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Burden on Caregivers of Children with Autism Spectrum Disorder in El-Beheira Governorate 贝希拉省自闭症谱系障碍儿童照顾者的负担
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.331413
Nadia Ramadan Ragab Ahmed, Mariam Haggag soleiman, Lucy Ahmed AbuElEla, Hend Abo Elsoud Ahmed
Background: Caregiver of Children with Autism Spectrum (ASD) are experienced high level of stressors and burden due to lack of information related to ASD, lack of health service, lack of social support and financial problems which increase the caregiver burden. The aim of this study was to assess the burden experienced by caregivers of child with autism spectrum disorder in El-Beheira Governorate. Research design: a descriptive research design was used. Settings: This study was carried out at all governmental intellectual schools in El-beheira governorate and private centers for autism coping and rehabilitation in El-Beheira governorate . Subjects: this study was carried out on all caregivers of children with ASD at the previous mentioned setting were included into the study (110 caregiver) at 2019-2020 academic years . Data collection tools: data were collected using three tools: Tool (I): Stressors of caregiver having Children with Autism Interview Schedule. Tool (II): Caregiver burden scale. Tool (III): caregivers Adjustment pattern Adapted to modify their child behaviour. Results: The majority of the caregivers 90.8% were the mothers of the autistic child, about 75.2% had high level of physical and psychological stressors. About 46.6% of them had high level of social stressors, about (80%) of them had high level of marital stressors and about 100% of caregivers had high level of financial stressors. Also, about (97.3%) of them had high level of burden with mean percent score 83.75%. about (76.4%) of the caregiver had moderate level of adjustment. Conclusion: the study concluded that majority of the studied caregivers had high level of burden, they were vulnerable to health hazards as the majority of them had high level of physical and psychological burden because they the only provider of care for the autistic child and ignoring their health. Moreover, the majority of them were suffering from financial problems, as the cost of treatment of autism spectrum disorder is very high and endless rehabilitation process. Recommendations: Conduct health education campaigns in rural & urban areas about early sign and symptoms of ASD and benefits that result from early identification of sign and symptoms of ASD. Early case finding & screening of early sign and symptoms of autism spectrum disorder cases. Encourage small projects and provide opportunity for housewives to increase their income to help them in expensive treatment and the lifelong process of coping with autism
背景:由于缺乏与自闭症谱系障碍相关的信息、缺乏医疗服务、缺乏社会支持以及经济问题,自闭症谱系障碍儿童的照顾者承受着巨大的压力和负担,这些都加重了照顾者的负担。本研究旨在评估贝希拉省自闭症谱系障碍儿童照顾者所承受的负担。研究设计:采用描述性研究设计。研究地点本研究在贝希拉省的所有公立智力学校和贝希拉省的私立自闭症应对和康复中心进行。研究对象:本研究的研究对象是2019-2020学年上述环境中所有自闭症儿童的照顾者(110名照顾者)。数据收集工具:使用三种工具收集数据:工具(I):自闭症儿童照顾者压力访谈表。工具(II):照顾者负担量表。工具 (III):照顾者调整模式(Adjustment pattern),以改变其子女的行为。结果90.8%的照顾者是自闭症儿童的母亲,约 75.2%的照顾者有较大的生理和心理压力。约 46.6% 的照顾者有较大的社会压力,约 80% 的照顾者有较大的婚姻压力,约 100% 的照顾者有较大的经济压力。此外,约(97.3%)的照顾者有较高程度的负担,平均百分比为 83.75%,约(76.4%)的照顾者有中等程度的适应能力。结论:研究得出的结论是,大多数研究对象的照顾者都有较高的负担水平,他们很容易受到健康危害,因为他们是自闭症儿童的唯一照顾者,忽视了他们的健康,因此大多数照顾者都有较高的生理和心理负担。此外,由于自闭症谱系障碍的治疗费用非常高昂,而且康复过程无止境,他们中的大多数人都面临着经济问题。建议在农村和城市地区开展健康教育活动,宣传自闭症的早期征兆和症状,以及早期识别自闭症征兆和症状的益处。及早发现和筛查自闭症谱系障碍的早期症状和体征。鼓励开展小型项目,为家庭主妇提供增加收入的机会,以帮助她们支付昂贵的治疗费用和应对自闭症的终身过程。
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引用次数: 0
Effect of Vasectomy Counselling Program on Women's Knowledge, Attitude and Acceptance. 输精管结扎辅导计划对妇女知识、态度和接受程度的影响。
