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Relation between Care Burden, Parenting Style and Resilience among Caregivers of Children with Attention Deficit Hyperactivity Disorder 注意缺陷多动障碍儿童照护者的照护负担、养育方式和复原力之间的关系
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.346117
A. Abdelwahab, Y. Sayed, Sherifa Mohamed
Background : Lack of attention and support is causing detrimental physical and emotional impacts among caregivers of children with mental health issues like Attention Deficit Hyperactivity Disorder (ADHD). Caregivers of individuals with ADHD bear a heavy emotional, social, and financial strain. Resilience and parenting approaches are crucial for improving the functioning of families with children who have ADHD. Aim of the study : To evaluate the relation between care burden, parenting style and resilience among caregivers of children with attention deficit hyperactivity disorder. Research design: A descriptive correlative research design was utilized to achieve the aim of the study. Setting : The study was performed at children and adolescent outpatient clinic of Minia hospital for psychiatric health and addiction treatment Sample: A Convenience sample of 100 caregivers with their children was involved in this research. Tools: tool (I) A structured interview questionnaire covering the demographic characteristics of the studied parents, and their children, tool (II) Caregiver Burden Inventory (CBI), tool (III)Parenting Styles Questionnaire and tool (IV)Resilience Scale for Adults. Results: More than three quarter of caregivers had high burden, two thirds of the caregivers had moderate resilience and authoritative parenting style was highly used by the majority of the studied parents. Conclusion: It was concluded that total burden has a significant positive correlation with authoritative as well as permissive style, while there was a significant negative correlation with resilience as well as authoritarian style Recommendations : Counseling services of caregivers and their children with ADHD will be needed.
背景:缺乏关注和支持对注意力缺陷多动障碍(ADHD)等精神疾病患儿的照顾者造成了有害的身心影响。多动症患者的照顾者承受着沉重的情感、社会和经济压力。复原力和养育方法对于改善多动症儿童家庭的功能至关重要。研究目的:评估注意力缺陷多动障碍儿童照顾者的照顾负担、养育方式和复原力之间的关系。研究设计:采用描述性相关研究设计来实现研究目的。研究地点:研究在米尼亚精神病和戒毒治疗医院的儿童和青少年门诊进行:100 名照顾者及其子女参与了此次研究。工具:工具(I)结构化访谈问卷,涵盖研究对象父母及其子女的人口统计学特征;工具(II)照顾者负担量表(CBI);工具(III)养育方式问卷;工具(IV)成人复原力量表。结果显示超过四分之三的照顾者有较重的负担,三分之二的照顾者有中等程度的复原力,大多数研究对象的父母高度采用权威型养育方式。结论总负担与权威型和放任型教养方式呈显著正相关,而与适应力和权威型教养方式呈显著负相关:需要为多动症儿童的照顾者及其子女提供咨询服务。
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引用次数: 0
Effect of Educational program on Nurses’ Performance Regarding Prevention of Infection among Children Receiving Total Parenteral Nutrition 教育计划对护士预防接受全肠外营养的儿童感染工作的影响
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.341005
Omyma Mohamed, Rahma Bahgat, Maha Elaraby
Background: Total parenteral nutrition is vital for children who unable to consume their food through gastrointestinal system, there are a lot of complications; the most common and serious is blood infection. The study was aimed to evaluate the effect of educational program on nurses’ performance about prevention of infection among children receiving total parenteral nutrition. Subjects and method: Subjects: A convenience sampling of thirty five nurses from Tanta University Hospital and fifteen nurses from Al-Mabra Hospital. Fifty children at Intensive Care Units that were received total parenteral nutrition. Setting: The study conducted at Pediatric Intensive Care Unit of Tanta Main University Hospital and Al Mabra Tanta Hospital . Four tools were used to collect data : Tool I; structured interview schedule to collect sociodemographic data of nurses and assess nurses, knowledge, Tool II; assess nurses performance using observational check lists, Tool III; laboratory investigation related to infection of children receiving total parenteral nutrition: (ESR, CRP, WBC S , Blood culture), Tool IV; physiological and physical measurement of children Results: revealed that educational program have positive effect on both knowledge and practice of nurses regarding prevention of infection and significance improvement in condition of children receiving total parenteral nutrition. Conclusion : Educational program have positive effect on performance of nurses, physiological and physical condition of children and prevention of infection occur with total parenteral nutrition. Recommendation: implementation of educational and training programs should be encouraged and repeated for pediatric intensive care unit children who received total parenteral nutrition to prevent infection.
