ORIGINAL_ARTICLE
Nurse's Performance and Attitudes towards patient with Blood borne Viral Hepatitis B/ C
Aim: this study aimed to explore the knowledge levels, practice and attitudes of nurses toward patients HBV /HCV. Methods: A quantitative descriptive correlation study design was utilized to identify the nurses' performance and attitude, the study was carried out in tropical medicine and gastroenterology departments at Assiut University Hospital. Sample: A convenience sample including nurses as (10) males and (55) females. Tools utilized for data collection were structured interview questionnaire sheet to assess their knowledge and attitudes, observation checklist sheet to evaluate nurses' practice. Results: showed that, about half of the nurses had age > 30 years, while the majority of them were females. As regarding level of education, two third of the study group had diploma degree and about half of the study group their experiences were > 3 years. In addition, 46.16% of nurses their knowledge poor, 30.77% passed, 15.38% good and 7.69% very good. Regarding nurse's practices the results show that 76.9 % of nurses were unsatisfactory .Overall, nurses expressed negative attitudes. Conclusion: Study findings concluded that, discriminatory attitudes are common among nurses, half of nurses had poor comprehensive knowledge and the majority of study nurses their practices were unsatisfactory. Recommendations: further studies are needed to focus on service educational program for nurses, there must be standardized written nursing care and develop strategies for improving public health knowledge
https://asnj.journals.ekb.eg/article_183161_98b75d1610c873893658f8e7ee30887d.pdf
2013-12-01
1
8
10.21608/asnj.2013.183161
performance
Attitudes
Knowledge
Blood Borne Viral Hepatitis B And C
I
Ragab,
1
Assistant lecture, Adult Nursing Department, Faculty of Nursing, South Valley University- Qina.
AUTHOR
A
Mohammed,
2
Prof of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University .
AUTHOR
A
Osman,
3
Prof of Tropical Medicine and Gastroenterology Department, Faculty of Medicine, Assiut University
AUTHOR
M
Mekkawy ,
4
Assistant Prof of Medical Surgical Nursing, Adult Nursing Department, Faculty of Nursing, Assiut University.
AUTHOR
ORIGINAL_ARTICLE
Impact of Knowledge about Early Ambulation on Patients' Satisfaction Post Coronary Angiography , at Assiut University Hospital
Abstract Coronary Angiography has become a main diagnostic procedure for diagnosis of Coronary Artery Disease (CAD). Aim: this study was carried out1- to investigate the impact of knowledge aboutearly ambulationon patients' satisfaction among post coronary angiography2-early ambulation after 2 hours versus 6 hours.Design: a quasiexperimental design. Setting: in catheterization and coronary care units.Subjects: A convenience sample of all adult educable and mentally competent male and female patients aged from (18-60 years old) who had undergone a nonemergency coronary angiography (CA) through femoral artery during a period from July 2010 to June2011 were eligible for inclusion in the sample.Tools: four tools were utilized to collect data pertinent to the study, tool I assessment of patients after femoral sheath removal and angiography related data tool II: pre/post femoral coronary angiography knowledge sheet toolIIIpre/post femoral coronary angiography observation check list.toolIV satisfaction assessment sheet. Methods: pretest knowledge sheet filled out by the patient and observation checklist sheet was checked by the researcher for both groups ,the teaching protocol has been implemented for patient in terms of session ,each session ranged from 6-10 patients for theoretical and practical contents ,then immediately post knowledge sheet test filled out by the patient and observation checklist sheet was checked by the researcher for both groups Results: Finding of the present study revealed that significant improvement of all parameters with values of less than p=0.001 in response to give information among the two groups CA. Conclusion: educating patients before diagnostic cardiac catheterization can effectively improve level of knowledge and satisfaction.
https://asnj.journals.ekb.eg/article_183691_ae287f05ae964019b9ccf062e2db7f79.pdf
2013-12-01
9
17
10.21608/asnj.2013.183691
Keywords: Early ambulation
Patients' satisfaction
post coronary angiography
patient knowledge
A
Mahgoub ,
1
Assistant lecture of critical Care Nursing, Assiut University
AUTHOR
Y
Mohamed ,
2
Professor of Critical Care & Emergency, Cairo University
AUTHOR
A
Mohammed ,
3
Lecturer in critical Care Nursing, Assiut University
AUTHOR
A
Abdel-Aziz ,
4
Lecturer in critical Care Nursing, Assiut University
AUTHOR
Taha.
Kishk ,
5
Professor of cardiology, Faculty of Medicine, Assiut University
AUTHOR
ORIGINAL_ARTICLE
Nurse Managers Decision Making styles and It's Effect on Staff Nurses' Satisfaction
Abstract Nurse Manager's main job in contemporary health care organization is to increase degree of employee's participation in decision making and goal setting which in return has greater impact on employee motivation, and satisfaction. This study aimed at determining decision making styles used by Nurse Managers at main Assuit university hospital, and the effect of these styles on Technical diploma nurse' satisfaction. Subject of the study: the sample consisted of 96 Technical diploma nurse and 35 Nurse Managers. Setting: Medical and Surgical units at main Assiut University Hospital. Tools of data collection the data collected using structured questionnaire form. Results: the highest percentage of Nurse Managers were used authoritarian decision making style and the lost percentage were used delegative decision making style. Conclusion: Nurse Managers who were using participative decision making style achieving the highest level of employees' satisfaction. Recommendations Give employees opportunities to participate in goals setting and decisions to increase their commitment toward goal achievement. And further studies should be done including different countries to investigate the effect of cultures on Nurse Managers' decision making styles.
https://asnj.journals.ekb.eg/article_183703_161e51fd9f79eb19b713676d2c625d30.pdf
2013-12-01
18
25
10.21608/asnj.2013.183703
Keywords: Decision making styles
Satisfaction
A.
Mohammed,
1
Assistant lecturer Faculty of Nursing Assiut University.
AUTHOR
M
Nassar
2
Nursing Administration. Faculty of Nursing Alexandria University
AUTHOR
S
Ghallab ,
3
Nursing Administration Faculty of Nursing Assiut University.
AUTHOR
S
Morsy
4
Nursing Administration Faculty of Nursing Assiut University.
