Factors Causing Hypothermia and Rewarming Manoeuver Among Critically Ill Patients in Intensive Care Units
Noura
Mahmoud
Clinical Nurse Specialist, El- Azhar University Hospital, Egypt
author
Mona
Mahmmed
Assist Prof of Critical Nursing Care, Faculty of Nursing, Assiut University, Egypt.
author
Amal
Abd El-Hafez
Lecturer of Critical Nursing Care, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2018
eng
Background: Hypothermia is a medical emergency that occurs when the patient loses heat faster than it can be produced. Aim: Identify factors that causing hypothermia and rewarming manoeuver among critically ill patients in Intensive Care Units. Design: A descriptive exploratory research design. Setting: The study was conducted at the intensive care units namely general ICU, trauma ICU , recovery area of surgical and recovery area of orthopedic at Assuit Main University hospital and general ICU and coronary care unit at El-Azhar University hospital. Patients and Method: The study sample consisted of hypothermic patients (=100) and non hypothermic patients (n=130) were included in the study for consecutive six months. Tools were utilized for data collection tool I: patient assessment sheet, tool II hypothermia assessment sheet. Results: study Findings revealed that 99% of hypothermic patients had mild degree of hypothermia and had stage one of hypothermia. Regarding to rewarming manoeuver, it was noticed that 99% of hypothermic patients used rewarming blanket and this were effective in (76.8%) of patients. Conclusion: This study showed that risk factors for hypothermia were diabetes mellitus (hypoglycaemia), underweight and low glasgow coma scale
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
1
10
https://asnj.journals.ekb.eg/article_115992_c8ebd81c82e9a5c443892b739cb606cf.pdf
dx.doi.org/10.21608/asnj.2018.115992
Effect of Cesarean Section on Demand on the phenomena of Increasing Cesarean Section Rate at Women's Health Hospital
Sara
Ibrahim
Nursing Specialist at Women's Health Hospital, Assiut University, Egypt
author
Manal
Mostafa
Professor of Obstetrics & Gynecological Nursing, Faculty of Nursing- Assiut University, Egypt.
author
Entisar
Youness
Assistant Professor of Obstetrics and Gynecology Faculty of Nursing, Assiut University, Egypt.
author
text
article
2018
eng
Abstract Aims of the study were to determine the hospital based rate of C.S at Assiut Women's Health Hospital and assess the effect of C.S on demand on increasing C.S rate. Setting: This study was conducted at Assiut Women's Health Hospital, postpartum unit .Sample: A convenience sample (1500) of all postpartum women who had C.S during a three months period. Design: A cross –sectional descriptive study design was used in this study. Results: Cesarean section rate in hospital was 47.3% at 2016 and cesarean section on demand accounts for about 5.5% of the rate of C.S and in the present study findings. Conclusion: C.S which was done on maternal demand was accounted for 5.5%, as it might increase the rate of hospital based rate of C.S. Recommendations: Implementation of counseling sessions for pregnant women to improve awareness of vaginal delivery benefits, indications for C.S and the consequences of performing an elective or an unnecessary C.S.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
11
16
https://asnj.journals.ekb.eg/article_115995_1b5162977a014e3b127a4ecf288cef99.pdf
dx.doi.org/10.21608/asnj.2018.115995
Pediatric Nurses' and Parents' Attitudes Regarding the Importance of Families' Involvement in Care given for their Children
Amina
Thabet
Assistant professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt
author
Nora
Zaki
Assistant professor of Pediatric Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2018
eng
2. Assistant professor of Pediatric Nursing, Faculty of Nursing, Assiut University, Egypt. Abstract Background: Contribution of families in child care is considered necessary for meeting children’s needs and for the well-being of the whole family. This study aimed to assess pediatric nurses’ and parents' attitudes regarding the importance of families' involvement in care given for their children. Descriptive correlation research design was utilized in this study. Convenience sampling composed of 100 pediatric nurses and 100 parents accompanied their children at inpatient pediatric departments from January to February 2017. Two tools were used to collect data as mothers’ attitude scale and families’ importance in nursing care–nurses’ attitudes scale. Results: Pediatric nurses and parents' showed neutral attitude (77% & 43 % respectively) and the rest of them were between negative and positive attitude. Highly statistical significant difference were found between pediatric nurses and parent's attitudes (p < 0.001**) concerning the importance of families' involvement in nursing care Conclusion: The present study concluded that, more than three fourths of pediatric nurses and nearly half of parents showed neutral attitude and highly statistical significance differences were found between pediatric nurses' and parents' socio demographic and their attitude regarding the importance of families involvement in care given for their children. Most of parents reported that they prefer the presence beside their children in any of the nursing procedures otherwise painful procedures. Recommendation: In service training programs should be provided for all categories of pediatric nurses regarding the importance of involving families in nursing care.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
17
28
https://asnj.journals.ekb.eg/article_115999_dddc3a8bf6231419330780387c5c189c.pdf
dx.doi.org/10.21608/asnj.2018.115999
Assessment of Nurses' Knowledge and Practice Regarding Care of Patients Undergoing Percutaneous Coronary Intervention
Shaimaa
Abd El-Aty
Bsc. Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Shalabia
Abozead
Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt
author
Ahmed
Ahmed
Assistant Professor of Cardiology Medicine, Faculty of Medicine, Assiut University, Egypt.
