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Assessment of Nurses Knowledge and Practice about Peripherally Inserted Central Catheters at Neonatal Intensive Care Units 新生儿重症监护病房护士外周置管的知识和实践评估
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.58576.1004
Omnia Saltah, F. Abusaad
ABSTRACT: The peripherally inserted central catheters (PICCs )have become among the most common technologies employed in the intravenous therapy of neonates as they allow safe long-term intravascular access, comfort, and ease of transition to home therapy that contributed to the increased survival of those newborns. Aim: Assess the nurses’ knowledge and practices about peripherally inserted central catheter at neonatal intensive care units Method: Descriptive research was conducted on 45 neonatal nurses working at neonatal intensive care units affiliated to Mansoura University Children Hospital (MUCH). Peripherally inserted central catheter insertion questionnaire sheet and observational checklistwas used to collect data. Results:Most studied nurses had poor knowledge and the minority had average knowledge about PICC line care for neonates. Also, more than half of nurses had competent score regarding PICC line insertion and care.Conclusion: There was variation regrading neonatal nurses' knowledge and practices regarding PICC line insertion and care.Recommendation: A regular educational program about PICC line care should be consistent for neonatal nurse
摘要:外周插入中心导管(PICCs)已成为新生儿静脉注射治疗中最常用的技术之一,因为它们允许安全的长期血管内通道,舒适,易于过渡到家庭治疗,有助于提高新生儿的存活率。目的:评估新生儿重症监护病房护士对中心导管置入知识和操作的了解情况。方法:对曼苏拉大学儿童医院新生儿重症监护病房45名新生儿护士进行描述性研究。采用外周置管中心置管问卷和观察性检查表收集数据。结果:大多数受访护士对新生儿PICC线护理知识的了解程度较低,少数护士对新生儿PICC线护理知识的了解程度一般。此外,超过一半的护士在PICC线插入和护理方面得分合格。结论:新生儿护士对PICC线插入和护理的知识和实践存在差异。建议:对于新生儿护士来说,PICC线护理的常规教育计划应该是一致的
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引用次数: 0
Nutritional Assessment of Cardio-thoracic Critically Ill Patients:Review of Literature 心肺危重病人的营养评估:文献回顾
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213082
Enas Elmattry, N. Khalil, M. Ismail, F. Reshia
The current literature covered the following section; nutrition for critically ill patients, nutrition for cardiac critically ill patients, nutrition for thoracic critically ill patients, method of nutrition for critically ill patients, malnutrition for cardiac critically ill patients and thoracic critically ill patients, role of critical care nurse in nutritional assessment and management of cardiac critically ill patients and thoracic critically ill patients. Nutrition in critically ill patients; critically ill patients are unable to maintain adequate nutritional intake to meet metabolic demands which neededusually. The critically ill patients are already in a catabolic crisis; therefore expect early feeding to be beneficial. In intensive care units critically ill patients’nutrition becomes internationally a standard of care (Cox & Rasmussen, 2014).
