Egyptian Nursing Journal最新文献

{"title":"Distressing symptoms among patients with cancer receiving radiotherapy at a university hospital in Cairo Governorate","authors":"Seham Taha","doi":"10.4103/enj.enj_37_20","DOIUrl":"https://doi.org/10.4103/enj.enj_37_20","url":null,"abstract":"Background Patients with cancer experience a variety of physical and/or psychological symptoms. These symptoms may vary in terms of occurrence, severity, and distress and might occur as a result of the illness or the treatment. Aim The aim of this study was to assess physical and psychological distressing symptoms among patients with cancer who receive radiotherapy. Research design A descriptive exploratory research design was used to carry out this study. Setting The study was conducted at the Radiotherapy Department of a university hospital affiliated to Cairo University, Egypt. Sample A convenient sample of 250 patients who had cancer and undergoing radiotherapy was recruited for this study. Tools Data were collected using two tools: Demographic and Clinical Characteristics Data Form and the Memorial Symptom Assessment Scale. Results The study findings denoted that approximately half of the sample was male, and the mean age was 45.68±15.84 years, with range from 18 to 79 years. The most prevalent physical symptoms among the study participants were lack of energy (97.2%), followed by changes in skin (redness and skin pigmentation) and pain (96.8%). Feeling irritable (89.2%) and feeling sad (87.2%) were the two most frequent psychological symptoms. Moreover, there was a statistically significant relation between participants’ sex, education, occupation, social status, cancer type, and cancer stage and total score of severity symptoms. Conclusion This study concluded that patients with cancer undergoing radiotherapy experienced a variety of physical and psychological distressing symptoms. Mostly lack of energy, changes in skin, pain, and feeling drowsy were the physical symptoms, whereas feeling irritable and feeling sad were the two most frequent psychological symptoms. Recommendations Nurses should assess frequency, severity, and level of distressing symptoms to provide quality nursing care to alleviate distressing symptoms.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"81 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120931721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associated factors with skin cooling technique and pain sensation after immunization among infants","authors":"Amira Assad Bader, Azza A. Attia, A. Abdel-Wahab, M. Mohamed, Azza Ismail El-Say","doi":"10.4103/enj.enj_1_21","DOIUrl":"https://doi.org/10.4103/enj.enj_1_21","url":null,"abstract":"Background There are factors influencing response to painful stimuli, such as infants’ physiological, physical, personal, and emotional states. Exploration of these factors helps to improve pain management plan for infants undergoing immunizations. Aim To identify associated factors with skin-cooling technique and pain sensation after immunization among infants. Patients and methods A two-group pre–post quasi-experiment study was performed in EL-Sheikh Zaied’s medical center affiliated to Ministry of Health, Ismailia City, on a purposeful sample of 180 infants from 2 to 6 months of age who were administered routine immunization. A structured interview questionnaire was used, comprising personal data, vital signs, and neonatal infant pain scale. All research ethics guidelines were applied. Results All infants who had no pain and mild pain had normal heart, respiratory rate, and temperature in the experimental group, whereas in the control group, all of the infants with a severe pain had tachycardia, tachypnea, and low-grade fever. All underweight infants had severe pain in the experimental group, whereas all of the underweight and overweight infants and more than three-quarters of the normal weight infants had severe pain in the control group. More than two-thirds of the infants aged 6 months had no pain, whereas infants aged 2 and 4 months had mild pain in the experimental group, compared with less than three-quarters of infants aged 2 months had moderate pain, whereas all infants aged 4 and 6 months had severe pain in control group. Moreover, females were the commonest sex among no pain and mild pain category in the experimental group, whereas most males had severe pain among the control group. Conclusion Oldest infants, normal weight, vital signs, and female sex were the most associated factors with reduced pain after immunization. Recommendations Further studies on various age groups of the pediatric population with different types of vaccines must be done to detect new factors.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121655463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posttraumatic stress disorder and suicidal ideation among the internally displaced persons in Nigeria","authors":"J. Faronbi, G. Adegbola, C. Bello, O. Akinyoola, M. Oginni","doi":"10.4103/enj.enj_33_20","DOIUrl":"https://doi.org/10.4103/enj.enj_33_20","url":null,"abstract":"Background The armed insurgency in Nigeria has forced vulnerable individuals out of their native homes and means of livelihood to search for safety and security in safer zones. This study assessed posttraumatic stress disorder (PTSD), depression, suicidal ideation, and its associated factors as well as coping measures employed by the internally displaced persons (IDPs) in Dalori, IDPs Camp, Maiduguri, Nigeria. Patients and methods A cross-sectional design was employed to study 240 randomly selected adult IDPs. Data were collected with a structured, interviewer-administered questionnaire, and data were analyzed descriptively, whereas multiple regression analysis was used in determining factors associated with PTSDs. Results The result showed that 72.1% of the respondents have been in the camp for more than 5 months. Findings from the study showed a high prevalence of PTSD (74.6%), depression (55.4%), suicidal ideation (33.8), and mental illnesses (26.3%). Furthermore, factors associated with PTSD include age (P=−0.033), religion (Islam=0.032), marital status [married (P=0.001), divorced (P=0.039), and widowed (P=0.007)], duration in camp (P<0.000), helplessness (P=0.031), anxiety (P=0.017), suicidal ideation (P<0.000), guilty feeling (P<0.000), fear of death (P<0.000), and loss of friend (P<0.000). In addition, respondents engaged in positive coping (have friends within the camp) and negative coping (taking banned substances) strategies in dealing with their problems. Conclusion The study concluded that PTSD, depression, and suicidal ideation are prevalent among the IDPs. Therefore, there is an urgent need to provide interventions to address these problems with a view to improving the well-being of the IDPs.