author
Hanan Abd
Abd El-All
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2018
eng
Abstract Nurses play an important role in clinical stability, adequate hydration, patient comfort and psychological readiness to undergo percutaneous coronary intervention (PCI) procedure. This study aimed to assess nurses' knowledge and practice for patients undergoing PCI. Subjects and method: A descriptive research design was utilized. A convenience sample of (72) nurses who were working in the cardiology department at Assiut University-Orman Heart Hospital were included in this study. Setting: The study was carried out in the cardiology department at Assiut University-Orman Heart Hospital. Tools: Self-administered questionnaire sheet for nurses was utilized including the following parts; Part 1: '' Nurses' Personal demographic data'', Part 2: '' Nurses' knowledge regarding PCI'', Part 3: '' Nurses' practice observation checklist sheet''. Results: The majority of the study sample had unsatisfactory knowledge regarding PCI and poor practice in some items of care. Conclusion: The study findings revealed that the majority of the study sample had unsatisfactory knowledge and poor practice in some items of care for patients undergoing PCI. Recommendation: The study recommended that a designed nursing care guidelines for patients undergoing PCI must be developed.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
29
35
https://asnj.journals.ekb.eg/article_116003_68906b56c5edc73426f376ca78e6a837.pdf
dx.doi.org/10.21608/asnj.2018.116003
Factors Affecting Maternal Fetal Attachment among Low and High Risk Pregnant Women
Eman
Ahmad
Obstetrics and Gynecological Nursing Department, Faculty of Nursing, Assiut University, Egypt.
author
Neama
Kamel
Psychiatric and Mental health Nursing, Alexandria University, Egypt.
author
Anwar
Mohamed
Obstetrics and Gynecological Nursing Department, Faculty of Nursing, Damanhur University, Egypt.
author
Safaa
Mahmoud
Community Health Nursing Department, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2018
eng
Abstract Background: Maternal-fetal attachment (MFA) plays an important role in the maternal and fetal well-being. Despite the presence of consistent evidence about individual differences in the level of MFA, there is still a need to identify the most salient risk factors of MFA level especially among high risk pregnancy who are vulnerable to increase level of anxiety that can hinder an adequate mother–fetus attachment. Aim. This study aimed to compare maternal fetal attachment in low and high risk pregnancies and to identify the underlying factors which may affect maternal-fetal attachment among high risk pregnancy. Methodology. A descriptive cross-sectional design was used and conducted at the outpatient antenatal clinic at National Medical Institution, Damanhur City, Egypt for a convenient sample of 203 eligible pregnant women, the researchers used five tools to collect the necessary data; pregnant women basic data, Turkish version of the MFA Scale, Hobel's Prenatal Risk Score, Maternal Anxiety Scale & London questionnaire tool. Results. The findings of the present study portrayed a significant higher MFA among low risk mothers and a significant higher level of maternal anxiety was apparent among high risk. No significant differences was observed regarding MFA and pregnancy planning among both groups. Some personal and Obstetric variables affect the MFA level among high risk pregnant women. Conclusion. High risk pregnancy has lower level of MFA and higher level of anxiety with a remarkable obstetric predictors affecting their level of MFA. Recommendations: More attention should be given for high risk pregnant mothers through development and application of psychosocial nursing interventions program to decrease their anxiety level and improve maternal-fetal attachment.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
36
48
https://asnj.journals.ekb.eg/article_116017_6298f2fa5fcae530d47da35fd9aad304.pdf
dx.doi.org/10.21608/asnj.2018.116017
Effect of Menstrual Educational Intervention on performance of Institutionalized Adolescent Girls in El Behiera Governorate
Amal
Abd Elwahed
Lecturer Community Health Nursing Department, Faculty of Nursing, Damanhour University, Egypt.
author
Rehab
Mostafa
Lecturer Pediatric Nursing Department, Faculty of Nursing, Damanhour University, Egypt.