背景:全肠外营养对于无法通过肠胃系统摄取食物的儿童至关重要,但也会出现很多并发症,其中最常见、最严重的是血液感染。本研究旨在评估教育计划对护士预防接受全肠外营养的儿童感染的影响。研究对象和方法研究对象:坦塔大学医院的 35 名护士和 Al-Mabra 医院的 15 名护士。在重症监护病房接受全肠外营养的 50 名儿童。研究地点研究在坦塔大学主医院和 Al Mabra 坦塔医院的儿科重症监护室进行。使用四种工具收集数据:工具一:结构化访谈表,用于收集护士的社会人口学数据并评估护士的知识;工具二:使用观察核对表评估护士的工作表现;工具三:与接受全肠外营养的儿童感染有关的实验室调查:(血沉、CRP、白细胞 S、血培养);工具四:儿童的生理和体格测量 结果:研究表明,教育计划对护士预防感染的知识和实践都有积极影响,对改善接受全肠外营养的儿童的状况具有重要意义。结论:教育计划对护士的工作表现、儿童的生理和身体状况以及全肠外营养感染的预防都有积极影响。建议:应鼓励并重复实施针对接受全肠外营养的儿科重症监护病房患儿的教育和培训计划,以预防感染。
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引用次数: 0
Effect of Olfactory and Gustatory Stimulation on Premature Neonates ' Feeding Progression and Sniffing Away Feeding Tube 嗅觉和味觉刺激对早产新生儿 "进食进展 "和 "嗅开喂食管 "的影响
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.341028
Aya Antar, Rahma Bahgat, Abdelrahman Almashad, S. Elhalafawy
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引用次数: 0
Influence of Head Nurses' Exploitative Leadership Style on Nurses' Workplace Alienation 护士长的剥削式领导风格对护士工作场所疏离感的影响
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.346131
Asmaa Ebrahiem, Lobna Ibrahi, M. Shokier, Rehab Abou Shaheen
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引用次数: 0
Nursing Educational Program for Improving Older Persons' Hydration Status 改善老年人水合状态的护理教育计划
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.346135
Martha Labieb, Esteer Ghayth, S. E. Aly, S. Khalaf
Background: Dehydration is a serious public health concern occurred due to the imbalance between water intake and loss which increased in the climate change and Egypt's hot weather, lead to the morbidity and mortality rate raise among the older persons. Aim: To evaluate the effect of nursing educational program for improving older persons' hydration status. Subjects and Method: One group pre-post intervention research design. Setting: The study conducted at the (internal medicine and urology) clinics at the Assuit University hospitals. Sample: Total number of 130 older persons was included. Study tools: Contained four tools; Tool (I): Consisted of four parts; personal data, El-Gilany scale for measurement of socioeconomic status, health condition and knowledge of older persons regarding dehydration. Tool (II): Dehydration screening. Tool (III): Hydration knowledge scale and Tool (IV): Hydration facilitators and barriers attitude. Results: Mean ± SD and (range) of participant age: 69.28±7.65 (60-91). It was found that, more than half (56.9% &53.1% respectively) of them were male and had very low socioeconomic status. There was statistically significant effect of the educational program on the older persons' dehydration status; also there was improvement of older person's hydration & dehydration knowledge and attitude of older persons about hydration facilitators and barriers after the application of the educational program. Conclusion and recommendations : These results support that the nursing educational program improved the hydration status, hydration & dehydration knowledge and attitude toward hydration facilitators and barriers among older persons. Continuous educational programs about hydration status of older persons are recommended.