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"275 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115116581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of fatigue and pain on activity of daily living among patients with multiple sclerosis","authors":"Khairia El Sawi, S. Abdelaziz, Gomaa Mohammed","doi":"10.4103/enj.enj_41_20","DOIUrl":"https://doi.org/10.4103/enj.enj_41_20","url":null,"abstract":"Background Multiple sclerosis (MS) is one of the most common progressive autoimmune diseases, with a significant effect on function, daily living activities, work ability, and patient’s quality of life. Aim To evaluate the effect of fatigue and pain on activity of daily living (ADL) among patients with MS. Design A descriptive correlational design was used. Research question What is the effect of fatigue and pain on ADL among patients with MS? Sample A convenient sample of 150 patients with MS was recruited along 6 months. Tools Four tools were used to collect data: Structured Interview questionnaire, Fatigue Severity Scale; Pain Numeric Rating Scale 11, and Barthel Index of Activities of Daily Living. Results The mean age of the study sample was 31.78±8.038 years. A statistically significant correlation was found between fatigue and pain scores in relation to score of daily living activities. Conclusion Fatigue and pain are common symptoms of MS and have negative effects on patient’s ADL. Recommendation Early evaluation and management of fatigue and pain for patients with MS are essential to improve the level of independency during practicing daily living activities.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122153216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of an educational program via WhatsApp on knowledge, attitude, and practices of elderly toward COVID-19","authors":"N. Saleh, E. Radwan, A. El-Gilany, Heba El-Aziz Mohamed","doi":"10.4103/enj.enj_6_21","DOIUrl":"https://doi.org/10.4103/enj.enj_6_21","url":null,"abstract":"Background Coronavirus disease 2019 (COVID-19) is a global pandemic. Knowledge, attitude, and practices (KAP) influence the adherence of elderly to COVID-19 mitigation measures. Aim To measure the effect of an educational program via WhatsApp on KAP of elderly toward COVID-19. Patients and methods A quasi-experimental research design (pre–post intervention study) study was done on 102 older adults, able to communicate via smart phone and participating in the WhatsApp group members of El-Sadaa elderly club in Mansoura city, Egypt. Data collection took a period of 1 month from the first to the end of April 2020. Tools Demographic data and health history of the elderly questionnaire, knowledge related to COVID-19 and its preventive measure questionnaire, attitude related to COVID-19 questionnaire, and practices related to COVID-19 questionnaire were collected. Results The postimplementation scores were significantly higher than the preimplementation ones. The mean scores were 30.1 versus 20.4 for knowledge, 10.6 versus 8.2 for attitude, and 11.4 versus 9.1 for practice. The median practice score is significantly higher among the elderly with enough income compared with those without enough income. Conclusions Participants had a significant improvement in KAP about COVID-19 after the implementation of the educational program. Recommendations Education via WhatsApp can be an effective teaching method that enables the elderly to enhance their KAP toward COVID-19.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132999721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitude of nursing technical school graduates toward biopsychosocial needs of elderly","authors":"Dalia Seif, Nagat Habib, Inas Helmi El Shair","doi":"10.4103/enj.enj_38_20","DOIUrl":"https://doi.org/10.4103/enj.enj_38_20","url":null,"abstract":"Background Nursing technical school graduates are increasingly in demand for improving and providing life services among the elderly. Having substantial knowledge and positive attitude toward the elderly will be a key step toward better giving nursing care. Aim The aim of the study was to assess knowledge and attitude of technical nursing school graduates toward biopsychosocial needs of the elderly. Patients and methods A descriptive research design was used. Two tools were used (demographic self-administered questionnaire and attitude toward elderly scale) and completed by 200 technical school graduate nurses from Cairo University Hospital and El Qasr El Ainy New Educational Hospital using a convenient sampling technique. Results Overall, 48% of study participants had an average level of total knowledge score. In addition, 40.0% had neutral level of total attitude score. A highly statistically significant positive relation was found between the study participants’ total level of knowledge and their total level of attitude (P=0.000 and χ2=31.648). In addition, statistically significant positive relations were found between both total knowledge score and total attitude score and the study participants’ age, previous experience, having elderly person within family, and prefer working in geriatric services. Conclusion Almost half of the study participants had average level of total knowledge, and more than third of them had neutral attitude toward the needs of the elderly. Recommendations A specific geriatric training program is needed to give a chance to graduate nurses to improve their knowledge and enhance their attitude toward elderly.