author
Lucy
AbuElEla
Assisstant Professor, Nursing Education Department, Faculty of Nursing, Damanhour University, Egypt.
author
text
article
2018
eng
Abstract The reaction of adolescence girls towards menstruation depends on their knowledge of this phenomenon as a normal physiological process and the essential hygienic practices associated with it. Aim of the present study was to estimate the effect of menstrual educational intervention on performance of institutionalized adolescent girls in El Behiera Governorate. Method A quasi-experimental design was used. A sample of 76 adolescence girls included in the study and data were collected by administering the self-administered questionnaire. Results: The findings revealed that the mean knowledge score of studied girls was increased significantly from (32.99±12.51) before implementation of the intervention to (95.68 ±4.82) after intervention (t=18.367,p < 0.001) and the mean practice score was increased significantly from (55.46 ±8.72) before the intervention to (77.88±7.32 ) after it (t=45.811,p < 0.001). Conclusion and Recommendations: Menstrual education intervention had positive effect on performance of institutionalized adolescent girls. Therefore, it is recommended to implement educational intervention about menstruation through workshops either at governmental and non-governmental residential institutions for care of children deprived from family care.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
49
58
https://asnj.journals.ekb.eg/article_118196_6fee8fbccc921730fb281584ff088564.pdf
dx.doi.org/10.21608/asnj.2018.118196
Mothers’ Knowledge and Practices about Eye Trauma in Early Childhood at Assiut University Hospital
Manal
Samir
Teacher at Al - Azhar Nursing Technical Institute, Al-Azhar University, Egypt
author
Hekmat
Abed El Kreem
Professor of pediatric Nursing, Faculty of Nursing, Assuit University, Egypt.
author
Nahed
Mohamed
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Assuit University, Egypt.
author
Mohamoud
Abed ELRady
Lecturer of Ophthalmology, Faculty of Medicine - Assuit University, Egypt.
author
text
article
2018
eng
Abstract Eye trauma is one of the most common eye diseases. It refers to the damage caused by a direct injury not only to the eye but also to the surrounding area. Aim of study was to assess mothers’ knowledge and practices about eye trauma in early childhood. Design a descriptive research design was utilized in this study. The study was conducted at inpatient and outpatient ophthalmology unit at Assiut University Hospital. Subjects and method was included 150 mothers who had children in early childhood (1-5 years) and suffering from eye trauma. Tool one tool was used for data collection. A structured questionnaire was developed to assess the mothers' knowledge and practices about eye trauma. Results the majority of mothers had poor knowledge about eye trauma and more than half of them had unsatisfactory level of practice. Conclusion there were lack of mothers' knowledge and practices about eye trauma in early childhood. Recommendation a written pamphlet or booklet containing information about eye trauma should be developed and keep copies in clinics and ophthalmic department in all hospitals.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
59
68
https://asnj.journals.ekb.eg/article_118197_450efde3c9acb7510d663275b424d0bf.pdf
dx.doi.org/10.21608/asnj.2018.118197
Knowledge and attitudes of secondary school teachers toward substances abuse among the students
Nora
Galal
Nursing specialist in secondary nursing school for girls at Manflout Districts
author
Neama
EL- Magrabi
Professor of Community Health Nursing, Faculty of Nursing, Assiut University
author
Shimaa
khalaf
Lecturer of Community Health Nursing, Faculty of Nursing, Assiut University
author
text
article
2018
eng
Abstract Introduction: Substance abuse among school age has become an issue of concern and public health problems throughout the world. Aim: To assess knowledge and attitudes of teachers about substance abuse. Subjects and method: A descriptive research design used in four secondary schools which selected by simple random sampling; (490) teachers included in the study. Two tools used; tool (1): self-administrative questionnaire included two parts; Part (1): Included questions regarding personal data. Part (2): teachers' knowledge about substances abuse included 17questions as definition, types, and risk factors. Tool (2): teachers’ attitude about substance abuse Results: There was a statistically significant difference between teachers' attitude regarding substance abuse and their level of education. Conclusion: Less than half of study sample had poor knowledge about substance abuse while the majority of the teachers had positive attitude regarding dangerous of substance abuse. Recommendation: Health education for teachers about importance of closed monitoring and supervision for school age children for early detection of substances abuse.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
69
78
https://asnj.journals.ekb.eg/article_118198_b1ae43aff6a76fdb0b3a3c817d85e05e.pdf
dx.doi.org/10.21608/asnj.2018.118198
Nurses Performance Regarding Fluid, Electrolytes and Acid Base Imbalances for Neonates and Pediatrics at Pediatric Hospital Assiut University
Thoria
Abd Elfatah
. Clinical Nursing Specialist, Neonatal Intensive Care Unit Children Hospital, Assuit University, Assuit, Egypt.
