbent and lateral position during the same stage. Three tools were used for data collection; a structured interview questionnaire, Visual Analogue Scale and maternal satisfaction with assumed position questionnaire. Results: parturient women who were assumed upright positions had lower labour pain and higher satisfaction scores compared to those assumed recumbent positions (p = <0.001). Conclusion and recommendations: upright position was an effective method in reducing labour pain and improving parturient women's satisfaction with assumed position. Thus, it is recommended to encourage parturient women to maintain upright positions during first stage of labour.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129003264","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: Systemic sclerosis (scleroderma, SSc) is a rare severe systemic chronic connective tissue disease. Most of the data regardingocular involvement consist of single case reports or smallcase studies Objectives: to evaluate the prevalence and characteristics of ocular manifestations in Iraqi patients with SSc. Patients and methods: This cross-sectional study involved 50 patients with SSc diagnosed according to 2013criteria developed by the American College of Rheumatology/European League Against Rheumatism for the classification of systemic sclerosis. Demographic and clinical data were recorded. Full ophthalmic examination was done for all patients. Results: Prevalence of dry eye symptoms was 74%, Keratoconjunctivitis sicca (KCS) was 68%, eyelid skin stiffness and telangiectasia were observed in 56% and 36% respectively. Refractive errors were detected in about a quarter of cases (24%). Myopia was the most frequently identified type of refractive errors (18%), followed by astigmatism (6%) and hypermetropia (only 2% after excluding the age dependent presbyopia). Blepharitis was diagnosed in 18% of examined patients. Subcapsular cataract, pterygium, conjunctival abnormalities, cataract-cortical type, uveitis (Anterior or posterior) and retinal microvascular abnormality were detected in less than 10% of cases. Conclusions: Ocular manifestations in Iraqi patients with SSc were relatively common. The most common SScrelated ocular findings were dry eye symptoms, then KCS, followed by eyelid skin thickening and telangiectasia.
{"title":"Ocular Manifestations of Systemic Sclerosis:A Descriptive CrossSectional Study from Iraq","authors":"Z. Jawad, F. Gorial","doi":"10.9790/1959-0604019497","DOIUrl":"https://doi.org/10.9790/1959-0604019497","url":null,"abstract":"Background: Systemic sclerosis (scleroderma, SSc) is a rare severe systemic chronic connective tissue disease. Most of the data regardingocular involvement consist of single case reports or smallcase studies Objectives: to evaluate the prevalence and characteristics of ocular manifestations in Iraqi patients with SSc. Patients and methods: This cross-sectional study involved 50 patients with SSc diagnosed according to 2013criteria developed by the American College of Rheumatology/European League Against Rheumatism for the classification of systemic sclerosis. Demographic and clinical data were recorded. Full ophthalmic examination was done for all patients. Results: Prevalence of dry eye symptoms was 74%, Keratoconjunctivitis sicca (KCS) was 68%, eyelid skin stiffness and telangiectasia were observed in 56% and 36% respectively. Refractive errors were detected in about a quarter of cases (24%). Myopia was the most frequently identified type of refractive errors (18%), followed by astigmatism (6%) and hypermetropia (only 2% after excluding the age dependent presbyopia). Blepharitis was diagnosed in 18% of examined patients. Subcapsular cataract, pterygium, conjunctival abnormalities, cataract-cortical type, uveitis (Anterior or posterior) and retinal microvascular abnormality were detected in less than 10% of cases. Conclusions: Ocular manifestations in Iraqi patients with SSc were relatively common. The most common SScrelated ocular findings were dry eye symptoms, then KCS, followed by eyelid skin thickening and telangiectasia.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130993521","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}
The women's reproductive organs easily affected by infections through her life span caused by many factors and through different routes, can be by their husbands, through her bad personal hygiene , unhealthy practice during intercourse and ignorance of abnormal discharge signs and symptoms ,wet and damp perennial area, wearing improper underwear cloth and also most affected women are low educated and low socioeconomic status [1] . Objective: To assess women's health behaviors knowledge regarding vaginal discharge. Methods: A descriptive analytic study design conducted between 15 th January & 30 th March 2017 at Fatima Al Zahra maternity and Pediatric Hospital , Al Elwia maternity Teaching Hospital, Al Karkh maternity Hospital , Al Emamain Al Kadhemain teaching hospital, and Baghdad Teaching Hospital. Purposive sample includes (200) women diagnosed with vaginal discharge attending maternity hospitals in Baghdad city. A questionnaire constructed about knowledge regarding health