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Impact of Simulation-Based Training on Nurses' Performance and Satisfaction regarding Blood Transfusion at Neonatal Intensive Care Unit 模拟培训对新生儿重症监护室护士输血表现和满意度的影响
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.325528
Manal Mohamed Ahmed Ayed, Amal S. Abu Almakarem, Rasha Shawky Elashry, Manal Farouk Mohamed
Background : A blood transfusion is an emergency operation for very ill newborns. Nursing care is required for preparation before, during, and after the procedure in addition to ongoing medical competence for life-saving interventions. Clinical practice and classroom learning are connected through simulation-based education. It helps nurses become competent before dealing with newborns in a real-world setting, raising the standard of care and assuring the safety of the infants. This study aimed to determine the impact of simulation-based training on nurses' performance and satisfaction regarding blood transfusion at the neonatal intensive care unit. Method : A quasi-experimental research design was used to achieve the aim of the current study. Setting : The study was conducted in the Neonatal Intensive Care Unit affiliated at Sohag University Hospital. Subjects : Included all nurses (50) who are working in the neonatal intensive care unit. Tools for data collection: (1) Structured interview questionnaire sheet (2) observational checklist, and (3) Nurses' satisfaction scale was used to collect data. Results : In terms of knowledge, practice, and satisfaction, there was a very statistically significant difference among the nurses. The study's findings showed that, before the implementation of the simulation-based training, more than two-thirds of the nurses were poorly informed about blood transfusions, and more than half of them had incompetent levels of practice in this area. Following the implementation of simulation-based training, the vast majority of the examined nurses had a good level of knowledge and the majority of them had a competent level of practice. When compared to pre-training, nurses' performance showed a very statistically significant difference and improvement. Conclusion : According to the findings of the current study, simulation-based training enhanced nurses' performance and satisfaction with blood transfusion. Recommendations : The study suggested that simulation-based training be used as an effective technique for teaching nurses about blood transfusion.
背景:输血是对病重新生儿的紧急手术。在手术之前、期间和之后的准备工作都需要护理,此外还需要持续的医疗能力来挽救生命。临床实践和课堂学习通过模拟教育相结合。它帮助护士在现实环境中处理新生儿之前变得有能力,提高护理标准并确保婴儿的安全。本研究旨在确定模拟培训对新生儿重症监护室护士输血绩效和满意度的影响。方法:采用准实验研究设计,达到本研究目的。环境:本研究在Sohag大学附属医院新生儿重症监护病房进行。对象:包括所有在新生儿重症监护室工作的护士(50名)。数据收集工具:(1)采用结构化访谈问卷;(2)采用观察性检查表;(3)采用护士满意度量表收集数据。结果:护理人员在知识、实践、满意度方面差异有统计学意义。研究结果表明,在实施基于模拟的培训之前,超过三分之二的护士对输血知之甚少,其中一半以上的护士在这方面的实践水平不合格。实施模拟培训后,绝大多数受访护士的知识水平良好,大部分护士的执业水平合格。与培训前相比,护士的表现有非常显著的统计学差异和提高。结论:根据本研究的发现,基于模拟的培训提高了护士的绩效和对输血的满意度。建议:本研究建议,以模拟为基础的培训可以作为一种有效的技术来教授护士输血知识。
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引用次数: 0
Knowledge and Attitude of Healthcare Workers Regarding COVID 19 Vaccination 医护人员对 COVID 19 疫苗接种的认识和态度
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.326735
Mohamed S. Mohamed Khalil, Hanan S. Ali, Dina M. Maarouf
Background: Coronavirus disease (COVID-19) is a deadly virus that continues to afflict many countries worldwide. The development of a COVID-19 vaccine to combat the disease’s spread. Health Care Workers are major influencers in vaccination, thus their acceptance or hesitancy to tcovid-19 vaccine would either aid its acceptance among the populace. Aim of the study: Assess knowledge and attitude of healthcare workers regarding COVID 19 vaccination. Design: A descriptive study was utilized in this study. Setting: The current study was conducted in Ashmoun General Hospital, which is affiliated to the Ministry of Health and Population in Menoufia Governorate. Subjects of the study: The study subjects include 266 health care workers including physician, anaesthetist, nursing staff, pharmacist, dentist, physiotherapist, labs scientist, radiographer and housekeeping in the previous mentioned setting. Tools of data collection: Tool I. Self-administrated Questionnaire Sheet: It was developed by the investigator after reviewing the recent related literature included. Part I: It was concerned with demographic characteristics such as age, gender, marital status, educational level, job title, years of working experience etc...) Part II: It was used to assess level of knowledge of healthcare workers regarding COVID 19 vaccination. Tool II: It was used to assess level of attitude of healthcare workers regarding COVID 19 vaccination. Results of the study: Represents that two third of the studied sample had good total knowledge, nearly one quarter of them had average level but one tenth of them had poor total knowledge, and more than two third of studied sample had positive attitude regarding COVID-19 vaccination, one third of them had negative attitude. Conclusion: In the light of present study findings, the health care workers were very knowledgeable with positive attitude to COVID-19 vaccination. Recommendations: Continuous evaluation of health care workers knowledge and attitude regarding COVID 19 vaccination is essential to identify their needs.
背景:冠状病毒病(COVID-19)是一种致命的病毒,继续困扰着全球许多国家。开发COVID-19疫苗以对抗该疾病的传播。卫生保健工作者是疫苗接种的主要影响者,因此他们对covid-19疫苗的接受或犹豫要么有助于民众对其的接受。目的:了解卫生保健工作者对COVID - 19疫苗接种的知识和态度。设计:本研究采用描述性研究。环境:目前的研究是在Menoufia省卫生和人口部附属的Ashmoun总医院进行的。研究对象:研究对象包括266名卫生保健工作者,包括医生、麻醉师、护理人员、药剂师、牙医、物理治疗师、实验室科学家、放射技师和上述环境中的家政人员。资料收集工具:工具一:自填问卷表:由研究者在查阅近期相关文献后编制。第一部分:涉及人口统计学特征,如年龄、性别、婚姻状况、教育程度、职称、工作年限等。第二部分:用于评估医护人员对COVID - 19疫苗接种的知识水平。工具二:用于评估医护人员对COVID - 19疫苗接种的态度水平。研究结果:三分之二的研究样本总体知识水平良好,近四分之一的研究样本总体知识水平一般,但十分之一的研究样本总体知识水平较差,三分之二以上的研究样本对COVID-19疫苗接种持积极态度,三分之一的研究样本持消极态度。结论:根据目前的研究结果,医护人员对COVID-19疫苗接种的了解程度较高,态度积极。建议:持续评估卫生保健工作者关于COVID - 19疫苗接种的知识和态度对于确定其需求至关重要。
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引用次数: 0
Computer Vision Syndrome as Perceived by Undergraduate Nursing Students Versus Clinical Nursing Teachers 护理本科生与临床护理教师眼中的计算机视觉综合症
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.326843
Fatma A. Salem, Soheir M. Weheida, Kawther Abdel Ghafar Ali, Shahira Mohamed Metwely, Alaa Alkordy, Sharif Y. El Emam, Rowaida Niazy, Shimaa Magdi Farghaly
Abstract
摘要。
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引用次数: 0
Effect of Educational Program regarding Risk Assessment and preventive Strategies among Orthopedic Surgical Patients with Deep Vein Thrombosis 骨科手术患者深静脉血栓形成风险评估和预防策略教育计划的效果
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.325527
Basma Mohamed Khalil, Eman Mohamed Ramadan Farag, Amal S. Abu Almakarem, Shymaa Helmy Ahmed
Background : Deep Vein thrombosis (DVT) is thrombophlebitis of deep veins and is known to be associated with fatal complications. The use of appropriate measures through risk assessment is of vital importance in preventing DVT-related complications. Well's criteria are a beneficial tool in categorizing the patients and, therefore may guide in using appropriate preventive strategies and promoting the well-being of immobilized patients. The present study aimed to evaluate the effect of educational program regarding risk assessment and preventive strategies among orthopedic surgical patients with deep vein thrombosis. Research design: This study used a quasi-experimental research design. Setting : The study was carried out in the orthopedic department and orthopedic outpatient clinic at Qena General Hospital. Subjects : The samples were selected by a convenient sampling technique of all orthopedic surgical patients with deep vein thrombosis admitted to the above-mentioned settings at the time of data collection. Tools: Three tools were used for data collection of this study: Tool I: Structure interview Sheet, Tool II: Observational checklist, and Tool III - Observational checklist for preventive strategies were used . Results : The findings of the study revealed that there were highly significant improvements in patient's knowledge regarding deep vein thrombosis post-educational program implementation (P=0.005). Statistical highly significant differences and reductions were detected between orthopedic surgical patients with deep vein thrombosis post-educational program implementation regarding risk assessment and preventive strategies . Conclusion: The educational program implementation had a significant positive effect on reducing risk assessment and preventing deep vein thrombosis among orthopedic surgical patients. Recommendations: The educational program regarding deep vein thrombosis prevention should be conducted and integrated into the rehabilitation programs. Provide the patients with booklets and illustrated pamphlets for each to improve their information and reduce their risk for deep vein thrombosis.
背景:深静脉血栓形成(DVT)是深静脉血栓性静脉炎,已知与致命并发症相关。通过风险评估采取适当措施对于预防深静脉血栓相关并发症至关重要。Well的标准是对患者进行分类的有益工具,因此可以指导使用适当的预防策略和促进固定患者的福祉。本研究旨在评估骨科手术患者深静脉血栓形成风险评估及预防策略教育的效果。研究设计:本研究采用准实验研究设计。环境:本研究在Qena总医院骨科和骨科门诊进行。对象:采用方便的抽样技术,从收集数据时在上述设置的所有骨科深静脉血栓患者中选取样本。工具:本研究的数据收集使用了三种工具:工具一:结构访谈表,工具二:观察性检查表,工具三-预防策略观察性检查表。结果:研究结果显示,患者对深静脉血栓形成教育后计划实施的知识有极显著的提高(P=0.005)。骨科手术后深静脉血栓形成患者在风险评估和预防策略方面的差异和降低在统计学上具有高度显著性。结论:实施教育方案对降低骨科手术患者深静脉血栓形成风险评估和预防深静脉血栓形成具有显著的积极作用。建议:开展深静脉血栓预防教育,并将其纳入康复治疗方案。为每位患者提供小册子和插图小册子,以提高他们的信息,降低深静脉血栓形成的风险。
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引用次数: 0
Relationship between Burden and Self-efficacy among Family Caregivers of Patients with Substance Use Disorders 药物使用失调患者家庭照顾者的负担与自我效能之间的关系
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.326604
Eman Gamal Elsayed, Rania Abdel Hamid Zaki, Fatma Mohammed Ibrahim
Background: Substance use disorders (SUDs) have a major negative impact on family caregivers in many aspects causing various burdens in quality of life while self-efficacy allows family caregivers to evaluate capability to control and manage caregiving stress and burden . Aim: This study aimed to assess the relationship between burden and self-efficacy among family caregivers of patients with substance use disorders. Design: A descriptive relational study design was utilized in this study. Setting : This study was carried out in the addiction outpatient clinic in Abassia mental health hospital affiliated to General Secretariat of Mental Health and ministry of health. Subjects: A sample of 140 family caregivers of patients with SUDs who full field specific inclusion criteria. Data collection tool: Data was gathered1) Interviewing Questionnaire includes three parts: a) patient and family caregiver's demographic data, b) history of SUDs, c) Knowledge about SUDs; 2) Burden of family caregivers for patients with substance use disorders; and 3) self-Efficacy Scale. Results: date analysis show that more than two thirds of the studied caregivers had severe level of caregiving burden, and more than three quarters of them had low levels of self-efficacy, also three fifths of them had unsatisfactory knowledge about SUDs. There was a highly significant negative correlation between family caregivers’ burden and their self-efficacy. There was a high negative correlation between family caregiver's knowledge and their caregiving burden; also there was a high positive correlation between family caregiver's knowledge and their self-efficacy. Conclusions : caregivers with low self-efficacy and unsatisfactory knowledge regarding SUDs experienced severe level of caregiving burden. Recommendations: Designing and implementation of Psycho-educational program for family caregivers of patients with substance use disorder to enhance their self-efficacy, coping abilities and quality of life and to overcome their burden of caregiving.
背景:物质使用障碍(SUDs)在许多方面对家庭照顾者产生重大的负面影响,造成各种生活质量负担,而自我效能感使家庭照顾者能够评估控制和管理照顾压力和负担的能力。目的:探讨药物使用障碍患者家庭照顾者负担与自我效能感的关系。设计:本研究采用描述性关系研究设计。背景:本研究在卫生部精神卫生总秘书处所属的Abassia精神卫生医院成瘾门诊进行。对象:140名符合特定领域纳入标准的sud患者的家庭护理人员。1)访谈问卷包括三部分:a)患者及家属的人口学资料,b) sud病史,c) sud知识;2)物质使用障碍患者的家庭照顾者负担;3)自我效能量表。结果:数据分析显示,超过三分之二的护理人员存在严重的护理负担,超过四分之三的护理人员自我效能水平较低,五分之三的护理人员对sud的了解不满意。家庭照顾者负担与自我效能感呈极显著负相关。家庭照顾者知识水平与照顾负担呈高度负相关;家庭照顾者的知识水平与自我效能感之间存在高度正相关。结论:自我效能感低、对sud了解不充分的护理人员承受着严重的护理负担。建议:设计并实施物质使用障碍患者家庭照护者的心理教育方案,提高其自我效能感、应对能力和生活质量,减轻其照护负担。
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引用次数: 0
Impact of Aromatherapy Massage on Postoperative Emotional Status and Sleep Pattern among Women Undergoing Cervical Cancer 香薰按摩对宫颈癌术后妇女情绪状态和睡眠模式的影响
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.329254
Zainab Abd El-Rahim Ali, Safa Mohamed Amin Mohamed, Omaima Ezzat Mahmoud, Zeinab Ali Baraia
: Background : Cervical cancer is preventable; it is a major gynecological disorder among women currently. Cervical cancer treatment is associated with several physical challenges, including impaired sleep which can impair patients’ immune systems, and cognitive abilities which is associated with depression, anxiety, and decreased cognitive function. Therefore, the current study aimed to determine the impact of aromatherapy massage on postoperative emotional status and sleep patterns among women undergoing cervical cancer. Design : A quasi-experimental design was used to achieve this study. Setting: The study was conducted at the inpatient and outpatient clinics in Sohag Oncology institution. Subject : A purposive sampling technique was used to select The sample of this study consisted of 100 cervical cancer women who were divided into two groups an experimental group and a control group including 50 patients in each one. Tools: Three tools were used (I) the cervical cancer women personal data sheet, (II) and Depression, Anxiety, and Stress Scale (DASS), and (III) the Richards-Campbell Sleep Questionnaire (RCSQ). Results: The present study revealed that cervical cancer women's postoperative emotional status (stress, depression, and anxiety levels) in both experimental groups was severe before the implementation of the aromatherapy massage while these levels became low after implementation. There were highly statistically significant differences and improvements between cervical cancer women such as depression, anxiety, and stress levels in both experimental and control groups pre and post-implementation of aromatherapy massage at (P= <0.05). Also, the results indicated that the experimental group had improvement in their mean score of 53.80 ± 13.20 and the control group had a mean score of 29.08 ± 9.71 with a statistically significant difference between the mean scores of the groups. Conclusion : The study achieved significant improvements in the emotional status and sleep patterns among cervical cancer women. Recommendations : Cervical cancer women should understand the aromatherapy massage approach as a straightforward and practical strategy to improve their emotional status and enhance sleep quality.
