Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Nutritional Status and Academic Achievement among School-Age Children with Chronic Kidney Disease at Assiut University Children Hospital1814708710.21608/asnj.2014.147087ENLaith M.Al-OsoufiClinical Instructor, Al-Hussein bin Talal University, JordanKawthar A.FadelProfessor of Community Health, Faculty of Medicine, Assiut University Egypt.Ahmad R.AhmadProfessor of Pediatrics, Faculty of Medicine, Assiut University Egypt.Asma A.MohammadAssistant Professor of Pediatrics Nursing, Faculty of Nursing, Assiut University EgyptJournal Article20210208Abstract Chronic kidney disease (CKD) is recognized as a major health problem affecting approximately 13% of the US population. Nutritional status and academic achievement were affected in 1.3% of Egyptian school age children with urinary abnormalities. Aim: to assess nutritional status and academic achievement among school-age children with chronic kidney disease at Assiut University Children Hospital. Subjects and Method: The study sample was composed of 102 school-age children with CKD. The study was conducted in the Pediatric Nephrology Unit and Outpatient Clinics at Assiut University Children Hospital. Data were collected by utilizing the designed questionnaire sheet that consists of sociodemographic data, socioeconomic data, children's anthropometric measurement as well as assessment of their academic achievement. Results: The results of study revealed that the percentage of anthropometric school-age children under study was normal or around average with no statistical significant between CKD and nutritional status. Regarding academic achievement, about one third of the studied children with CKD had pass average academic achievement score. Conclusions: Based on the results of the present study, chronic kidney disease did not affect nutritional status, but it negatively affected academic achievement in school-age children at Assiut Children University Hospital.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Effect of Chest Physiotherapy and Recruitment Maneuvers on Hemodynamics and ICU Stay of Mechanically Ventilated Patients with Acute Lung Injury.92014709710.21608/asnj.2014.147097ENNaglaa Gamal El-dienAbd-ElhafezAssistant Lecturer in Critical Care & Emergency Nursing, Sohag University Egypt.Warda YoussefMohamedProfessor of Critical Care & Emergency Nursing, Cairo University Egypt.Mona AlyMohamedLecturer in Critical Care Nursing, Assiut University Egypt.Mervat AnwarAbdel-AzizLecturer in Critical Care Nursing, Assiut University Egypt.Kahled MohamedMorsyLecturer in Anesthia &ICU, Faculty of medicine, Assiut University Egypt.Journal Article20210208Abstract<br />Background Acute lung injury Patients may require mechanical ventilation to survive Chest physiotherapy & Recruitment maneuvers are two methods that improve respiratory efficiency and promote Hemodynamic stability Aim To investigate effect of chest Physiotherapy & recruitment maneuvers on hemodynamic parameters and length of ICU stay of mechanically ventilated Patients with Acute lung Injury Design Quasi-experimental design<br />Setting The study was carried out in trauma intensive care unit at Assiut university hospital. Subjects: A convenience sample of 60 matched patients and randomly assigned into two equal groups diagnosed as having an acute lung injury, coma scale ≥ 13, on mechanical ventilation Tools Tool: acute lung injury mechanically ventilated patient assessment sheet were utilized to collect data Methods study group was exposed to two sessions/day of chest physiotherapy& recruitment maneuvers until disconnection from mechanical ventilator in addition to the routine hospital care. Results Significant statistical was put into evidence between the two studied groups in the hemodynamic parameters HR was (96.71±11.39) in study group (110.64±11.14) control group after 30 min (p=0.001) after 12 (93.16±22.79) in study group (91.07±7.0) in control group (p=0.05) Temperature in control group (38.9 to 38.6) (37.3 to 37.7) in study group (p=0.001) control group stayed longer in ICU than study group (p=0.001)Conclusion Combining Chest physiotherapy Recruitment maneuvers are of great values for improvement of respiratory efficiency and promote Hemodynamic parameters Replication of the study on larger propriety sample is recommended.