背景:脱水是一个严重的公共卫生问题,其原因是水分摄入和流失不平衡,而气候变化和埃及的炎热天气增加了水分摄入和流失,导致老年人的发病率和死亡率上升。目的:评估改善老年人水合状况的护理教育计划的效果。研究对象和方法:一组前-后干预研究设计。研究地点研究在 Assuit 大学医院的(内科和泌尿科)诊所进行。样本:共纳入 130 名老年人。研究工具:包含四种工具;工具 (I):由四部分组成:个人资料、El-Gilany 量表(用于测量老年人的社会经济状况、健康状况和脱水知识)。工具 (II):脱水筛查。工具 (III):脱水筛查:水合知识量表和工具 (IV):水合促进因素和障碍态度。结果参与者的平均年龄(69.28±7.65)岁(60-91)。调查发现,超过半数(分别为 56.9% 和 53.1%)的受访者为男性,社会经济地位非常低。教育项目对老年人脱水状况的影响具有统计学意义;在实施教育项目后,老年人的水合和脱水知识以及老年人对水合促进因素和障碍的态度都有所改善。结论和建议这些结果证明,护理教育计划改善了老年人的水合状态、水合和脱水知识以及对水合促进因素和障碍的态度。建议继续开展有关老年人水合状态的教育计划。
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引用次数: 0
Relation between Suicide Probability and Self-Criticism among Patients with Major Depressive Disorder 重度抑郁症患者自杀概率与自我批评之间的关系
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.340985
Amal Younis, Islam Gado, Souzan Abd Ghaffar, Mervat Shalaby
Background: Self-criticism is seen as the main of psychopathology in Major depressive disorder (MDD). It has been demonstrated that higher suicide rates and more severe MDD are linked to self-criticism. Therefore, it is important for psychiatric nurses through their interaction with patients with MDD to assess patients’ self-criticism. This assessment would guide them in the early identification of this risk factor to open the possibility of preventing suicide in the context of clinical practice. Aim: to determine the relation between suicide probability and self-criticism among patients with MDD. Methods: Design: Descriptive correlational design was utilized in this study. Setting: outpatient psychiatric department of Tanta University Hospital affiliated to Ministry of Higher Education and Scientific Research. Subject: The study subject was composed of a convenient sample of 150 patients diagnosed with MDD per DSM-5. Tools: suicide probability questionnaire (Cull & Gill, 1982) , and self-criticizing/attacking and self-reassuring scale (Gilbert et al., 2004). Results : There was a highly statistically significant positive correlation between suicide probability and self-criticism. Conclusion: This study concluded that there was a high level of self-criticism and suicidal probability among patients with MDD. Also, higher levels of self-criticizing scale are associated with higher probability of suicide. Recommendation: Psychiatric nurses should assess self-criticism routinely for patients with MDD and develop psycho-educational programs that target self-criticism to decrease suicide probability.
背景:自我批判被认为是重度抑郁障碍(MDD)的主要精神病理学因素。研究表明,较高的自杀率和较严重的重度抑郁症与自我批评有关。因此,精神科护士必须通过与 MDD 患者的互动来评估患者的自我批评。这一评估将指导她们及早识别这一风险因素,从而为在临床实践中预防自杀提供可能。目的:确定 MDD 患者自杀概率与自我批评之间的关系。研究方法设计:本研究采用描述性相关设计。地点:高等教育与科学研究部附属坦塔大学医院精神科门诊。研究对象研究对象由 150 名根据 DSM-5 诊断为 MDD 的患者组成。工具:自杀可能性问卷(Cull & Gill,1982 年)、自我批评/攻击和自我安慰量表(Gilbert 等人,2004 年)。结果:自杀概率与自我批评之间存在统计学意义上的显著正相关。结论本研究得出结论,在 MDD 患者中,自我批评水平高,自杀几率也高。同时,自我批评量表水平越高,自杀概率越高。建议:精神科护士应定期评估 MDD 患者的自我批评情况,并制定针对自我批评的心理教育计划,以降低自杀概率。
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引用次数: 0
Effectiveness of Acceptance and Commitment Intervention on Emotional Regulation and Suicidal Ideation among Depressed Patients 接纳与承诺干预对抑郁症患者情绪调节和自杀意念的影响
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.346129
Sabah Hassan, Ebtsam Saber
Background: Depression can be treated with acceptance and commitment therapy (ACT), according to research, nevertheless, not much is known regarding the patient's ACT experiences. The aim of the study is to evaluate the effectiveness of acceptance and commitment intervention on emotional regulation and suicidal ideation among depressed patients. Subjects and Methods: Design: a quasi-experimental (one group pre-and post-testing) was used in this study. Subjects : A purposive sample consisted of 60 patients is included . Tools: I: Structured interview questionnaire; II: Difficult of Emotion Regulation Scale; III: Suicidal Ideation Questionnaire. Results: A statistically significant positive correlation was detected between difficulties with emotional regulation and suicidal ideations at the pre-and post-program. While no significant correlation was noted between difficulties with emotional regulation and suicidal ideations at follow-up. Conclusion : The current study findings concluded that Acceptance and Commitment intervention is a useful intervention approach for people with depression because it enhances emotional regulation and lowers suicidal ideation. Recommendations : An educational training program should be applied to teach and train staff nurses about strategies for ACT application with depressed patients.