:背景:宫颈癌是可以预防的;它是目前妇女中的主要妇科疾病。宫颈癌的治疗会给患者带来一些身体上的挑战,其中包括睡眠障碍,它会损害患者的免疫系统,以及认知能力,这与抑郁、焦虑和认知功能下降有关。因此,本研究旨在确定芳香疗法按摩对宫颈癌术后妇女情绪状态和睡眠模式的影响。设计 :本研究采用准实验设计。研究地点研究在 Sohag 肿瘤机构的住院部和门诊部进行。对象: 本研究采用目的性抽样技术选取 100 名宫颈癌妇女作为样本,她们被分为两组,一组为实验组,另一组为对照组,每组包括 50 名患者。工具:使用了三种工具(I)宫颈癌妇女个人数据表;(II)抑郁、焦虑和压力量表(DASS);(III)理查兹-坎贝尔睡眠问卷(RCSQ)。研究结果本研究显示,在实施芳香疗法按摩前,两组宫颈癌妇女的术后情绪状态(压力、抑郁和焦虑水平)都很严重,而在实施芳香疗法按摩后,这些水平变得很低。在实施芳香疗法按摩前后,实验组和对照组宫颈癌妇女的抑郁、焦虑和压力水平均有非常显著的差异和改善(P= <0.05)。此外,研究结果表明,实验组的平均得分为(53.80 ± 13.20)分,对照组的平均得分为(29.08 ± 9.71)分,两组的平均得分差异具有统计学意义。结论:本研究对宫颈癌妇女的情绪状态和睡眠模式有明显改善。建议 :宫颈癌妇女应了解芳香疗法按摩方法是改善情绪状态和提高睡眠质量的一种直接而实用的策略。
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引用次数: 0
Assessment Quality of Life for Patients with Chronic Obstructive Pulmonary Disease in Outpatients Clinic at Beni-Suef University Hospital 贝尼苏伊夫大学医院门诊慢性阻塞性肺病患者的生活质量评估
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.329537
Nora Atef Mohamed, Mervat Abd Elkader Ahmed, Laila Awadeen
Background: chronic obstractive pulmonary disease (COPD) is a chronic pulmonary disorder that is characterized by progressive and partially reversible airflow limitation. The natural history of COPD is punctuated by recurrent episodes of acute exacerbations, which often require hospitalization and negatively affect patients’ quality of life. Aim: the aim of study was to Assess quality of life for patients with chronic obstructive pulmonary disease in outpatients clinic at Beni-Suef University Hospital. Subjects and methods : this study was Descriptive study, Sample : A purposive sample was selected and this study was performed on 100 patients, Setting: Outpatients clinic at Beni-Suef University Hospital Tool: Two tool was used to collect data., Tool (I) : Structured interviewing questionnaire and it was consisted of three Tool II. Quality of life questionnaire for COPD. Results: •More than one third (37%) of the studied patients are 50<60 years old with Mean/ +-SD 2.77+- .1033 years. All (100%) of them studied patients have previous hospitalization. • Vast majority of the sample (90%) has unsatisfactory knowledge about COPD disease. Majority (87%) of the studied patients has inadequate level of total QOL. Conclusions : The knowledge of the studied patients was unsatisfactory and the QOL of them was inadequate regarding COPD. Recommendations : Continuous educational program for patients with COPD and their family about COPD management, complication and ways of prevention.
