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Cognitive Status and Psychological Well-Being of Older Adults with Hearing, Vision, or Dual Sensory Impairments 有听力、视力或双重感官障碍的老年人的认知状况和心理福祉
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.328834
Esteer Ibrahim Ghayth, Rashaa Ahmed Fouad, Safaa Mostafa Abdeen, Sanaa Mostafa Khalifa
Background: Visual and hearing impairments increase with age and are associated with increased loneliness, depression, anxiety, and mental health problems. In addition to dependence, the risk of cognitive impairment and dementia increases in older adults. Aim : To assess the cognitive status and psychological well-being of older adults with visual, hearing, or dual sensory impairments. Design : A descriptive research design was employed. Sample : A purposive sample was used to collect the study sample, the study was conducted in the ophthalmology and audiology outpatient clinics of Sohag University Hospital. The total number of subjects was 100 elderly patients. Tool : Five instruments were used. Structured interview questionnaire. It includes sociodemographic characteristics and medical history, Geriatric Depression Scale, Generalized Anxiety Disorder Scale, Loneliness Scale UCLA and Mini Mental Status Examination Scale. Results : The study showed that the majority of the older adults with sensory impairment suffered from moderate and severe anxiety, depression, and loneliness. There were statistically significant differences between the anxiety and depression levels of elderly with sensory impaired based on age and education level, also there were statistically significant differences between the levels of anxiety and depression in these individuals. There were a coefficient correlation between the elderly cognitive function and the levels of anxiety, depression, and loneliness. In addition, nearly half and almost one-third of them had mild and moderate cognitive impairment, respectively. Conclusions: half of the studied elderly with visual, hearing, and duel sensory impairment had moderate depression, mild anxiety and high loneliness. Moreover one-third of them had moderate cognitive impairment. Recommendation : Provision of rehabilitation programs for older adults with hearing, visual, and dual sensory impairments.
背景:视力和听力障碍会随着年龄的增长而增加,并与孤独、抑郁、焦虑和心理健康问题的增加有关。除依赖性外,老年人患认知障碍和痴呆症的风险也会增加。目的:评估有视力、听力或双重感官障碍的老年人的认知状况和心理健康。设计 :采用描述性研究设计。样本:采用目的性抽样收集研究样本,研究在苏哈格大学医院的眼科和听力门诊进行。受试者总数为 100 名老年患者。工具:使用了五种工具。结构化访谈问卷。其中包括社会人口学特征和病史、老年抑郁量表、广泛性焦虑症量表、孤独感量表 UCLA 和迷你精神状态检查量表。结果:研究表明,大多数有感官障碍的老年人患有中度和重度焦虑症、抑郁症和孤独感。根据年龄和受教育程度的不同,感官障碍老年人的焦虑和抑郁水平之间存在显著的统计学差异,这些人的焦虑和抑郁水平之间也存在显著的统计学差异。老年人的认知功能与焦虑、抑郁和孤独程度之间存在系数相关性。此外,近一半和近三分之一的老年人分别存在轻度和中度认知障碍。结论:在研究的视力、听力和双重感官受损的老年人中,有一半患有中度抑郁、轻度焦虑和高度孤独。此外,其中三分之一的老年人有中度认知障碍。建议:为有听力、视力和双重感官障碍的老年人提供康复计划。
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引用次数: 0
Beyond the Bedside: A Comprehensive Exploration of Nurses' knowledge and Attitudes on Infection Control and prevention measures in Selected Governmental Hospitals, Najran City, Saudi Arabia" 床边之外:对沙特阿拉伯奈季兰市部分政府医院护士对感染控制和预防措施的认识和态度的综合探索"
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.329037
Elsadig Eltaher Hamed Abdulrahman
Background: To avoid the spread of communicable diseases, infection control and preventive measures are essential in all health care settings. Every health care professional, especially nurses, plays an important role in reducing the risk of health care-associated infections. Our goal is to examine the knowledge and attitudes regarding infection control and prevention measures. Methods: Cross sectional study was used to achieve the aim of the study. Convenience sample was used to involve 45 nurses at King Khalid Hospital and New Najran General Hospital in Najran city, using a self-administered questionnaire to examine the knowledge and attitude of nurses regarding infection control and prevention measures. Results: According to the study, 76.7% of the individuals had good knowledge, while 23.3% had poor knowledge. The majority of participants (78.8%) had a positive attitude toward infection control and prevention measures, whereas 21.2% had a negative attitude. There were statistically significant variations based on total years of experience, gender, education level, and the occurrence of needle stick during years of employment. However, due to the years of experience in the surgical wards, there were statistically significant