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Nurses’ Practice and Knowledge of Peripheral Intravenous Cannula Flushing Pre-Therapy Administration at Medical-Surgical Wards 内科外科病房护士外周静脉插管冲洗治疗前管理的实践和知识
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.344991
Mohamed Goda Elbqry
Background: Peripheral intravenous cannula (PIVC) are a frequent nursing technique used for the infusion of beverages, medicines, and blood products and are required by the majority of patients. As a result, it is critical to maintain a sufficient supply of PIVC because they are prone to problems such as obstruction, phlebitis, and exudation, necessitating frequent replacement. However, post-insertion PIVC failure is common, most likely due to inconsistencies in maintenance practices such as flushing. As a result, hospital policies contribute to a lack of practice and awareness about this issue, which improves clinical education for nurses and patient care. Aim: This study aimed to assess nurses’ practice and knowledge of peripheral intravenous cannula flushing pre-therapy administration at medical-surgical wards. Subjects and Methods: A descriptive research design was utilized. A purposive sample of sixty-two nurses who were working in the medical-surgical wards at Teaching Hospital, Ismailia city , was used. Two tools were used for data collection : a self-administered questionnaire to identify nurses’ personal data and knowledge and an observational checklist to assess nurses’ practice. Results: The findings of this study revealed that most of the studied nurses had a fair level of knowledge and an unsatisfactory level of practice with regard to peripheral intravenous cannula flushing. Furthermore, there was a statistically significant positive correlation between their total knowledge and practice scores , with a p value ≤0.05. Conclusion: In the present study, the nurses’ level of practice was inadequate , and their knowledge of peripheral intravenous cannula flushing was fair . Additionally, there was a highly statistically significant relationship between total performance score (practices and knowledge) and their qualifications, with a p value≤0.05. Recommendations: Nurses should have access to ongoing educational opportunities and in-service training programs on short peripheral catheter intravenous flushing to improve their expertise.
背景:外周静脉插管(PIVC)是一种常用的护理技术,用于输注饮料、药物和血液制品,大多数患者都需要使用。因此,保持充足的 PIVC 供应至关重要,因为它们很容易出现阻塞、静脉炎和渗出等问题,需要经常更换。然而,插入后 PIVC 发生故障的情况很常见,这很可能是由于冲洗等维护措施不一致造成的。因此,医院的政策导致了对这一问题缺乏实践和认识,从而影响了护士的临床教育和患者护理。目的:本研究旨在评估内外科病房护士在治疗前冲洗外周静脉插管的实践和知识。研究对象和方法:采用描述性研究设计。研究对象为伊斯梅利亚市教学医院内外科病房的 62 名护士。数据收集使用了两种工具:自制调查问卷用于确定护士的个人数据和知识,观察清单用于评估护士的实践。结果:研究结果表明,大多数被研究的护士对外周静脉插管冲洗的知识水平一般,实践水平不尽人意。此外,她们的知识总分和实践总分之间存在统计学意义上的正相关,P 值≤0.05。结论在本研究中,护士的实践水平不足,对外周静脉插管冲洗的知识掌握一般。此外,总成绩(实践和知识)与护士资质之间存在高度统计学意义,P 值≤0.05。建议:护士应获得有关短外周导管静脉冲洗的持续教育机会和在职培训计划,以提高其专业技能。
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引用次数: 0
Effect of Fibromyalgia on Patient’s Quality of Life and Disability 纤维肌痛对患者生活质量和残疾的影响
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.345601
Zeinab Mohamed Ahmed, Mona Mohammed Abo El-ella Mohammed
Background: Individuals suffering from fibromyalgia frequently experience limitations in carrying out everyday tasks. The precise pathological processes driving fibromyalgia remain elusive, yet it often results in a diminished quality of life. The aim of the study aimed to: Assess the effect of fibromyalgia the patient ‘quality of life, and disability. Design: This study used a descriptive research approach. Setting: The research was conducted at the medical facility of Zagazig University’s outpatient clinic of the Department of Rheumatology and Rehabilitation. Subjects: The study enrolled a total of 50 fibromyalgia patients. Tools: Three assessment tools were utilized, including 1): a patient evaluation form,2): fibromyalgia impact questionnaire, and 3): Short Form 36 Health-Related Quality of Life Questionnaire was administered. Findings: 85.7±6.7of Patients experienced significant levels of overall disability associated with fibromyalgia and fibromyalgia disease effects on 66.8 ±5.9 of patients’ quality of life. Conclusion: The vast majority of fibromyalgia patients are significantly impacted by disability related disease. As well, about two thirds of patients had negative impact on total QOL. Recommendations : To extend the applicability of the results, replicate this research across diverse settings with a larger sample size of fibromyalgia patients.
背景:纤维肌痛患者在执行日常任务时经常受到限制。纤维肌痛的确切病理过程仍然难以捉摸,但它常常导致生活质量下降。本研究旨在评估纤维肌痛对患者生活质量和残疾的影响。设计:本研究采用描述性研究方法。研究地点研究在扎加齐格大学风湿病学和康复系门诊部的医疗机构进行。研究对象:研究共招募了 50 名纤维肌痛患者。工具:使用了三种评估工具,包括 1): 患者评估表;2): 纤维肌痛影响问卷;3):简表 36 健康相关生活质量问卷。研究结果85.7±6.7的患者因纤维肌痛而出现严重的整体残疾,66.8±5.9的患者因纤维肌痛而影响生活质量。结论绝大多数纤维肌痛患者都受到与残疾相关疾病的严重影响。此外,约三分之二的患者对总体生活质量有负面影响。建议 :为了扩大研究结果的适用性,应在不同的环境中使用更大样本量的纤维肌痛患者来重复这项研究。
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引用次数: 0
Nurses' Performance Towards Intra-Hospital Safe Transportation of Critically Ill Patients: Suggested Guidelines 护士在院内安全运送危重病人方面的表现:建议指南
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.339296
Esraa Mostafa Mohammed, Kamelia Fouad Abdallah, Fatma Mostafa mahrous
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引用次数: 0
Instructional Guidelines on Selected Health Outcomes among Elderly with Knee Osteoarthritis 关于膝关节骨性关节炎老年人部分健康结果的指导准则
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.337037
Fatma Khalil Abd Elhameed Osman, Zeinab Gamal Mohamed Ellatif, Wafaa Khalil Ibrahim Mohammed
: Background : Knee osteoarthritis is common in elderly people, and causes pain, loss of physical functioning, and disability . Elderly patients with knee osteoarthritis have relatively poor health-related quality of life, manifested mainly by pain. Aim: This study aimed to evaluate the effect of instructional guidelines on selected health outcomes among the elderly with knee osteoarthritis. Research Design: A quasi-experimental design was utilized to conduct the current study. Settings: This study was conducted at the rehabilitation units of three hospitals (Souad Kafafi University Hospital, Al Sheekh Zayeed Hospital and Central 6 th October Hospital). Subjects: A purposive sample of 80 patients diagnosed with knee osteoarthritis. Tools for data collection: Two tools were used for data collection. Tool I: A structured interview or self-administered questionnaire to assess patients' demographic data and health status; Tool II: Knee Injury and Osteoarthritis Outcome Score (KOOS) to assess patient-relevant outcomes following a knee injury. Results: This study revealed that; 43.7% of the study subjects were between 60 to <70 years with a mean age of 68 ± 1.367, and 60.2% were males. There was a highly statistically significant difference between patients' osteoarthritis outcome scores pre/post implementation of the instructional guidelines in all items except fully bending of the knee, going up or down stairs, knee stiffness after waking in the morning and ascending stairs. However, there was marked improvement post-implementation of the instructional guidelines. Conclusion: Designed and implemented instructional guidelines had a positive effect on improving selected health outcomes among the elderly with knee osteoarthritis Recommendation: Develop and apply similar instructional guidelines for studying more health outcomes among the elderly with knee osteoarthritis.