背景:慢性阻塞性肺疾病(COPD)是一种慢性肺部疾病,以进行性和部分可逆的气流受限为特征。慢性阻塞性肺病的自然病史以反复发作的急性加重为特征,通常需要住院治疗,并对患者的生活质量造成负面影响。目的:本研究旨在评估贝尼苏伊夫大学医院门诊慢性阻塞性肺病患者的生活质量。研究对象和方法:本研究为描述性研究,样本:选择有目的的样本,研究对象为 100 名患者:贝尼-苏埃夫大学医院门诊部:使用两种工具收集数据,工具(一) :结构化访谈问卷,包括三个部分 工具 II.慢性阻塞性肺病患者生活质量问卷。结果超过三分之一(37%)的研究对象年龄在 50-60 岁以下,平均/+-SD 为 2.77+- .1033 岁。所有患者(100%)都曾住院治疗过。- 绝大多数样本(90%)对慢性阻塞性肺病的了解不尽人意。大部分患者(87%)的总体 QOL 水平不足。结论 :所研究的患者对慢性阻塞性肺病的认识不尽人意,他们的 QOL 也不足。建议 :为慢性阻塞性肺病患者及其家属提供有关慢性阻塞性肺病管理、并发症和预防方法的持续教育计划。
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引用次数: 0
Effect of an Intervention Protocol regarding Safety Measures on Knowledge, Practices and Attitude of Nurses Caring for patients undergoing cardiac catheterization 安全措施干预方案对护理心导管患者护士知识、行为和态度的影响
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.313533
Safaa H. Mohamed, Ashgan T.Fathy, Doaa M. Mahmoud
Background: Ensuring patient safety is a fundamental aspect of healthcare delivery across all settings. Identifying any deficiencies in care and enhancing nurses' awareness of their pivotal role are critical in saving patients' lives. This study aims to assess the impact of an intervention protocol focused on safety measures, with a focus on knowledge, practices, and attitudes of nurses caring for patients undergoing cardiac catheterization. Design: A quasi-experimental research design with a pre/post-test approach was employed for this study. Setting: The study was conducted within the cardiac catheterization unit at Benha University Hospital, which is affiliated with Benha University, located in Qualyubia Governorate, Egypt. Sample: A convenience sample of 40 cardiac nurses of both genders was included in the study. Tools: Three distinct tools were employed: I. A structured interview questionnaire to assess nurses' knowledge concerning safety measures. II. A safety measures observational checklist to evaluate nurses' practical implementation of safety measures. III. A safety attitude questionnaire to gauge nurses' overall attitude towards safety. Results: Following the implementation of the intervention protocol, significant positive outcomes were observed: A highly statistically significant correlation between total knowledge and attitude among the studied nurses (p ≤ 0.001). A statistically significant correlation between total practices, total knowledge, and attitude among the studied nurses (p ≤ 0.05). Conclusion: The study's findings indicate a substantial improvement in nurses' overall knowledge, practices, and attitude concerning cardiac catheterization and safety measures immediately post-intervention protocol. Recommendations: To uphold patient safety and quality care, it is recommended that nurses working in cardiac catheterization units actively engage in continuous educational and training programs. These initiatives are crucial for updating nurses' knowledge and enhancing their practical skills with respect to safety measures concepts. Such ongoing professional development ensures that nurses remain current and competent in providing safe care for patients undergoing cardiac catheterization
背景:确保患者安全是所有环境下医疗保健服务的一个基本方面。确定护理中的任何缺陷并提高护士对其关键作用的认识对于挽救患者的生命至关重要。本研究旨在评估以安全措施为重点的干预方案的影响,重点关注护理心导管患者的护士的知识、实践和态度。设计:本研究采用准实验研究设计,采用前测/后测方法。环境:该研究是在位于埃及Qualyubia省的Benha大学附属Benha大学医院的心导管插入科进行的。样本:本研究选取了40名男女心脏科护士作为方便样本。工具:采用三种不同的工具:1 .采用结构化访谈问卷来评估护士关于安全措施的知识。2安全措施观察检查表,评估护士对安全措施的实际执行情况。3一份安全态度问卷,评估护士对安全的整体态度。结果:在实施干预方案后,观察到显著的积极结果:被研究护士的总知识与态度之间具有高度统计学意义的相关性(p≤0.001)。受访护士的总实践、总知识和态度之间存在显著的相关(p≤0.05)。结论:研究结果表明,护士在介入后立即对心导管插入术和安全措施的总体知识、实践和态度有了实质性的改善。建议:为了维护患者安全和高质量的护理,建议在心导管病房工作的护士积极参与持续的教育和培训计划。这些举措对于更新护士的知识和提高他们在安全措施概念方面的实际技能至关重要。这种持续的专业发展确保护士保持最新和有能力为接受心导管术的患者提供安全护理