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122948253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of early post-cesarean section exercises on early resumption of women’s functional activities","authors":"Shaimaa Ali, Shadia A. Hassan, R. Ghani","doi":"10.4103/enj.enj_36_20","DOIUrl":"https://doi.org/10.4103/enj.enj_36_20","url":null,"abstract":"Background Mothers undergoing cesarean section need more care than mothers undergoing vaginal delivery, and the time needed for recovery of post-cesarean section mothers is more than those needed for vaginal delivery. Aim To examine the effect of early post-cesarean section exercises on early resumption of women’s functional activities. Design A quasi-experimental design (i.e. nonequivalent control group design) was adopted for the present study. Setting The study was conducted at the antenatal unit and postpartum cesarean section unit at Shebin-Elkom University Hospital, Al-Menoufia Governorate, as well as women’s homes for follow-up. Sample A purposive sample of 60 mothers who underwent cesarean section was recruited in the study. This sample was divided into the study and the control groups, with 30 mothers in each group. Tools Data were collected by using the following: (a) an interviewing Questionnaire Schedule, (b) visual analog scale for pain intensity, (c) visual analog scale for functional activities, (d) Likert scale for daily activities at home, and (e) follow-up sheet for postoperative complaints at home. Results There were statistically significant differences between the study and the control groups regarding passage of first flatus, ability to perform functional activities like getting out of bed and walking, ability to perform daily activities at home, and occurrence of complaints such as constipation and breast engorgement (P≤0.001). Conclusion Post-cesarean section exercises were effective, as shown in early resumption of functional activities and high ability to perform daily activities. Recommendation Early post-cesarean section exercises should be integrated into the nursing care protocol in obstetric departments.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129068152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing performance associated with providing complete preventive nursing care and its relation with incidence of pin site infection: turn the lens inside","authors":"E. Hossny, Nahed Abo Elmagd, Reda Hussien","doi":"10.4103/ENJ.ENJ_28_20","DOIUrl":"https://doi.org/10.4103/ENJ.ENJ_28_20","url":null,"abstract":"Background Nurses are health care workers who play an essential role in protecting patients from infection. Nurses spend more time with patients than do any other health care providers, and patient outcomes are affected by nursing care quality. Thus, improvements in patient safety can be achieved by improving nurse performance. Aim The aim was to explore nursing performance related to quality of providing complete preventive nursing care and incidence of pin site infection. Participants and methods Nursing performance associated with quality of providing complete preventive nursing care will be associated with low incidence of pin site infection. A quasi-experimental design was used. this study was conducted in the trauma department of Assiut University Hospital. The study included 50 nurses and 60 patients. Three tools were used, namely, sociodemographic data of studied nurses and patients; clinical nurses’ performance observational checklist; and infection staging tool. Results There is a statistically significant between clinical nurses’ performance and low incidence of pin site infection with respect to study and control groups. Only two cases of grade I (6.7%) appeared in the study group, whereas 10 (33.3%) cases were grades I, II, and III (6.7, 20.0, and 6.7%, respectively) in the control group. Conclusion The authors found that nurses have moderate performance level, and it is associated positively with low incidence of pin site infection in patients who perceived complete preventive nursing care. Recommendation Nursing management, as represented by supervisors and head nurses, must ensure that staff nurses in clinical units perform nursing care completely under their supervision. Nursing and medical management should conduct workshops about the importance of providing complete nursing care and its effect on patients’ outcome and consequently on organization as a whole.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124900069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and outcome of vaginal birth after cesarean among women receiving counseling at El Manial University Hospital","authors":"Samara Mohamed, Yousria A. Elsayed, G. Ghonemy, Marwa Sharaf","doi":"10.4103/enj.enj_35_20","DOIUrl":"https://doi.org/10.4103/enj.enj_35_20","url":null,"abstract":"Background Repeated cesarean section (CS) is the most significant factor contributing to overall increased CS rates. The primary indicator of repeated CS is a prior CS. Vaginal birth after cesarean (VBAC) is a trial to reduce CS rates. Aim The aim of study was to examine the effect of counseling on the incidence, maternal, and neonatal outcomes of VBAC. Design A quasi-experimental one-group posttest-only design was adopted for this study. Setting The study was conducted at the Outpatient Clinic and Casualty Department at Manial University Hospital affiliated to Cairo University. Sample A purposive sample of pregnant women was recruited through a period of 6 months from July to December 2019 based on certain criteria; the most important one is to have a previous CS. