Relation between Nutritional Status and Chronic Diseases among Elderly at Assiut City
Shimaa
Aly
community heath,faculty of nursing,Assiut university, Assiut city
author
Saieda
Abd Elhameed
1. Lecturer, Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Shimaa
Hassan Abd-Elfatah
Lecturer, Gerontological Nursing, Faculty of Nursing- Sohag University, Egypt.
author
, Naglaa
Saad Abd El-aty
Assistant Professor of Community Health Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2020
eng
The occurrence of chronic diseases weakens the activity of the elderly and affects the nutritional status which exposes them to the risk of malnutrition as a result of poor health. The study aimed to assess the relation between nutritional status and chronic diseases among elderly at Assiut City. Subject and method: Descriptive cross sectional research design, Convenient sample were used in this study. The study was conducted on 1033 patients in outpatients' clinics at main Assiut university hospital. The study included two tools; the first included socio-demographic, medical history, nutritional habits and oral health, while the second mini-nutritional assessment scale. Results: 59.5% of the studied sample suffering from hypertension, while 36.5%, 37.4%of them had diabetes mellitus and orthopedic diseases respectively,and 65.1% of studied sample had mild Charlson Comorbidity Index (CCI). Also 63.1% of studied sample at risk for malnutrition, and 30.7% were well-nourished. The study concluded that There were a significant relation between mini-nutritional assessment scale and different chronic diseases. The study Recommended that: Establish periodically nutritional assessment of elderly to identify at risk by using Mini-Nutritional Assessment scale and develop continuous health education program for elderly and their caregiver about nutritional need specifically with chronic diseases.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
1
14
https://asnj.journals.ekb.eg/article_98983_3cbc7c97877b44361572f2dd0dcb1061.pdf
dx.doi.org/10.21608/asnj.2020.27915.1008
Effect of Educational Program Regarding Brucellosis Among Blood Donors at Assiut University Hospital’s Blood Bank
Fatma
Khalaf
Lecturer of Family and Community Health Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Doaa
Abd Elkareem
Lecturer of Clinical Pathology, Faculty of Medicine, Assiut University, Egypt.
author
Safaa
Osman
Lecturer of Family and Community Health Nursing, Faculty of Nursing, Assiut University, Egypt
author
text
article
2020
eng
Brucellosis is a serious community health problem and endemic disease in Egypt in both animal and human.Community health nurse had vital role to prevent & control of brucellosis. Aims: to evaluate the effectiveness of the educational program about brucellosis among blood donors. Methodology: Quasi experimental design was used. This study was carried out at the main University hospital’s blood bank in Assiut. The studied sample selected by simple random sample who was 300 blood donors. An interview questionnaire was used which included their socioeconomic characteristics. Also, pretest was done by questions regarding knowledge, attitude and their reported practices about brucellosis to assess the effectiveness of the educational program through immediate posttest. Blood sample was collected from all blood donors and analyzed by the enzyme linked immunosorbent assay (ELISA) test to detect the positive cases Results: According to their residence all the studied sample from rural areas. The prevalence of brucellosis was 16 % among them. Regarding knowledge of studied blood donors about brucellosis, in pre test the mean score was 10.37±5.20 while after implementing the educational program the mean score increased to 27.37±2.37 with highly significant differences (P value= <0.001).The mean score of reported practices and attitude were(1.9±1.14, 13.31±2.05) respectively. Conclusion: Brucellosis is a community health problem in Assiut Governorate. The blood donors’ knowledge, attitude and practices were mostly poor and after completion of the program a significant improvement were achieved in the blood donors’ knowledge. Recommendation: Further researches are needed to update the individuals’ knowledge, positive attitude and appropriate practices about brucellosis.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
15
24
https://asnj.journals.ekb.eg/article_99395_0715afc94bcc5265adbde1457fb33763.pdf
dx.doi.org/10.21608/asnj.2020.27822.1006
Assessment of psychosocial and demographic characteristics related to relapse in schizophrenic patients in psychiatric hospital of Assiut university.