目前的文献涵盖了以下部分;危重病人的营养,心脏危重病人的营养,胸廓危重病人的营养,危重病人的营养方法,心脏危重病人和胸廓危重病人的营养不良,危重护理护士在心脏危重病人和胸廓危重病人营养评估与管理中的作用。危重病人的营养状况;危重病人无法维持足够的营养摄入来满足通常需要的代谢需求。危重病人已经处于分解代谢危机;因此,预期早期喂养是有益的。在重症监护病房,危重病人的营养成为国际上的护理标准(Cox & Rasmussen, 2014)。
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引用次数: 0
Critical care nurses’ practices in implementing the “ABCDE bundle” among mechanically ventilated patients: Review of Literature 重症监护护士在机械通气患者中实施“ABCDE束”的实践:文献综述
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213084
E. Elkady, N. Khalil, MM ELshfey, F. Reshia
The current review of literature covered the following sections; Prevalence ofdelirium, Nurses assessment of delirium, and management approaches to decrease delirium among mechanically ventilated patients such as ABCDE bundle. The American Psychiatric Association’s (APA)of Mental Disorders (DSM), defined delirium asa sudden onset and fluctuating course of inattention, disturbed level of consciousness and cognition, hallucination or delusion. Symptoms may accompany with sleep, emotional disturbances, and abnormal psychomotor activity (American Psychiatric
目前的文献综述包括以下几个部分;ABCDE bundle等机械通气患者谵妄的发生率、护士对谵妄的评估及减少谵妄的管理方法。美国精神病学协会(APA)的精神障碍(DSM)将谵妄定义为突然发作和波动的注意力不集中,意识和认知水平紊乱,幻觉或妄想。症状可伴有睡眠、情绪障碍和异常的精神运动活动(美国精神病学)
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引用次数: 0
Buteyko Breathing Technique:The Golden Way for Controlling Asthma among Children 布捷伊科呼吸法:控制儿童哮喘的黄金方法
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213069
E. Hassan, F. Abusaad, B. Mohammed
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引用次数: 0
Social Support among Patients with Schizophrenia 精神分裂症患者的社会支持
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213070
Asmaa Ebrahim, M. El-Bilsha, Mohamed Elhadidy
Background: Schizophrenia is a chronic disorder that influences social functions and social relationship of the patients. Schizophrenic patients frequently complain of diminished social support which is acting as a critical factor in the prognosis of schizophrenia. Aim:This study aimed atassessin gsocial support among patients withschizo phrenia. Method: The study was carried out using a descriptivere search design on a convenience sample of 200 patients diagnosed with Schizophrenia disorder at the Inpatient and Out-patient Psychiatric Department of Mansoura University Hospital. Data were collected by socio-demographic and clinical characteristics sheet and Multidimensional scale of Perceived Social Support. Results: Results in this study revealed that majority of the studied subjects (89.5%) had low and moderate social support. There was a statistically significant positive correlation between social support and social relationship. Conclusion: Social support plays an important role in the prognosis and recovery of schizophrenia; so it is recommended to enhance social support while caring for patients with schizophrenia. Further studies are needed about the effective and vital role of social support.
背景:精神分裂症是一种影响患者社会功能和社会关系的慢性疾病。精神分裂症患者经常抱怨社会支持减少,这是精神分裂症预后的一个关键因素。目的:本研究旨在评估精神分裂症患者的社会支持。方法:采用描述性搜索设计对曼苏拉大学医院精神科住院和门诊诊断为精神分裂症的200例患者进行研究。采用社会人口学、临床特征表和多维感知社会支持量表收集数据。结果:本研究结果显示,绝大多数被调查者(89.5%)的社会支持水平为中低。社会支持与社会关系有显著正相关。结论:社会支持对精神分裂症患者的预后和康复起着重要作用;因此,建议在照顾精神分裂症患者的同时加强社会支持。需要进一步研究社会支持的有效和重要作用。
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引用次数: 3
Correlation between Phlebotomy Blood Loss and Hospital- Acquired Anemia among Acute Coronary Syndrome Patients 急性冠脉综合征患者放血失血量与院内获得性贫血的相关性研究
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213075
Mahmoud Elmetwalli, Nahla Khalil, F. Reshia