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Impact of Educational Program about Food Safety on Improving Adolescent Students' Knowledge and Practices in Assiut213614709910.21608/asnj.2014.147099ENAmina MohamedThabetLecturer of pediatric nursing- Sohag UniversityNora Abd-ElhamidZakiLecturer of pediatric nursing- Assuit UniversityJournal Article20210208Abstract<br />Food safety is a global health goal and food borne diseases are a major health issue. It is important to reach young adults with food safety education because of their current and future roles as caregivers. The aim of this study was to establish baseline assessment data regarding to food safety knowledge and practices among adolescent students and develop an educational program on the base of previous baseline data to increase their knowledge and improve their practices related to food safety. A quasi-experimental study design was used in carrying out at 4 secondary schools (two schools were east and the others were west) in Assuit. The sample included 1000 students (as baseline assessment data) and 200 students randomly selected for the educational program. The main result in this study was no statistically significant differences between the pre test and post test practices and knowledge in the control group but there was statistically significant difference between the pre-post test practices and knowledge in the study group. The study was concluded that, the students' knowledge and practices about food safety were increased significantly among students who had the food safety educational program. It is recommended that the developed programs should be taught among different age group students that do not offer food safety program.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Impact of menopausal symptoms on quality of life among women's in Qena city.374614710810.21608/asnj.2014.147108ENReda R.AliAssistant lecturer of obstetrics and Gynecological Nursing- Faculty of Nursing- South Valley University.Sayed A.Mohamedprofessor of obstetrics and Gynecological medicine- Faculty of Medicine- South Valley University.Manal F.Moustafaprofessor of obstetrics and Gynecological Nursing - Faculty of Nursing- Assuit University.Sahar F.El Saiedlecturer of obstetrics and Gynecological Nursing- Faculty of Nursing- South Valley University.Journal Article20210208Abstract<br />Background: Menopause, the time when a woman stops having menstrual periods, is not a disease or an illness for most women, menopause is a normal occurrence.. The most common age range at which women experience menopause is 48-55 years.. Aim of the study: To assess the Impact of menopausal symptoms on quality of life among women's in Qena City. Subject and Method: it was a descriptive study and a convenient sample included 250 menopausal women. Data was collected through a questionnaire to collect necessary data. Setting: The study was conducted at out patient's clinics of Qena University and general hospitals and south valley university. Results: the study results revealed that there was a positive strong correlation between MRS and QOL (r = 0.878). Conclusion : It can be concluded that post-menopausal women in this study had severe menopausal symptoms and this had adversely affected on quality of life. Recommendations: Implement appropriate health educational programs are essential for improving the quality of life of menopausal women in Qena cityAssiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201The Effect of Music on Preventing Intraoperative Awareness in Pediatric Patients Undergoing Open-Heart Surgery475514711210.21608/asnj.2014.147112ENGhada ShalabyKhalafAssistant lecturer of Critical Care Nursing Department, Faculty of Nursing, Assuit University, Egypt.Nadia TahaMohammedProfessor of Critical care and Emergency Nursing Department, faculty of Nursing, Alexandria University, Egypt.Mona AlyMohammedlecturer of critical care nursing department, Faculty of Nursing, Assuit University, Egypt .Mervat AnwarAbd-Azizlecturer of critical care nursing department, Faculty of Nursing, Assuit University, Egypt .Sayed KaoudAbd ElshafyAssistant Professor of Anesthesia And Intensive Care Department, Faculty of Medicine, Assuit University, Egypt.Journal Article20210208Abstract<br />Use of music has the potential to positively affect patient perception during intraoperative of surgical treatment. Intraoperative awareness is the most frustrating complication in patient undergoing surgery under general anesthesia. Study Design was Quasi-experimental research design. Three tools were used to conduct this study namily: "Preoperative assessment tool", "intraoperative assessment tool" and "postoperative assessment tool". Method: In a prospective, randomized double blind study, patients were randomized into two equal groups; In