behaviors. A pilot-test is conducted in order to determine the reliability of the questionnaire in a sample of (10) women who were excluded from the study sample. Content validity was examined by a panel of (12) experts. Data was analyzed through the use of SPSS version 20. Results : The study results shows that the level of knowledge for health behaviors regarding vaginal discharge the highest percentage (75.5%) of study sample were at (Unacceptable) level of health behaviors knowledge , while the lowest percentage (24.5%) were at (Acceptable) level of health behaviors knowledge . There were statistical significant differences between level of knowledge, with socio demographic characteristics at age only. There were a statistical significant differences between level of knowledge with reproductive characteristics at (Husband suffering from STD) at P<0.05, while there were no statistical significant differences with the leftover study variable. Conclusion: This study shows that there is (Unacceptable) level of women's health behaviors knowledge regarding vaginal discharge. Recommendations: Health care provider should prepare and implement health programs for raising the community Awareness about vaginal discharge characteristics and early medical checkup that will improve hygienic practices and therefore decrease abnormal vaginal discharge.
女性的生殖器官在其一生中容易受到感染，受感染的因素有很多，途径也不同，可以是由其丈夫，通过其不良的个人卫生、性交时不健康的做法和对异常分泌物体征和症状的不了解，常年潮湿潮湿的区域，穿着不合适的内衣布，而且受感染最多的女性是受教育程度低和社会经济地位低的女性[1]。目的:了解女性对阴道分泌物的健康行为知识。方法:2017年1月15日至3月30日在Fatima Al Zahra妇幼医院、Al Elwia妇产教学医院、Al Karkh妇产医院、Al Emamain Al Kadhemain教学医院和巴格达教学医院进行描述性分析研究设计。目的样本包括(200)名在巴格达市妇产医院诊断有阴道分泌物的妇女。构建健康行为知识调查问卷。为了确定问卷在被排除在研究样本之外的(10)名妇女样本中的可靠性，进行了一次试点测试。内容效度是由(12)个专家小组审查。数据分析使用SPSS version 20。结果:研究结果表明，调查对象对阴道分泌物健康行为的知识水平处于健康行为(不可接受)水平的比例最高(75.5%)，处于健康行为(可接受)水平的比例最低(24.5%)。知识水平之间存在统计学上的显著差异，仅在年龄上具有社会人口统计学特征。(丈夫患有性病)的生殖特征知识水平差异有统计学意义(P<0.05)，剩余研究变量间差异无统计学意义(P<0.05)。结论:本研究表明，女性对阴道分泌物的健康行为知识存在(不可接受的)水平。建议:卫生保健提供者应准备和实施卫生计划，以提高社区对阴道分泌物特征和早期医学检查的认识，这将改善卫生习惯，从而减少异常阴道分泌物。
{"title":"Assessment of Health Behaviors Knowledge Regarding Vaginal Discharge among Women Attending Maternity Hospitals in Baghdad City.","authors":"R. Ali, Anwar Sabah Hussien","doi":"10.9790/1959-0604023136","DOIUrl":"https://doi.org/10.9790/1959-0604023136","url":null,"abstract":"The women's reproductive organs easily affected by infections through her life span caused by many factors and through different routes, can be by their husbands, through her bad personal hygiene , unhealthy practice during intercourse and ignorance of abnormal discharge signs and symptoms ,wet and damp perennial area, wearing improper underwear cloth and also most affected women are low educated and low socioeconomic status [1] . Objective: To assess women's health behaviors knowledge regarding vaginal discharge. Methods: A descriptive analytic study design conducted between 15 th January & 30 th March 2017 at Fatima Al Zahra maternity and Pediatric Hospital , Al Elwia maternity Teaching Hospital, Al Karkh maternity Hospital , Al Emamain Al Kadhemain teaching hospital, and Baghdad Teaching Hospital. Purposive sample includes (200) women diagnosed with vaginal discharge attending maternity hospitals in Baghdad city. A questionnaire constructed about knowledge regarding health behaviors. A pilot-test is conducted in order to determine the reliability of the questionnaire in a sample of (10) women who were excluded from the study sample. Content validity was examined by a panel of (12) experts. Data was analyzed through the use of SPSS version 20. Results : The study results shows that the level of knowledge for health behaviors regarding vaginal discharge the highest percentage (75.5%) of study sample were at (Unacceptable) level of health behaviors knowledge , while the lowest percentage (24.5%) were at (Acceptable) level of health behaviors knowledge . There were statistical significant differences between level of knowledge, with socio demographic characteristics at age only. There were a statistical significant differences between level of knowledge with reproductive characteristics at (Husband suffering from STD) at P<0.05, while there were no statistical significant differences with the leftover study variable. Conclusion: This study shows that there is (Unacceptable) level of women's health behaviors knowledge regarding vaginal discharge. Recommendations: Health care provider should prepare and implement health programs for raising the community Awareness about vaginal discharge characteristics and early medical checkup that will improve hygienic practices and therefore decrease abnormal vaginal discharge.