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Learning-Teaching Aspects of Blended Learning among Nursing Students at Faculty of Nursing 护理学院护理专业学生混合式学习的学与教问题
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.253545.1041
Fathya Afifi, Mohamed Allawy, Manal Farouk Mohamed
Background. Learning-teaching process is the core of education at any field. It has many aspects that interfering with it such as students’ effort in learning, motivation to learn, and learning engagement. As learning nature changes from face to face learning to be a blended learning that is growing to be a consistent educational strategy in many educational institutions worldwide, it is expected that learning-teaching aspects could be changed as well. Aim. It was to assess the relationship between learning-teaching aspects and blended learning satisfaction among students at faculty of nursing. Subjects & Methods. Predictive correlational design was conducted on (285) nursing students using 4 tools. They were Students’ Effort Scale, Science Motivation Questionnaire, Engagement Scale and Blended Learning Satisfaction Questionnaire. Results. Learning engagement had statistically significant positive correlation with student' effort and motivation to learn (P value<0.001). Whereas, blended learning satisfaction had only significant positive correlation with motivation to learn (P value=0.007). Blended learning satisfaction was increased by 0.576 with each one unit increase in students' motivation to learn. Learning engagement was increased by 1.571 and 0.488 with each one unit increase in students' effort and motivation to learn respectively. Conclusion. Blended learning satisfaction is varied and affected positively by overall learning-teaching aspects variations. Learning engagement is varied and affected positively by student' effort and motivation to learn variations. Recommendations. Energizing blended learning satisfaction and hence revitalizing learning-teaching process itself require sustaining motivation especially the role of educators in external motivation which is reflected on students’ effort and learning engagement improvement too. This could be through training program on students’ internal & external motivation, and regular triggering of it by nursing educators.
背景。学-教过程是任何领域教育的核心。它受到很多方面的影响,如学生的学习努力程度、学习动机和学习参与度。随着学习性质从面对面学习转变为混合式学习,并逐渐成为全球许多教育机构的一致教育策略,预计学与教的方面也会随之发生变化。目的评估护理系学生在学习-教学方面与混合式学习满意度之间的关系。研究对象与方法。使用 4 种工具对(285 名)护理系学生进行了预测相关设计。它们分别是学生努力量表、科学动机问卷、参与量表和混合式学习满意度问卷。结果显示在统计学上,学习参与度与学生的努力程度和学习动机呈显著正相关(P 值<0.001)。而混合式学习满意度仅与学习动机有显著的正相关(P 值=0.007)。学生的学习动机每增加一个单位,混合式学习的满意度就会增加 0.576。学生的努力程度和学习动机每增加一个单位,学习参与度分别增加 1.571 和 0.488。结论混合式学习的满意度是多样的,并受到整体学习-教学方面变化的积极影响。学习参与度因学生的努力程度和学习动机而异,并受到积极影响。建议提高混合式学习的满意度,进而振兴学-教过程本身需要持续的动力,特别是教育者在外部动力中的作用,这也反映在学生的努力和学习参与度的提高上。这可以通过学生内部和外部动机的培训计划以及护理教育者的定期激励来实现。
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引用次数: 0
Relationship Between Health-Related Quality of Life and Medication Adherence Among Patients with Pulmonary Tuberculosis.. 肺结核患者的健康相关生活质量与坚持用药之间的关系...