Rasha
Abdel-Harse Amin
psychiatric and mental health nursing faculty of nursing assuit university assuit eygpt
author
Ahmed
Abdel Bakey Abdel Rahman
Assistant Professor of Neurology and Psychiatry, Faculty of Medicine- Assiut University, Egypt.
author
Nadia
Abd Elghany Abd Elhameed
Assistant Professor of Psychiatric& Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Manal
Abo Elil Abo Elghiet
Lecturer of Psychiatric & Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2020
eng
Relapse among schizophrenic patients is a major challenge for mental health service providers in Egypt. Relapse has negative consequences and it can affect to patients, their families, the mental health care providers and the country's economy. The study aimed toassess psychosocial and demographic characteristics associated with relapse in schizophrenic patients. Subjects and Method: Adescriptive correlational research design was used in this study. purposive sample were utilized , consisting of 100 patients who have schizophrenia and accepted to share in the study. Tools of the study inculde personal data, socio economic assessment scale and a specially designed semi-structured scale of relapse factors. Results: The participants consisted of 100 patients (58 males, 42 females), high statistically significant relation was found between socio economic level and age group "(p= 0.007), no statistically significant relation was noticed between relapse factors and socio economic level. There is a negative correlation between social stigma and gender. The study concluded that there was a highly statistically significant relation between socio economic level and age group "(p= 0.007). ,However there wasn't statistically significant relation between relapse factors and socio economic level, negative correlation between social stigma and gender Recommendation, Primary mental health care must be enhanced to prevent relapse among mentally ill patients, further studies are needed to investigate these factors on larger sample size with another tools and different settings
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
25
33
https://asnj.journals.ekb.eg/article_98059_a2043b2354fb36cc3ad4fd96063b5262.pdf
dx.doi.org/10.21608/asnj.2020.28086.1010
Assessment of Respiratory Functions among the Elderly with Chronic Obstructive Pulmonary Disease on their Knowledge and Practice at the Main University Hospital in Assuit City
Martha
Labieb
Gerontological Nursing- Faculty of Nursing- Assuit University- Assuit city
author
Safaa
A. Mohamed
Professor of Community and Family Health Nursing, Faculty of Nursing, Assuit University, Egypt.
author
Nermeen
M. Abd El-Aziz
Assistant professor of Gerontological Nursing, Faculty of Nursing, Assuit University, Egypt..
author
Ali.
A. Hassan
Assistant professor of Chest Diseases &Tuberculosis, Faculty of Medicine, Assuit University, Egypt.
author
Heba
M. Fahmy
Lecturer of Gerontological Nursing, Faculty of Nursing, Assuit University, Egypt
author
text
article
2020
eng
Background: Chronic Obstructive Pulmonary Disease (COPD) is a common lung disease that interferes with basic functions of elderly breathing. Aim: to assess the respiratory functions among the elderly with COPD on the irk now ledge and practice. Subjects and methods: Descriptive cross sectional research design was used to conduct this study in Chest Departments at the Main Assuit University Hospital. Purposive sample of 169COPD elderly was participated. Three tools were used includes: 1st tool: Elderly assessment sheet, it includes two parts (Socio-demographic& health history and Bristol COPD knowledge assessment sheet), 2nd tool: Observational checklists used to assess the practice of elderly: (breathing & coughing exercise, inhaler technique) and 3rd tool: Respiratory functions assessment sheet used to evaluate the (dyspnea grade, oxygen saturation, respiratory rate and peak flow meter). Results: The main age of studied sample 65.50±5.16 (60-78), 73.4% were male and 70.4% were smokers. The vast majority of studied sample had poor knowledge & practice with impaired in respiratory functions. Conclusion: Vast majority of the studied elderly had poor knowledge & practice which had negative impact on respiratory functions. Recommendations: Health education program for elderly with COPD to improve their knowledge & practice and respiratory functions is very essential to manage their disease.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
34
45
https://asnj.journals.ekb.eg/article_98058_fe7206f9c00ccb85f5accc62ebb4f5ec.pdf
dx.doi.org/10.21608/asnj.2020.27658.1004
Knowledge and Attitudes of Health Care Team towards AIDs Patients at Assiut Fever Hospital
Mary
Fakher
Community Health Nursing, faculty of nursing, Assiut University
author
Safaa
Mahmoud
Assistant Professor of Community Health Nursing Assiut University, Egypt
author
Fatma
Khal
Lecturerof Community Health Nursing Assiut University, Egypt.
