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Prevalence of hypertension and pre-hypertension among secondary school students 中学生高血压及高血压前期患病率
Pub Date : 2016-11-15 DOI: 10.14419/IJANS.V5I2.6878
Jamal A. S. Qaddumi, M. Holm, A. Alkhawaldeh, M. ALBashtawy, O. Omari, A. Batiha, F. Alhalaiqa, Mohammad M. Suliman, Khalid A Aljohani, Ayat Da’she
Hypertension and pre-hypertension are major contributors to morbidity. Early detection of hypertension and pre-hypertension among adolescents may prevent their complications. A cross-sectional study was conducted to estimate the prevalence of hypertension and pre-hypertension among adolescents attending government high schools in Nablus city, Palestine and to identify associated factors, in a sample of 487 adolescents aged 16-18 years in the year 2016. Associations between hypertension, pre-hypertension and known contributing factors were analyzed with Chi-square tests. The prevalence of hypertension and pre-hypertension were 59.2%. Body Mass Index (BMI) was significantly associated with a greater prevalence of hypertension (normal weight 13.1%, overweight 33.3%, and obesity 54.8 %) and pre-hypertension (normal weight 40.4%, overweight 47.4% and obesity 40.5%). The results confirmed a prevalence of hypertension and pre-hypertension among adolescents. Of known contributing factors studied, gender, age, BMI, and family history of hypertension were significantly associated with a greater prevalence of hypertension or pre-hypertension.
高血压和高血压前期是发病的主要原因。早期发现青少年高血压和高血压前期可以预防其并发症。在2016年对487名16-18岁的青少年进行了一项横断面研究,以估计巴勒斯坦纳布卢斯市公立高中的青少年中高血压和高血压前期的患病率,并确定相关因素。用卡方检验分析高血压、高血压前期和已知影响因素之间的关系。高血压及高血压前期患病率为59.2%。体重指数(BMI)与高血压患病率(正常体重13.1%,超重33.3%,肥胖54.8%)和高血压前期患病率(正常体重40.4%,超重47.4%,肥胖40.5%)显著相关。结果证实了青少年中高血压和高血压前期的患病率。在已知的影响因素中,性别、年龄、BMI和高血压家族史与高血压或高血压前期的高患病率显著相关。
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引用次数: 12
Oral motor intervention accelerates time to full oral feeding and discharge 口腔运动干预加速了完全的口腔喂养和排出时间
Pub Date : 2016-11-02 DOI: 10.14419/IJANS.V5I2.6797
Atiat Osman, E. Ahmed, Hend S Mohamed, Farok E Hassanein, D. Brandon
Background: A Survival rate in early preterm infants has increased over the last 30 years, but many of these infants have medical and developmental problems. Difficulty with feeding and poor nutrition complications are common, which contribute to their readmission and morbidity. Objective: To purpose of this study was to assess whether an oral motor stimulation intervention can decrease the time to achieve full oral feeding and shorten the length of hospitalization in preterm infants. Design and Methods: Seventy-five preterm infants born at 30 to ≤ 32 weeks gestational age were randomly assigned to three groups to assess intervention effects. Two groups received the intervention once per day with varying different intervention doses across time, while the control group received a sham intervention. Results: The time needed to reach full oral feeding was significantly different among groups (P <0.0001). Infants who received the intervention from initiation of tube feedings until full oral feeding (high dose)  gained full oral feedings and were discharged from the hospital earlier than the low dose and control groups (P = 0.0001). Infants in the high dose group were discharged 6 days earlier than controls and 4 days earlier than the low dose group. Conclusion: Oral motor stimulation intervention accelerated the time to full oral feeding and decreased the length of hospital stay.