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.225474.1024
Fatma Sadek
Background: TB is still a significant global public health and economic issue. One of the most crucial factors in the success of TB treatment is medication compliance and health-related quality of life (HRQOL). Aim: assess the relationship between health-related quality of life and medication adherence among patients with pulmonary tuberculosis. Design & Setting: A descriptive cross-sectional study design utilized to conduct the current study in Ismailia fever hospital, Ismailia, Egypt . Sample: A purposive sample of 52 patients diagnosed with pulmonary tuberculosis. Tools: three tools were used to carry out this study. Tool I: A structured self-administrated questionnaire included two parts which involved assessment of the demographic data and patients' medical and family history. Tool II: Health Related Quality of life for patients with chronic illness. Tool III: Morisky Medication Adherence Scale. Results: According to the current study (57.7%) of the studied patients have high level of drug adherence compared to 11.5% of them had low level of drug adherence. The majority of the studied patients (88.5%) had high level of HRQOL, whereas 11.5% had low level of HRQOL. There was statistically significant positive correlation between medication adherence and total HRQOL. Conclusion: The studied patients had high level of medication adherence. Also, the majority of studied patients had high level of HRQOL. So, the current study showed that there was statistically significant positive correlation between medication adherence and total HRQOL and its domains. Recommendations: Designing and implementing an educational program about methods for improving medication adherence and HRQOL for pulmonary tuberculosis patients.
背景:结核病仍然是一个重大的全球公共卫生和经济问题。结核病治疗成功的最关键因素之一是服药依从性和健康相关生活质量(HRQOL)。目的:评估肺结核患者的健康相关生活质量与服药依从性之间的关系。设计与设置:采用描述性横断面研究设计,在埃及伊斯梅利亚的伊斯梅利亚发热医院开展本研究。样本:目的性样本:52 名确诊为肺结核的患者。工具:本研究使用了三种工具。工具 I:结构化自填问卷,包括两部分,分别评估人口统计学数据以及患者的病史和家族史。工具 II:慢性病患者与健康相关的生活质量。工具 III:莫里斯基用药依从性量表。结果:根据目前的研究,57.7%的研究对象对药物的依从性较高,11.5%的研究对象对药物的依从性较低。大多数患者(88.5%)的 HRQOL 水平较高,而 11.5% 的患者 HRQOL 水平较低。在统计学上,用药依从性与总的 HRQOL 之间存在明显的正相关。结论研究中的患者用药依从性较高。此外,大多数研究对象的 HRQOL 水平较高。因此,本研究表明,坚持用药与总体 HRQOL 及其领域之间存在统计学意义上的显著正相关。建议为肺结核患者设计并实施有关改善服药依从性和 HRQOL 方法的教育计划。
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引用次数: 0
Effect of Instructional Scheme on Adherence to Health Recommendations among Patients with Congestive Heart Failure 指导方案对充血性心力衰竭患者遵守健康建议的影响
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.230785.1027
M. Allawy
Background: Congestive heart failure (CHF) is a serious health threat, and poor adherence lowers patients' quality of life and increases disease burden. Poor adherence is complicated and prolonged. This study aimed to evaluate effect of instructional scheme on adherence to health recommendations among patients with congestive heart failure. Materials and methods: A quasi-experimental design was used. A convenience sample of 100 congestive heart failure patients in the outpatient cardiac clinic unit at Suez Canal University Hospital, 50 patients for the study group and 50 patients for the control group. Data were collected using a patient demographic and medical information questionnaire and the Medical outcome Study Specific Adherence Scale (MOSSAS). Results: There was a significant improvement in study group in compared with control group regarding adherence to taking medications as prescribed, monitoring weight regularly, low salt diet, monitoring symptoms every day, low fat diet, stopping smoking, and exercising regularly (3 times a week) with P value <.001* and effect size.63, .48, .47, .47, .35, .25, .14 respectively. Conclusion: There was statistically significant difference between study and control group regarding total adherence after implementation of instructional scheme. Also, there was statistically significant difference between study and control group regarding adherence to taking medications as prescribed, monitoring weight regularly, low salt diet, monitoring symptoms every day, low fat diet, stopping smoking, and exercising regularly. Recommendations: Instructional scheme to health recommendation should be reguraley conducted for congestive heart failure patients as they are the key for improving their total adherence.