Background:hospital-acquired anemia (HAA) is common, with an incidence that ranges from nearly25% to 74%for the period ofhospitalization. Phlebotomy blood loss is one ofthe etiologies and predictors of HAA in acute coronary syndrome patients. Aim of this Study: identify the correlation between Phlebotomy blood loss and HAA among acute coronary syndrome patients. Material and Method: Descriptive exploratory research design was used to performthe research on one hundred and eighty patients in Cardiac Care Units at Mahallah Cardiac Center. Patients' demographic, health-relevant laboratory investigations data, drug-related data, and estimation of blood loss volume toolswere utilized in the data collection process. Results: Around two-fifth (37.8%) of the studied patients have HAA.There was a statistically significant correlation between HAA and gender & length of hospital stay(X2: 5.229, P: 0.029&X2: 21.832, P:˂0.001 respectively). On the otherhand, there was no significant correlation between HAA and phlebotomy blood loss& patient’s age (X2: 1.307, P: 0.520& X2: 1.7763, P: 0.620114 respectively). Conclusion: Around two fifths (37.8%) of acute coronary syndrome patients had HAA compared to 62.2% who were non-anemic. There was a statistically significant correlation between HAA and gender & length of hospital stay. In contrast, there was no significant correlation between HAA and phlebotomy blood loss and patient’s age among acute coronary syndrome patients atMahallah Cardiac Center.Recommendations: Future HAA prevention efforts are recommended to be effective if they include multimodal interventions that both decrease unnecessary phlebotomy blood loss through puncturing and bleeding. Keywords, predictors, phlebotomy,hospital-acquired anemia, acute coronary syndrome
背景:医院获得性贫血(HAA)很常见,在住院期间的发病率在近25%至74%之间。放血失血量是急性冠脉综合征患者HAA的病因和预测因素之一。本研究目的:探讨急性冠脉综合征患者放血失血量与HAA的相关性。材料和方法:采用描述性探索性研究设计对Mahallah心脏中心心脏护理病房的180名患者进行研究。在数据收集过程中使用了患者人口统计学、健康相关实验室调查数据、药物相关数据和估计失血量工具。结果:约五分之二(37.8%)的患者有HAA。HAA与性别、住院时间有统计学意义(X2: 5.229, P: 0.029; X2: 21.832, P:小于0.001)。另一方面,HAA与放血出血量、患者年龄无显著相关性(X2: 1.307, P: 0.520; X2: 1.7763, P: 0.620114)。结论:约五分之二(37.8%)的急性冠状动脉综合征患者有HAA,而非贫血患者为62.2%。HAA与性别、住院时间有显著相关。相比之下,在mahallah心脏中心的急性冠状动脉综合征患者中,HAA与放血失血量和患者年龄之间没有显著相关性。建议:建议未来的HAA预防工作如果包括多模式干预措施,既减少不必要的静脉穿刺和出血出血量,则是有效的。关键词:预测因素,静脉切开术,医院获得性贫血,急性冠状动脉综合征
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引用次数: 0
NURSING STUDENTS READINESS and PERSPECTIVE toward SELF-DIRECTED LEARNING 护生对自主学习的准备与展望
Pub Date : 2021-07-01 DOI: 10.21608/mnj.2021.213077
H. Abdou, W. Sleem, NehadSaad El-Wkeel
Background: One of the most vital attributes for nursing students for long-lasting learning is self-directed learning. Self-directed learning readiness is considered to be highly personalized as well differs significantly between learners in different programs found in higher education so definite abilities, attitudes as well personality characteristics are required for self-directed learning. Aim: This study aims to assess nursing students’ readiness and perspective toward self-directed learning. Research design: A descriptive research design was utilized. Methods: The study sample consisted of (300) nursing students from four levels choose by sample size at Faculty of Nursing, Mansoura University. Data were collected by using two tools as: Self-directed learning readiness scale and students' perception about self-directed learning questionnaire. Results: The study finding revealed that three quarter of nursing students were high readiness for selfdirected learning. As well, more than half of nursing students were high perception about self-directed learning. Conclusion: Nursing students’ readiness for self-directed learning was high in three quarter of them whereas perception about self-directed learning was high in more than half of them. Recommendation: Encourages policymakers in the college to make policy for self-directed learning in nursing curricula. Promote self-directed learning as a central strategy for developing competency of the nursing students in the clinical practice which emphasis on critical thinking and problem-solving.
背景:自主学习是护生长期学习最重要的特征之一。自主学习准备被认为是高度个性化的,在高等教育的不同课程中,学习者之间的差异也很大,因此自主学习需要明确的能力、态度和个性特征。目的:本研究旨在评估护生对自主学习的准备程度和态度。研究设计:采用描述性研究设计。方法:选取曼苏拉大学护理学院按样本量分为四个层次的护理专业学生300名进行研究。采用自主学习准备量表和学生自主学习感知问卷两种工具收集数据。结果:四分之三的护生对自主学习的准备程度较高。同时,超过一半的护生对自主学习有较高的认知。结论:四分之三的护生对自主学习的准备程度较高,一半以上的护生对自主学习的感知程度较高。建议:鼓励学院政策制定者制定护理课程自主学习政策。将自主学习作为培养护理学生临床实践能力的核心策略,强调批判性思维和解决问题的能力。
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引用次数: 1
Factors affecting the maternal-fetal attachment during pregnancy 妊娠期影响母胎依恋的因素
Pub Date : 2021-06-28 DOI: 10.21608/mnj.2021.61742.1011
Samara Mohamed, H. El-Sayed, Nahed Khidr
Background: Maternal-fetal attachment is intangible connection and maintains a bond between mother and baby in her womb which is considered an important part of fetal development and this attachment can be affected by different factors. This study was aimed to identify the factors affecting the maternal-fetal attachment during pregnancy. Design: A descriptive design was used. Subjects: A purposive sample including 100 pregnant women were participated. Setting: Antenatal Clinics of Al-Azhar University Hospital in New Damietta City, Damietta Governorate, in Egypt. Tools: A structure Interview Questionnaire, Cranley’s Maternal-Fetal attachment Scale (CMFAS), Fetal position awareness scale (FPAS). Results: There was a positive and significant relationship between the mean of MFA in mothers with the history of fetal loss and presence of support provider and strong attachment to mother, on the other hand this study confirmed that a statistically significant negative correlation between MFA and pregnant woman's gravidity. Conclusion: Maternal fetal attachment is associated significantly and positively with multiple factors: previous fetal loss, presence of support provider, and strong attachment to mother. Education level and history of previous low birth weight baby come in the second level of significant in this study. Additionally, increased gravidity contributed to a decreased MFA level. Recommendation: Early and effective interventions should be applied for the expectant mother to achieve a physically and psychologically wellbeing during pregnancy to reach best optimize maternal and fetal health .
背景:母胎依恋是一种无形的联系,维持着母亲和胎儿在子宫内的联系,是胎儿发育的重要组成部分,这种依恋可以受到不同因素的影响。本研究旨在探讨影响妊娠期母胎依恋的因素。设计:采用描述性设计。对象:以100名孕妇为目的样本。地点:埃及达米埃塔省新达米埃塔市爱资哈尔大学医院产前诊所。工具:采用结构化访谈问卷、克兰利母胎依恋量表(CMFAS)、胎位意识量表(FPAS)。结果:产妇MFA均值与流产史、是否有赡养者、对母亲的依恋程度高呈显著正相关,另一方面本研究证实MFA均值与孕妇的妊娠程度呈显著负相关。结论:母体胎儿依恋与既往流产、支持提供者存在、对母亲的强烈依恋等因素显著正相关。教育程度和低出生体重儿史在本研究中具有第二重要意义。此外,重力增加导致MFA水平下降。建议:应采取早期和有效的干预措施,使孕妇在怀孕期间身心健康,以达到最佳的母婴健康。
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引用次数: 1
Critical Care Nurses' Knowledge Regarding Methicillin-Resistant Staphylococcus Aureus At Mansoura University Child Hospital 曼苏拉大学儿童医院重症监护护士对耐甲氧西林金黄色葡萄球菌的了解
Pub Date : 2021-05-31 DOI: 10.21608/MNJ.2021.72284.1046
Eraa Ahmed
Background: Methicillin Resistant Staphylococcus aureus (MRSA) is a type of bacteria resistant to all β lactam antibiotics and it results in formation of small abscess and progress to serious septic endocarditis. The dangers of death in patients with MRSA are three times higher than other infections. Aim of the study: The present study aimed to assess nurses' knowledge related to MRSA at Mansoura University child hospital. Subjects and method: A descriptive exploratory research design was utilized to conduct this study on seventy nurses who are associated with giving direct care for critically ill patients at Mansoura University child hospital in Egypt. Data were collected through using nurses' knowledge assessment questionnaire. Results: Most of nurses obtained unsatisfactory knowledge concerning MRSA (74.3 %.). Moreover, there were significant differences among nurses' knowledge by the demographic characteristics in their knowledge scores regards age, years of working experience, educational level and attends training course. Conclusion: It concluded that nurses had inadequate knowledge about MRSA. Recommendations: Replication of this study on large probability sample, a continuous and effective education should be provided for all nurses to enhance their knowledge about MRSA and Periodic evaluation of nurses' knowledge regarding MRSA.