author
text
article
2020
eng
Background: Health-care professionals occupy a potential forefront position in HIV/ AIDS prevention programs and the management of AIDS patients. Aim of the study: to assess knowledge and attitudes of health care team at Assiut Fever Hospital towards AIDs Patients. Material and Methods: A cross sectional study was conducted at Assiut Fever Hospital. A convenient sample of 202 of health care team participated in the study. Self-administered questionnaire used for data collection it include three sections; 1- socio-demographic characteristics. 2- Questions regarding knowledge about AIDs. 3- Attitudes of health care team towards AIDs Patients. Results: the study revealed that 66.3% of studied participants were females, 47% had ten years or more, 56.4%of the studied health care team had attending training about AIDs, while 73.3% of them are dealing with AIDS patients as a part of work.44.6% of studied health care team had good knowledge about AIDS and 63.9% of them had negative attitude towards AIDS patients. Conclusions: Although the health care team had a good level of knowledge; they had negative attitudes towards AIDs Patients. Recommendation: Continuing in-service trainings on HIV/AIDS for health care team is needed.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
46
56
https://asnj.journals.ekb.eg/article_98061_e698982fcbee85c9beded03bda73aead.pdf
dx.doi.org/10.21608/asnj.2020.28991.1015
Relationship between Nurses' Work Life Interference and Job Performance
Heba
Ali
Nursing administration,faculty of nursing,assuit university,assuit,egypt
author
Fatma
Mohamed
Professor of Nursing Administration, Faculty of Nursing, Assiut University, Egypt
author
Soad
Ghallab
Assist. Professor of Nursing Administration, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2020
eng
Introduction: Many healthcare employees are dissatisfied with their job and working conditions. Frequently, their job dissatisfaction involves stressful situations that result in work-related illness, long-term absenteeism and lack of performance Aim: Assess the relationship between nurses work life interference and job performance Study design: A descriptive research design was used. Setting: The study conducted in General ICU at Assuit University Hospital. Subject and Method: The study subject consisted of (44) nurse working in General ICU at Assuit University Hospital. The data collected through self administered questionnaire which includes personal characteristics data, Work Interference with Personal Life Scale, and Observational Performance Checklist tool. Results: More than half of the studied nurses reported they are all the time put personal life on hold for work, job performance level of the studied nurses was satisfactory and there was no statistical significance difference between nurses' personal data and studied variables Conclusion: There was a significant negative correlation between nurses' work life interference and job performance. Recommendations: Formulate a team-based management and training for all departments, and nurse manager should use democratic leadership style in supervision to increase nurses' commitment.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
57
64
https://asnj.journals.ekb.eg/article_99777_7bd206859b55fc5c3833ba3765b96315.pdf
dx.doi.org/10.21608/asnj.2020.27804.1007
Role Clarity as a Predictor of Nurses’ Job Satisfaction
Fatma
Mohamed
Professor of Nursing Administration, Faculty of Nursing, Assiut University, Egypt
author
Eman
Hossny
Nursing administration department, faculty of nursing,Assiut University, Egypt
author
text
article
2020
eng
Background: Job satisfaction affected positively by role clarity and in turn job satisfaction adds positive effect to nurse’s roles and responsibilities. When employees and employers are satisfied with their jobs, this will make them committed to their organizations and in turn contributes to organizational success. Aims: To explore the relation between role clarity and job satisfaction among nurses and the relations between nurses' personal characteristics data, role clarity, and job satisfaction. Design: A descriptive correlational design was used. Subject and Method: The study was carried out at Medical and Surgical Departments at Assiut University Hospital, total number (141 nurse) (62) in Surgical and (79) in Medical. Using three tools, Personal characteristics data sheet, Role clarity questionnaire, and Job satisfaction questionnaire. Results: Causes of role ambiguity has the highest mean score (32.72±5.22). Nurses perception about role clarity correlated positive with job satisfaction dimensions of communication and relations (0.293**). Communication and relations correlated positive with educational qualification and marital status (0.020 and 0.005) respectively. Conclusions: Nurses are aware of causes of role ambiguity, and nurses' perception about role clarity correlated positive with job satisfaction dimension of communication and relations. Recommendations: During orientation period at the time of employment clearly define job description, job specification, and job classification that will reflect positive on their job satisfaction and general moral, and emphasis on educational preparation of diploma nurses with more courses and guidelines on how to understand their roles and responsibilities.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
65
73
https://asnj.journals.ekb.eg/article_99778_98fd780d93e985b9960066c65b188a52.pdf
dx.doi.org/10.21608/asnj.2020.29533.1016
Effect of Educational Nursing Program on Performance and Self-efficacy of Females Undergoing Mastectomy
Eman
Hashem
assistant lecturer,medical-surgical nursing, faculty of nursing, assiut university
author
Zeinab
Abd El-Lateef Mohammed
Professor of Medical- Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Mahmoud
Thabet Ayoub
Lecturer of General Surgery, Faculty of Medicine, Assiut University, Egypt.