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132617169","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: Cerebral palsy is the most common neurodevelopmental motor disability in children. There is a lack of information concerning the predominance of cerebral palsy among Egyptian children. Cerebral palsy registry appears to be appropriate tools for answering questions regarding the prevalence and the attributes of the disorder. Aim: To establish a registry of cerebral palsy in North Cairo, Egypt. Subjects: 184 children with cerebral palsy of both genders with age ranged from 3 months to 18 years participated in this study. They selected from hospitals and private centers in North Cairo. Methods: Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS) and Viking Speech Scale (VSS) used for assessment. Results: The results revealed that the boy/ girl ratio was 1.3/1. Spastic CP was the most common type representing 90.3%. Moreover, the spastic quadriplegic type representing 54.9%. According to GMFM, MACS, VSS level V and IV had the highest percentage respectively. Conclusion: Prevalence of CP was more in boys than girls. Spastic CP was the most common type with high incidence of quadriplegia. In addition, hypoxia was the most common risk factor for CP. Furthermore, there were significant relations between types of CP and gestational age, epilepsy, intellectual impairment, GMFCS, MACS and VSS findings.
{"title":"Establishment of Cerebral Palsy Research Registry in North Cairo Egypt","authors":"Marian N. Shawky, S. E. Shemy, F. Abdelazeim","doi":"10.9790/1959-0604012228","DOIUrl":"https://doi.org/10.9790/1959-0604012228","url":null,"abstract":"Background: Cerebral palsy is the most common neurodevelopmental motor disability in children. There is a lack of information concerning the predominance of cerebral palsy among Egyptian children. Cerebral palsy registry appears to be appropriate tools for answering questions regarding the prevalence and the attributes of the disorder. Aim: To establish a registry of cerebral palsy in North Cairo, Egypt. Subjects: 184 children with cerebral palsy of both genders with age ranged from 3 months to 18 years participated in this study. They selected from hospitals and private centers in North Cairo. Methods: Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS) and Viking Speech Scale (VSS) used for assessment. Results: The results revealed that the boy/ girl ratio was 1.3/1. Spastic CP was the most common type representing 90.3%. Moreover, the spastic quadriplegic type representing 54.9%. According to GMFM, MACS, VSS level V and IV had the highest percentage respectively. Conclusion: Prevalence of CP was more in boys than girls. Spastic CP was the most common type with high incidence of quadriplegia. In addition, hypoxia was the most common risk factor for CP. Furthermore, there were significant relations between types of CP and gestational age, epilepsy, intellectual impairment, GMFCS, MACS and VSS findings.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116878614","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}
Objective (s): Identify nurses' relationships between nurse's demographic characteristics like (age, gender, level of education, years of experience in burn units, monthly income, course of training in burns) and their practices provided for children with burn injuries attending burns specialist hospital in Baghdad city. Methodology: A quasi-experimental study design was carried out at burns specialist the non -Teaching Hospital in Baghdad City from June 1th of 2016 up to the 9th of June 2017. Non probability (purposive) sample of (46) nurses were selected from burns wards in non-Teaching Hospital in Baghdad City, and they have at last one year of experience in burn units of the Hospital, they have been taught an educational program related to the care provided to children with burns injuries. The study instruments consisted of two major parts was constructed for the purpose of the study. First part related to nurses" demographic data, the second part related to nurse's practices which composed of (52) items of nurses' practices of child's with burns at burn units. The data were collected through using of constructed questionnaire, which consisted of (52) items and filled by the research using observational checklist after the application of an education competencies related to burns care. Select the stability of the questionnaire carried out through a group of 18 experts, data analyzed through using two statistical approaches: descriptive statistical analysis frequencies and inferential statistical analysis Results: The study results revealed table shows that the study group nurses' practices at the pre-test is failing, while at the post-test one their practices changed and become acceptable and good practices. Moreover, the findings reflects that the a significant relationship between nurse’s practices and their monthly income, training sessions, number of training sessions and place of training sessions .While there is a non-significant relationship between their nurses' practices and the remaining variables like (age, gender, level of education, years of experience in burn units at p-value more than 0.05. Recommendation: The staff nurses should be specially trained in these wards based on burns wound care. The periodic workshops and lectures should be conducted by the tutors and physicians for staff nurses General education a topic on “burns wounds care” should be included as a health teaching for burn patient and their relatives. The study recommended that an educational about burns care by providing educational posters ,guidelines , pamphlets and manuals, and training program of burns care .Important for the nurses working in burns wards, developing of follow up child's with burns and the nurses' education level should be improved through an increasing the number of professional nurses employed in burns wards. Intensive care unit, surgical ward, and causality.