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.331155
Heba Ahmed Galal Atia, Fatma Ahmed Mohammed Sabry, Heba Atef Osman, Lamiaa Saad Abdallah, Zainab Abd El-Rahim Ali Mohamed
Background: Vasectomy is a safe and permanent method of contraception. However, it is not widely used in developing countries. Aim of the study : To assess the effect of vasectomy counselling program on women‘s knowledge, attitude and acceptance. Design : A quasi – experimental one group pretest-post-test design was utilized. Setting : The study was carried out at family planning clinic in the obstetrics and gynaecology department, Sohag University /Egypt. Sample: A convenient sample of 100 women was involved. Data collection tools: Three tools were used to collect data: Tool (I) Women’s personal data questionnaire, Tool (II) Women’s knowledge questionnaire regarding vasectomy, Tool (III) Women’s attitude and acceptance scale. Results: There was a highly statistical significant difference between pre and post total knowledge , attitude and acceptance scores of women to use vasectomy with P <0.001. Conclusion: The counselling programme had a significant positive effect on women's knowledge, attitude, and acceptance, as evidenced by an increase in total mean scores in post-tests compared to pre-test mean scores. Recommendations: Community awareness campaigns via all types of multimedia to provide accurate information about the vasectomy is highly recommended to increase awareness and dispel myths about vasectomy &raise vasectomy acceptance.
背景:输精管结扎术是一种安全、永久的避孕方法。然而,这种方法在发展中国家使用并不广泛。研究目的:评估输精管结扎术咨询项目对妇女的知识、态度和接受程度的影响。设计 :采用准实验性的一组前测-后测设计。环境:研究在埃及索哈格大学妇产科的计划生育诊所进行。样本:100 名妇女的方便样本。数据收集工具:使用三种工具收集数据:工具 (I):妇女个人资料问卷;工具 (II):妇女输精管结扎知识问卷;工具 (III):妇女态度和接受程度量表。结果妇女使用输精管结扎术前后的知识、态度和接受程度总分差异非常明显,P<0.001。结论咨询计划对妇女的知识、态度和接受程度有明显的积极影响,这体现在后测总平均分比前测平均分有所提高。建议强烈建议通过各种类型的多媒体开展社区宣传活动,提供有关输精管结扎术的准确信息,以提高人们对输精管结扎术的认识,消除对输精管结扎术的误解,并提高人们对输精管结扎术的接受程度。
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引用次数: 0
Relationship between Interprofessional Communication and Health Care Team Collaboration 跨专业交流与医疗团队合作之间的关系
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.330165
Asmaa Saad Abd Elmonem Elsharkawy, Reem Mabouk Abd El-Rahman, Mervat Abd Elmonem Aref, Mayada Hassan Saad Elzohairy
Background: One of the hospitals strategies to improve safety and enhance the quality of patient care, through the visible collaboration and strong communication among staff nurses and resident physicians working in ICU to maintaining a safe and effective therapeutic environment. Aim: to examine the relationship between interprofessional communication and health care team collaboration. Methods: A descriptive, correlational research design was conducted at Damanhour Chest hospital and Damanhour Fever hospital, at EL-Beheira Governate-Egypt. Subjects: It is composed of two groups: staff nurses (n=160) and resident physicians (n=30). Tools : 1) Interprofessional Communication Questionnaire (ICQ), and 2) Assessment of Interprofessional Team Collaboration Scale (AITCS). Results: There were highly statistically positive significant correlations between interprofessional communication dimensions (openness, accuracy, timeliness and understanding) and collaboration dimensions (partnership/ shared decision making, cooperation and coordination), where (P= 0.00). Conclusion: There were highly positive significant relationships was found between physicians and nurses in relation to interprofessional communication and team collaboration. Recommendations: developing strategy to improve nurse/physician communication and collaboration, the themes could be used to design learning activities for nursing and resident physicians, including discussions, simulations, and role playing.