AUTHOR
ORIGINAL_ARTICLE
Risk factors during Pregnancy and Its Relation to Preterm Pre-Labour Rupture Of Membranes
Abstract Preterm premature rupture of the membranes (pPROM) is the rupture of membranes during pregnancy before 37 weeks of gestation. This study aimed to determine the Risk factors during Pregnancy and Its Relation to Preterm Pre-Labour Rupture Of Membranes. This prospective case-control study was carried out at the labor ward of the women's Health Center in Assiut. It included 250 pregnant women with pPROM (cases) and 250 no pPROM (controls). Data were collected using structured interview and physical assessment sheets. The results revealed that more study group women reported carrying heavy objects (p=0.04), using daily transportation (p =0.006), and total physical activity (p =0.04), more history of PROM (p <0.001), complaints (p <0.001), and sexual intercourse during third trimester (p =0.03). It is concluded that the risk factors of pPROM include woman’s job status, residence, level of activity, previous history of PROM, having complaints during pregnancy, and having sexual intercourse during the third trimester. It is recommended that the management of pPROM include the management protocol should be improved, and strictly followed, with training of health care providers in following it. Further research is proposed to investigate the effectiveness of nursing interventions aimed at reducing the risk factors of pPROM on its occurrence.
https://asnj.journals.ekb.eg/article_183717_09dc508a3c3a93c5b4fc6ec08aecdda0.pdf
2013-12-01
26
35
10.21608/asnj.2013.183717
Keywords: Risk Factors
Prom- Pprom
A
Ahmed
1
Obstetrics and Gynecology Medicine, Assiut Faculty of Medicine
AUTHOR
T
Al-Hussain
2
Obstetrics and Gynecology Nursing, Assiut Faculty of Nursing
AUTHOR
S
Mohamed
3
Obstetrics and Gynecology Nursing, Assiut Faculty of Nursing
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nurses' Knowledge and Practice Related to Nursing Care of Children Undergoing Hemodialysis at Assiut City
Abstract: Renal failure is a life-threating condition in which there is a buildup of waste and fluid in the body due to severe deterioration of kidney function. The prevalence of both acute and chronic renal failure is high in the Arab World. The aim of this study: is to assess the nurses' knowledge and practice related to nursing care of children undergoing hemodialysis at Assiut city. Descriptive and analytic research design was adopted to meet the aim of this study. Subject and methods: This study was conducted in Pediatric Nephrology and Dialysis Unit in Assuit Children University Hospital, El–Mabarah Hospital and El–Eyman General Hospital. The study included convenience sample of 48 nurses from different Nephrology Units at Assiut City. There are two tools used for collecting data in the study, tool one is a structured interview questionnaire sheet consists of two parts: First Part concerned with personal data of the studied nurses as: nurses’ name and age. Second Part concerned with nurses knowledge regarding renal failure and hemodialysis. Tool two a structured observational checklist sheet to evaluate the nurses' practice Result: The main results of study demonstrated that there is no statistical significant difference between the nurses' knowledge and their practice regarding nursing care of children undergoing hemodialysis. There is statistical significant difference between the nurses' knowledge scores and their practice with age. Conclusion:The most of AUH nurses had higher score of knowledge related to renal failure and hemodialysis than the ministry of health hospitals. Nurse's practice regarding hemodialysis children in nephrology unit at Assiut university children hospital is higher than that of nurses working at the Ministry of Heath Hospitals. Recommendations: Continuous nursing educational and in-service training programs on kidney dialysis to upgrade the knowledge and skills of practicing nurses, Periodic monitoring of nurses knowledge and practice to evaluate the level of nurses.
https://asnj.journals.ekb.eg/article_183723_e9c3219540132c5befa6d8936742588a.pdf
2013-12-01
36
43
10.21608/asnj.2013.183723
Key Words: Renal failure
Hemodialysis
Nurses
Knowledge
Practice
children
Pediatric
A
Abd Alfatah
1
Department of Pediatric Nursing, Faculty of Nursing, Assiut University
AUTHOR
A.,
Ahmad,
2
Department of Pediatrics,Faculty of Medicine, Assiut university
AUTHOR
,F.,
Mohamed
3
AUTHOR
ORIGINAL_ARTICLE
Postpartum Minor Health Problems Encountered among Women and Neonates Undergoing Cesarean Section at Women’s Health Center - Assiut University Hospital
Abstract Minor complications are more common than major complications when having a Cesarean Section (C.S) may affect either the mother or the infant. Maternal morbidity following C.S is estimated to be eight times greater than that following vaginal delivery. objective: to identify postnatal health problems experienced by women delivered by C.S. Methods: A prospective study design was adopted in this study to achieve the stated aim, a purposive sample of all puerperal women (n=330) puerperal women and their newborns’ who had C.S delivery in the postpartum wards of Obstetrics Department, Women's Health Center, Assiut University Hospital, Egypt. The Women's Health Center .Results: minor problems were reported by 88.8% of the puerperal women. (during 1st visit) and 74.2% during 2nd visit. Conclusion: the overall incidence of minor health problems following C.S is occurred among the majority of women (89.0%).
https://asnj.journals.ekb.eg/article_184067_29d44b67370bfa59fe13bd817df17405.pdf
2013-12-01
44
50
10.21608/asnj.2013.184067
Keywords: Cesarean Section (C.S)
Health Problem
Postpartum
Minor Problems
A.
Masoud ,
1
Assistant Lecturer of Obstetrics and Gynecological Nursing –Faculty Of Nursing – Assiut University
AUTHOR
S
Nour Eldein
2
Professor of Obstetrics and Gynecological Nursing –Faculty of Nursing – Zagazig University
AUTHOR
, S.
Abd Elrady
3
Professor of Obstetrics and Gynecological –Faculty of Medicine – Assiut University
AUTHOR
M.