{"title":"Evaluation of an Educational Program on Nurses' Practices for Children with Burns Injuries attending Burns Specialist Hospital in Baghdad City","authors":"A. A. A. Sudani, E. Ali","doi":"10.9790/1959-0604015763","DOIUrl":"https://doi.org/10.9790/1959-0604015763","url":null,"abstract":"Objective (s): Identify nurses' relationships between nurse's demographic characteristics like (age, gender, level of education, years of experience in burn units, monthly income, course of training in burns) and their practices provided for children with burn injuries attending burns specialist hospital in Baghdad city. Methodology: A quasi-experimental study design was carried out at burns specialist the non -Teaching Hospital in Baghdad City from June 1th of 2016 up to the 9th of June 2017. Non probability (purposive) sample of (46) nurses were selected from burns wards in non-Teaching Hospital in Baghdad City, and they have at last one year of experience in burn units of the Hospital, they have been taught an educational program related to the care provided to children with burns injuries. The study instruments consisted of two major parts was constructed for the purpose of the study. First part related to nurses\" demographic data, the second part related to nurse's practices which composed of (52) items of nurses' practices of child's with burns at burn units. The data were collected through using of constructed questionnaire, which consisted of (52) items and filled by the research using observational checklist after the application of an education competencies related to burns care. Select the stability of the questionnaire carried out through a group of 18 experts, data analyzed through using two statistical approaches: descriptive statistical analysis frequencies and inferential statistical analysis Results: The study results revealed table shows that the study group nurses' practices at the pre-test is failing, while at the post-test one their practices changed and become acceptable and good practices. Moreover, the findings reflects that the a significant relationship between nurse’s practices and their monthly income, training sessions, number of training sessions and place of training sessions .While there is a non-significant relationship between their nurses' practices and the remaining variables like (age, gender, level of education, years of experience in burn units at p-value more than 0.05. Recommendation: The staff nurses should be specially trained in these wards based on burns wound care. The periodic workshops and lectures should be conducted by the tutors and physicians for staff nurses General education a topic on “burns wounds care” should be included as a health teaching for burn patient and their relatives. The study recommended that an educational about burns care by providing educational posters ,guidelines , pamphlets and manuals, and training program of burns care .Important for the nurses working in burns wards, developing of follow up child's with burns and the nurses' education level should be improved through an increasing the number of professional nurses employed in burns wards. Intensive care unit, surgical ward, and causality.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123214919","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}
Antenatal education is provided as a standard guideline in developed countries but till now, there is no standard program in developing countries. This study aimed to test the application of antenatal education on childbirth self-efficacy for Egyptian primiparous women. Subjects and methods: A randomized Control Trial was utilized comparing two groups of women an antenatal education group (n=52) and a routine antenatal care control group (n=52). The study was carried out at Antenatal Clinic at Mansoura New General Hospital, Mansoura city, Egypt between November 2015 and August 2016. Results: Women who attended antenatal education classes had a greater childbirth self-efficacy and a lower perceived labour pain (p=<0.001). Conclusion: Antenatal educational classes give an actual chance for helping primiparous women increasing childbirth self-efficacy, and reducing labour pain in the first and second stages. The study recommended the importance of designing and applying antenatal education classes as an essential component of standard antenatal care at different affiliated Egyptian public hospitals. Designing and applying childbirth preparation classes in the third trimester of pregnancy particularly for primigravidas. Designing comprehensive updated booklet of childbirth preparation which is suited and tailored to the culture of the Egyptian women and distributed through private and different affiliated Egyptians antenatal clinics. Finally immediate strategies should be adopted to move from medicalization of childbirth to humanistic and low intervention midwife-led care which is empowering Egyptians women.