背景:在过去30年中,早期早产儿的存活率有所增加,但其中许多婴儿存在医学和发育问题。喂养困难和营养不良并发症是常见的,这有助于他们再入院和发病率。目的:本研究的目的是评估口腔运动刺激干预是否可以缩短早产儿实现全口喂养的时间和缩短住院时间。设计与方法:将75例30 ~≤32周胎龄的早产儿随机分为三组,评估干预效果。两组每天接受一次干预,不同时间的干预剂量不同,而对照组接受假干预。结果:两组患者达到口腔完全喂养所需时间差异有统计学意义(P <0.0001)。从开始管饲到全口喂养(高剂量)的干预组婴儿获得全口喂养,出院时间早于低剂量组和对照组(P = 0.0001)。高剂量组比对照组早出院6天,比低剂量组早出院4天。结论:口腔运动刺激干预可加快患儿实现全口喂养的时间,缩短住院时间。
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引用次数: 9
Factors contributing to course changes among students at welwitchia university in Namibia: a student nurse perspective 影响纳米比亚威威奇大学学生课程变化的因素:学生护士的视角
Pub Date : 2016-10-28 DOI: 10.14419/IJANS.V5I2.6735
Esther Kamenye, S. Iipinge, Denise du Plessis
The overarching purpose of this study was to explore and describe the factors contributing to the changing of study courses among student nurses at Welwitchia University in Namibia. A qualitative explorative, descriptive and contextual research design was conducted, using individual in-depth interviews to gather information from 55 students, registered at Welwitchia University from 2013 to 2015, who had changed their course of study before joining the university. A purposeful sampling (convenience) technique was used. Interviews were conducted from October to November 2015 until the data were saturated. The results of this study established that after completing Grade 12, students enrol for any courses with no clear sense of understanding of the choice they have made just to keep themselves busy. This is mostly done when they have been rejected for their initial choice of course (nursing course) at the universities to which they have applied. The study also revealed that some students enrol for courses that are chosen for them by their families, which results in students later changing courses to one of their preference that is nursing. Others changed courses to nursing because they found the first course too difficult. The recommendations based on the findings of this study include the consideration of a gap year to take up voluntary jobs at places like old age homes, orphanage homes to practice caring activities while waiting to be admitted for the nursing course, and introducing or strengthening of career guidance at all secondary schools and institutions of higher learning.
本研究的主要目的是探索和描述导致纳米比亚威威奇亚大学护士学生学习课程变化的因素。本研究采用定性探索性、描述性和情境性研究设计,通过个人深度访谈收集了55名学生的信息,这些学生于2013年至2015年在威威奇亚大学注册,在加入威威奇亚大学之前改变了他们的学习课程。采用了有目的的抽样(方便)技术。访谈时间为2015年10月至11月,直至数据饱和。这项研究的结果表明,在完成12年级后,学生们没有明确的认识到他们所做的选择只是为了让自己忙碌起来。这主要是在他们申请的大学拒绝了他们最初选择的课程(护理课程)时进行的。研究还显示,一些学生选修了家人为他们选择的课程,这导致学生后来改选了他们喜欢的课程,即护理学。另一些人则因为发现第一门课程太难而改学护理。根据研究结果提出的建议包括:考虑利用间隔年的时间,在等候入读护理课程期间,到敬老院、孤儿院等地从事义工工作,实践护理活动;以及在所有中学和高等院校引入或加强职业指导。
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引用次数: 1
Conceptualisation as basis for the development ofcritical thinking within the nursing perspective 概念化是在护理角度发展批判性思维的基础
Pub Date : 2016-10-14 DOI: 10.14419/IJANS.V5I2.6555
Louise Pretoruis, A. V. Dyk, L. Small, H. Amukugo
The purpose of this article is to present the conceptualise empirical findings arrived at from the needs assessment (phase 1), which reflected the application of critical thinking skills by the respondents. The ultimate aim was to develop an educational programme to facilitate critical thinking in nursing practice. Conceptualization as the definition of key concepts in a study with a view to integrating one’s research into conceptual frameworks. The findings revealed six main concepts and their related sub-concepts. These concepts included interpretation, analysis, evaluation, inference, explanation and self-regulation. These concepts were inferred from the deduction by the researcher. These concepts were the results of the concept analysis of critical thinking by 46 experts directed by Facione together with the related dispositions. These six main concepts constituted the framework within which the educational programme was developed. The following steps were followed during the conceptualization namely concepts synthesis, clarification of the concepts, interpretation of the concepts, analysis of the concepts, evaluation of the concepts, interference/ conclusion, explanation, self – regulation and critical approaches.