背景:耐甲氧西林金黄色葡萄球菌(MRSA)是一种对所有β内酰胺类抗生素耐药的细菌,可导致小脓肿的形成并发展为严重的脓毒性心内膜炎。MRSA患者的死亡危险是其他感染的三倍。研究目的:本研究旨在评估曼苏拉大学儿童医院护士对MRSA的相关知识。研究对象和方法:采用描述性探索性研究设计,对埃及曼苏拉大学儿童医院直接护理危重病人的70名护士进行研究。采用护士知识评估问卷收集数据。结果:大多数护士对MRSA的了解不满意(74.3%)。人口统计学特征在年龄、工作年限、文化程度、参加培训等方面的知识得分存在显著差异。结论:护士对MRSA的认识不足。建议:在大概率样本上复制本研究,对所有护士进行持续有效的MRSA知识教育,并定期对护士MRSA知识进行评估。
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引用次数: 1
Relation between knowledge, foot self-care and health status for diabetic foot high risk patients 糖尿病足高危患者足部知识、足部自我保健与健康状况的关系
Pub Date : 2021-05-23 DOI: 10.21608/MNJ.2021.63979.1021
N. Shaker, Marwa Abd-Elgabaar, T. Shakweer
Diabetes mellitus (DM) is a public health problem andis the leading cause of hospital admission, amputation and mortality in diabetic patients. Aim of the study: This study was conducted to assess relation betweenknowledge, foot self-care and health status for diabetic foot high-risk patients. Research design: A descriptive exploratory design was utilized was used in this study. Setting: the study was conducted in diabetic foot outpatient clinic in Beni–Suef university hospital at Beni–Suef city Egypt. Subjects: A purposive sample of 60 patients admitted in diabetic foot outpatient clinic. Data Collection Tools: Tools of the study consist of four tools, tool (1) Lower limb assessment sheet for diabetic patients (2) Patient’s interview questionnaire sheet (3) Diabetic foot observational checklist (4) health status assessment sheet. Results: (61.2%) of studied patients had satisfactory level of total knowledge regarding diabetes mellitus. (49.0%) of them had unsatisfactory self-care of the foot. The study results revealed, that there is statically significant relation between patients’ health status and knowledge and no statically significant relation between patients’ health status and diabetic foot self-care. Conclusion: This study concluded that there is statically significant relation between patients’ health status and knowledge and there is no statically significant relation between patients’ health status and diabetic foot selfcare.Recommendation:Diabetic foot programs for high-risk patients, health status recommend to be conducted in diabetic foot outpatient clinics by specialized well-trained nurses. Key wards: Diabetic Foot-Knowledge-Health Status-Foot Care.
糖尿病(DM)是一个公共卫生问题,是糖尿病患者住院、截肢和死亡的主要原因。研究目的:探讨糖尿病足高危患者足部知识、足部自我保健与健康状况的关系。研究设计:本研究采用描述性探索性设计。环境:研究在埃及贝尼-苏韦夫市贝尼-苏韦夫大学医院糖尿病足门诊进行。目的:选取60例糖尿病足门诊患者作为研究对象。资料收集工具:本研究的工具包括四种工具,工具(1)糖尿病患者下肢评估表(2)患者访谈问卷表(3)糖尿病足观察表(4)健康状况评估表。结果:61.2%的患者对糖尿病有满意的认知。(49.0%)对足部自我护理不满意。研究结果显示,患者的健康状况与知识之间存在显著的统计学意义,而患者的健康状况与糖尿病足自我护理之间没有显著的统计学意义。结论:本研究得出患者健康状况与糖尿病足知识之间存在统计学意义的相关关系,患者健康状况与糖尿病足自我保健之间无统计学意义的相关关系。建议:糖尿病足项目对高危患者,健康状况推荐在糖尿病足门诊由训练有素的专业护士进行。重点病房:糖尿病足-知识-健康状况-足部护理
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引用次数: 0
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Mansoura Nursing Journal
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