{"title":"Antenatal Education on Childbirth Self-Efficacy for Egyptian Primiparous Women: A Randomized Control Trial","authors":"Rania El-Kurdy, S. Hassan, N. Hassan, A. El-Nemer","doi":"10.9790/1959-0604021523","DOIUrl":"https://doi.org/10.9790/1959-0604021523","url":null,"abstract":"Antenatal education is provided as a standard guideline in developed countries but till now, there is no standard program in developing countries. This study aimed to test the application of antenatal education on childbirth self-efficacy for Egyptian primiparous women. Subjects and methods: A randomized Control Trial was utilized comparing two groups of women an antenatal education group (n=52) and a routine antenatal care control group (n=52). The study was carried out at Antenatal Clinic at Mansoura New General Hospital, Mansoura city, Egypt between November 2015 and August 2016. Results: Women who attended antenatal education classes had a greater childbirth self-efficacy and a lower perceived labour pain (p=<0.001). Conclusion: Antenatal educational classes give an actual chance for helping primiparous women increasing childbirth self-efficacy, and reducing labour pain in the first and second stages. The study recommended the importance of designing and applying antenatal education classes as an essential component of standard antenatal care at different affiliated Egyptian public hospitals. Designing and applying childbirth preparation classes in the third trimester of pregnancy particularly for primigravidas. Designing comprehensive updated booklet of childbirth preparation which is suited and tailored to the culture of the Egyptian women and distributed through private and different affiliated Egyptians antenatal clinics. Finally immediate strategies should be adopted to move from medicalization of childbirth to humanistic and low intervention midwife-led care which is empowering Egyptians women.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"88 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113940642","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}
Pregnancy complications are the main cause of maternal mortality in Iraq. Every pregnant woman is at risk of pregnancy related complications.Knowing the signs and symptoms of pregnancy complications and recognizing them is the first step to taking a health care for the pregnant woman in appropriate time. Objective: To assess the knowledge of pregnant women about danger signs and symptoms during pregnancy and find out the association between pregnant women's knowledge and their some study variables. Methods: A cross sectional study was conducted between 12 th September 2016 to4 th July 2017at antenatal care centers in Baghdad city. Questionnaire was used as a tool of data collection to fulfill with objectives of the study data was collected through interviewer administered questionnaire from (500) pregnant women. Data are analyzed through the use of SPSS version 21. Results: Only 6.6% of the respondents had unacceptable knowledge about danger signs in pregnancy while 93.4% of them have good knowledge. There was a statistical significant relationships between women's knowledge and socio demographic variables. Conclusion: This study shown majority of study sample at low knowledge about danger signs andsymptoms. Recommendation: Raise women's awareness along with the expansion of pregnant care services which may be important strategies to increase the protection of pregnant women from complications of pregnancy.
{"title":"Knowledge about Danger Signs and Symptoms of Pregnant Women Attending Antenatal Care Centers in Baghdad City.","authors":"Anaam Abdulkareem Abas, Ass.Prof. Dr.Ezedeen Fakhredeen","doi":"10.9790/1959-0604023740","DOIUrl":"https://doi.org/10.9790/1959-0604023740","url":null,"abstract":"Pregnancy complications are the main cause of maternal mortality in Iraq. Every pregnant woman is at risk of pregnancy related complications.Knowing the signs and symptoms of pregnancy complications and recognizing them is the first step to taking a health care for the pregnant woman in appropriate time. Objective: To assess the knowledge of pregnant women about danger signs and symptoms during pregnancy and find out the association between pregnant women's knowledge and their some study variables. Methods: A cross sectional study was conducted between 12 th September 2016 to4 th July 2017at antenatal care centers in Baghdad city. Questionnaire was used as a tool of data collection to fulfill with objectives of the study data was collected through interviewer administered questionnaire from (500) pregnant women. Data are analyzed through the use of SPSS version 21. Results: Only 6.6% of the respondents had unacceptable knowledge about danger signs in pregnancy while 93.4% of them have good knowledge. There was a statistical significant relationships between women's knowledge and socio demographic variables. Conclusion: This study shown majority of study sample at low knowledge about danger signs andsymptoms. Recommendation: Raise women's awareness along with the expansion of pregnant care services which may be important strategies to increase the protection of pregnant women from complications of pregnancy.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129399325","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: Evidence reveals that undergraduate nursing students experience moderate to high level of stress. Some of the stressors that affect students are pressure of academics due to intense desire to succeed, anxiety about future outcome and inability to integrate into the educational system. Therefore, the main aim of the study was to assess the level of stress and the coping strategies used by the undergraduate nursing students in Calabar, Nigeria. Methods: A descriptive cross sectional study using a simple random sampling technique was adopted to select a sample of 154 students. The instrument for data collection was“Perceived Stress Scale (PSS) and Nursing Students Coping Orientation for Problems” (NUSCOPE). Statistical analysis involved descriptive statistics and One-way analysis of variance. Results: The mean age of the respondents was 28.91+7.61; majority were females 136(88.3%).The mean of perceived stress within the last one month was 39.12+7.08 while some of the respondents 73(47.4%) experienced low level of stress, others 81(52.6%) had high level of stress. The most commonly used coping strategies were: seeking diversion 27.73+4.27; self-reliance 18.05+3.43; avoiding 17.71+3.90. One way analysis of variance showed that there was a significant difference between the level of study and the level of stress (p<0.05) while there was no statistically significant difference with regards to mode of entry and the level of stress (p<0.05). Conclusion: The study points to the need for stakeholders to design programmes that will reduce stress, health educate and encourage the students to utilize healthy coping strategies focusing on problem solving to promote health.
{"title":"Stress and Coping Strategies among Undergraduate Nursing Students in Calabar, Nigeria","authors":"P. Samson-Akpan","doi":"10.9790/1959-0603086170","DOIUrl":"https://doi.org/10.9790/1959-0603086170","url":null,"abstract":"Background: Evidence reveals that undergraduate nursing students experience moderate to high level of stress. Some of the stressors that affect students are pressure of academics due to intense desire to succeed, anxiety about future outcome and inability to integrate into the educational system. Therefore, the main aim of the study was to assess the level of stress and the coping strategies used by the undergraduate nursing students in Calabar, Nigeria. Methods: A descriptive cross sectional study using a simple random sampling technique was adopted to select a sample of 154 students. The instrument for data collection was“Perceived Stress Scale (PSS) and Nursing Students Coping Orientation for Problems” (NUSCOPE). Statistical analysis involved descriptive statistics and One-way analysis of variance. Results: The mean age of the respondents was 28.91+7.61; majority were females 136(88.3%).The mean of perceived stress within the last one month was 39.12+7.08 while some of the respondents 73(47.4%) experienced low level of stress, others 81(52.6%) had high level of stress. The most commonly used coping strategies were: seeking diversion 27.73+4.27; self-reliance 18.05+3.43; avoiding 17.71+3.90. One way analysis of variance showed that there was a significant difference between the level of study and the level of stress (p<0.05) while there was no statistically significant difference with regards to mode of entry and the level of stress (p<0.05). Conclusion: The study points to the need for stakeholders to design programmes that will reduce stress, health educate and encourage the students to utilize healthy coping strategies focusing on problem solving to promote health.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121932526","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: Evidence based practice (EBP) involves taking the latest evidence from research studies and using the evidence as a guidance for patient care to achieve the best possible outcomes. Aim: The study aim to examine factors affecting Implementation of EBP as perceived by nurses. Objectives: (1)To assess nurses knowledge, skills and attitudes towards EBP. (2)To identify the factors affecting the implementation of EBP in the clinical setting. Methods: Quantitative, descriptive cross sectional research design was conducted in this study to describe Nurses' knowledge, skills, attitudes and factors affecting Implementation of EBP. Data was collected by using online and printed questionnaire tool among nurses (N=246). Result: Response rates were 84%. Policies and protocols were perceived as frequently source of information as besides nurses perceived themselves to possess a competent skill. Moreover, nurses demonstrate positive attitude toward EBP. Organizational factors include providing continuous education on EBP not only one time. On the other hand, they provide opportunity for staff to ameliorate their skill for using in EBP implementation and organizational support. Individual factors involve creating inquiry culture and increasing nurses’ awareness of strategies to implement EBP in the clinical practice. Additionally, time was the main barrier affecting EBP implementation. Conclusion and Recommendations: This study suggests that nurses need more continuous EBP educational programs as part of system to enhance their knowledge and skill to implement EBP. Also, provide nurse facilitator who can supply nurses with the evidence and guide them to implement these evidences.
{"title":"Factors Affecting Implementation of Evidence Based Practice as Perceived by Nurses","authors":"Najla Sindi, Ghada Mahmed Hamouda, Maram Bankhar","doi":"10.9790/1959-0604025357","DOIUrl":"https://doi.org/10.9790/1959-0604025357","url":null,"abstract":"Background: Evidence based practice (EBP) involves taking the latest evidence from research studies and using the evidence as a guidance for patient care to achieve the best possible outcomes. Aim: The study aim to examine factors affecting Implementation of EBP as perceived by nurses. Objectives: (1)To assess nurses knowledge, skills and attitudes towards EBP. (2)To identify the factors affecting the implementation of EBP in the clinical setting. Methods: Quantitative, descriptive cross sectional research design was conducted in this study to describe Nurses' knowledge, skills, attitudes and factors affecting Implementation of EBP. Data was collected by using online and printed questionnaire tool among nurses (N=246). Result: Response rates were 84%. Policies and protocols were perceived as frequently source of information as besides nurses perceived themselves to possess a competent skill. Moreover, nurses demonstrate positive attitude toward EBP. Organizational factors include providing continuous education on EBP not only one time. On the other hand, they provide opportunity for staff to ameliorate their skill for using in EBP implementation and organizational support. Individual factors involve creating inquiry culture and increasing nurses’ awareness of strategies to implement EBP in the clinical practice. Additionally, time was the main barrier affecting EBP implementation. Conclusion and Recommendations: This study suggests that nurses need more continuous EBP educational programs as part of system to enhance their knowledge and skill to implement EBP. Also, provide nurse facilitator who can supply nurses with the evidence and guide them to implement these evidences.","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129409029","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: pin external infection is the most common health problem of nosocomial infection of patients their suffers from exogenous or endogenous symptoms of pin fixation infection. While pin skeletal fixation was considered a surgical treatment technique for orthopaedic patient to treat fracture bone which occur result direct internal trauma or external trauma in orthopaedic ward .But in sufficient orthopaedic nursing care of external pin track lead to infection occur around pin hole and transmission of microbes to the bone causing ununion bone site fracture ,loosen of rigid pin, abscess, sever painful and osteomyelitis. This problem was effecting on the quality of life of orthopaedic patient. Objectives: The study aims to determine the effect of an educational program on knowledge of orthopaedic nurses for pin external fixation and to find out the relationship between nurses’ socio-demographic characteristics of gender, age, educational level, marital status and their knowledge related pin track infection for external fixation. Methodology: A descriptive analytic study was conduct on Non-probability(purposive sample)of (40) an orthopaedic nurses ; (20) orthopaedic nurses for the study group and (20) orthopaedic nurses for the control group, who