author
Mona
Mohammed
Assistant professor of critical care and emergency nursing Faculty of Nursing, Assuit, University, Assuit, Egypt.
author
Mogedda
Mehany
Assistant professor of critical care and emergency nursing Faculty of Nursing Assiut, University, Assuit, Egypt.
author
text
article
2018
eng
Abstract Background: Aim of the study was to assess the nurses' performance regarding fluid, electrolytes and acid base imbalances for pediatrics and neonates. Research design: A descriptive research design was used. Setting this study was carried out in the paediatric and neonate intensive care at Assuit university paediatric hospital .Study sample consisted of all available nursing staff (130) nurses above mentioned setting.Tools were utilized for data collection: First tool nurses knowledge assessment tool, Second tool Nurses practice assessment tool. Results: The result of this study found that the majority of studied nurses were at the age group of 25 to < 30, females, married, and 58.5% were secondary school of nursing. Nearly half (47.7%) of studied nurses were having poor level of knowledge regarding fluid, electrolytes and acid base imbalances, and more than half(69.2%) of studied nurses have good level of performance, there were statistically significant difference between knowledge and practice of studied nurses regarding fluid, electrolytes and acid base imbalances. Conclusion: The general score of nurse poor level of knowledge and good level of practice regarding fluid, electrolytes, and acid base imbalances. Recommendations Provide in-service training programs for nurses to improve their performance regarding fluid, electrolytes and acid base imbalances.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
79
88
https://asnj.journals.ekb.eg/article_118199_a140985ddc3af3e884e283f35a0c03d5.pdf
dx.doi.org/10.21608/asnj.2018.118199
Auditing of Nursing Care for Hemodialysis Patients at Ma,an Governmental Hospitals- Jordan
Khaldoon
Alnawafleh
Lecture of Medical Surgical, Faculty of Nursing &Health Science, AL-Hussein Bin Talal University, Jordan.
author
Zienab
Mohammad
Prof of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Hani
Al-Nwafleh
Prof. of Community Health Nursing, Faculty of Nursing &Health Science, AL-Hussein Bin Talal University,
Jordan.
author
text
article
2018
eng
Nursing auditing is used to evaluate the nursing care given to achieve deserved and feasible quality of nursing care. Aims of this study were to assess current nursing performance for patients undergoing hemodialysis, Develop nursing care standards and identify the gap between the current nursing management and nursing care standards for those patients. Research design: Exploratory research design was used . Setting: The study was conducted in dialysis unit at Ma, an governmental hospitals- Jordan Subjects: The sample in this study is composed of all available nurses (40 nurses) who are providing direct care to patients in hemodialysis units at previously mentioned hospital. Tools of Data Collection: Self-Administered Interview Questionnaire sheet, an observational check, developed Nursing Care Standards for Patients undergoing haemodialysis, and Nursing Care Standards checklist. Results: Around half of nurses their knowledge score ranged between good and fair regarding renal failure and dialysis. Only 25 % of nurses done correctly in nursing standers 4 about patient educated before discharge. Conclusion: about quarter of nurses perform after dialysis steps incorrectly. There was no statistical significant difference between routine care and standers nursing care for patient undergoing hemodialysis. Recommendations: Written standards of care against which to evaluate nursing care. Training for auditors should include a group discussion to see how the group rates the care received using the notes of a patient.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
89
98
https://asnj.journals.ekb.eg/article_118201_f82770593ed7d5eb52b9d35f4f7cfdb8.pdf
dx.doi.org/10.21608/asnj.2018.118201
Assessment of Deaf Children’s Knowledge and Practice Regarding Car Accidents Protection
Laith
Alosufe
Assistant lecturer, Faculty of Nursing and Health Science, Al-Hussein Bin Talal University, Hashemite
Kingdome Of Jordan
author
Hekmat
Abd El-Kareem
Professor of Pediatric Nursing, Faculty of Nursing, Assiut University, Egypt.
author
Asmaa
Mohamed
Assistant Professor of Pediatric Nursing, Faculty of Nursing, Assiut University, Egypt.