author
Samia
Youssef Sayed
Assistant professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2020
eng
Background: Breast cancer and its treatment lead to physical and psychological problems. So, nurses are responsible to identify patients’ needs, then identify the appropriate nursing diagnosis and initiate plans for care based on such needs. Aim: To evaluate the effect of educational nursing program on performance and self-efficacy of females undergoing mastectomy. Patients and Methods: A quasi-experimental research design was utilized in this study. It was conducted in the general surgery wards, and follow up was carried out in oncology and general surgery out patient clinics at Assiut University Hospital and South Egypt Cancer Institute. A convenient sample of sixty adult female patients undergoing mastectomy, their ages ranged from 20 to 65years old . Patients were divided into two equal groups (study and control) thirty patients for each. Tools: Three tools were utilized in this study for data collection; Tool (I): Knowledge assessment questionnaire, Tool (II): Observation checklist, and Tool (III): General self-efficacy scale. Results: A highly statistically significant improvement was found in the study group regarding their performance and self efficacy post-program implementation than pre-program with P-value <0.001**. Conclusion: Application of educational nursing programs had a positive effect on performance and self-efficacy of females undergoing mastectomy. Recommendations: distribution of the educational booklet in the general surgery department and clinic for females undergoing mastectomy based on their needs assessment to improve their outcomes.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
74
83
https://asnj.journals.ekb.eg/article_101001_0a833e5350dc981fdd3e18c3825818b9.pdf
dx.doi.org/10.21608/asnj.2020.28463.1013
First Line Nurse Managers′ Attributes and Work Stress Levels at Assiut University Hospitals
noura
esmail
nursing administration, faculty of nursing. assiut university
author
Samah
Abdalla
Prof of Nursing Administration, Faculty of Nursing Assiut University, Egypt.
author
Amal
Mohamed
Assist. Prof of Nursing Administration, Faculty of Nursing Assiut University, Egypt.
author
text
article
2020
eng
Background: Not all the first line nurse managers have the same levels of leadership attributes so that being effective or ineffective nurse managers depends on the level of attributes she/he has. Aim: Determining the first line nurse managers′ attributes and work stress level. Study design: Descriptive research design was used. Setting: Conducted at Assiut University Hospitals. Subject: First line nurse managers no.= 77 Methods: The data were collected using two tools; I- Structured self-administer questionnaire including; a) Personal data sheet, b) Assertiveness scale, c) Personal accountability checklist, d) Johari Window Questionnaire, and e) Protective Nursing Advocacy Scale II- Perceived work stress scale. Results: The study revealed that the highest percent of the first line nurse managers were not-assertive (72.7%), having high level of accountability (59.8%), had open level of awareness (16.9%), advocating others (85.7%), and had moderate level of stress (83.1%).Conclusion: There was negative relation between the first line nurse managers′ attributes and work stress level. Recommendation: Implementing continuous educational programs for nurse managers to improve nurse awareness, and assertiveness
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
84
92
https://asnj.journals.ekb.eg/article_101232_42edfc161340daa3ff6a4b4b8c753931.pdf
dx.doi.org/10.21608/asnj.2020.27933.1009
Knowledge of Workers about their Occupational Hazards at Sugarcane Factory in Luxor Governorate
Mariam
Maky
Community Health Nursing Department, Faculty of Nursing - South Valley University
author
Asmaa
Hassan
Assistant Professor of Family &Community Health Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Safaa
Osman
Lecturer of Family &Community Health Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2020
eng
Background: Workers in sugar mills are exposed to occupational hazards as accidents, bagassosis and hearing loss in many manufacture parts of the sugar production. The aim of the study: to assess knowledge of workers regarding their occupational hazards at Sugarcane Factory Methods: Cross sectional research design was used in this study. It conducted at Sugarcane Factory. The total number of the studied sample was 541 workers; Simple random sample was used. Tools of the study: self-administrated questionnaire was used which included personal data, questions to determine their occupational hazards and knowledge of workers regarding occupational hazards Results: The mean age of workers was 45.74 ± 8.44, 62.1% of them had secondary education and 76.7% of them had >10 years of experience. According to their occupational hazard, 68.2% of workers had back pain, 63.2% complained from nervousness. According to their knowledge about occupational hazards, 71.2% of workers had poor knowledge. Also, there is statistically significant relationship between knowledge and their educational level (P value = 0.037). Conclusion: Almost of workers had poor of knowledge about occupational hazards also; the occupational hazards were prevalent among them. Recommendations: Training and health education programs should be implemented to increase workers’ knowledge about occupational health hazard in sugarcane factory.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