had work in orthopaedic ward at ALEmamin AL-Kadhumian teaching city in Baghdad city. A questionnaires form was used a tool of data collection for the study and control groups in the pretest from the period (24 th of May 2016 to 5 th June 2017) which these data are introduce through the application of an educational program. Then after three weeks was given the post test to study and controls groups, after the educational program has been finished with the study group for same questionnaires that used in the pretest. Descriptive and inferential statistics analysis were used to analyzed the data. Results: The results of the orthopaedic nurses knowledge study group showed there are differences between their knowledge about pin track infection in pretest and their orthopaedic nurses knowledge in posttest periods. That there was a statistically no significant association at (P≤ 0.05) between the study group of pin track infection of orthopaedic nurses knowledge related to( age , gender, ,marital status ) but there was a significant association related to the educational level . Conclusion: the results concludes defect and insufficient of orthopaedic nurses knowledge related pin external fixation were used to treated fractures bones for orthopaedic patients in ward. But the results of the study group of orthopaedic nurses knowledge which is exposed to the educational program benefited from the implementation of the educational program, and their knowledge was successfully enhanced and established. Recommendation: The study recommended the significance of increasing awareness among orthopaedic nurses about pin external fixation knowledge distributed through a handbooks, explanatory posters, and performing
{"title":"Effectiveness of an Educational Program on Orthopedic Nurses' Knowledge Concerning Pin Track Infection of External Fixation in Al-Emamin AL- Khadamin Medical City.","authors":"Thair R. Bader MSc.N, H. Atiyah","doi":"10.9790/1959-0604011521","DOIUrl":"https://doi.org/10.9790/1959-0604011521","url":null,"abstract":"Background: pin external infection is the most common health problem of nosocomial infection of patients their suffers from exogenous or endogenous symptoms of pin fixation infection. While pin skeletal fixation was considered a surgical treatment technique for orthopaedic patient to treat fracture bone which occur result direct internal trauma or external trauma in orthopaedic ward .But in sufficient orthopaedic nursing care of external pin track lead to infection occur around pin hole and transmission of microbes to the bone causing ununion bone site fracture ,loosen of rigid pin, abscess, sever painful and osteomyelitis. This problem was effecting on the quality of life of orthopaedic patient. Objectives: The study aims to determine the effect of an educational program on knowledge of orthopaedic nurses for pin external fixation and to find out the relationship between nurses’ socio-demographic characteristics of gender, age, educational level, marital status and their knowledge related pin track infection for external fixation. Methodology: A descriptive analytic study was conduct on Non-probability(purposive sample)of (40) an orthopaedic nurses ; (20) orthopaedic nurses for the study group and (20) orthopaedic nurses for the control group, who had work in orthopaedic ward at ALEmamin AL-Kadhumian teaching city in Baghdad city. A questionnaires form was used a tool of data collection for the study and control groups in the pretest from the period (24 th of May 2016 to 5 th June 2017) which these data are introduce through the application of an educational program. Then after three weeks was given the post test to study and controls groups, after the educational program has been finished with the study group for same questionnaires that used in the pretest. Descriptive and inferential statistics analysis were used to analyzed the data. Results: The results of the orthopaedic nurses knowledge study group showed there are differences between their knowledge about pin track infection in pretest and their orthopaedic nurses knowledge in posttest periods. That there was a statistically no significant association at (P≤ 0.05) between the study group of pin track infection of orthopaedic nurses knowledge related to( age , gender, ,marital status ) but there was a significant association related to the educational level . Conclusion: the results concludes defect and insufficient of orthopaedic nurses knowledge related pin external fixation were used to treated fractures bones for orthopaedic patients in ward. But the results of the study group of orthopaedic nurses knowledge which is exposed to the educational program benefited from the implementation of the educational program, and their knowledge was successfully enhanced and established. Recommendation: The study recommended the significance of increasing awareness among orthopaedic nurses about pin external fixation knowledge distributed through a handbooks, explanatory posters, and performing","PeriodicalId":266622,"journal":{"name":"IOSR Journal of Nursing and health Science","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127260643","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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