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引用次数: 0
Feelings of Powerlessness in Critically Ill Patients with Cardiac Diseases 危重心脏病患者的无力感
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.314263
Intessar Mohamed Ahmad, Mona Saad Abdelwareth
: Background: Acutely ill patients, more than any other patients, are at increased risk of perceiving powerlessness because they lack control over their immediate situation and are uncertain regarding their prognoses. Despite the seriousness of the problem of powerlessness, it tends to be ignored. No studies were found in the literature assessing feelings of powerlessness in acutely ill patients. The aim of the study: was to assess feelings of powerlessness in critically ill patients with cardiac diseases. Materials and Method: Research Design: A descriptive exploratory research design was utilized to accomplish this study. Setting: This study was carried out in three ICUs at Damanhour Medical Institute. Subjects: A purposive sample of 125 adult, conscious cardiac patients was recruited for the current study. Instrument: A patient's powerlessness assessment questionnaire was used to collect data. It is composed of two parts. Part I: demographic and clinical characteristics of the patients. Part II was the adapted powerlessness assessment tool for adult patients. Method: Patients were interviewed individually, and the researchers recorded the patients’ responses using the adapted powerlessness assessment tool for adult patients. Results: the total mean percent score of powerlessness in the studied patients was 58.83%. Only 15.2% of the studied patients did not have a perceived powerlessness. The highly statistically percent of the studied patients (46.4%) reported mild powerlessness. There were significant correlations between powerlessness domains; the mean percent scores of perceived capacity to perform behavior, the perception of decision making capacity, emotional response to the control of situations, the perception of decision making and emotional response to the control of situations and the total powerlessness score (p<0.001). Conclusion: the highest percentage of the studied patients admitted to the intensive care units experienced a varied level of powerlessness, and one fifth of them had a high level of powerlessness. Regular nursing assessment of perceived powerlessness for newly admitted critically ill patients is a must.
背景:急性病人比其他病人更容易感到无力感,因为他们无法控制自己眼前的情况,对自己的预后也不确定。尽管无力感的问题很严重,但它往往被忽视。在文献中没有发现评估急性病人无力感的研究。这项研究的目的是评估患有心脏病的危重病人的无力感。研究设计:采用描述性探索性研究设计来完成本研究。背景:本研究在Damanhour医学研究所的三个icu中进行。研究对象:本研究有目的地招募了125名有意识的成年心脏病患者。方法:采用患者无力感评估问卷收集资料。它由两部分组成。第一部分:患者的人口学和临床特征。第二部分是针对成人患者的适应性无力感评估工具。方法:对患者进行单独访谈,采用成人无力感评估工具对患者的反应进行记录。结果:研究患者无力感总平均百分比得分为58.83%。只有15.2%的研究患者没有感觉到无力感。高统计百分比的研究患者(46.4%)报告轻度无力感。无力感域之间存在显著相关;执行行为感知能力、决策能力感知、情境控制情绪反应、情境控制决策感知、情境控制情绪反应、总无力感得分的平均百分比得分(p<0.001)。结论:在接受研究的重症监护病房患者中,经历过不同程度无力感的比例最高,其中五分之一的人有高度无力感。对新入院的危重病人的无力感进行定期护理评估是必须的。
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引用次数: 0
Effect of Social Media-Based Instructional Guidelines on Quality of Life and Emotional Status for Women undergoing Mastectomy 基于社交媒体的指导指南对乳房切除术妇女生活质量和情绪状态的影响