背景:通过在重症监护室工作的护士和住院医师之间明显的合作和强有力的沟通来维持一个安全有效的治疗环境,是医院改善安全和提高患者护理质量的策略之一。目的:研究跨专业沟通与医疗团队协作之间的关系。方法:描述性相关研究:在埃及EL-Beheira省的达曼胡尔胸科医院和达曼胡尔发热医院进行描述性、相关性研究设计。研究对象由两组人员组成:护士(人数=160)和住院医生(人数=30)。工具:1)跨专业沟通问卷(ICQ);2)跨专业团队协作量表(AITCS)。结果专业间沟通维度(开放性、准确性、及时性和理解)与协作维度(伙伴关系/共同决策、合作与协调)之间存在统计学意义上的高度正相关(P= 0.00)。结论发现医生和护士之间在跨专业沟通和团队协作方面存在非常积极的重要关系。建议:制定改善护士/医生沟通与合作的策略,可利用这些主题为护士和住院医生设计学习活动,包括讨论、模拟和角色扮演。
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引用次数: 0
Effect of Whats App's Education regarding Wound Massage on Post-Thyroidectomy Patients Wound Adhesion and Voice Changes Whats App 的伤口按摩教育对甲状腺切除术后患者伤口粘连和声音变化的影响
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.330179
Badria Mahrous Abdelhameed Mohammed, Amany Gamal El Gharieb Mohammed El-berdan, Hanan Kheir Abd Ellatif Elmowafi, Manal Mohamed Ahmed Ayed, Amira Tag Mohamed Mohamed
Background : Neck discomfort and voice change are common complications after thyroidectomy. These symptoms might be due to damaged laryngeal nerves, intrinsic structures, or extra laryngeal muscles. They can also occur without injury to any structure as with wound adhesion after thyroidectomy. This study aimed to determine the effect of Whats App's education regarding wound massage on post-thyroidectomy patients' wound adhesion and voice changes. Design : A quasi-experimental research design was used to accomplish this study (study/ control). Setting : The study was carried out at the General Surgical Department and General Surgical Outpatient Clinic at Sohag University Hospital, Egypt. Subjects : A convenient sampling technique of 50 post-thyroidectomy patients within six months, admitted to the previously mentioned setting were divided into two groups as study (n = 25) and control (n = 25). Tools : Data was collected by using four tools; Tool (I): A structured interview questionnaire, Tool (II): The patient and observer scar assessment scale (POSAS), Tool (III): Voice Handicap Index (VHI-10) questionnaire & Tool (IV): Compliance assessment sheet. Results : The present study revealed that Following the application of Whats App's wound massage education (2 and 4 weeks postoperatively), there were highly statistically significant differences regarding wound adhesion between the two groups (P-value <0.001**) .Following the application of Whats App's wound massage education (2 and 4 weeks postoperatively), there were highly statistically significant differences in voice changes between the two groups (P-value <0.001**) . Also, there were highly statistically significant differences between study and control groups regarding post-thyroidectomy patients' wound adhesion and voice changes after applying the Whats App's education regarding wound massage (2 and 4 weeks postoperatively) (P-value<0.001**). Conclusion : The application of Whats App's education regarding wound massage post-thyroidectomy significantly reduced wound adhesion and improved voice changes in the study group compared to the control group. Recommendations : wound massage is recommended to be an integral part of the pre-operative nursing teaching for patients undergoing thyroidectomy. There is a need to develop comprehensive simple Arabic printed educational materials that can be a reference for them.
背景:颈部不适和变声是甲状腺切除术后常见的并发症。这些症状可能是由于喉神经、固有结构或喉外肌肉受损所致。这些症状也可能在甲状腺切除术后伤口粘连的情况下发生,而不会对任何结构造成损伤。本研究旨在确定 Whats App 有关伤口按摩的教育对甲状腺切除术后患者伤口粘连和嗓音变化的影响。设计 :本研究采用准实验研究设计(研究/对照)。地点:研究在埃及索哈格大学医院普通外科和普通外科门诊进行。研究对象 :采用方便抽样技术,将在上述地点住院的 50 名甲状腺切除术后六个月内的患者分为两组,即研究组(n = 25)和对照组(n = 25)。工具使用四种工具收集数据:工具(I):工具(一):结构化访谈问卷;工具(二):患者和观察者疤痕评估量表;工具(三):患者和观察者疤痕评估量表:患者和观察者疤痕评估量表(POSAS),工具(III):嗓音障碍指数(VH):嗓音障碍指数 (VHI-10) 问卷和工具 (IV):依从性评估表。结果:本研究显示,在使用 Whats App 进行伤口按摩教育后(术后 2 周和 4 周),两组患者在伤口粘连方面的差异具有高度统计学意义(P 值<0.001**);在使用 Whats App 进行伤口按摩教育后(术后 2 周和 4 周),两组患者在嗓音变化方面的差异具有高度统计学意义(P 值<0.001**)。此外,在应用Whats App的伤口按摩教育后(术后2周和4周),研究组和对照组在甲状腺切除术后患者的伤口粘连和嗓音变化方面的差异也具有高度统计学意义(P值<0.001**)。结论:与对照组相比,研究组在甲状腺切除术后应用 Whats App 的伤口按摩教育显著减少了伤口粘连,改善了嗓音变化。建议:建议将伤口按摩作为甲状腺切除术患者术前护理教学的一个组成部分。有必要编写简明扼要的阿拉伯语印刷教材,供患者参考。
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引用次数: 0
The Relationship between Ambidextrous Leadership Behavior and Career Competencies among Nurses 护士的双面领导行为与职业能力之间的关系
Pub Date : 2023-12-01 DOI: 10.21608/ejhc.2023.331431
Rasha Mohamed Nagieb Ali, Faten Ali Ahmed, Ebtsam Ahmed Mohamed Bashandy
Background: Fostering creativity and adaptation in a healthcare setting is linked to ambidextrous leadership. Educators who support inquiry can assist nurses in acquiring the skills necessary to accept change, integrate new technology, and apply creative methods to patient care. The aim of the study: To identify the relationship between ambidextrous leadership behavior and career competencies among nurses. Subject and method: A descriptive correlational study design that had been used. Setting: Minia General Hospital served as the study's site. Subject : The current study's convenience sample consisted of all 331 staff nurses at Minia General Hospital. Tools of data collection: 1 st tool: Demographic data sheet, 2 nd tool: Ambidextrous leadership behavior scale, and 3 rd tool: Nurse Career Competence Questionnaire. Results: (58.3) percent of Minia general hospital nurses exhibited "moderate" responses toward ambidextrous leadership behavior. In addition, (57.7) percent of nurses exhibited "moderate" responses toward career competencies . Conclusion: There was a positive correlation between ambidextrous leadership behavior and career competencies. Recommendations: Programs for developing leaders that concentrate on ambidextrous leadership should be supported by healthcare organizations.
背景:在医疗环境中培养创造力和适应能力与双向领导力有关。支持探究的教育者可以帮助护士掌握必要的技能,以接受变革、整合新技术并将创造性方法应用于患者护理。研究目的确定护士的双向领导行为与职业能力之间的关系。研究对象和方法采用描述性相关研究设计。研究地点:米尼亚综合医院米尼亚综合医院作为研究地点。研究对象:本研究的方便抽样包括米尼亚综合医院的所有 331 名护士。数据收集工具:第 1 种工具:人口统计学数据表,第 2 种工具:第 3 种工具:护士职业能力问卷:护士职业能力问卷。结果:米尼亚综合医院(58.3%)的护士对双面领导行为的反应为 "中等"。此外,(57.7%)的护士对职业能力表现出 "中等 "反应。结论双面领导行为与职业能力之间存在正相关。建议医疗机构应支持培养领导者的计划,这些计划应着重于双面领导力。
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引用次数: 0
The Impact of BETTER Model-Based Counselling on Postpartum Women's Emotional Status Having Sexual Dysfunction 基于 BETTER 模式的咨询对产后妇女情绪状态和性功能障碍的影响
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.326056
Ghada Ahmed Ghazi Mohamed, Howaida Amin Hassan Fahmy Elsaba, Amaal Samir Abdelmaksoud, Manal Ahmed Mohamed Ismail, Rasha Kamal Mohamed sweelam
Background : After childbirth, sexual dysfunction is frequent in women and may be linked to stress, anxiety, and depression. Most of these issues are treatable in their early stages using various counselling techniques. Aim : to determine the impact of BETTER model-based counselling on postpartum women's emotional status having sexual dysfunction. Design : A quasi-experimental study design was used. Setting : The research was carried out in the outpatient clinic of the Obstetrics and Gynecology department in Sohag University Hospital, Egypt. Sampling: For the study, a purposive sample of 100 women with sexual dysfunction was involved and was divided equally into two groups (study and control) and each group included 50 women. Tools : three different tools were used to collect the data: Personal data assessment sheet, The Depression, Anxiety, and Stress Scale (DASS), and the female sexual function index (FSFI). The results : The study's findings revealed that there was a high statistically significant difference in mean scores of total Female sexual functions among study and control groups post BETTER model application (P < 0.001), there was a statistically significant difference between both groups in total mean score of Depression, Anxiety, and Stress after application of BETTER model (P ≤ 0.05) and (P < 0.001)) in addition, there was a statistical significant positive correlation between total female sexual function and total Depression, Anxiety, and Stress score among study group after application of BETTER model (P ≤ 0.05) and (P < 0.001). Conclusion : The application of the counseling-based BETTER model significantly reduces depression, anxiety, and stress among postpartum women having sexual dysfunction . Recommendation : A BETTER sexual counseling model should be established to reduce depression, anxiety, and stress among postpartum women having sexual dysfunction.
背景:分娩后,女性经常会出现性功能障碍,这可能与压力、焦虑和抑郁有关。这些问题大多可在早期阶段通过各种辅导技术得到治疗。目的:确定基于 BETTER 模式的咨询对产后妇女性功能障碍情绪状态的影响。设计 :采用准实验研究设计。环境:研究在埃及索哈格大学医院妇产科门诊进行。抽样:在研究中,有目的性地抽取了 100 名患有性功能障碍的妇女,并将其平均分为两组(研究组和对照组),每组包括 50 名妇女。工具:使用三种不同的工具收集数据:个人数据评估表、抑郁、焦虑和压力量表(DASS)以及女性性功能指数(FSFI)。结果:研究结果表明,应用 BETTER 模型后,研究组和对照组在女性性功能总平均分上的差异有统计学意义(P < 0.001),应用 BETTER 模型后,两组在抑郁、焦虑和压力总平均分上的差异有统计学意义(P ≤ 0.05)和(P < 0.001)),此外,应用 BETTER 模式后,研究组女性性功能总分与抑郁、焦虑和压力总分之间存在统计学意义上的正相关(P ≤ 0.05)和(P < 0.001)。结论:应用基于咨询的 BETTER 模式可显著降低产后性功能障碍妇女的抑郁、焦虑和压力。建议:应建立 BETTER 性咨询模式,以减少产后性功能障碍妇女的抑郁、焦虑和压力。
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引用次数: 0
Effect of Educational Program Based on PRECEDE PROCEED Model on Mothers’ Performance Regarding Care of Children with Asthma 基于 PRECEDE PROCEED 模型的教育计划对母亲照顾哮喘儿童表现的影响
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.326186
Seham Mohammed Abd-El Aziz, Amal A. Abdel-Salam, Maha Elsayed Al arabie, Sabah Mohamed El sayed Sharshour
Background : Bronchial asthma is one of the most common chronic diseases among children and adolescents. Parents have an essential role in management of children‟s with asthma. Therefore, mothers should gain large knowledge that enable them to identifying the risk factor particular for each child and bypass them as a strategy for secondary prevention to control asthma attacks. The aim of the study: to evaluate the effect of the educational program based on PRECEDE – PROCEED model application on mothers ’ performance regarding care of their children with asthma. Research design: A quasi-experimental (pre/post-test) design. Setting: The current study was conducted in Pediatric Medical Departments at Benha University Hospital. Tools of data collection: Tool (I): A structured interview Precede questionnaire sheet . This instrument was divided into four parts: Part (1): Personal characteristics of the mothers, part (2): Characteristic of the children, part (3): Medical history of studied children and part (4): Asthma characteristics of the studied children and their sensitivity. Tool (II): Assessment sheet for predisposing factors. It was divided into three parts. Part (1): Mothers’ knowledge about asthma and its treatment, part (2): Mothers’ reported practice regarding care of children with asthma, part (3): Mothers’ attitude toward children with asthma. Tool (III): Reinforcement factors assessment Sheet. Tool (IV): Enabling factors assessment Sheet. Results: there was a highly statistically significant positive correlation between total mothers‟ knowledge, reported practice, reinforcing, enabling factors, and attitude according to care of their children suffering from bronchial asthma thorough Precede Proceed phases (P < 0.001). Conclusion: Based on the result of the current study, it was concluded that, the educational program based on PRECEDE-PROCEED Model is an effective method in planning and providing health education to improve mothers’ knowledge, reported practices and attitudes regarding care of their children with asthma and promoting enabling and reinforcing factors that support prevention and control trigger of asthma among them. Recommendation: Educational training programs about asthma should be conducted at primary health care settings and hospitals for parents to understand and know how to deal with asthma as a chronic disease in order to overcome challenges of asthma control.
背景:支气管哮喘是儿童和青少年中最常见的慢性疾病之一。父母在儿童哮喘的管理中起着至关重要的作用。因此,母亲应掌握大量知识,以便识别每个孩子的特定风险因素,并将其作为二级预防策略,控制哮喘发作。研究目的:评估基于 PRECEDE - PROCEED 模型应用的教育计划对母亲照顾哮喘患儿表现的影响。研究设计:准实验(前/后测试)设计。研究环境:本研究在本哈大学医院儿科进行。数据收集工具:工具 (I):结构化访谈前问卷表。该工具分为四个部分:第(1)部分:母亲的个人特征,第(2)部分:儿童的特征,第(3)部分:被调查儿童的病史,第(4)部分:受试儿童的哮喘特征及其敏感性。工具 (II):易感因素评估表。它分为三个部分。第(1)部分:母亲对哮喘及其治疗的了解,第(2)部分:第(3)部分:母亲对哮喘患儿的态度:母亲对哮喘儿童的态度。工具(III):强化因素评估表。工具(IV):有利因素评估表。结果:母亲对支气管哮喘患儿的知识、实践、强化因素、有利因素和态度之间存在高度统计学意义上的正相关(P < 0.001)。结论根据本次研究的结果,得出的结论是:基于 PRECEDE-PROCEED 模型的教育计划是一种有效的方法,可用于规划和提供健康教育,以改善母亲们在照顾哮喘患儿方面的知识、报告的做法和态度,并促进支持预防和控制哮喘的有利因素和强化因素。建议应在基层医疗机构和医院开展有关哮喘的教育培训计划,让家长了解并掌握如何应对哮喘这一慢性疾病,从而克服哮喘控制方面的挑战。
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引用次数: 0
Perceived Social Support, Quality of Life, and Anxiety of Child Birth among Primigravida Women 初产妇的社会支持感、生活质量和分娩焦虑症
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.328037
Asmaa eid abd always Hassan, Heba TAllah ELAShmawy Mohamed Shaban, Naema Omer Mahmoud Mohamed
Background : Anxiety about childbirth among primigravida women has a negative effect on the quality of life of pregnant women. Perceived social support plays a vital role in improving the psychological well-being of pregnant women by enhancing women's ability to cope with stressful situations. Purpose : To assess perceived social support, quality of life, and anxiety about childbirth among primigravida women. Design : cross-sectional research Sample : A purposeful sample consisting of 74 pregnant women Setting : Outpatient maternity clinics at El-Manial Hospital, Cairo University. Tools : Sociodemographic Data Sheet, Multidimensional Scale of Perceived Social Support (MSPSS), Pregnant Women's Anxiety of Childbirth Questionnaire, Quality of Life Questionnaire Results : The mean age of the study sample was M±SD=21.9±3.7 years, less than half (48.6%) had secondary education, while few (5.4%) of them were illiterate. The majority were housewives (73.0%), reported a low income (81.1%(and living in rural areas ( 55.4 %). Regarding the correlation matrix of the studied variables, there are highly negative significant correlations between perceived social support and anxiety of childbirth among the primigravida women at (r = - 0.41 and p= 0.00*) and there is a highly significant correlation between perceived social support and quality of life at (r= 0.34 and p= 0.002*). While there is no significant correlation between anxiety about childbirth and quality of life among primigravida women. Conclusion : The majority of the studied sample had a moderate level of perceived social support and quality of life. All of the studied samples had a high level of anxiety about childbirth. There were highly negative and significant correlations between perceived social support and anxiety about childbirth among primigravida women, and there is a highly significant correlation between perceived social support and quality of life. Recommendation : Establish educational centers and hotlines for increasing family awareness about the importance of social support and quality of life for pregnant women