Khames ,
4
Assistant Professor of Obstetrics and Gynecological Nursing –Faculty of Nursing – Assiut University
AUTHOR
E.,
Mohamed ,
5
Lecturer of Obstetrics and Gynecological Nursing –Faculty of Nursing – Assiut University
AUTHOR
ORIGINAL_ARTICLE
Perception of Physicians, Nurses and Employees toward Nursing Image as a Profession at Assiut University Hospitals
Abstract
Nursing image has been long a standing problem for nurses. Changes in health care system and public opinion have direct impact on nurses and nursing profession, the public still has a narrow view about what the profession actually does. So nurses must be concerned about negative or incorrect images; therefore public need to view the nurse as an integral part of health care system, and capable of providing holistic nursing care. Aimof this studyis toassess the perception of physicians, nurses and employees toward nursing image as a profession at Assiut University Hospitals. Research designwas cross- section descriptive design. The study subjects included were530 participants working at Assuit University Hospitals. The data collected through self – administered questionnaire includes demographic data sheet and nursing image questionnaire; it used for assessing the perception of physicians, nurses and employees toward nursing image. It was developed by the researcher based on related literatures and previous studied done by (Kabeel 2004). The tool consisted of six majors items each one contain number of sub items (total 41 items).The result of this study revealed that there was a statistically significant difference among the study participants regarding to the items related to the nursing image, and most factors affecting nursing profession. The study concluded that the majority of the study participants agreed that the most common factors affecting the nursing profession were: bad impression of general public about nursing profession, poor relationship between nurses and supervisors, the majority of the study participants did not prefer the nursing profession as a job, and had positive view as regards most items related to the nursing image. Based on the study findings and in order to help the nurses to be more committed for the profession and to maintain positive image as possible the following points are recommended: Activating the role of nurse and participation in decision-making, improving the communication system among nurse peers, nurse supervisors and nurse managers, successful strategies of marketing are important through the media (such as television, radio and newspapers) to maintain the powerful image of nursing profession and change negative public perception about nursing image. .
https://asnj.journals.ekb.eg/article_184078_7f8aff095b94837dbca1ce7dbb8772c0.pdf
2013-12-01
51
58
10.21608/asnj.2013.184078
Key Words :Nursing image. Nursing profession
Z.,
Abd elbakiy ,
1
(B. Sc. Nursing) Head Nurse at, Urology department Assiut University Hospital
AUTHOR
E.,
El- Shereef ,
2
Assist. Professor of Public Health department Faculty of Medicine Assiut University
AUTHOR
H.
Youssef ,
3
Assist. Professor of nursing Administration department Faculty of Nursing. Assiut University
AUTHOR
S.,
Morsy ,
4
Assist. Professor of nursing Administration department Faculty of Nursing. Assiut University
AUTHOR
ORIGINAL_ARTICLE
Body Image and Eating Behaviors among El-Minia University Students
Abstract: body image and eating behavior have been major concern for adulthood especially among college students. In this study, we aimed to know body image concern among college students and assess the relationship between body image and eating behavior among university students. Subjects and Methods: cross-sectional study of 495 male and female students enrolled in first and fourth grade from practical and non practical faculties randomly selected completed a questionnaire consisting of socio-demographic characteristics, Eating Attitude Test (EAT-26), Body Shape Questionnaire (BSQ-34) and Body Figure Rating Scale (BFRS). Results: The majority of male and female students have normal weight and average body mass index, Females choose (thin figure, very thin and below average, respectively) as a current shape which represent their body shape. While males choose shape (below average and thin figure) as current shape. Females were significantly more feeling anxious, overweight, and concerned about their body shape than males (p=0.001, 0.01 and 0.04, respectively). Conclusions: Based on the results of the present study, it was concluded that about more than half of participants have normal weight according BMI. The present study found that females were more concerned about their body shape more than males. Body shape concerns among females were associated with anxiousness, feeling overweight, and preoccupation with food and purging behavior. Recommendations: health education about body image and its effect on psychological status and eating behaviors of the students and how to deal with negative body image.
https://asnj.journals.ekb.eg/article_184106_c8f4ecaae27d8d021172c8af29a9d4e8.pdf
2013-12-01
59
68
10.21608/asnj.2013.184106
Key words: Body Image
Eating Behavior and College Students
Z.,
Hassan ,
1
Public Health and Community Medicine Dept., Faculty of Medicine El-Minia University.
AUTHOR
A
Ewis ,
2
Community Health Nursing Dept., Faculty of Nursing Assiut University
AUTHOR
Y.,
Hossein ,
3
Community Health Nursing Dept., Faculty of Nursing Assiut University.
AUTHOR
S .,
Mahmoud ,
4
Community Health Nursing Dept., Faculty of Nursing El-Minia University.
AUTHOR
ORIGINAL_ARTICLE
Factors Contributing To Hospital Readmission In Coronary Care Unit At Assiut University Hospitals.
Abstract Hospital readmissions are believed to be caused by patient frailty and progression of chronic disease. However, from 9% to 48% of all readmissions have been judged to be preventable because they were associated with indicators of substandard care during the index hospitalization, such as poor resolution of the main problem, unstable therapy at discharge, and inadequate post discharge care.Aim of the study is; intended to identify factors contributing to hospital readmission, and classify patient's group at high risk of readmission. Design of the study; was descriptive, retrospective and concurrent. Setting; thisstudy was carried out in Coronary Care Unit at Assuit University Hospital. The sample included 76 patients suffering mainly from cardiac disease. Tools used in this study consist of two parts; first closed chart audit; related to personal characteristics. Second, questionnaire about the reasons of hospital readmission; it included three aspects related to; the hospital, disease, and patients (post care interview). Results;of this study illustrated that most of readmitted patients were male, married, aged from 50 to 64 yearsold, most of them were read & write and had chronic illness and at the same time did not complied with medication and follow-up appointment. The study concluded that the present study demonstrates highly statistical significant differences between patient's related factors and frequency of readmission among studied patients, and highly statistical significant differences between Recommendation; based on the study findingthe following four strategies recommended reducing hospital readmission as following, screen for patients at risk for readmission, enhance the patient's education program, institute a telephone follow-up program after discharge, and emphasize the importance of data accuracy and integration.
https://asnj.journals.ekb.eg/article_184128_93707db7a7b3d511c3ffb0b9351feb3d.pdf
2013-12-01
69
79
10.21608/asnj.2013.184128
Keywords: Hospital Readmission
High risk patients
S .