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.313526
Zamzam Ahmed Ahmed, Manal Ahmed Mohamed Ismail, Shaimaa Mohamed Elghareeb Allam, A. Gomaa, Ebtsam Salah shalaby salama
Background : Surgery such as mastectomy is frequently used to treat breast cancer in women, which has an impact on their quality of life. Both the physical and psychological needs of the women having mastectomy should be met, and their families must be involved in this care. However, psychological treatment is frequently neglected, including the giving of competent guidance, emotional support, and knowledge. Aim: To determine the effect of social media-based instructional guidelines on emotional status and quality of life for women undergoing mastectomy. Design : Pre& post-test using a quasi-experimental study design was used. Settings : The study was carried out in Egypt at Sohag City. Sample : From Facebook and WhatsApp groups, a purposeful sample of all available (300) women who had undergone mastectomy was collected in 2023. The online Google form spreadsheet was open from February 4 until February 25-2023. Tools : (I): A self-administered questionnaire (pre and post-test format) to assess post-mastectomy women's demographic characteristics and medical history; post-mastectomy women's knowledge about mastectomy (II): Depression, Anxiety, and Stress Scale (DASS); and (III): Quality of Life (QoL) scale. Results: showed that there was (85%) of women had an unsatisfactory level of knowledge pre-implementation compared to (90%) of them had a satisfactory level of knowledge post-implementation of social media-based instructional guidelines. Also were highly statistically significant variations in the knowledge of mastectomy among women and their levels of stress, anxiety, and depression before and after the adoption of the social media-based instructional guidelines. Additionally, after the social media-based educational guidelines were implemented, there were significant QoL increases (p<0.001). Conclusion: The study concluded that social media-based instructional guidelines implementation generated significant gains in the post-mastectomy women's knowledge has a good impact on reducing emotional disturbance such as depression, anxiety, and stress, and quality of life among women having a mastectomy. Recommendations: As a new teaching strategy for demonstrating health issues, the social media-based instructional guidelines should be carefully developed and implemented for all women having mastectomy.
背景:乳房切除术等手术是治疗女性乳腺癌的常用方法,对她们的生活质量有影响。乳房切除术妇女的生理和心理需求都应该得到满足,她们的家人必须参与到这种护理中来。然而,心理治疗经常被忽视,包括给予有能力的指导、情感支持和知识。目的:探讨基于社交媒体的指导指南对乳房切除术妇女情绪状态和生活质量的影响。设计:采用准实验研究设计进行前后测试。环境:该研究在埃及Sohag市进行。样本:从Facebook和WhatsApp群中,有目的地收集了2023年所有可用的(300)接受乳房切除术的女性样本。在线谷歌表格电子表格从2月4日开放到2023年2月25日。工具:(I):一份自我填写的问卷(测试前后格式),评估乳房切除术后妇女的人口特征和病史;乳房切除术后女性对乳房切除术的认知(II):抑郁、焦虑和压力量表(DASS);(三)生活质量(QoL)量表。结果显示:85%的女性在实施前的知识水平不满意,而90%的女性在实施基于社交媒体的教学指南后的知识水平满意。此外,在采用基于社交媒体的指导方针前后,女性对乳房切除术的了解以及她们的压力、焦虑和抑郁水平也有高度统计学意义的差异。此外,实施基于社交媒体的教育指南后,生活质量显著提高(p<0.001)。结论:本研究得出结论,基于社交媒体的教学指南的实施使乳房切除术后妇女的知识显著增加,对减少乳房切除术妇女的抑郁、焦虑、压力等情绪障碍和生活质量有很好的影响。建议:作为展示健康问题的一种新的教学策略,应仔细制定和实施基于社交媒体的教学指南,适用于所有接受乳房切除术的妇女。
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Egyptian Journal of Health Care
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