variances. Conclusion: The findings of this study highlight a generally positive trend in knowledge and attitudes toward infection control and prevention measures among healthcare professionals. A substantial majority, comprising 3 quarter, demonstrated good knowledge, emphasizing a foundational understanding of essential practices. Additionally, a notable 78.8% expressed a positive attitude, indicating a prevailing commitment to infection control. The identified statistically significant variations based on total years of experience, gender, education level, and needle stick occurrences offer valuable insights. Recommendation: Develop targeted educational initiatives focusing on individuals with poor knowledge and negative attitudes, customizing content based on specific demographic factors such as gender, education level, and years of
背景:为了避免传染病的传播,感染控制和预防措施对所有医疗机构都至关重要。每位医疗保健专业人员,尤其是护士,在降低医疗保健相关感染风险方面都扮演着重要角色。我们的目标是研究有关感染控制和预防措施的知识和态度。研究方法采用横断面研究来实现研究目的。采用方便抽样法,对纳杰兰市哈立德国王医院和新纳杰兰综合医院的 45 名护士进行了调查,使用自制问卷调查护士对感染控制和预防措施的认识和态度。结果显示研究结果显示,76.7% 的人对感染控制和预防措施的了解程度较高,23.3% 的人对感染控制和预防措施的了解程度较低。大多数参与者(78.8%)对感染控制和预防措施持积极态度,21.2%持消极态度。总工作年限、性别、教育程度和工作期间发生针刺事件的情况在统计学上存在显著差异。然而,由于在外科病房工作的年限不同,在统计上存在显著差异。结论研究结果表明,医护人员对感染控制和预防措施的认识和态度总体上呈积极趋势。占四分之三的绝大多数医护人员表现出了良好的知识水平,强调了对基本做法的基础性理解。此外,78.8%的医护人员持积极态度,表明他们普遍致力于感染控制。根据总工作年限、性别、教育水平和针刺事件的不同,发现了统计意义上的重大差异,为我们提供了宝贵的启示。建议:制定有针对性的教育计划,重点关注知识贫乏和态度消极的个人,根据特定的人口统计因素(如性别、教育水平和工作年限)定制教育内容。
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引用次数: 0
A Stewardship-Guided Framework for Improving Antibiotics Use among Children with Acute Respiratory Tract Infections 改善急性呼吸道感染儿童抗生素使用情况的管理指导框架
Pub Date : 2023-06-01 DOI: 10.21608/ejhc.2023.328046
Amal A. Fathalla, Faten M. Nouh, Hanan G. El- Bready, Hanady Sh. Shehata, Azza A. Ghoneim
Background : Most acute respiratory tract infections (ARTIs) in children are due to viral etiology; however, overprescribing of antibiotics for ARTIs is common. Aim: To develop a Stewardship-guided framework for improving antibiotics use among children with ARTIs. Design: A quasi-experimental design (pre-posttest) was utilized for this study. Setting : The Pediatric ward and the pediatric outpatient clinic in Menoufia University Hospital. Sampling: A convenient sample of 43 nurses and a purposive sample of 200 children and their parents were included. Instruments: Five instruments were utilized to get the data. I: Nurses structured interview questionnaire sheet. II: Observational checklist for nurses’ antibiotic Stewardship activities. III: Children structured interview questionnaire sheet (children 9-11 years). IV: Children structured interview questionnaire sheet (children 12-15 years). V: Parents structured interview questionnaire sheet. Results: There was a significant improvement in nurses’ knowledge and antibiotic Stewardship activities. There was a significant improvement in children’ knowledge, beliefs and attitudes regarding antibiotic use. There was a significant decrease in parents’ false knowledge/ information, negative attitude and practices regarding antibiotic use after implementation of the Stewardship-guided framework compared to preintervention. Conclusion : The Stewardship-guided framework was more successful on the posttest than on the pretest in improving nurses’ knowledge and antibiotic stewardship activities as well as children’ knowledge, beliefs and attitudes regarding antibiotic use, and parents’ knowledge, attitudes and practices regarding antibiotic use. Recommendation: Nurses in collaboration with the health care team should integrate the Stewardship-guided framework in all pediatric units and outpatient clinics for improving antibiotic use among pediatric patients.
背景:大多数儿童急性呼吸道感染(ARTI)都是由病毒引起的,但在治疗 ARTI 时过度使用抗生素的现象却很普遍。目的:制定一个以 "管理 "为指导的框架,以改善急性呼吸道感染患儿的抗生素使用情况。设计:本研究采用准实验设计(前-后测试)。地点: 梅努菲亚大学医院儿科病房和儿科门诊。抽样:方便抽样包括 43 名护士,目的抽样包括 200 名儿童及其家长。工具:使用五种工具获取数据。I:护士结构化访谈问卷表。II:护士抗生素管理活动观察核对表。III:儿童结构式访谈问卷表(9-11 岁儿童)。IV:儿童结构式访谈问卷表(12-15 岁儿童)。V:家长结构化访谈问卷表。结果护士的抗生素管理知识和抗生素管理活动均有明显改善。儿童对抗生素使用的知识、信念和态度有了明显改善。与干预前相比,实施抗生素管理指导框架后,家长对抗生素使用的错误知识/信息、消极态度和做法明显减少。结论:在提高护士的抗生素管理知识和抗生素管理活动方面,在提高儿童对抗生素使用的知识、信念和态度方面,在提高家长对抗生素使用的知识、态度和实践方面,"管理指导 "框架的后测效果优于前测效果。建议:护士应与医护团队合作,在所有儿科病房和门诊整合抗生素管理指导框架,以改善儿科患者的抗生素使用情况。
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引用次数: 0
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Egyptian Journal of Health Care
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