93
102
https://asnj.journals.ekb.eg/article_101233_369592feaea3d6462c85e38ed3a55a70.pdf
dx.doi.org/10.21608/asnj.2020.28865.1014
Effect of Back Massage and Reflexology on Labor Pain Reduction and Vital Signs During First Stage of Labor at Sohag University Hospital
Zeinab
Ali
Nursing of Obstetrics and Gynecology _faculty of Nursing _Sohag university
author
Mervat
Khamis
Professor of Obstetrics and Gynecology Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Nour Al Houda
Mohammed
Assistant Professor of Obstetrics and Gynecologic Nursing, Faculty of Nursing-Sohag University
author
Mohammed
Salem
Assistant Professor of Obstetrics and Gynecologic Medicine, Faculty of Medicine- Sohag, University, Egypt
author
text
article
2020
eng
Background: Labor is a normal physiological process, which while should be an occasion for rejoicing, it also accompanies it with lots of pain, agony, and discomfort and certain risks. The aim of the study was to assess the effect of back massage and reflexology on labor pain reduction and vital signs during first stage of labor. Subjects and Methods: Quasi-experimental design was used to conduct this research .This study was carried out at obstetric emergency department at Sohag University Hospital. A purposive Sample of 150 women. Tools used in this study, Tool I: Patient assessment sheet. Tool II: Visual Analogue Scale. Tool III: Hemodynamic stability. The main results: showed that there are statistically significant differences regarding pain reduction before and after applying back massage and reflexology during first stage of labor and no statistically significant differences regarding vital signs before and after applying them . Conclusion: Both back massage and reflexology have effect on pain reduction and don’t have effect on vital signs during first stage of labor. Recommendation: Further studies of efficacy as well as effectiveness are needed to determine the clinical applicability of back massage and reflexology in a large sample.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
103
112
https://asnj.journals.ekb.eg/article_102746_02f5d3b631f68bf6e87b248335759bad.pdf
dx.doi.org/10.21608/asnj.2020.31874.1021
Patterns and Outcomes of Abdominal Trauma Patients Admitted toTrauma Intensive Care Unit
Seham
Mohamed
Critical care and emergency nursing, Faculty of nursing, Sohag University,Egypt
author
Mervet
Abdel-Aziz
Assistant Professor of Critical Care Nursing, Faculty of Nursing, Assuit University, Egypt.
author
Mogedda
Mehany
Assistant Professor of Critical Care Nursing, Faculty of Nursing, Assuit University, Egypt
author
Naglaa
AbdElhafez
Lecture of Critical Care & Emergency Nursing, Faculty of Nursing, Sohag University, Egypt.
author
Ahmed
Ahmed
Lecturer of Anesthesiology and Intensive Care, Faculty of Medicine, Assuit University, Egypt
author
text
article
2020
eng
Abdomen is the third most common area of the body that is damaged because of trauma. The nurse must be aware of specific assessment findings associated with abdominal trauma and immediate recognition of problems, so this study aimed to assess patterns and outcomes of abdominal trauma patients admitted to trauma intensive care unit.A descriptive research design was used. Setting: This study was carried out in trauma intensive care unit at Assuit University Hospital. Sample: 60 adult critically ill patients with abdominal trauma. Tools: Patient profile characteristic's sheet and abdominal trauma severity scores and outcomes assessment sheet were used. Main results: There were 65% males and 35% females. Mean Age was 36.62±10.8. Blunt trauma accounted for 86.67% while penetrating was 13.33%. Motor car accidents was the main cause of trauma with 51.67%, liver and spleen the most affected organs. Mortality rate was 10%. Gastrointestinal and respiratory complications are the most occurred. Conclusion: Abdominal trauma patients need frequent assessment as majority of the studied patients at a high risk for developing complications. Recommendations: Training the nurses about how to use abdominal trauma scoring systems for frequent assessment of patients' heath statue from first day of admission.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
113
124
https://asnj.journals.ekb.eg/article_101234_f61505ba9e022ba9a90fab9ff396acc4.pdf
dx.doi.org/10.21608/asnj.2020.31467.1020
Explore The Common Types Of Acid-Base Disturbances Among Critically Ill Patients In Intensive Care Unit
Bander
Musleh
Clinical Nurse Specialist in National Oncology Center Sana'a- Yemen.
author
Mohamed
Bakri
Professor of Anesthesia and Intensive Care Unit, Faculty of Medicine, Assiut University, Egypt.
author
Mervat
Abd-ElAziz
Assistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt
author
Mogedda
Mehany
Assistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2020
eng
Background: Acid-base disturbances are common in critically ill patients and pose a great burden in the management of the underlying condition. Aim: To explore the common types of acid-base disturbances among the critically ill patients in ICU. Design: A descriptive study design was utilized. Setting: This study was carried out in the Trauma and general Intensive Care Units at Assiut university hospital. Sample: Eighty adult male and female patients admitted to trauma and general ICUs. Tools: Three tools were used in this study, patient assessment tool, APACHE II tool, and Acid-base parameters assessment tool. Result: Eighty patients suffered from acid-base disorders with mean age (41.88 ±13.39) years. The mean pH on admission was (7.34 ±0.13), the mean length of ICU stay was (10.90 ±7.86). Respiratory alkalosis was the most frequent of simple acid-base disturbance (73.8%) followed by metabolic alkalosis (33.8%), respiratory acidosis (32.5%). Mixed acid-base disorders were relatively less frequent, the common combination was metabolic acidosis with respiratory acidosis (15.0%). Conclusion: Acid-base disturbance are common among critically ill patients presenting at the ICU. Respiratory alkalosis was the most frequent simple acid-base disturbance was observed among such group of patients. Recommendation: Acid-base disturbance should be monitored closely, diagnosed early, and managed correctly during hospitalization
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
125
136
https://asnj.journals.ekb.eg/article_103956_1868ab1d38bb8c4650e7ce31b2f2d09d.pdf
dx.doi.org/10.21608/asnj.2020.33825.1022
Relationship between Self Esteem and Emotional Intelligence among Nursing Managers'
Nadia
Saleh
Assistant Professor of Nursing Administration, Faculty of Nursing, Sohag University, Egypt
author
Nashwa
Eldeep
Lecturer of Nursing Administration, Faculty of Nursing, Damanhur University, Egypt.
author
text
article
2020
eng
Self-esteem is considered as emotional response and general feeling about the self. Emotional intelligence is the ability to understand feelings and emotions, put them in a ways that make emotion and intelligent mature and healthy. The aim of the study to explore the relationship between self esteem and emotional intelligence among nursing managers, Research design: descriptive correlational research design used in this study. Setting: The present study conducted at Sohag and Damanhour University Hospitals. Subjects: 72 nursing mangers at two study setting 36 for each. Tools: the tools used in the study demographic data sheet, self esteem scale, and Emotional Intelligence questionnaire. Results: The highest percentage was low self esteem at sohag (52.8%) and Damanhour (44.4%), and they were low emotional intelligence at sohag (47.2%) and Damanhour (33.3%). Conclusion: There were highly positive correlation between all studied variable and highly significant difference between mean scores related to self-esteem and emotional intelligence items and total of studied nursing managers at Sohag and Damanhour hospitals with p value <0.01. Recommendations: provide emotional skills training, try to build relationships with positive people, and learn to be assertive
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
137
146
https://asnj.journals.ekb.eg/article_276370_bd3db9a66b78d55e43b8c9953bc072a4.pdf
dx.doi.org/10.21608/asnj.2020.38645.1031
Risk Factors for Frequency of Readmission among Heart Failure Patients
Noureleman
Ali
Medical-surgical, Faculty of Nursing, Assiut University, Assiut, Egypt.
author
Shalabia
Abozead
Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Ahmed
Ahmed
Assistant Professor of Cardiology, Faculty of Medicine, Assiut University, Egypt.
author
Hanan
Abd El-All
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2020
eng
The aim of the study was to identify risk factors for frequency of readmission among heart failure patients at Assiut University Hospital. Research design: A descriptive exploratory research design was utilized to conduct this study. Setting: This study was carried out in the cardiovascular medicine department at Assiut University Hospital. sample: The study sample consists of a (100) heart failure patients; ages ranged from 18-65 years old. Tools: Two tools were used; tool one: a patient assessment sheet, tool two: re-admission assessment sheet. Results: Frequency of patients’ readmission in a period of (6) months was (31%), (64.5%) have readmitted once, (29.03%) twice and (6.45%) three times. Highest percent was readmitted within 60 days of discharge (38.7%), (19.4%) readmitted within 30 days of discharge and (19.4%) readmitted within 90 days of discharge. Drug non-compliance, diet poor compliance, uncontrolled diabetes mellitus, ischemia, anemia and worsening left ventricular function were the major risk factors for HF patients’readmission. Conclusion: Frequency of patients’ readmission was (31%). Drug non-compliance, diet poor compliance, uncontrolled diabetes mellitus, ischemia, anemia and worsening left ventricular function were the major risk factors for HF patients ’readmission. Recommendations: Design educational programs for patients with HF to reduce frequency of readmission of those patients.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
147
153
https://asnj.journals.ekb.eg/article_112350_94812d6c1a0db7abb4b6cefae4b478ba.pdf
dx.doi.org/10.21608/asnj.2020.38865.1033
Effect of Pre Discharge Nursing Education on Recurrence of Stroke Among Studied Patients
amira
mahdy
medical-surgical nursing
faculty of nursing
assist university
author
Sahra
Azer
medical-surgical nursing
faculty of nursing
assuit university
author
Mohamed
Ahmed
medical neurology department
faculty of medicin
assuit university
author
Marwa
Elmasry
medical-surgical nursing department
faculty of nursing
assuit university
author
text
article
2020
eng
Background; Education has a vital role in decreasing stroke recurrence and facilitating successful self-management of this chronic disease. Aims were to; Evaluate the effect of implementing pre discharge nursing education on recurrence of stroke among studied patients. Research design; (Pre/posttest) quazi experimental research design was utilized in this study. Setting; Neurology department at Assuit University Hospital. Sample; (150) adult patients with stroke (males & females). Tools; Patient’s assessment sheet and National Institutes of Health Stroke Scale (NIHSS) were used (pre & post) the implementation of pre discharge nursing education. Results; Mean age of patients in control group was (54.46±9.52) years old and study group was (51.6±12.8) years old and there was a statistical significance difference between the control and the study groups as regarding recurrence of the stroke (p < 0.005). Conclusion; Stroke recurrence was significantly decreased among the studied patients who received pre discharge nursing education than patients who received routine hospital care (control group). Recommendation; Instruction hand book about modifiable risk factors that lead to stroke recurrence and methods to deal with it should be available for all patients with stroke.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
154
166
https://asnj.journals.ekb.eg/article_112345_4c4eac811890f2a14f059a531984c84b.pdf
dx.doi.org/10.21608/asnj.2020.37713.1027
Effect of Implementing Standardized Nursing Care on Chest Expansion and Pulmonary Function for Patients With Pleural Effusion
Amal
Mohamed
critical care and emergency nursing, faculty of nursing, Assiut university, Assiut, Egypt
author
Zein Elabedeen
Hassan
Anesthesia and intensive care Department, Faculty of medicine, Assiut University, Assiut, Egypt.
author
Mervat
Abd EL-Aziz
Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.
author
Asmaa
Mahgoub.
Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.
author
text
article
2020
eng
Pleural effusion is a common disease and represents the disturbance of the normal mechanism of fluid formation and drainage from the pleural space. Aim of the study: was to evaluate the effect of implementing standardized nursing care on chest expansion and pulmonary function for patients with pleural effusion. Patients and Methods: randomized prospective research design was used to conduct this study; the study was carried out at Assiut University Hospitals. The study sample consisted of study group (30 patients) who received standardized nursing care by using chest physiotherapy and control group (30 patients) who received only routine hospital care. Chest expansion and pulmonary function were assessed before and after exercises in both groups, the study was conducted in one year. Tools: three tools were used. Results: show that there was a statistical significant difference between study and control groups in relation to chest expansion and pulmonary function (P-value < 0.05). Conclusion: Implementing standardized nursing care was significantly effective in improving chest expansion and pulmonary function in patients with pleural effusion. Recommendations: Implementing standardized nursing care in patients with pleural effusion is important for improving chest expansion and pulmonary function.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
167
176
https://asnj.journals.ekb.eg/article_112343_5c6ddcc5419204b7ebe505e8596fa0e1.pdf
dx.doi.org/10.21608/asnj.2020.36051.1023
Modification of Fluid Balance Chart for Nurses to Monitor Fluid Volume Disturbance in Patients Undergoing Hematopoietic Stem Cell Transplantation
Sahar
Abdelrahman
Medical &ndash; surgical Nursing, Faculty of Nursing, Assuit University, Assuit, Egypt
author
Mimi
Mekkawy
Professor of Medical – Surgical Nursing, Faculty of Nursing, Assuit University, Egypt.
author
Maged
Amine
Lecturer of Oncology at South Egypt Cancer Institute, Assuit University, Egypt.
author
Wafaa
Ahmed
Lecturer of Medical – Surgical Nursing, Faculty of Nursing, Assuit UniversityEgypt.