author
text
article
2018
eng
Abstract Background: Hearing impaired children have static and dynamic balance disabilities and that their physical adaptation is lower than that of nondisabled peers. Aim: to assess knowledge and practice for deaf children’s regarding car accidents protection. Design: descriptive research design was used in this study. Subjects: The study sample composed of 69 school age and adolescent deaf children. Setting: The study was conducted at The Holy Land Institute for the Deaf, Jordan - Salt governorate. Tools of data collection: An interview questionnaire was designed by researcher to collect data related to characteristics of deaf children, characteristics of deaf children hearing, and knowledge and practice of deaf children about protection from car accident. Results: Deaf children’s age ranged between 12- 18 years, males are more affected with hearing disorder than females and their academic achievement was good (41%). The majority lived in dormitories at school. Deaf children’ knowledge and practice scores protection from car accidents were unsatisfactory. Conclusion: Deaf children's knowledge and practice regarding protection from car accidents were unsatisfactory. The age at which deafness began, degree of deafness were not affecting on the studied deaf children' academic achievement .Recommendation: The recommendation was suggested that ongoing in-service educational program for deaf children to improve their knowledge and practice regarding protection from car accidents.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
99
105
https://asnj.journals.ekb.eg/article_118202_ce3c73b7911e8c98ecbade4881264de6.pdf
dx.doi.org/10.21608/asnj.2018.118202
Effectiveness of Nurses' Emotional Intelligence Training on Quality of Nursing Care for Critically Ill Patients
Om Hashem
Ragab
Lecturer of nursing administration, Faculty of nursing, Sohag University, Egypt.
author
Naglaa Gamal
Abd_ Elhafez
Lecturer of critical care & emergency nursing, Faculty of nursing, Sohag University, Egypt.
author
Safaa
Rashed
Lecturer of nursing administration, Faculty of nursing, Sohag University, Egypt.
author
text
article
2018
eng
Emotional intelligence enables critical care nurses to be aware of self and others including patients’ emotions result in patients’ satisfaction and improved quality of care. The current study aims to determine effectiveness of nurses' emotional intelligence training on quality of nursing care for critically ill patients. Design: quasi experimental research design was used. Setting: General ICU, emergency unit, and coronary care unit at Sohag University Hospital. Sample: First group is: convenient sample of 70 nurses. Second group is: 420 patients were selected into two groups’ pre and post nurses training. Tools: Quick Emotional Intelligence Self-Assessment Questionnaire and Patients’ Perception of Quality Nursing Care Scale. Results: a highly significant relation between nurses’ emotional intelligence level pre training with post training T test 3.699 at P < 0.01; a highly significant relation in patients’ perception of quality nursing care T test 7.623 at P<0.01; and highly significant relation between nurses’ emotional intelligence level and patients’ perception of quality nursing care r = 0.767 at P<0.01. Conclusions: improvement in nurses’ emotional intelligence level resulted in the improvement in the quality of nursing care. Recommendations emotional intelligence training should be introduced for critical care nurses as a basic of in-service training programs.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
106
114
https://asnj.journals.ekb.eg/article_118203_a22faafdf39268faf76bc03c9852a328.pdf
dx.doi.org/10.21608/asnj.2018.118203
The Prevalence and Etiological Factors Among Infertile Patients at Fayoum city
Marwa
Moustafa
Assistant Lecturer at Faculty of Nursing, Fayoum University, Egypt.
author
Nabila
Ahmad
Professor of Obsterics and Gynecological Nursing Faculty of Nursing, Assiut University, Egypt.
author
Talal
Abd-Elrahim
Professor of Dermatology, STDs and Andrology, Faculty of Medicine, Fayoum University, Egypt.
author
Ghadah
Mahmoud
Assistant Professor of Obestetrics and Gynecological Nursing Faculty of Nursing, Assuit University, Egypt.
author
text
article
2018
eng
Abstract Aim of study was to explore the prevalence and etiological factors among patients in Fayoum city. Design the study was done at outpatient clinic of gynecological and Andrology in Fayoum university hospital, Egypt An observational Cross-sectional research was used in this study. Subjects of the study were 540 infertility patients (210 male and 330 female) either primary or secondary infertility. Tools of data collection were interviewed questioner, for female and male patients as" personal data, sexual problems, …. Etc" and statistical record about rate of male & female patients for one year. Methods of this study began on October 2012 and finished on September 2013, data was obtained through face to face interview. Results of this study revealed that the percentage of infertile female in Fayoum university hospital was 57.6% of all attended female to Gynecological outpatient. While infertile male was 24% of all attended male to Anderology outpatient. Conclusion the majority of infertile male had primary infertility and more than two thirds of infertile female had secondary infertility. Recommendation it's necessary to make educational programs to increase fertility awareness of infertile patients / couples and methods of treatment.
Assiut Scientific Nursing Journal
Assiut University, Faculty of Nursing
2314-8845
6
v.
15.0
no.
2018
115
120
https://asnj.journals.ekb.eg/article_118204_dba97e82c82388e2b62359c84a6346d1.pdf
dx.doi.org/10.21608/asnj.2018.118204