背景:根据研究,抑郁症可以通过接纳与承诺疗法(ACT)进行治疗,然而,关于患者的 ACT 经验却知之甚少。本研究旨在评估接纳与承诺干预对抑郁症患者情绪调节和自杀意念的效果。研究对象和方法:设计:本研究采用准实验法(一组前测和一组后测)。研究对象 :60 名患者组成的目的性样本。工具I:结构化访谈问卷;II:情绪调节困难量表;III:自杀意念问卷。结果情绪调节困难与计划前后的自杀意念之间存在统计学意义上的明显正相关。而在随访中,情绪调节困难与自杀意念之间没有发现明显的相关性。结论:目前的研究结果表明,"接纳与承诺 "干预对抑郁症患者来说是一种有用的干预方法,因为它能增强情绪调节能力并降低自杀意念。建议 :应实施教育培训计划,向护士人员传授和培训有关对抑郁症患者实施接纳与承诺干预的策略。
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引用次数: 0
Effect of Foot Reflexology on Constipation and Fetal Movement During Pregnancy 足部反射疗法对孕期便秘和胎动的影响
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.341034
Mohamed Harfoush, Mohamed Abd Algany, Violet Ghattas, Eman Elsakka
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引用次数: 0
Effect of Yakson Touch on Physiological Indicators of Preterm Infants during Painful Procedures; A Randomized Controlled Clinical Trail 亚克森抚摸对早产儿疼痛过程中生理指标的影响;随机对照临床试验
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.340822
Atiat Osman, Hanan Mohamed, Nora Zaki, S. Syan
Preterm infants are sensitive and experience pain through invasive procedures in the Neonatal Intensive Care Unit more than term infants. One of the painful and frequent procedures is cannulation. Aim: this study was to determine the effect of Yakson touch and pacifier on pain and physiological response in preterm infants during cannulation. Methods: a clinical trial of 60 preterm infants was conducted in a NICU affiliated with El-Arbain Hospital, Assiut governorate, Upper Egypt. Sixty preterm infants matched the inclusion criteria were included in this study divided chronologically into two groups (Yakson and control groups). Thirty infants were in each group. Neonatal Infant Pain Scale (NIPS) was used to evaluate pain responses. Pain and physiological indicators (pulse, respiration, and oxygen saturation) were measured before and after cannulation. Comparison was done among the control and study groups to define the effect. Results: The mean gestational age of the included infants was 33.17 and 33.93 weeks in both the Yakson and control groups respectively, and the weight mean was 1.49 kg with no statistical differences among both groups. While days of life have differed which infants in the control group had high days of life mean. Respiration and pulse rates decreased after the procedure in the Yakson group, while they increased in control. Also, the pain means scores increased after the painful procedure in the control group while decreased in Yakson (control after = 6.03, Yakson after = 3.90). Conclusion: Yakson's touch message successfully decreased pain levels, pulse, and respiration rates among preterm infants exposed to painful procedures. Moreover, performing Yakson improves oxygen saturation levels among preterm infants in the study group. Recommendations : try to incorporate Yakson touch into routine care to maintain preterm infants' stability.