本文的目的是提出概念化的实证研究结果,从需求评估(阶段1),这反映了应用批判性思维技能的受访者。最终目的是发展一个教育计划,以促进护理实践中的批判性思维。概念化是对研究中的关键概念进行定义,目的是将自己的研究纳入概念框架。调查结果揭示了六个主要概念及其相关的子概念。这些概念包括解释、分析、评价、推理、解释和自我调节。这些概念是从研究者的演绎中推断出来的。这些概念是由Facione指导的46位专家对批判性思维进行概念分析并结合相关倾向的结果。这六个主要概念构成了制定教育方案的框架。在概念化过程中,概念的综合、概念的澄清、概念的解释、概念的分析、概念的评价、干涉/结论、解释、自我调节和批判方法。
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引用次数: 0
An educational programme to facilitate critical thinking within the nursing perspective 从护理角度促进批判性思维的教育项目
Pub Date : 2016-10-14 DOI: 10.14419/IJANS.V5I2.6556
Louise Pretoruis, A. V. Dyk, L. Small, H. Amukugo
This article is focuses on an educational programme to facilitate critical thinking within the nursing perspective. For the purpose of developing an educational programme; the study was conducted in four phases, beginning with a needs assessment in Phase 1 through which the researcher determined the need of student nurses in terms of critical thinking. The deductive data analysis of phase 1 served as conceptual framework for the development of education programme in phase 2. Phase 2 consisted of the development of educational framework to facilitate critical thinking in student nurses. Specific educational approaches and a philosophical framework were employed during the development of the programme. An expert opinion on the programme was obtained before the implementation could be concluded in phase 3. Phase 3 and 3 of the study were conducted simultaneously. Phase 3 covered the implementation of the educational programme and Phase 4 the evaluation. The process itself includes, the purpose of the development of the programme, conducting a situational analysis; utilization of philosophical approaches, developing the educational programme; content of the programme; educational and curriculum approaches integrated into the development of an educational programme and strategies to overcome obstacles during the implementation of an educational programme.
这篇文章的重点是一个教育计划,以促进批判性思维在护理的角度。为制订教育方案的目的;研究分四个阶段进行,从第一阶段的需求评估开始,研究人员通过该阶段确定了学生护士在批判性思维方面的需求。第一阶段的演绎数据分析是第二阶段教育方案发展的概念框架。第二阶段包括教育框架的发展,以促进学生护士的批判性思维。在该方案的制定过程中采用了具体的教育方法和哲学框架。在第三阶段结束执行工作之前,已就该方案征求了专家意见。第3期和第3期研究同时进行。第三阶段包括教育方案的执行,第四阶段是评价。这一进程本身包括,为制订方案的目的,进行情况分析;运用哲学方法,发展教育计划;节目内容;将教育和课程方法纳入教育方案的制定和克服教育方案执行过程中的障碍的战略。
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引用次数: 3
Assessment of the needs of student nurses regarding critical thinking in nursing practice 评估学生护士在护理实践中对批判性思维的需求
Pub Date : 2016-10-07 DOI: 10.14419/IJANS.V5I2.6554
Louise Pretoruis, A. V. Dyk, L. Small, H. Amukugo
This study involved a quantitative, quasi-experimental and contextual design. The target population for this phase was senior student nurses registered at the University of Namibia, in their fourth year of nursing studies in the training hospitals of Windhoek and Oshakati. A total of 46 fourth-year nursing students, registered at the Faculty of Medical and Health Sciences in the Department of Nursing, were included for phase 1 except for the two students who took part in the pilot study. The students were from both campuses, namely the Windhoek and Oshakati campuses, doing the four-year Diploma in Comprehensive Nursing curriculum, which incorporates the principles of critical thinking. An imaginary case scenario was developed for students to analyse and answer some relevant questions to enable the researcher to determine the level of understanding and integration of critical thinking. In this study each student’s answers were deductively analysed by calculating central values, more specifically the mean for each question, to determine their application of critical thinking skills in the management of a nursing problem The researcher has, with literature support, arrived at “umbrella” concepts, namely the most important concepts that nurses in Namibia need and without which they cannot practice. These umbrella concepts are to be included in the educational programme.
本研究采用定量、准实验和情境设计。这一阶段的目标人群是在纳米比亚大学注册、在温得和克和奥沙卡提培训医院学习护理学第四年的高级实习护士。除参加试点研究的两名学生外,共有46名在护理系医学和健康科学学院注册的四年级护理学生被纳入第一阶段。这些学生来自两个校区,即温得和克校区和奥沙卡蒂校区,他们正在学习四年制综合护理文凭课程,其中包括批判性思维的原则。为了让学生分析和回答一些相关问题,研究者设计了一个虚构的案例场景,以确定理解和整合批判性思维的水平。在这项研究中,通过计算中心值,更具体地说是每个问题的平均值,对每个学生的答案进行演绎分析,以确定他们在护理问题管理中应用批判性思维技能。研究人员在文献支持下,得出了“保护伞”概念,即纳米比亚护士需要的最重要的概念,没有这些概念,他们就无法实践。这些概括性概念将列入教育方案。
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引用次数: 0
A conceptual framework for facilitating optimal functioning by survivors of cerebro-vascular accidents and their caregivers at home in Oshana Region, Namibia 促进脑血管事故幸存者及其在家照顾者最佳功能的概念性框架,纳米比亚奥沙纳地区
Pub Date : 2016-09-23 DOI: 10.14419/IJANS.V5I2.6482
S. Kuugongelwa, L. Small
Providing care for the survivors of a cerebro-vascular accident in home settings is an increasingly common practice. Accordingly, a conceptual framework was developed with the aim of establishing guidelines for the implementation of a support programme to enable survivors and their caregivers to function optimally at home. The framework involves the attributes of the agent (lecturer as a facilitator), the recipients (survivors and caregivers), the context (the home setting), the procedures for enabling optimal functioning and, finally, the terminus, which is defined at optimal functioning for both the survivors and their caregivers.