背景:充血性心力衰竭(CHF)是一种严重威胁健康的疾病,依从性差会降低患者的生活质量,增加疾病负担。依从性差的情况复杂且持续时间长。本研究旨在评估指导计划对充血性心力衰竭患者遵守健康建议的影响。材料和方法:采用准实验设计。方便抽样调查了苏伊士运河大学医院心脏门诊部的 100 名充血性心力衰竭患者,其中研究组和对照组各 50 人。数据收集采用了患者人口统计学和医疗信息调查问卷以及医疗结果研究特定依从性量表(MOSSAS)。结果:与对照组相比,研究组在遵医嘱服药、定期监测体重、低盐饮食、每天监测症状、低脂饮食、戒烟和定期锻炼(每周 3 次)方面有明显改善,P 值<.001*,效应大小分别为.63、.48、.47、.47、.35、.25、.14。结论在实施指导计划后,研究组和对照组在总体坚持率方面存在明显的统计学差异。此外,在遵医嘱服药、定期监测体重、低盐饮食、每天监测症状、低脂饮食、戒烟和定期锻炼方面,研究组与对照组之间也存在统计学差异。建议:应定期对充血性心力衰竭患者进行健康建议指导,因为他们是提高患者依从性的关键。
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引用次数: 0
Correlates of Health-Related Quality of Life among Patients with Systemic Lupus Erythematosus 系统性红斑狼疮患者健康相关生活质量的相关因素
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.227909.1025
Mona Ibrahim, Esraa Ebrahim, A. Omar, Fatma Elmansy
Background: Systemic Lupus Erythematosus (SLE) is an autoimmune disease that associated with high morbidity and mortality and causing a burden on the quality of life (QOL). Aim of the study: To explore the correlates of health-related quality of life among patients with systemic lupus erythematosus. Design: A descriptive correlational research design was used in this study. Setting: The study was conducted in Rheumatology and Rehabilitation outpatient clinics at Suez Canal University Hospitals in Ismailia City, Egypt. Subjects: A convenient sample of 60 patients with systemic lupus erythematosus. Tool of data collection: Data was collected by using three tools; tool I: Structured interviewing questionnaire to assess sociodemographic data and medical condition, tool II: Adherence of patient to therapeutic regimen questionnaire to assess patient’s adherence to therapeutic regimen and tool III: Short Form Health Survey 36 (SF-36) to assess QOL. Results: The mean age of studied patients was 31.96±9.20 years. 75% of the studied patients had high QOL. There was a significant positive correlation between total QOL and total adherence of the studied patients to therapeutic regimen with p value 0.01. There was statistically significant relation between the studied patients’ QOL level and duration of suffering of SLE with p value 0.022. Conclusion: There was a significant positive correlation between total QOL and total adherence of the studied patients to therapeutic regimen and there was significant positive relation between the studied patients’ QOL level and duration of suffering of disease. Recommendations: Educational guidelines to improve good correlates of quality of life were recommended.
背景:系统性红斑狼疮(SLE系统性红斑狼疮(SLE)是一种自身免疫性疾病,发病率和死亡率都很高,给患者的生活质量(QOL)造成了负担。研究目的探讨系统性红斑狼疮患者健康相关生活质量的相关因素。设计:本研究采用描述性相关研究设计。研究地点研究在埃及伊斯梅利亚市苏伊士运河大学医院的风湿病学和康复门诊进行。研究对象60 名系统性红斑狼疮患者。数据收集工具:工具一:评估社会人口学数据和医疗状况的结构化访谈问卷,工具二:患者治疗方案的依从性问卷,工具三:患者治疗方案的依从性问卷,工具四:患者治疗方案的依从性问卷:工具三:简表健康调查 36 (SF-36),用于评估 QOL。研究结果研究对象的平均年龄为(31.96±9.20)岁。75%的患者具有较高的 QOL。研究对象的总 QOL 与治疗方案的总依从性之间存在明显的正相关,P 值为 0.01。研究对象的 QOL 水平与系统性红斑狼疮的病程有统计学意义(P 值为 0.022)。结论研究对象的总 QOL 与治疗方案的总依从性之间存在明显的正相关,研究对象的 QOL 水平与疾病的持续时间之间存在明显的正相关。建议:建议制定教育指南,以提高生活质量的良好相关性。
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引用次数: 0
Mothers' Knowledge and Reported Practices Regarding Antibiotics Use to their Preschool Children with Upper Respiratory Tract Infections 母亲对上呼吸道感染学龄前儿童使用抗生素的了解和报告做法
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.202638.1011
N. Seleem
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引用次数: 0
Occupational Health Hazards and Safety Measure among Sweeper Workers in Ismailia City 伊斯梅利亚市清扫工人的职业健康危害和安全措施
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.204922.1015
Aida abd elaziz abd elkavi