C group (n = 25) patients acted as the control and did not listening to music, while in music group (n = 25) patients listening to music. In both groups, auditory evoked potentials index electrodes connected before induction of anesthesia at operative room to detect depth of anesthesia and occurrence of intraoperative awareness. An interview with the patients and their parents to evaluate occurrence of awareness by using a semi-structured in-depth questionnaire. The main results: The results of the current study revealed that there was statistically significant decrease in occurrence of awareness in music group versus the control group (P value =0.000***). Conclusion: The application of music was highly effective in reducing intraoperative awareness.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Gap Between Current and Ideal Immediate Normal Postpartum Nursing Care at Woman's Health University Hospital, Assiut.566314873910.21608/asnj.2014.148739ENMervat M.HassanAssistant lecturer obstetrics & Gynecological nursing, faculty of Nursing South Valley University Egypt .Ali M.El-SemanProfessor of Obstetrics & Gynecology, Faculty of Medicine Assiut University EgyptNabila TahaAssistant Professor Obstetrics & Gynecological Nursing, Faculty of Nursing Assiut University Egypt .Nadia A.MohammedAssistant Professor Obstetrics & Gynecological Nursing, Faculty of Nursing South University EgyptJournal Article20210215Abstract<br />Improving the quality of obstetric care is an urgent priority in developing countries where maternal mortality remains high. Optimal obstetric care is the key requirement in reducing maternal mortality.The Aim of this study is to identifying the gap between the current and ideal Immediate normal postpartum nursing care at Woman's Health University Hospital, Assiut. Descreptive observational Design was used. Convenient Sample of 500 women were included. Data collected from June 2013 to January 2014, an interview questionnaire and clinical audit chart were used. The Results revealed that mean age of subjects was 27.83±4.85 years, multiparae constitutes more than half of subjects . Hygienic & nutritional advices were not done by nurses. Breast beefing advices were provided to around one quarter of subjects. Check for uterine contractions was provided by the nurse for nearly half of subjects. Immediate newborn care was provided by nurses in different high percentages, while monitor baby breathing not done by nurses. It is Concluded that, a gaps were identified between current and ideal immediate normal postpartum nursing care. Hygienic & nutritional advices not provided by nurses. All items of immediate post-partum care except check for uterine contractions not provided by the nurses. Immediate newborn care was the most item of care provided by the nurse.Reaudit is Recommended to improve quality care.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Factors influencing health promoting behaviors of elderly in rural area at Assiut and Sohag governorate647514874010.21608/asnj.2014.148740ENEsteer IbrahimGhayth BasalDemonstrator of Geriatric Nursing Department, Faculty of Nursing, Sohag University.Neama MohamedEl-moghrabiAssistant Professor of community Health Nursing, Faculty of Nursing, Assuit University.Soad SayedBiomyAssistant Professor of community Health Nursing, Faculty of Nursing, Assuit University.Mohamed AliEl-torkyProfessor of Community Health medicine, Faculty of Medicine, Sohag University.Journal Article20210215Abstract<br />Health promotion behavior is one of the main criteria for determining health that is recognized as the basic factor in catching numerous diseases. Aim of this study: to identify the factors affecting health promoting behaviors of elderly in rural areas. Subjects and method: A Descriptive research design was utilized. This study was conducted in four villages. The total number of sample was 1000 elderly. An interview questionnaire was used to collect data about: Personal information and availability of health care services, Health Promoting Lifestyle Profile scale (HPLPII), perception of chronic diseases and social support scale. Results: The main results of study 46.9% had moderate total health promoting behaviors while 42.6% had low total health promoting behaviors. Statistically significant difference between all personal data of elderly and their total health promoting behaviors. Also It was noticed that majority (89,9 %) of elderly have social support. Conclusion: the total score of elderly’s health promoting behaviors who were living in Assiut & Sohag governorates ranged between the low and moderate level. Recommendations: The routine services for the elderly should improve the ability of health personnel to provide knowledge and information on HPB as well as to educate the caregivers and to motivate the elderly to engage in daily practice of HPB.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Relationship between Interprofessional Communication and Sharing Information and Nurses' Burnout and Work Autonomy769114874110.21608/asnj.2014.148741ENReem MabroukAbd El RahmanLecturer, Nursing Administration Department, Faculty of Nursing - University of Damanhour.Journal Article20210215Abstract<br />Interprofessional communication can positively improve clinical outcomes. Aim: to examine the relationship between interprofessional communication and sharing information and nurses' burnout and work autonomy. Methods: Design: cross-sectional correlational. Sampling: all physicians and nurses working in critical care units at Damanhour National Medical Institute, Egypt (N=167). Tools: self-administered questionnaires composed of four parts, namely: Communication and Sharing Information (CSI) scale; Maslach Burnout Inventory-Human Services Scale (MBI-HSS); Global Work Autonomy Scale (GWA); and a demographic data sheet. Results: the findings showed that sharing of medical information and nurses-physicians communication were the highest dimensions. High mean of emotional exhaustion; depersonalization; and personal accomplishment dimensions of burnout; as well as total work autonomy. Significant differences were found between age and interprofessional communication and sharing information and both burnout dimensions (emotional exhaustion) and (depersonalization). No significant differences were found between all demographic characteristics and both nurses' burnout (personal accomplishment) and total work autonomy. An intermediate positive correlation was found between total communication and sharing information and burnout dimensions: emotional exhaustion and depersonalization and total work autonomy. Conclusion: total communication and sharing information are positively correlated to both burnout subscales: emotional exhaustion and depersonalization; and total work autonomy. However, total communication and sharing information and burnout subscale (personal accomplishment) are not correlated. Recommendations: strategies that foster patient-centered communication; and development of policies to equalize power dynamics; and enhance teamwork should be implemented.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Developing a Job Description for Assistant Nurses at Assuit University Hospitals9210414874310.21608/asnj.2014.148743ENEbtisam A.SaberDemonstrator in Nursing Administration Department, Faculty of Nursing, Assuit University.Hala R.YousefAssist. Prof of Nursing Administration, Faculty of Nursing, Assiut University.Nahed S.Abo El-MagdLecturer of Nursing Administration, Faculty of Nursing, Assiut University.Journal Article20210215Abstract<br />Back ground: Health Care Assistants (HCA) emerged primarily to support the professional nurse and to undertake non-nursing duties under the supervision of qualified nurses. Recently unlicensed personnel have been used as substitutes for professional nurses. Aim of the study: To develop a job description for assistant nurses. Setting: The study was carried out at Assuit University Hospitals. Subjects and methods: The subjects included all head nurses working in the designated settings (n = 72) and 10% of the total assistant nurses (n = 40). Data collection tools: The data for the present study was collected using three different tools: a questionnaire sheet, an observation sheet (job analysis) and focus group discussion. Results: The present study revealed that there is no training program and orientation made for assistant nurses and there is no job description for them. There was congruency between the head nurses' opinions, job analysis and focus group discussion as regards indirect care, and environmental activities performed by assistant nurses. Recommendations: The researchers recommended a conduct training program for assistant nurses about infection control principles, communication skills, and nursing profession .Constant direct supervision by authoritative persons for assistant nurses should be established in the hospitals.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Comparison the effect of incentive spirometry and conservative therapy among open heart surgery patients for the prevention of postoperative pulmonary complications10511814890710.21608/asnj.2014.148907ENMona AbdElaziemAhmadAssistant lecturer of Critical Care Nursing, Faculty of Nursing, Assiut University Egypt.Sanaa Mohammed AhmadAlaa EldeenProfessor of Medical & Surgical Nursing, Faculty of Nursing - Alexandria University Egypt.Hamdy AbbasYoussefProfessor of Anesthesia & Intensive care, Faculty of medicine- Assuit University Egypt.Mona AliMohammed.Lecturer of Critical Care Nursing, Faculty of Nursing, Assiut University Egypt.Journal Article20210216Abstract<br />patients under Open heart surgery, high risk for many respiratory complications post operatively, chest physiotherapy techniques are used to increase lung volumes, improve oxygenation and decrease the incidence and severity of pulmonary complications after cardiac surgery .deep breathing is a major part of the therapy. Aim ,This study amid to compare the effect of incentive spirometer, and conservative therapy among open heart surgery patients for the prevention of postoperative pulmonary complications. Design, Aquasi –experimental design. Setting, conducted in postoperative intensive care unit of Assiut university hospitals. Subject, a convenience sample of 50 adult open heart patients of both sexes.Group1 (incentive spirometry), group2 (conservative therapy).25 patients for each. Tools, Two tools were developed in this study, tool one (Patient's socio demographic characteristics and health status among open heart patients), tool two (Observation checklist for post-operative pulmonary complications among open heart surgical patients).Result of this study revealed that a statistical significant difference was found between the two groups regarding to atalectasis . As regard pulmonary secretion it was noticed that a highly percent 80%&72% of patients in group 2(conservative therapy)&1(incentive spirometer) respectively. Conclusion of this study illustrated that a positive effects of incentive spirometer compared with other physiotherapy breathing techniques on occurrence of pulmonary complications among open heart patients postoperatively, showed a significantly smaller amount of secretions and atelectasis, improved oxygenation and had less reduction in FVC(forced vital capacity) and FEV1 (forced expiratory volume in one second)on the fourth postoperative day compared to conservative therapy. Recommendations, Explain to the nurse the deference between deep breathing exercise alone and deep breathing exercise with anther maneuver.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Effect of phase one cardiac rehabilitation on occurrence of early complications Among acute myocardial infarction patients with st segment-elevation11913514891010.21608/asnj.2014.148910ENSafaa MahmoudAhmedA professional Nurse in coronary care unit, Assuit University Hospital Egypt.Hatem Abdel RahmanHelmyAssistant professor in cardiovascular medicine, Faculty of Medicine, Assuit University, Egypt.Mervat AnwarAbdel-Aziz.Lecturer in Critical Care Nursing, Faculty of Nursing, Assiut University, Egypt.Journal Article20210216Abstract<br />Phase one cardiac rehabilitation is important for patients with acute myocardial infarction .Critical care nurses play an important role on relieving pain, improving respiratory distress , maintaining adequate tissue perfusion by decreasing the heart work load, and early recognition of complications. Aim: to evaluate the effect of phase one cardiac rehabilitation on occurrence of early complications among acute myocardial infarction patients with ST segment- elevation. Patient and methods. Design: a quasi-experimental research design is used in this study. Setting: this study is conducted in the coronary care unit, Assiut University Hospital. Sample: a convenience sample of 60 patients (control and study) 30 each .Tools: Three tools are used for data collection. I –Acute myocardial infarction patient assessment, II- modified Borg's rating perceived exertion Scale , III -Hospital anxiety and depression scale . Methods: training the patient up to a heart rate of 120 beats / minute or peak heart rate, guided by symptoms of chest pain and dyspnea (Borg’s rating of perceived exertion < 10 ) for the study group were performed for 5-days during phase one cardiac rehabilitation, Hospital anxiety and depression scale was applied tool for both groups. Results: findings of the present study show significant difference recurrence of chest pain was between both groups in 4th day .Also the duration of chest pain per hr in the 2 nd day & 3 rd day between both groups indicates highly statistical significant difference ( p < 0.05) ,and improve Heart rate, respiratory rate & decrease anxiety from 3 rd to 5 th day in the study group than control group, also shows Borg's (RPE) scale shows highly significant increased in study group during exercise from admission to 5th day. Conclusion: phase one cardiac rehabilitation is associated with significant improvement of the study group versus control group regarding for dyspnea, heart rate, chest pain, anxiety and depression.