在家庭环境中为脑血管事故幸存者提供护理是一种越来越普遍的做法。因此,制定了一个概念性框架,目的是为实施支助方案制定准则,使幸存者及其照顾者能够在家中以最佳方式工作。该框架涉及代理(作为促进者的讲师)、接受者(幸存者和照顾者)、环境(家庭环境)、实现最佳功能的程序,以及最终的终点,它被定义为幸存者和他们的照顾者的最佳功能。
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引用次数: 0
Paradigmatic perspective for development of an educational programme to facilitate critical thinking of student nurses in Namibia 发展教育方案的范例观点,以促进纳米比亚护士学生的批判性思维
Pub Date : 2016-09-20 DOI: 10.14419/IJANS.V5I2.6552
L. Pretorius, A. V. Dyk, L. Small, H. Amukugo
This research paper is focuses on describing the paradigmatic perspective used for development of an educational programme to facilitate critical thinking of student nurses. The study of this nature requires a paradigmatic perspective this is a collection of logically linked concepts and propositions that provide a theoretical perspective or orientation that tends to guide the research approach to a specific direction. The study was conducted in four phases, beginning with the needs assessment in phase 1 through which the researcher determine the needs of the students in terms of critical thinking, followed by phase 2 on the development of an educational framework and phase 3 and 4 on implementation and evaluation and this two phases were conducted simultaneously. The positivistic paradigm allows the researcher to be orderly and disciplined in the procedures followed during the study to acquire information. For this study the researcher worked according to a specific and logical plan of action and conducted the research in a series of steps. In this study the paradigm consisted meta-theoretical such as ontological, epistemological, axiological and methodological assumption. The theoretical basis of this study included the principal of adult learning; Model of curriculum development; Nicholas and Nichols; Viedebeck’s model of teaching critical thinking and Theoretical principle of constructivism. These theoretical frameworks were applied in respectively in the phases listed above.
这篇研究论文的重点是描述用于发展教育计划的范式观点,以促进学生护士的批判性思维。这种性质的研究需要一种范式视角,这是一种逻辑上联系的概念和命题的集合,它提供了一种理论视角或取向,倾向于将研究方法引导到特定的方向。该研究分四个阶段进行,从第一阶段的需求评估开始,通过该阶段,研究人员确定了学生在批判性思维方面的需求,其次是第二阶段,即制定教育框架,第三阶段和第四阶段是实施和评估,这两个阶段同时进行。实证主义范式允许研究者在研究过程中遵循有序和有纪律的程序来获取信息。在这项研究中,研究人员根据一个具体的、合乎逻辑的行动计划,并在一系列步骤中进行研究。本研究的范式包括本体论、认识论、价值论和方法论假设等元理论。本研究的理论基础包括:成人学习原理;课程开发模式;尼古拉斯和尼科尔斯;维德贝克批判性思维教学模式与建构主义理论原则。这些理论框架分别应用于上述阶段。
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引用次数: 3
Impact of child labor in stone quarries on his health status in El- Minia city
Pub Date : 2016-09-06 DOI: 10.14419/IJANS.V5I2.6533
N. A. El-aty, Nazek Ibrahim Abd El-Ghany, F. Moftah, S. Labeeb, A. Mohammed
Background: Child labor today represents the largest single cause of child abuse across the global. Most of it takes place in economically less developed countries and much is hidden. Objectives: The aims of this study were to found out the nature and impact of child labor in the stone quarries on his health status and assess the work hazards associated with these concern. Methods Design: A descriptive comparative design was used .Setting: at stone quarries in El-Minia city and two Governmental schools (primary and preparatory). Sample: Study consisted sample of two groups: two hundred working children (studied group) and three hundred school children as control group. Tools: Three tools were developed and utilized. Socio-demographic characteristics, assessment sheet, and Observation check list. Results: It was found that the mean age studied group was 13.0± 1.2, compared to 12.0± 1.2for control group. More than half of studied group of studied group were working for the need to money and to share in family income. About two third of studied group exposed to different types of injuries during work in quarry. There was statistical significant difference between studied and control group groups regarding body mass index physical assessment and bad habits. Also the results of this study explored that most of studied group exposed to all items of work hazards. Conclusion: It can be concluded that almost all working children in stone quarries were facing much health complains and working hazards. Recommendations: Quarries owners should provide all working children with appropriate protective measures and trained them on methods of protecting themselves from work hazards.