Background: Street sweeper workers play an important role in maintaining the health and cleanness in the communities. However, their work exposes them to various hazards while little or no attention is paid to their health condition. Aim of the work: This study was carried out to assess knowledge and practice regarding the occupational health hazards and safety measure practices among sweeper workers at Ismailia city. Setting: the study was conducted on sweeper workers in the first, second and third district at Ismailia city. Study Design : A descriptive study design was conducted Sample: convenient sampling from selected areas, sample size (330). Tools: A structured interview questionnaire consisting of 4 parts were used, basic characteristics of the sweepers, their knowledge, their practice of the safety measures, and fourth part assessed the actual application for the use of safety measure. Results: the results in this study revealed that the total knowledge is unsatisfactory (82.1 %) as well as inadequate practices of safety measures. There was a positive correlation between total knowledge of hazards and total practices of safety measures Conclusions: The exposure of the street sweepers to health hazards (physical, chemical, psychological, and ergonomic hazards) at their workplace was increased and this was resulting from the unsatisfactory awareness of health hazards related to the occupation of street sweepings, as well as lack of training especially regarding the use of personal protective equipment. Recommendations: Periodic health programs are needed to increase knowledge of street sweepers on different occupational health hazards, ergonomic principles and train them on using safety protective measures.
背景:扫街工人在保持社区卫生和清洁方面发挥着重要作用。然而,他们的工作使他们暴露于各种危险之中,而他们的健康状况却很少或根本没有得到关注。工作目的本研究旨在评估伊斯梅利亚市清扫工人对职业健康危害和安全措施的认识和实践。环境:研究对象为伊斯梅利亚市第一、第二和第三区的清扫工人。研究设计 :样本:从选定地区方便抽样,样本量(330)。工具采用结构化访谈问卷,包括四个部分:清扫工的基本特征、他们对安全措施的了解、他们对安全措施的实践,第四部分评估安全措施的实际应用情况。结果:研究结果表明,清扫工对安全措施的总体了解程度不尽人意(82.1%),对安全措施的实践也不充分。对危险的总体认识与安全措施的总体实践之间呈正相关:扫街工人在工作场所受到的健康危害(物理、化学、心理和人体工程学危害)增加了,这是由于他们对扫街职业的健康危害认识不足,以及缺乏培训,特别是关于使用个人防护设备的培训。建议:需要定期开展健康计划,以增加扫街工人对各种职业健康危害和人体工程学原理的了解,并培训他们使用安全保护措施。
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引用次数: 0
Nurses' Performance regarding care of Preterm Neonates with Continuous Positive Airway Pressure 护士使用持续气道正压护理早产新生儿的表现
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.197950.1003
Hanan soliman
Background: Continuous positive airway pressure is a low-cost, effective way to improve the respiratory status of preterm and very low birth weight infants. Aim: This study aimed to assess nurses' performance regarding care of preterm neonates with continuous positive airway pressure. Setting: The study was carried out at Neonatal Intensive Care Units affiliated to both Suez Canal University Hospitals and Ismailia Medical Complex at Ismailia city. Sample: The subjects of this study were all nurses (convenient sample 73 nurse) who provide direct care at Neonatal Intensive Care Units at the previously mentioned settings. Tools of data collection: Three tools were used to collect the data; structured interview questionnaire, observational checklist and likert type rating scale. Results: The results of the study revealed that, more than half of the studied nurses had average knowledge about preterm neonates with continuous positive airway pressure. While the majority of them had incompetent level of practice and the majority of the studied nurses showed positive attitude. There was a statically significant relationship between total studied nurses' level of knowledge regarding care of preterm neonates with continuous positive airway pressure and their practice. Conclusion: The study concluded that, the studied nurse had an average level of knowledge, and incompetent practice regarding care of preterm neonates undergoing continuous positive airway pressure while the great majority of the studied nurses had a positive attitude towards continuous positive airway pressure. Recommendation: the study recommended that, training educational programs and workshops regarding care of preterm neonates with continuous positive airway pressure.