:背景:膝关节骨关节炎是老年人的常见病,会导致疼痛、身体功能丧失和残疾。患有膝关节骨关节炎的老年患者与健康相关的生活质量相对较差,主要表现为疼痛。研究目的:本研究旨在评估指导指南对患有膝关节骨关节炎的老年人特定健康结果的影响。研究设计:本研究采用准实验设计。研究地点本研究在三家医院(Souad Kafafi 大学医院、Al Sheekh Zayeed 医院和十月六日中央医院)的康复科进行。研究对象:有目的性地抽取 80 名确诊为膝关节骨性关节炎的患者。数据收集工具:使用两种工具收集数据。工具 I:结构化访谈或自制问卷,用于评估患者的人口统计学数据和健康状况;工具 II:膝关节损伤和骨关节炎结果评分(KOOS),用于评估患者膝关节损伤后的相关结果。结果显示研究结果显示,43.7%的研究对象年龄在60至70岁之间,平均年龄为(68 ± 1.367)岁,60.2%为男性。除膝关节完全弯曲、上下楼梯、清晨起床后膝关节僵硬和上楼梯外,患者在所有项目上的骨关节炎结果评分在实施指导准则前后均有非常显著的统计学差异。然而,实施指导指南后,患者的情况有了明显改善。结论设计并实施的指导准则对改善患有膝关节骨性关节炎的老年人的特定健康状况有积极作用:制定并应用类似的指导准则,研究患有膝关节骨关节炎的老年人的更多健康状况。
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引用次数: 0
Effect of Spontaneous Open-glottis versus Valsalva Closed-glottis Pushing during Second Stage of Labour on Pelvic Floor Morbidity and Fatigue 第二产程中自发开气门与 Valsalva 闭气门推注对骨盆底发病率和疲劳的影响
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.340018
Ola Abdel-Wahab Afifi Araby Ali, Fatma Mansour Abdel Azeem Barakat, Fatma Kamal Ali
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引用次数: 0
Assessing the Effectiveness of Distraction Techniques on Alleviating Pain and Anxiety in Women Undergoing Screening Mammography 评估分散注意力技术对缓解接受乳腺 X 射线照相术筛查的妇女的疼痛和焦虑的效果
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.341080
Sanaa Ghareeb Ahmed Ebrahim, Esraa Mostafa Abd El-Aty Ibrahim, Azhar Abdel–Fatah Mohamed Shehata, Nor El-Hoda Mohamed El-Sayed El-Shabory
. Abstract : Background: Mammography is the most useful test for detecting the growth of breast tumors. Regular screening mammograms for women can reduce the death rate from breast tumor progression. Aim : Assess the effectiveness of distraction techniques on alleviating pain and anxiety in women undergoing screening mammography. Subjects and method : Design: A prospective, randomized controlled trial research design was used. Setting: The study was conducted in Al-Iman Center at Al-Tadamon Hospital in Port Said city. Subjects: One hundred women were randomly assigned to two equal groups as part of a purposive sample. Tools of the study: Three instruments were employed to collect data for the purpose of research. Structured interviews, The Hospital Anxiety and Depression Scale (HADS), and The numerical pain rating scale (NRS). Results: Having a painful examination and being afraid of radiation are the biggest obstacles to mammography. In terms of pain, the results showed that the distraction group's mean pain score decreased to 2.82±2.037 as compared to 5.22±1.788 in the control group, with a significant difference between the two groups (p=0.00). Furthermore, a drop in the distraction group's mean anxiety score was noted in comparison to the control group (7.12±4.397 & 7.88±4.059, respectively), with no statistically significant differences between the two groups (p=0.37). Conclusion : Distraction techniques are a useful and recommended technique to help women cope with their discomfort and anxiety during breast tumor screening mammograms. Recommendation: It is recommended that this should include into formal work protocols, procedural guidelines, training curricula, and performance evaluation standards for radiographers.
.摘要 : 背景:乳房 X 射线照相术是检测乳腺肿瘤生长情况最有用的检查方法。定期为妇女进行乳房 X 光筛查可降低因乳腺肿瘤恶化而导致的死亡率。目的:评估转移注意力技术对减轻接受乳房 X 光造影检查妇女的疼痛和焦虑的效果。对象和方法:设计:采用前瞻性随机对照试验研究设计。研究地点研究在塞得港 Al-Tadamon 医院的 Al-Iman 中心进行。研究对象: 100 名妇女作为有目的抽样的一部分,100 名妇女被随机分配到两个相同的小组。研究工具:研究使用了三种工具来收集数据。结构化访谈、医院焦虑抑郁量表(HADS)和疼痛评分量表(NRS)。研究结果检查疼痛和害怕辐射是乳腺 X 光检查的最大障碍。在疼痛方面,结果显示,转移注意力组的平均疼痛评分降至(2.82±2.037)分,而对照组为(5.22±1.788)分,两组间差异显著(P=0.00)。此外,与对照组相比,分散注意力组的平均焦虑评分也有所下降(分别为 7.12±4.397 和 7.88±4.059),两组间差异无统计学意义(P=0.37)。结论 :分散注意力技术是帮助妇女应对乳腺肿瘤筛查乳房 X 光检查中的不适和焦虑的一种有用且值得推荐的技术。建议:建议将此纳入放射技师的正式工作规程、程序指南、培训课程和绩效评估标准中。
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引用次数: 0
Perception of Adults toward Covid-19 Vaccination 成人对 Covid-19 疫苗接种的看法
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.342601
Hala Mostafa Mohamed Emara, Rasmia Abd El-satar Ali Mohamed, Shaimaa Fathy Miky
Background: Perception toward covid-19 vaccine among the adults appears to have a decisive role in the successful control of the pandemic. Aim of the study: Assess the perception of adults toward covid-19 vaccination. Design: A descriptive design was used to conduct this study. Setting: The study was conducted in outpatient clinics at Desouk public hospital in Kafr El Sheikh governorate. Total outpatient clinic in this hospital are 16 clinic included in the study except the pediatric clinic. Sample : A purposive sample composed of 425 adults, were selected according to age from 18-65 years, both gender, and with or without chronic or autoimmune disease. Tools of data collection: four tools were used to collect the data, 1 st tool: Structured Interviewing Questionnaire as Socio demographic characteristics of the adults, The knowledge of adults toward covid-19 disease and vaccination, and The Reported practices of the adult toward covid-19 vaccination. 2 nd tool: Observational Chick List of Adult toward Preventive measures of Covid-19 Disease . 3 rd tool: Attitude of adults toward covid-19 vaccination. 4 th tool: physical examination assessment sheet. Results: more than three quarters had unsatisfactory knowledge, almost three quarters incorrect done reported practice, more than three quarters incorrect done observational check list, and more than half quarters had negative attitude toward covid-19 vaccination. Conclusion: There is highly statistically significant relation between the following knowledge and reported practice, observational check list, and attitude of the studied sample, reported practice and attitude, and observational check list and attitude of the studied sample. Recommendations: implement health education programs to increase adult awareness toward covid-19 vaccinations and preventive measures of covid-19 disease
背景:成年人对 Covid-19 疫苗的看法似乎对成功控制大流行起着决定性作用。研究目的评估成年人对接种 covid-19 疫苗的看法。设计:本研究采用描述性设计。研究地点研究在卡夫尔谢赫省德苏克公立医院的门诊部进行。除儿科门诊外,该医院共有 16 个门诊被纳入研究范围。样本:根据年龄(18-65 岁)、性别、是否患有慢性病或自身免疫性疾病,有目的性地选择了 425 名成年人作为样本。数据收集工具:使用四种工具收集数据,第 1 种工具是结构化访谈问卷:第 1 种工具:结构化访谈问卷,包括成年人的社会人口特征、成年人对柯维-19 疾病和疫苗接种的了解程度以及成年人对柯维-19 疫苗接种的报告做法。第 2 个工具:成人对 Covid-19 疾病预防措施的观察清单。第 3 项工具:成人对接种科维-19 疫苗的态度。第 4 种工具:体格检查评估表。结果:超过四分之三的人对相关知识不满意,近四分之三的人报告的做法不正确,超过四分之三的人观察检查表不正确,超过半数的人对接种柯维-19疫苗持消极态度。结论研究样本的以下知识与报告实践、观察核对表和态度,报告实践与态度,观察核对表与态度之间存在高度统计学意义上的显著关系。建议:实施健康教育计划,提高成年人对柯维-19 疫苗接种和柯维-19 疾病预防措施的认识
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引用次数: 0
Nurses' Performance for Caring of Patients during the First 48 Hours Post Brain Tumors Craniotomy 脑肿瘤开颅手术后 48 小时内护士护理患者的表现
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.342084
Fatin Mostafa Abd Elhaleem, Hanan Sayed Ali, Basma Mohammed Khalil
Background : A brain tumor craniotomy patients postoperative admitted to intensive care unit and need for regular monitoring of the overall condition during the first 48 hour so the critical care nurses play an important role in caring for patients of craniotomy, through Regular monitoring of the overall condition and reporting any deviations in health status during the first 48 hour after surgery. Aim of study : This study aims to assess nurses' performance for caring of patients during the first 48 hours post brain tumor craniotomy. Research design: A descriptive exploratory research design was utilized to achieve the aim of the present study. Setting: The current study was carried out in ICU at El Fayoum university hospital. Subject: Convenient sample of all available nurses approximately (40). Tools of data collection : First tool: Nurses’ self-administered questionnaire to assess nurses level of knowledge regarding care of patients during the first 48hr post brain tumors craniotomy . Second tool: Nurses’ observational checklist to assess nursing actual practice regarding care of patients during the first 48hr post brain tumors craniotomy Results: The results of this study revealed that 55% of studied nurses had a satisfactory level of total knowledge regarding the brain tumor craniotomy, while 45% of them had unsatisfactory level of total knowledge. And as regards the total practice 65% of them had a satisfactory level of practice, while 35% of them had unsatisfactory level of total practice. Conclusion: It more than half of studied nurses had a satisfactory total level of knowledge about care of Patients postoperative brain tumor craniotomy. And as regards the total nurses practice level post brain tumor craniotomy about two thirds of them had a satisfactory level of practice. Additionally there was no statistical significant difference relation between nurses total knowledge level and their different practice care level. Recommendations : Providing continuous in-service education for nurses to update their knowledge related to nursing care for care of patient postoperative brain tumor craniotomy.
背景:脑肿瘤开颅手术患者术后入住重症监护室,需要在术后 48 小时内定期监测患者的整体状况,因此重症监护护士在护理开颅手术患者方面扮演着重要角色,她们需要在术后 48 小时内定期监测患者的整体状况,并报告患者健康状况的任何偏差。研究目的:本研究旨在评估护士在脑肿瘤开颅手术后 48 小时内的护理表现。研究设计:采用描述性探索研究设计来实现本研究的目的。研究环境:本研究在法尤姆大学医院重症监护室进行。研究对象:方便抽样,所有可用护士约 40 人。数据收集工具 :第一种工具:护士自制问卷,用于评估护士对脑肿瘤开颅手术后 48 小时内患者护理知识的掌握程度。第二个工具:第二种工具:护士观察核对表,用于评估脑肿瘤开颅术后 48 小时内护理患者的实际做法:研究结果显示,55%的受试护士对脑肿瘤开颅手术的总体知识水平满意,45%的护士对总体知识水平不满意。在实践方面,65%的护士的实践水平令人满意,35%的护士的实践水平令人不满意。结论超过半数的研究护士对脑肿瘤开颅术后患者护理的总体知识水平表示满意。至于护士在脑肿瘤开颅术后的总体实践水平,约有三分之二的护士的实践水平令人满意。此外,护士的总知识水平与其不同的护理实践水平之间没有统计学意义上的差异。建议 :为护士提供持续的在职教育,更新其护理知识,以护理脑肿瘤开颅术后患者。
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引用次数: 0
Nurses' Performance about Isolation Precautions regarding Covid-19 patients in Intensive Care Units 重症监护病房护士对 Covid-19 患者的隔离防范措施的执行情况
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.339282
Dalia Farouk Mahmoud, Howayda Ahmed Mohamed, Iman Abdallah Mohammed Abdulmutalib
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引用次数: 0
Effect of pre Rehabilitation Program on Cognitive and Motor Functions for Patients Post Craniotomy 前期康复计划对开颅术后患者认知和运动功能的影响
Pub Date : 2024-03-01 DOI: 10.21608/ejhc.2024.346511
Nermen abdelftah Mohamed, Manal Saad shaker Soliman, Amora Omar Ibrahim Elmowafy
Background: Functional, behavioral, and cognitive disabilities often contribute to the difficulties in rehabilitation programs of victims with post-craniotomy. Aim: Determine the effect of the pre rehabilitation program on cognitive and motor functions for patients post-craniotomy. Subjects and Methods: Quasi-experimental research design was used . Setting: This study was carried out at the neurosurgery department and neurosurgery outpatients' clinic at Mansoura University Hospital. A convenient sample of 70 oriented patients post craniotomy was classified into the study (who received a rehabilitation program and the control group (35 in each group). Tools: (I) Patients' assessment sheet post craniotomy, Tool (II): Patients' knowledge, regarding craniotomy (pre and post-test), Tool (III): Patients' reporting practice regarding post craniotomy exercise (IV) Mini–mental state examination (MMSE), and (V) Berg balance scale(PBS). Results: In comparison to patients in the control group, participants in the pre-rehabilitation group showed a statistically significant increase in their knowledge , practice , motor, and cognitive abilities following pre rehabilitation programme (p. value < 0.01). Conclusion: When a pre-rehabilitation program is implemented, patients' knowledge, practice, and motor and cognitive abilities after a craniotomy significantly improve. Recommendation: All patients who have had a craniotomy should participate in a pre-rehabilitation program.
背景:功能、行为和认知障碍通常会导致开颅术后患者在康复计划中遇到困难。目的:确定前期康复计划对开颅术后患者认知和运动功能的影响。研究对象和方法:采用准实验研究设计。研究地点本研究在曼苏拉大学医院神经外科和神经外科门诊进行。70 名开颅术后患者被分为研究组(接受康复计划)和对照组(每组 35 人)。工具:(I) 开颅术后患者评估表,工具 (II):患者对开颅手术的认识(前测和后测),工具(III):工具(III):患者关于开颅术后锻炼的报告实践(IV):小型精神状态检查(MMSE);(V)伯格平衡量表(PBS)。结果与对照组患者相比,康复前组参与者在康复前计划后的知识、实践、运动和认知能力均有显著提高(P.值<0.01)。结论实施预康复计划后,开颅手术后患者的知识、实践、运动和认知能力均有明显改善。建议:所有接受过开颅手术的患者都应参加预康复计划。
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引用次数: 0
期刊
Egyptian Journal of Health Care
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