Mohammed ,
1
Head Nurse of Infection Control depar Assuit University Hospital
AUTHOR
S
Ghallab ,
2
Assist. Prof. of Nursing Administration. Faculty of Nursing- Assuit University
AUTHOR
S .,
Abdalla ,
3
Assist. Prof. of Nursing Administration. Faculty of Nursing- Assuit University
AUTHOR
H .,
Yussef ,
4
Assist. Prof. of Nursing Administration. Faculty of Nursing- Assuit University
AUTHOR
ORIGINAL_ARTICLE
Critical Thinking and Clinical Judgment Skills for baccalaureate Nursing Students in EL-Minia University
Abstract:
Background: Critical thinking and clinical judgment in nursing has been accentuated in response to the rapidly changing health care environment. Nurses must think critically and clinically judgment to provide quality of care and coping with the expansion in role associated with the complexities of current health care systems. Aim of the study: to assess critical thinking and clinical judgment skills for baccalaureate nursing students in EL-Minia University. Methodology: The study was developed within descriptive approach. Setting: The study was carried out at Faculty of Nursing in EL-Minia University. Subject: All Baccalaureate nursing students at Faculty of Nursing in EL-Minia University in the academic year 2010/2011 with total number (n=105). Tools of study: The study tools were two the first tool for critical thinking consisted of two parts 1st part related to socio demographic characteristics sheet &2ndpart was the California Critical Thinking Disposition Inventory (CCTDI), Second tool for clinical judgment. Results: There were no statistically significant differences between demographic characteristics (sex& residence) with critical thinking and clinical judgment items. Conclusions: The rate of urban and male student nurses were had high level in the total score of critical thinking. Moreover , rate of rural and female student nurses were had middle to high level in the total score of clinical judgment. Recommendations: Attending of nursing teachers a training program about how to identifying teaching strategies needed and how to use these strategies in effective ways for the development of critical thinking and clinical judgment skills for nursing students.
https://asnj.journals.ekb.eg/article_184141_0866c31a74aa8cf6e8acc5d82bc544dd.pdf
2013-12-01
80
86
10.21608/asnj.2013.184141
Keywords: Critical thinking
Clinical Judgments
Nurse Students
Sh
Gabra
1
Nursing Administration Department, Faculty of Nursing, EL- Minia University.
AUTHOR
R
Sadek ,
2
Community Medicine Department, Faculty of Medicine, EL-Minia University.
AUTHOR
S.,
Mohamed ,
3
Nursing Administration Department, Faculty of Nursing, Assuit University.
AUTHOR
F .,
Mohamed ,
4
Nursing Administration Department, Faculty of Nursing, Assuit University.
AUTHOR
ORIGINAL_ARTICLE
Effect of a Parent-Focused Intervention for Autistic Children on Parenting Stress at Assiut City
Abstract: Autism is a neurological disorder characterized by qualitative impairments in social interaction, qualitative impairments in communication, and restricted repetitive, stereotyped patterns of behavior, interests, and activities. Autistic Spectrum Disorders (ASDs) are relatively common without known etiology can be found in 80-90% of cases. The study aimed to evaluate the effect of a parent-focused intervention for autistic children on parenting stress at Assiut City. Subjects and methods: The study was Quasi-experimental research design. It was conducted in all autism centers at Assiut city which includes 7 centers and included 73 parents who agreed to participate in this study selected by convenient sample; this sample included 47 mothers and 26 fathers. The study included three tools: - a structured interview sheet, parents’ knowledge assessment about autism, and parenting stress scale. The main results of the study indicated that there was highly statistically significant differences between mothers’ and fathers’ knowledge about autism (P-value = 0.000) in pre, immediate post-test and follow-up. Moreover there was highly statistically significant difference between Parental stress scale for mothers and fathers in pre-test and immediate post-test respectively (P-value= 0.000 *& 0.002*) while no statistically significant difference between pre-test and follow-up respectively (P-value= 0.152 & 0.417). The study Concluded that there was improvement of parents’ knowledge about autism in immediate post-test and follow up; moreover the parents’ stress level was decreased in immediate post-test than pre-test while the stress level again slightly increase during follow up test. The study recommended that: Nursing staff should play a much greater role in supporting parents and providing them with important information through pediatrics clinics, Maternal and Child Health Centers (MCH), and others.
https://asnj.journals.ekb.eg/article_184142_53bf4ef69c899bbc7873c70f0a6dc434.pdf
2013-12-01
87
102
10.21608/asnj.2013.184142
Key wards: Autism
Autism Spectrum Disorders
Parenting stress
Sh.
Aly,
1
Departments of Community Health Nursing- Faculty of Nursing- Assiut University
AUTHOR
H.
Ibrahim ,
2
Pediatrics Medicine- Faculty of Medicine-Assiut University
AUTHOR
, G.
Askar
3
Pediatrics Medicine- Faculty of Medicine-Assiut University
AUTHOR
Soad
Bayomi
4
Departments of Community Health Nursing- Faculty of Nursing- Assiut University
AUTHOR
ORIGINAL_ARTICLE
Nurses Knowledge Assessment for Anterior Cruciate Ligament Surgery at Assiut University Hospital
Abstract: Anterior Cruciate ligament (ACL) surgery is one of the most common clinical entities in daily orthopaedic practice. The Aim of the study is to assess nursrs knowledge and practice for patients with ACL surgery. Quasi experimental research design was utilized in this study .This study was conducted in arthroscopy and sports injuries unit at orthopaedic department at Assiut University Hospital. A convenient sample of all available nurses (44 nurses) was included in this study. Data collected by utilizing the designed interview questionnaire sheet consists of biosocial characteristics of nurses , assessment of nurses's knowledge, observation checklist sheet to assess nurses's practice. The results can be concluded that (93.2) of nurses had an poor level of knowledge regarding ACL, all of nurses (100%) had an inadequate level of practice regarding patients who had ACL surgery . It was found that there was a strong relationship (r =.838, P = .0001) between total knowledge and total practice. Conclusion: Nurses`s knowledge and practice regarding patient who had ACL surgery in orthopaedic department of Assiut University Hospitals are unsatisfactory and inadequate. Recommendation :All nurses need to develop nursing care standards for patients with ACL surgery to improve nurses` knowledge and practice
https://asnj.journals.ekb.eg/article_184299_ad8f1ca8e435cb3fa4ac4d20b07ccda5.pdf
2013-12-01
103
108
10.21608/asnj.2013.184299
Sh
Hussien.,
1
Medical-Surgical Nursing, Faculty of Nursing , Assiut University.
AUTHOR
M.,
Ahmed.,
2
Medical-Surgical Nursing, Faculty of Nursing , Assiut University.
AUTHOR
H.