背景:持续气道正压是改善早产儿和极低出生体重儿呼吸状况的一种低成本、有效的方法。目的:本研究旨在评估护士在使用持续气道正压护理早产新生儿方面的表现。研究环境:研究在伊斯梅利亚市苏伊士运河大学医院和伊斯梅利亚医疗中心的新生儿重症监护病房进行。样本:本研究的对象是在上述地点的新生儿重症监护室提供直接护理的所有护士(方便抽样 73 名护士)。数据收集工具:使用三种工具收集数据:结构化访谈问卷、观察核对表和李克特评分量表。研究结果研究结果显示,半数以上被研究的护士对早产新生儿持续气道正压的知识掌握一般。大部分护士的实践水平不合格,大部分护士表现出积极的态度。研究护士对早产新生儿持续气道正压护理的知识水平与其实践之间存在统计学意义上的显著关系。结论研究得出结论,被研究的护士对早产新生儿持续气道正压护理的知识水平一般,实践能力不足,而绝大多数被研究的护士对持续气道正压护理持积极态度。建议:研究建议开展有关早产新生儿持续气道正压护理的培训教育计划和研讨会。
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引用次数: 0
Educational Instructions' Effect on Promoting Hair Regrowth in cancerous Patients Undergoing Chemotherapy and using Scalp Cryotherapy 教育指导对促进接受化疗并使用头皮冷冻疗法的癌症患者头发再生的影响
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.224536.1022
Shereen Ahmed, Manar Salleh, Wafaa Sherif
Background: Scalp cryotherapy is beneficial in minimizing hair loss in patients with cancer receiving chemotherapy successfully administered under special instructions, and additionally promotes hair regrowth. This study aimed at evaluating the effect of Instructions on promoting Hair Regrowth in cancerous patients undergoing chemotherapy and using Scalp Cryotherapy. Design : The study methodology follows a quasi-experimental approach. Setting : The Hope Cure Cancer Centre in Mansoura City, Egypt, is the site of the current study. Sample : 100 adult female cancer patients who were scheduled to receive chemotherapy and were randomly assigned to one of two equal groups (the control group or the intervention group). Tools : Tool 1 , a structured interview questionnaire, was used to evaluate demographic information, health history, current health status, and side effects of scalp cooling. Tool II; Modified WHO Hair Loss Scale to examine hair loss measurements before and after each chemotherapy cycle. Tool III , Hair Re-Growth Scale which measures the rate of hair growth and loss. Results : By the second follow-up month, 52% of women in the intervention group had thick hair regrowth, indicating very good progress, as compared to just 12% in the control group, with a statistically significant difference. Conclusion : Cancer patients who adhered to specialized instructions observed that scalp cryotherapy was beneficial in preventing chemotherapy-induced hair loss. Recommendation : Provide an online consultation program for those interested in learning more about scalp cryotherapy, how to manage its adverse effects, and what influences hair regeneration.