author
text
article
2020
eng
Background: Hematopoietic stem cell transplantation involves the intravenous infusion of autologous or allogeneic stem cells to reestablish hematopoietic function in patients whose bone marrow or immune system is damaged. This study aimed to modify the fluid balance chart for nurses to monitor fluid volume disturbance in patients undergoing hematopoietic stem cell transplantation. Design: A prospective, single - centered research design was utilized in this study. Setting: The study was conducted at the Bone marrow transplantation unit at South – Egypt Cancer Institution. Subject: A purposive sample of 25 adult conscious patients undergoing stem cell transplant, from both sexes and age range between (20 – 65years).Tools: three tools were used; a structured interview questionnaire, modified fluid balance chart, and a fluid volume disturbance monitoring sheet. Results: There was a statistically significant difference between the modified and routine fluid charts regarding the mean amount of daily fluid balance (10750.00 ± 409 ml) and (8333. 63 ± 388 ml) respectively with (P.value = 0.001). Conclusion: modification of fluid balance chart has a great effect on accurate monitoring of the fluid intake, output, and fluid volume disturbances.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
177
186
https://asnj.journals.ekb.eg/article_112347_918b2d3468462138d0bb7fa8c5fe1e9b.pdf
dx.doi.org/10.21608/asnj.2020.36994.1026
Relation Between Incidence and Risk Factors of Septicemia Among Burned Patients (A Suggested Nursing Educational Brochure)
Nagwa
Ahmed
Assistance professor of Medical, Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Fathya
Magbool
Fellow of Medical-Surgical Nursing, University Hospital, Assiut University, Egypt.
author
Yousef
Hassan
Prof of Burn and Aplastic Surgery, Faculty of Medicine, Assiut University, Egypt
author
Shaymaa
Khalil
Medical surgical nursing department, Faculty of Nursing, Assiut University, Egypt
author
text
article
2020
eng
Background: The major challenge for a burn care team is nosocomial infection. Infection of the burn injury leading to septicemia is the main cause of death. Aims: Assess the relation between incidence and risk factors of septicemia among burned patients and design a suggested nursing educational brochure. Methods: A descriptive correlational research design was utilized, data were collected using; Tool (I) Structured interview questionnaire, consisted of patients' demographic and medical data, which included: general, local assessment, laboratory investigations, blood culture and patient prognosis. Tool (II) risk factors of septicemia. In addition to a suggested nursing educational brochure. Data collected for a full year (November 2017– October 2018) on (101) convenient burned patients admitted in the burn unit at Assiut University hospital. Results: The prevalence of septicemia, around one third of the studied burned patients had a positive blood culture (staphylococcus). The mean TBSA were 34.73±24.27, all patients had invasive devices, major of them had an abnormal CBC results and discharged but near one quarter dead. Conclusion: There were a statistically significant relation between cause of burn, TBSA, wound changes and dressing type with patient's positive blood culture results (septicemia). Recommendations: Application of the developing strategies for infection control, early detection and treatment of infection (septicemia) among the burned patients
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
187
196
https://asnj.journals.ekb.eg/article_115679_ca6b76b76e21f64f8a1d2aa9d5826ed8.pdf
dx.doi.org/10.21608/asnj.2020.41353.1043
Effect of Nursing Guidelines on Obese Trauma Patients’ Outcomes
Amany
Mahmoud
Critical Care and Emergency Nursing, Faculty of Nursing, Assuit University, Assuit, Egypt
author
Mona
Mohamed
Critical Care and Emergency nursing, Faculty of Nursing, Assuit University, Assuit, Egypt
author
Naglaa
Ahmed
Critical Care and Emergancy Nursing, Faculty of Nursing, Assuit University, Assuit, Egypt
author
text
article
2020
eng
Obese patients have alterations in respiratory physiology and circulatory physiology that significantly affect their evaluation and resuscitation. Aim: To evaluate effect of nursing guidelines on obese trauma patients’ outcomes. Research design: A quasi experimental research design was utilized. Setting: This study was conducted in trauma emergency unite of Dayrut General Hospital. Tool of data collection: (I): obese trauma patient assessmentand (II): Patient evaluation sheet. Result: There were statistically significant difference between study and control groups regarding patient assessment and distribution of complication as hypoxia and apnea. Conclusion: study group showed reduced in complication and achieved satisfactory level according achieved points regarding patient out come after application of nursing guidelines. Recommendation: study need to conduct in a large number of patient and involved inpatient and ICU obese trauma patients.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
8
v.
21
no.
2020
197
204
https://asnj.journals.ekb.eg/article_112739_9dae67fc39e1d4ea7801ed1edba5ca20.pdf
dx.doi.org/10.21608/asnj.2020.36682.1025