El-kady.,
3
Orthopaedic-Surgical Medicine, Faculty of Medicine, Assiut University.
AUTHOR
ORIGINAL_ARTICLE
Psychological Loneliness and Aggression among psychiatric patients
Abstract: Aggression and violent behavior are the chief concerns among staff, families and clients at inpatient psychiatric units. The aim of this study was to assess psychological loneliness, and aggression among psychiatric patients. Descriptive correlational research design was used in this study. The sample consisted of 100 psychiatric inpatients at Beni-Ahmad psychiatric hospital in El-Minia governorate. Three tools were utilized to measure the concepts of the study variables: Personal and clinical data Questionnaire, Psychological loneliness scale, and Aggression questionnaire. Results of the study revealed that 42%, 35% and 14% of patients were diagnosed schizophrenic, depression and manic disorders. Most of them (73%) had severe psychological loneliness and 51% had severe level of aggression. In conclusion, more than half of psychiatric patients had severe psychological loneliness and severe level of aggression. Psychological loneliness was negatively correlated with aggression, Recommendations: This study recommended to design and implement a psycho-educational program to decrease psychological loneliness and aggression among the psychiatric patients.
https://asnj.journals.ekb.eg/article_185288_7bd4104e3cfbdb5b9f810ffab6d3f66a.pdf
2013-12-01
109
114
10.21608/asnj.2013.185288
Key Words: Psychological loneliness /Aggression/ psychiatric patients
S.,
Zaki ,
1
Psychiatric & Mental Health Nursing, Faculty of Nursing – El Minia university.
AUTHOR
N.,
Abd El- Kader
2
Psychiatric -Mental Health Nursing, Faculty Nursing, Cairo University.
AUTHOR
H.,
Fahmy ,
3
Community Health Nursing, Assiut University, 4 Psychiatric Nursing, Faculty of Nursing, Assiut University.
AUTHOR
A.,
Abd El-Aziz ,
4
Psychiatric –Mental Health Nursing, Faculty of Nursing, El-Minia University.
AUTHOR
M.,
Abo EL-Magd
5
Psychiatric –Mental Health Nursing, Faculty of Nursing, El-Minia University..
AUTHOR
ORIGINAL_ARTICLE
Perception of Late Adolescent Girls about Sexually Transmitted Diseases and Infections in El-Minia University
Abstract: Sexually transmitted diseases (STDs) are responsible for a variety of health problems, and can have especially serious consequences for adolescents and young adults. Adolescence is marked by profound biological and psychological changes. However, adolescent health, especially reproductive health, is a neglected area. Aim of the study was to recognize the perception of adolescent girls regarding the sexually transmitted diseases and infection, and to determine whether adolescent girls differentiate between the terms sexually transmitted disease (STDs) and sexually transmitted infection (STIs). Subjects and methods a descriptive cross-sectional research design was used to conduct the study at eight faculties that are selected randomly in El- Minia University. It included 408 female students by random sampling technique. The data were collected by using a self-administered questionnaire including knowledge and attitude rating scale. The study results revealed that there were unsatisfactory knowledge related to mode of transmission (63%), types (69.1%), and symptoms of STDs/STIs (85.8%). while they had satisfactory knowledge about curability, complication and protection ways of sexually transmitted diseases and Infection. The sources of information were mainly the school/university (20.1%), and then mass media (15.4%). Shyness was the most pronounced barrier (38.2%) for seeking health care, Tradition come the next barrier (21.1%), followed by there is No special girl's center (10.3%). Knowledge was significantly higher among students in urban areas (p < 0.001) than rural areas, and whose mothers able to read and write. Conclusion the study concluded that lack awareness of adolescent girls about sexually transmitted disease and infections and they unable to differentiate between the terms sexually transmitted disease (STDs) and sexually transmitted infection (STIs). Therefore, it is recommended to conduct sessions discussing sexual health and STDs/STIs for mothers at schools and students at universities, with the cooperation of non-governmental organizations (NGOs), worship places, National Women Council, and-cultural and behavioral determinants of sexual risk behaviors, which may lead to STDs/STIs.
https://asnj.journals.ekb.eg/article_185289_ab8f016a26005881e381cd761f2e0391.pdf
2013-12-01
115
124
10.21608/asnj.2013.185289
Key words: Adolescence
sexually transmitted disease and sexually transmitted infections
S.,
Abd Elnaem ,
1
Faculty of Nursing Minia University
AUTHOR
F
Moustafa ,
2
Faculty of Nursing Assiut University
AUTHOR
E.,
Emam ,
3
Faculty of Nursing Assiut University
AUTHOR
ORIGINAL_ARTICLE
Knowledge and Attitude of Tuberculosis Patients and Their Family Caregivers about Tuberculosis in Minia Governorate
Abstract: Background: Tuberculosis continues to pose serious public health problem threats, especially in developing countries. It is a common and often deadly infectious disease caused by mycobacteria, usually Mycobacterium tuberculosis in humans. Tuberculosis usually attacks the lungs but can also affect other parts of the body. Each year, approximately 2 million persons worldwide die of tuberculosis and 9 million become infected. Aim of this study: to assess knowledge and attitude of TB patients and their family caregivers about TB in Minia governorate. Subject and Methods: Cross sectional research design was utilized in the present study. This study was carried out in Minia governorate; three districts namely Beni-mazar, Minia and Mallawy that were selected randomly. The study sample included 125 patients' and 173 family caregivers. Two tools were used in this study. First tool: consists of three parts: Part I; included sociodemographic characteristics , Part II; included environmental assessment sheet. Part III; included Knowledge of patient and their families about Tuberculosis disease. Second tool: Likert scale used to assess attitude of patients and their families about tuberculosis. Results: This study illustrated that the age of TB patients and their family caregivers ranged between (18-60) years with the mean age (34.8±13.7, 38.8±13.9), respectively. Concerning the educational level, it was found that the highest percentage in both groups were illiterate, it represents 43.2% in the TB patients and 43.9% in the family caregivers, respectively. Also, the present study showed that the majority of TB patient and their families had poor knowledge and negative attitude about TB. Conclusion: the findings of this study illustrated that more than half of patient and their families had poor knowledge about TB and more than three quarters of them had negative attitude especially in rural areas. Recommendation: there is a strong need for increasing patients and family caregiver’s awareness about TB transmission and prevention.
https://asnj.journals.ekb.eg/article_185318_231230e167b955824a8188d107496c1b.pdf
2013-12-01
125
135
10.21608/asnj.2013.185318
Key words: Tuberculosis
prevention and family
A
Abdelwaha ,
1
Public Health and Community Medicine., Faculty of Medicine., Minia University
AUTHOR
R
Sadek ,
2
Community Health Nursing ., Faculty of Nursing., Assiut University
AUTHOR
S.,
Kotb ,
3
Community Health Nursing ., Faculty of Nursing., Assiut University
AUTHOR
M.,
Ahmed ,
4
Community Health Nursing ., Faculty of Nursing., Beni-suif University
AUTHOR
ORIGINAL_ARTICLE
Effect of Chronic Kidney Diseases on Physical Growth and Intelligence Quotient in Children and Adolescents at Assuit Children University hospital.
Abstract The prevalence of chronic kidney disease is increasing rapidly worldwide. The study aimed at assessing the effect of CKD on physical growth and intelligence quotient of children and adolescents at Assuit Children University Hospital. The study was descriptive comparative study. The study was conducted in Pediatric Nephrology and Dialysis Unit and pediatric nephrology Out-patient clinic in Assuit Children University Hospital. Sample: The study included 62 pediatric patients with chronic kidney diseases aged 2-18 years (CKD children) and 62 apparently healthy children aged 2-18 years who were collected from relatives of the CKD children (healthy children). There are three tools used for collecting data in the study, tool one is an assessment questionnaire sheet for children and parents which included sociodemographic data, past medical history and present medical history of the child. Tool two included anthropometric measurements which were plotted on Egyptian growth charts. Tool Three was stanford– Binet Intelligence Scale (SB 5). The main results of study: There are significantly higher subnormal percentiles in head circumference in CKD children compared to healthy children. There are very significantly higher subnormal percentiles in stature for age percentile, weight for age percentile and total, verbal and nonverbal I.Q in CKD children compared to healthy children. Conclusion: CKD negatively affect physical growth and intelligence quotient in children and adolescents at Assuit Children University Hospital. Recommendations: nurses must make sure the family schedules and keeps follow-up appointments to assess growth, developmental progress, and the effectiveness of treatment plan
https://asnj.journals.ekb.eg/article_185331_15725d24d7ad31bfbef80d4a14ed03d0.pdf
2013-12-01
136
145
10.21608/asnj.2013.185331
Key Words: Chronic Kidney Diseases
physical growth
Intelligence Quotient
Pediatric
Nurses
F.,
Kamal ,
1
Departments of Pediatric Nursing, Faculties of Nursing, Assuit and Sohag Universities,
AUTHOR
,A
Abdelaziz .
2
Department of Pediatrics, Faculties of Medicine, Assuit University
AUTHOR
Y
Elasyed ,
3
Department of Pediatrics, Faculties of Medicine, Assuit University
AUTHOR
A.
Roshdy ,
4
Department of Pediatrics, Faculties of Medicine, Assuit University
AUTHOR
ORIGINAL_ARTICLE
Impact Of Health Education Programme About Obesity For Obese Female Employee At Assiut University
Abstract
Egypt is one of the countries in the world where the problem of obesity has been nearing an epidemic level. Currently, nearly 70% of adult women and 48% of men in Egypt are overweight or obese. This study aimed to evaluate the impact of the health education programme to control obesity among female employees at Assiut University. A quiz-experimental design was used to apply health education intervention. A convenient sampling technique was utilized. Data was collected using two tools, the first tool, self administered questionnaire it cover two parts, part one included socio-demographic. Part two consisted female employees' knowledge about nutrition and obesity) the second tool Anthropometric measurements (waist circumference weight, height, and BMI). The mean age was 45.60 ± 9.65. The results illustrated that about three quarters (74.0%) of the studied sample has poor knowledge in pre-test compares to only (12.0%) in post-test had poor knowledge. Also more than one quarter (26.0%) of the studied sample had satisfactory level of knowledge in pre-test, while in post-test more than half (54.0%) of them have the satisfactory level of knowledge. There is a significant difference in pre/post tests of female employees' knowledge. Conclusion the health education program has an effective role in improvement of knowledge about balanced diet and obesity. Also, recommended that Booklets of Arabic language about obesity and management of body weight should be available in library of faculties. Increase public awareness about balanced diet, nutritional needs in every age group.
https://asnj.journals.ekb.eg/article_185332_9d489b0f50bdb1071dd40a1a6f9ab293.pdf
2013-12-01
146
156
10.21608/asnj.2013.185332
Key words: Obesity
Body Mass Index and Health Education Programme
F.,
Mohammed ,
1
Community Health Nursing, Faculty of Nursing, Assiut University
AUTHOR
S.,
Bader El-din ,
2
Community Health Nursing, Faculty of Nursing, CairoUniversity
AUTHOR
S
Bayomi ,
3
Community Health Nursing, Faculty of Nursing, Assiut University
AUTHOR
N.,
Elmagrabi ,
4
Community Health Nursing, Faculty of Nursing, Assiut University
AUTHOR
ORIGINAL_ARTICLE
Comparative Study :The Incidence of Catheter Associated Urinary Tract Infection (CAUTI) between Foley and Silicon Catheter.
Abstract: The aim to compare the incidence of catheter-associated urinary tract infection (CAUTI) between foley and silicone catheter. Descriptive exploratory design was utilized in this study. The study was conducted in the Urology department at Sohag University Hospital. A convenient sample of 120 patients male and female was included in this study. Tools were used for data collection, Tool (1) patient assessment sheet and Tool (2) post catheterization problems evaluation sheet. Results findings regarding to patients' characteristics revealed that, two third of patients (60.0%) aged between 31-50 years. As regard the length of hospital stay, half of foley catheterized patients (50.0%) admitting between 4-6 days, while (43.3%) of silicon catheterized patients admitting between 7-9 days. As regard the urine culture result, that more than three quarters of foley catheterized patients (76.7%) were positive culture result and two third of silicon catheterized patients (60.0%) were positive culture result. Conclusion significant relation was present between incidence of urinary tract infection and types of catheter, length of hospital (P= 0.03 and P= 0.001 respectively), while non-significant relation was present between incidence of urinary tract infection and patients sex. Recommendations use a sterile procedure for catheter insertion to reduce catheter associated infection. Increasing alert of health care staff about infection control and measure to prevent CAUTI through work shop, posters and health education.
https://asnj.journals.ekb.eg/article_185335_36e0840fd06d22cc5b0179338e16ddd3.pdf
2013-12-01
157
165
10.21608/asnj.2013.185335
Keywords: Catheter-associated urinary tract infection
correlation
Foley catheter
Silicon catheter
Incidence
ORIGINAL_ARTICLE
Nurse leaders’ behaviors and its effect on nurses' attitude toward change at Main Assiut University Hospita
Abstract
Leader should direct subordinate creativity all of the time, to help them to become more creative and accept organizational change. This study was aimed to assess the effect of Nurse Leaders’ behaviors on nurses' attitude toward change at Main Assiut University Hospital. The study subjects consists of (48) nurse leaders and (328) staff nurses who worked in medical, surgical, and ICUs units. Data collected through personal interview by using the demographic data sheet, leader's behaviors questionnaire, and organizational change questionnaire, the data collection took about four months. Reliability was high more than 0.9 for all tools. Results of the study showed that; Nurse leaders in high level, about near half of them have positive attitudes toward organizational change and about third of them have negative and neutral attitudes toward organizational change in low level of leaders behaviors. And staff nurses abouthalf of them have positive attitudes toward organizational change in high leader behaviors and about third of them have neutral attitude toward organizational change in low leader behavior. There were a highly statistically significant difference between predominant organizational change with leader behavior among staff nurses. In the light of the study results, the following conclusions can be drawn; Nurses’ leaders and staff nurses had positive attitude toward change and there are a negative correlation between leaders behaviors and attitude toward organizational change. In the light of the finding, the researcher recomended that: provide psychological support to motivate nurses to use their opinions and suggestion without fear, provide training programs to develop leaders and nurses' knowledge which helps in accepting the change.
https://asnj.journals.ekb.eg/article_185338_8de3b2c07e3b598b0d274c884a709d6b.pdf
2013-12-01
166
172
10.21608/asnj.2013.185338
Keywords: leadership
Leader Behaviors
And Organizational Change
N.,
Saleh ,
1
Assistant Lecturer in Nursing Administration Dep. - Faculty of Nursing - Sohag University
AUTHOR
ORIGINAL_ARTICLE
Assessment of Nurses' knowledge and Practices related to Infection Control of Invasive Procedures in Neonatal Units at EL-Minia University and General Hospitals
Abstract All neonates at the neonatal units are routinely subjected to invasive procedures. Where nearly, all of them are attached to various types of invasive procedures. So infection control in a health care facility can reduce the risk of nosocomial infections, thus decreases morbidity and mortality rates, cost and burden on families, hospitals and the community as well. Aim of the study was to assess the nurses' knowledge and practices about infection control of invasive procedure in the neonatal units. This study is a descriptive study, that was conducted in the neonatal units at El-Minia University and General Hospitals. The study sample: was a convenient sample of 40 nurses (22 nurses from El-Minia University and 18 nurses from El-Minia General Hospitals). The following tools were used: 1) A structured questionnaire sheet, 2) Observation checklist sheet. Results of the study showed that half percentage of nurses' satisfactory knowledge was related to infection (50%) followed by universal precaution (35%). The satisfactory knowledge of nurses was related to suctioning (65%) followed by nasogastric tube insertion (55%). The total knowledge about infection control and invasive procedure were satisfactory in 25% of them. Conclusion nurse were lacking knowledge and practices related to infection control of invasive procedures. Recommendations a Provision of continuing education programs on regular basis is suggested in order to refresh and update nurse's knowledge, as well as reinforce proper practice related to infection control of invasive procedure in neonatal intensive care unit.
https://asnj.journals.ekb.eg/article_185339_33fbe35c6428040a30726f90ebb389f9.pdf
2013-12-01
173
181
10.21608/asnj.2013.185339
Keywords: infection control
invasive procedures
NICU
Pediatric
Nursing
N.,
Abolwafa ,
1
Pediatric Nursing Department, Faculty of Nursing, Minia University, Egypt
AUTHOR
ORIGINAL_ARTICLE
Needs Assessment of Patients with Obstructive Sleep Apnea at Assiut University Hospital
Abstract: Objective: are in need for different types of support the aim of this study to assess the physical, social, psychological, spiritual and educational needs of patients with obstructive sleep apnea and its associated ith morbidities. Patient and Methods: A descriptive exploratory study design was conducted at the Sleep center in Chest Department at Assiut University Hospital. Sample: A purposive sample of 100 adult patients from both sexes with OSA. Tools: a Patients' interviewing questionnaire sheet, Epworth Sleepiness Scales, Respiratory disturbed index (RDI) after full Polysomnographic study, patients' medical record, and Hamilton Rating Scale. Results: The study findings revealed that 30% of the studied patients were illiterate, 44% of them basic education and 26% of them were university and postgraduates. Moreover, 80% of them were overweight and obese the BMI < 25, 11% of them were smoker, added to them 68% of them had waist circumference < 102 in male and <88 in female. And 29% had neck size < 45cm in male and < 42cm in female. Nearly, 96% of them had respiratory, 95% nocturia and 79% digestive systems problems. Furthermore, 87% of the studied patients had tired and fatigued, 83% had day time sleepiness, 82% had obstruction breathing during sleep, 100% moderate and severe OSA and not present any mild case of OSA. Conclusion: There was no statistically significant relation between patients’ needs and their characteristics, levels of sleepiness and depression. Statistical significant relation between physical, social, psychological and educational needs, level of OSA and educational needs with educational level. Furthermore, there was no statistically significant relation between patients’ needs and age group, gender, and BMI.
https://asnj.journals.ekb.eg/article_185342_013cd4a021f39651527c641b8e6d59df.pdf
2013-12-01
182
189
10.21608/asnj.2013.185342
Key words: OSA
Patients needs
polysomnography
Epworth sleepiness scale
Respiratory Disturbed Index & HamiltonRatingScale
N .,
Ibrahem ,
1
Head Nurse of chest Department, Assiut University.
AUTHOR
S
Sayed
2
Professor of Chest Department, of Faculty of Medicine, Assiut University, Egypt.
AUTHOR
S .,
Hegazy ,
3
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Ain shams University, Egypt.
AUTHOR
M
Mekkawy
4
Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
AUTHOR
ORIGINAL_ARTICLE
Assessment Nurses Performance for Patients with Cancer Receiving Chemotherapy at South Egypt Cancer Institute at Assiut University
Abstract: The descriptive study aimed at assessment nurses performance for patients with cancer receiving chemotherapy at South Egypt Cancer Institute at Assiut University: Subjects included in the study were 65 nurses from male, female and private oncology units. The collection of data was achieved by using observation checklist: this tool aims at assess performance of the nurses who providing care for patients with cancer receiving chemotherapy. It was developed by the researcher based on review of related literature. This tool consisted of two parts. Part I: Entailed. Socio-demographic characteristics of the studied nurses such as age, sex, qualification, and years of experience. Part II: Entailed the nursing care for patients with cancer receiving chemotherapy. It includes 147 criteria under 10 heading that identify nursing care for patient with cancer receiving chemotherapy. The results of the study showed that nursing care provided for patients with cancer receiving chemotherapy were inadequate. Based on the finding of the study. It is recommended that the oncology unit should be staffed with qualified and adequate nurses who are to make assessment and to provide adequate nursing intervention during three day shifts according to patients needs.
https://asnj.journals.ekb.eg/article_185361_57b0a7dbe1e8a059b5c6197141bb5c0b.pdf
2013-12-01
190
202
10.21608/asnj.2013.185361
H.
E
1
Assistance Lecturer- Nursing Administration Quena University Superversity.
AUTHOR
H
Shemy,
2
Professor Of Nursing Administration , Faculty Of Nursing Ain Shams University .
AUTHOR
M
Mohamed
3
Professor Of Clinical Oncology Faculty Of Medicine, Assiut University
AUTHOR
S.,
Mohamed ,
4
Professor Of Clinical Oncology Faculty Of Medicine, Assiut University.
AUTHOR
H,
Yousef
5
Assistant Professor Of Nursing Administration , Faculty Of Nursing, Assiut University
AUTHOR
ORIGINAL_ARTICLE
Assessment of nurses' knowledge and practice regarding postoperative open cholecystectomy patients at Assiut university hospital
Abstract: Cholecystectomy is the surgical removal of the gallbladder. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. Approximately 700,000 cholecystectomies are performed annually in the United States. The Aim of the study is to assess nurses' knowledge and practice regarding postoperative open cholecystectomy patients. Descriptive research design was utilized in this study .This study was conducted in the general surgery department at Assiut University Hospital. A convenient sample of 60 nurses was included in this study. Data collected by utilizing the designed interview questionnaire sheet consists of biosocial characteristics of nurses and assessment of nurses' knowledge, observation checklist sheet. The results can be concluded that more than half of nurses (81.7%) had poor level of knowledge regarding nursing care of open cholecystectomy. All nurses (100%) had an inadequate level of practice regarding nursing care for patients post open cholecystectomy. It was found that there was a positive relationship between total knowledge score and total practice score. Conclusion: it can be concluded that, Nurses` knowledge and practice regarding nursing care of patient post cholecystectomy are at a poor and inadequate level and need developing nursing care standards to improve nurses` knowledge and practice.
https://asnj.journals.ekb.eg/article_185366_1b62bb1aaa87553f4ce1c815956e9dd0.pdf
2013-12-01
203
209
10.21608/asnj.2013.185366
Key Words: Cholecystectomy
Knowledge
Practice
nurse203
W.,
Ahmed,
1
Medical Surgical Nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt
AUTHOR
A.,
Essaa,
2
General surgery department, Faculty of Medicine, Assiut University, Assiut, Egypt.
AUTHOR
A.,
Ahmed,
3
Medical Surgical Nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt
AUTHOR
ORIGINAL_ARTICLE
Characteristics of Children with Acute Rheumatic Fever in Two Governorates of Upper Egypt
Abstract:
While the incidence and prevalence of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) have been decreasing in developed nations since the early 1900s, they continue to be major causes of morbidity and mortality among children in developing nations. Aim of the study: The aim of the present study is to evaluate the characteristics of children with ARF in two governorates in upper Egypt. Materials and Methods: The study was conducted in pediatric cardiology clinics in pediatric departments of Assiut and Sohag University hospitals. The study included 160 children aged 5-15 years old with ARF, eighty from each pediatric department of Assuit and Sohag University Hospitals. A control group of apparently healthy children of same number for each group was included. Three tools for collecting data were used in this study: tool one is an assessment questionnaire of children and parents knowledge about rheumatic fever (RF). Tool two: Assessment of socioeconomic condition of families. Tool threeincluded anthropometric measurements of children. Results: ARF was more common among male children (62.5%) than females (37.5%) in Assiut compared with Sohag group (41.3%, 58.7% respectively) (P=0.002). Children with RF were more prevalent among families living in rural areas in Assiut and Sohag (78.8% and 60% respectively) than urban (21.25% and 40% respectively) (P=0.008). High percentages of illiteracy of the fathers of children with RF in Assiut (58.8%) and Sohag (62.5%) and similarly were the mothers in Assiut and Sohag (87.5% and 77.5% respectively). There was a significant difference between low socio-economic class (200-400 L.E) of families in Assiut and Sohag and RF (P=0.009).. The Majority of fathers of the two study groups in Assiut and Sohag were workers and farmers (85.0% and 71.25% respectively). Also the majority of mothers in both groups were housewives (95.0% and 82.5% respectively). About one quarter in Sohag group (23.75%) had a family history of RF compared to 21.25% in Assiut. There was a lack of parents' knowledge about RF including definition, causes, signs and symptoms, treatment, persons at risk of RF, its complications and caring of child with RF.
Conclusion: RF occurs equally in both sexes to some extent, more common among rural, crowded, low socioeconomic families with high percentage of illiteracy, unemployment, and lack of knowledge about RF among parents.
https://asnj.journals.ekb.eg/article_185368_8d081026a56ccfe17f385f9b30bfec39.pdf
2013-12-01
210
218
10.21608/asnj.2013.185368
Key Words: Rheumatic Heart Disease
Acute Rheumatic Fever Children Knowledge
Upper Egypt
Y.
Elasyed
1
Departments of Pediatric Nursing, Faculties of Nursing, Assiut and Sohag Universityies
AUTHOR