背景:头皮冷冻疗法有利于最大限度地减少接受化疗的癌症患者的脱发,并能促进头发再生。本研究旨在评估在接受化疗的癌症患者中使用头皮冷冻疗法的说明对促进头发再生的效果。设计:研究方法采用准实验法。研究地点:埃及曼苏拉市希望治愈癌症中心(Hope Cure Cancer Centre)。样本:100 名计划接受化疗的成年女性癌症患者,她们被随机分配到两个相同的组别(对照组或干预组)。工具:工具 1:结构化访谈问卷,用于评估人口统计学信息、健康史、当前健康状况以及头皮冷却的副作用。工具二:改良版世界卫生组织脱发量表,用于检查每个化疗周期前后的脱发测量结果。工具 III:头发再生长量表,用于测量头发生长和脱落的速度。结果:到第二个随访月时,干预组中有 52% 的妇女重新长出了浓密的头发,表明进展非常好,而对照组中仅有 12%的妇女重新长出了浓密的头发,两者之间存在显著的统计学差异。结论:癌症患者在遵守专门指导的情况下,观察到头皮冷冻疗法有利于预防化疗引起的脱发。建议:为有兴趣了解头皮冷冻疗法、如何控制其不良反应以及影响头发再生的因素的人提供在线咨询项目。
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引用次数: 0
Assessment of Knowledge Level for Patients with Rheumatoid Arthritis about their Disease 类风湿关节炎患者对自身疾病认知水平的评估
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.204219.1014
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引用次数: 0
Relation between Mindfulness Awareness and Internet Gaming Addictive Behavior among Suez Canal University Students. 苏伊士运河大学学生的正念意识与网络游戏成瘾行为之间的关系
Pub Date : 2023-12-01 DOI: 10.21608/tnhcj.2023.204196.1013
Haniyat Shabban
Background: Mindfulness is a practices used to help the individual to find the right behavior and become aware of own behavior, habits and own reactions; it is very useful for teenagers to give up away from addictive behaviors Aim of the study: Assess the relation between mindfulness awareness and internet gaming addictive behavior among university students. Research design: A descriptive research design was used in the study. Setting: The study was conducted at Suez Canal university-Ismailia city in a randomly selected six faculties divided in to two medical, two practical and two theoretical faculties. Sample: A systematic random sample of 102 university students were selected in this study. Tools for data collection: Data was collected using five tools namely; knowledge about internet gaming, video game usage questionnaire, game addiction scale, problematic video game play revised scale and mindfulness attention awareness in addition to demographic characteristics sheet. Results: There was a highly statistically significant relation between low levels of highly engaged, problem gamers, and addicted gamers and high level of mindfulness. It is evident that game addiction increased with low level of mindfulness. Conclusions: There is a relation between mindfulness awareness and internet gaming addictive behavior and special attention should be given to the pattern of internet gaming addictive behavior among university students. Recommendations: Raising adolescents’ awareness about adverse effects of internet gaming addiction on their health status; through mass media and health education programs at schools, universities and family-centered care.
研究背景正念是一种用于帮助个人找到正确行为并觉察自身行为、习惯和自身反应的方法;它对青少年戒除成瘾行为非常有用:评估正念意识与大学生网络游戏成瘾行为之间的关系。研究设计:本研究采用描述性研究设计。研究地点研究在伊斯梅利亚市苏伊士运河大学进行,随机选取了六个院系,分为两个医学系、两个实践系和两个理论系。样本:本研究随机抽取了 102 名大学生作为样本。数据收集工具:使用五种工具收集数据,即网络游戏知识、电子游戏使用问卷、游戏成瘾量表、电子游戏问题修订量表和正念注意意识,以及人口统计学特征表。结果高参与度、问题游戏玩家和沉迷游戏玩家的低水平与高正念水平之间存在高度统计学意义上的显著关系。很明显,游戏成瘾会随着正念水平的降低而增加。结论正念意识与网络游戏成瘾行为之间存在一定的关系,应特别关注大学生网络游戏成瘾行为的模式。建议:通过大众传媒和大中小学的健康教育计划以及以家庭为中心的护理,提高青少年对网络游戏成瘾对其健康状况的不良影响的认识。
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引用次数: 0
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Trends in Nursing and Health Care Journal
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