背景:初产妇对分娩的焦虑会对孕妇的生活质量产生负面影响。感知到的社会支持可提高妇女应对压力环境的能力,从而在改善孕妇心理健康方面发挥重要作用。目的:评估初产妇感知到的社会支持、生活质量和分娩焦虑。设计:横断面研究 样本:由 74 名孕妇组成的有目的的样本 背景:开罗大学 El-Manial 医院的产科门诊。工具:社会人口学数据表、感知社会支持多维量表(MSPSS)、孕妇分娩焦虑问卷、生活质量问卷 结果:研究样本的平均年龄为(M±SD)=21.9±3.7 岁,不到一半(48.6%)的人受过中等教育,少数人(5.4%)是文盲。大多数人是家庭主妇(73.0%),收入较低(81.1%),居住在农村地区(55.4%)。关于研究变量的相关矩阵,初产妇感知到的社会支持与分娩焦虑之间存在高度负相关(r=-0.41,p= 0.00*),感知到的社会支持与生活质量之间存在高度显著相关(r= 0.34,p= 0.002*)。而初产妇的分娩焦虑与生活质量之间没有明显的相关性。结论:大多数研究样本的社会支持感和生活质量处于中等水平。所有研究样本对分娩的焦虑程度都很高。在初产妇中,感知到的社会支持与分娩焦虑之间存在高度负相关和显著相关,而感知到的社会支持与生活质量之间存在高度显著相关。建议:建立教育中心和热线,提高家庭对孕妇社会支持和生活质量重要性的认识
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引用次数: 0
Effect of Evidence-Based Nursing Care on Quality of Sexual Life among Women with Stress Urinary Incontinence 循证护理对压力性尿失禁妇女性生活质量的影响
Pub Date : 2023-09-01 DOI: 10.21608/ejhc.2023.328542
Amera B Rashed, Ashour, Amal K. Khalil, Amira Magdy, Ashrey Elsehemy
Background : Intimate relationships depend heavily on sexual activity, which is an essential component of overall health. Evidence-based nursing care has emerged as a valuable approach to improve the health of patients and enhancing the standard of management. Purpose: To investigate the effect of evidence-based nursing care on the quality of sexual life among women with stress urinary incontinence. Research design : A pair of groups (which consist of a study group alongside the control group) participated in a quasi-experimental research design. Setting : Menoufia University Hospital and Shebin El-Kom Teaching Hospital's obstetrics and gynecological outpatient clinics served as the study's settings. Sample: A purposive sample of 88 women was selected. Instruments: The Incontinence Severity Index, Female Sexual Function Index, and Sexual Quality of Life-Female were used, along with a structured interview questionnaire. Results : The study's findings demonstrated that, prior to the intervention, there was no statistically significant change in the female sexual function index between the study and control groups. However, there was a statistically significant difference in the study and control groups' scores of the female sexual function index after three and six months of the intervention. Furthermore, after three and six months of the intervention, there was a statistically significant difference in the quality of sexual life scores between the study group and the control groups, compared to before the intervention. Conclusion: According to the study's findings, women with stress urinary incontinence could have better sexual experiences when they received evidence-based nursing care. Recommendations: Provide comprehensive education about stress urinary incontinence, its impact on sexual life, and available treatment options.
背景:亲密关系在很大程度上取决于性活动,而性活动是整体健康的重要组成部分。循证护理已成为改善患者健康和提高管理水平的重要方法。目的:探讨循证护理对压力性尿失禁女性性生活质量的影响。研究设计 :一对小组(由研究组和对照组组成)参与准实验研究设计。研究地点:梅努菲亚大学医院和谢宾埃尔科姆教学医院的妇产科门诊部。样本:有目的性地抽取了 88 名妇女。研究工具使用尿失禁严重程度指数、女性性功能指数、女性性生活质量以及结构化访谈问卷。结果:研究结果表明,在干预前,研究组和对照组的女性性功能指数在统计学上没有显著变化。然而,在接受干预 3 个月和 6 个月后,研究组和对照组的女性性功能指数得分在统计学上有显著差异。此外,在干预 3 个月和 6 个月后,研究组和对照组的性生活质量得分与干预前相比也有显著差异。结论根据研究结果,患有压力性尿失禁的女性在接受循证护理后,可以获得更好的性体验。建议:提供有关压力性尿失禁、其对性生活的影响以及现有治疗方案的全面教育。
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引用次数: 0
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
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Egyptian Journal of Health Care
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