早产儿比足月儿更敏感,在新生儿重症监护室进行侵入性操作时会感到疼痛。插管是最常见的疼痛程序之一。目的:本研究旨在确定雅克森抚摸和安抚奶嘴对早产儿插管时疼痛和生理反应的影响。方法:在上埃及阿苏特省 El-Arbain 医院附属新生儿重症监护室对 60 名早产儿进行了临床试验。符合纳入标准的 60 名早产儿被纳入本研究,按时间顺序分为两组(亚克森组和对照组)。每组 30 名婴儿。新生儿疼痛量表(NIPS)用于评估疼痛反应。插管前后测量疼痛和生理指标(脉搏、呼吸和血氧饱和度)。比较对照组和研究组的效果。结果雅克森组和对照组婴儿的平均胎龄分别为 33.17 周和 33.93 周,平均体重为 1.49 千克,两组之间无统计学差异。对照组婴儿的平均生命天数较高,而雅克森组婴儿的平均生命天数较低。雅克森组的呼吸和脉搏在手术后有所下降,而对照组则有所上升。此外,对照组的疼痛平均值在疼痛手术后有所上升,而雅克森组的疼痛平均值则有所下降(对照组术后=6.03,雅克森组术后=3.90)。结论亚克森的抚触信息成功地降低了早产儿在疼痛过程中的疼痛程度、脉搏和呼吸频率。此外,雅克森还提高了研究组早产儿的血氧饱和度。建议:尝试将Yakson抚触纳入常规护理,以保持早产儿的稳定性。
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引用次数: 0
Effect of Implementing Modified Bundle of Care on Early Detection and Prevention of Ventilators Associated Pneumonia 实施改良捆绑式护理对早期发现和预防呼吸机相关肺炎的影响
Pub Date : 2024-02-01 DOI: 10.21608/tsnj.2024.341013
Safaa Sayed, Hadeer El Kenany, Samah Ahmed, Zainab Allam
Background : Critically ill patients with mechanical ventilator frequently experience ventilator associated pneumonia, which has devastating effects such as prolongation of mechanical ventilation, increase length of hospital stay, and increase mortality rate. Aim of study to evaluate the effect of implementing modified bundle of care on early detection and prevention of ventilator associated pneumonia in intensive care unit. Design : Quasi-experimental research design. Setting: Anesthesia Intensive Care Unit, Traumatology and Emergency Medicine Intensive Care Unit of Emergency hospital affiliated to Tanta University hospital. Subjects: A convenience sampling of 60 adult critically ill patients who admitted to the selected setting and divided into two equal groups; 30 patients in each (control and study groups). Tools: three tools were used, Tool I: Mechanically Ventilated Patients Assessment, tool II Four Score Level of Consciousness Scale and tool III Indicators of Ventilator associated pneumonia Assessment Results: A highly significant difference was detected between the study and control groups regarding VAP incidence after applying modified ventilator bundle which (P=0.000). The incidence of VAP was 76.67% in the control group compared with only 23.33% in study group after the 7 th day of intervention with significant differences in which (P=0.00). Conclusion: Applying modified ventilator bundle had beneficial effect on preventing and decrease the incidence of VAP. Recommendation
背景:使用机械呼吸机的重症患者经常会患上呼吸机相关性肺炎,这种肺炎具有破坏性影响,如延长机械通气时间、延长住院时间和增加死亡率。研究目的:评估在重症监护病房实施改良护理包对早期发现和预防呼吸机相关肺炎的影响。设计 :准实验研究设计。研究地点坦塔大学医院附属急诊医院麻醉科重症监护室、创伤科和急诊科重症监护室。研究对象方便取样,选取在选定环境中住院的 60 名成年重症患者,将其平均分为两组,每组 30 人(对照组和研究组)。工具:使用三种工具,工具 I:机械通气患者评估,工具 II:四分意识水平量表,工具 III:呼吸机相关肺炎评估指标:采用改良呼吸机捆绑包后,研究组和对照组的 VAP 发生率差异非常明显(P=0.000)。干预第 7 天后,对照组 VAP 发生率为 76.67%,而研究组仅为 23.33%,差异显著(P=0.00)。结论应用改良呼吸机捆绑包对预防和减少 VAP 的发生率有好处。建议
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引用次数: 0
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Tanta Scientific Nursing Journal
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