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Risk factors of post operative pyrexia in infants and children at Assuit University Children Hospital.13614314891510.21608/asnj.2014.148915ENSabah Abd El-AzizAhmed ShafeaMaster Degree in Pediatric and Premature Nursing Assuit University, Children Hospital.Almoutaz AhmedEltayebHospital.
Assistant Professor of Pediatric Surgery Faculty of Medicine, Assuit University.Hekmat IbrahimAbd EL-KreemAssistant professor of pediatric nursing Faculty of nursing, Assuit University.Marzoka Abd El-AzizGadallahAssistant Professor of Pediatric Surgery Faculty of Nursing, Assuit University.Journal Article20210216Abstract<br />Post operative pyrexia is one of the most common problems seen in the post operative ward. Aims: to identify risk factors of post operative pyrexia in infants and children at Assuit University Children Hospital. Subjects and Method: Descriptive research design was used. The present study was conducted in the pediatric surgical unit at Assuit University Children Hospital. The sample included two groups. Group I pyrexia group 212 children with pyrexia, group II non pyrexia group 76 of children who have no pyrexia. One tool was used to collect the required data Results: blood transfusion was given to approximately half of group I compared to only (6.6%) of group II. More than two fifths of children had signs of wound infection, urinary catheterizations respectively in group I compared to13.2% children in group II respectively. The majority of children received intravenous fluid after operation in group I compared to (14.6%) of children group II. Conclusion: Risk factors of post operative pyrexia are wound infection, respiratory problem, urinary tract infection, blood transfusion, drains and catheters, medications and intravenous line infection. Recommendations: Increasing mother's and nurses awareness related to risk factors of post operative pyrexia, health education about importance of hand washing before and after wound dressing and giving medication.Assiut University, Faculty of NursingAssiut Scientific Nursing Journal2314-884524.020141201Impact of Synergy Model application on Patients with Acute Coronary Syndrome Outcomes14415414891810.21608/asnj.2014.148918ENAzza SalmanAhmedNursing Supervisor at Medical Units, Sohage University Hospital, Assuit University, Egypt.Mona AlyMohammedLecturer in Critical Care Nursing Department, Faculty of Nursing, Assuit University, Egypt.Hassan AhmedHassanin.Professor of Internal Medicine, Faculty of Medicine, Sohage University, Egypt.Journal Article20210216Abstract<br />Synergy model gives nurses a common language for a definition and relation between patients and nurse's needs, so patient with acute coronary syndrome need immediate nurses knowledge in coronary care unit. Aim: the aim of this study is to investigate the impact of Synergy model application on patients with Acute Coronary Syndrome outcomes. Design: a quasi-experimental research design is used in this study. Setting: This study was carried out in the coronary care unit at Sohage University Hospital. Subjects: Sixty critically ill adult patients who are admitted to the previously mentioned setting, and 12 (twelve) number of nurses in coronary care unit. Tool: Synergy model tool which include two parts, Part I: Patients’ characteristics, (Stability, Resiliency and Resource availability ) Part two: Nurse-Competence (Advocacy moral agency, Caring practice and Clinical judgment). Results: Findings of the current study revealed statistical significance deference in both patient's needs and nurse's knowledge according to Synergy model for level I, level 3, level 5 which determine quality of nurses and the behavior toward the patient. In this study there are highly statistical significance different according to patients needs and nurses knowledge With (P=0.000*), (0.004)*. Conclusion: The synergy model outlines that when patients’ characteristics and nurses competencies synergize, optimal patient outcomes are achieved. As the patient is primary focus, optimal outcomes are defined as what patients themselves acknowledged as important.