背景:今天,童工是全球虐待儿童的最大单一原因。其中大部分发生在经济欠发达的国家,其中很多是隐藏的。目的:本研究的目的是了解采石场童工的性质和对其健康状况的影响,并评估与这些问题相关的工作危害。方法设计:采用描述性比较设计。研究地点:El-Minia市采石场和两所公立学校(小学和预科)。样本:研究分为两组:200名童工(实验组)和300名在校儿童(对照组)。工具:开发并使用了三种工具。社会人口特征、评估表和观察检查表。结果:研究组平均年龄13.0±1.2岁,对照组平均年龄12.0±1.2岁。超过一半的被调查者工作是为了赚钱和分享家庭收入。大约三分之二的研究对象在采石场工作时受到不同类型的伤害。研究组与对照组在身体质量指数、体质评估和不良生活习惯方面差异有统计学意义。本研究的结果还探讨了大多数被研究群体暴露于所有项目的工作危害。结论:在采石场工作的儿童几乎都面临着许多健康投诉和工作危害。建议:采石场业主应向所有童工提供适当的保护措施,并培训他们保护自己免受工作危害的方法。
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引用次数: 0
Hopes and dreams: poverty, motherhood and health care 希望和梦想:贫穷、母性和保健
Pub Date : 2016-08-17 DOI: 10.14419/IJANS.V5I2.6535
Bonnie L. Pope, K. Bloom
Racial and ethnic differences in health outcomes exist in all areas of health care even when factors related to income; insurance status and access to care are controlled. The importance of the social environment versus biological influences a person’s health status are explored in this study. Healthy People 2020 identified maternal health status to pregnancy-related health outcomes and African American women are at greater risk for poor pregnancy outcomes including increased rates of maternal, perinatal, neonatal, and infant mortality. Study Purpose: To understand the meaning of being and African-American woman living in poverty and their experiences with the health care system. Research Design: Exploratory qualitative, community-based participatory action research study used oral and digital storytelling. Participants and Setting: African American mothers residing in government subsidized housing. Data Collection and Analysis: Focus groups, storytelling, and photovoice for data collection. Thematic analysis the focus groups’ transcriptions and storyboard findings was conducted. Results: Common themes from the transcripts were “respect me…don’t stereotype me” and “be safe.” Themes from storyboards were “love of family,” “love of community,” and “hope for the future.” Courage, family, and community are the foundation of their lives. Limitation: Sample size does not allow generalization to larger populations.
在卫生保健的所有领域,即使在与收入有关的因素中,健康结果也存在种族和民族差异;保险状况和获得护理的机会受到控制。本研究探讨社会环境与生物因素对个人健康状况的影响。《2020年健康人》确定了孕产妇健康状况对妊娠相关健康结果的影响,非洲裔美国妇女妊娠结局不佳的风险更大,包括孕产妇、围产期、新生儿和婴儿死亡率增加。研究目的:了解生活在贫困中的非裔美国妇女的意义以及她们在医疗保健系统中的经历。研究设计:探索性质的、基于社区的参与性行动研究,使用口头和数字叙事。参与者和背景:居住在政府补贴住房中的非裔美国母亲。数据收集和分析:焦点小组,讲故事,和照片语音的数据收集。对焦点小组的记录和故事板结果进行了专题分析。结果:来自成绩单的共同主题是“尊重我……不要对我有成见”和“注意安全”。故事板的主题是“爱家庭”、“爱社区”和“对未来的希望”。勇气、家庭和社区是他们生活的基础。局限性:样本量不允许推广到更大的人群。
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引用次数: 0
期刊
International Journal of Advanced Nursing Studies
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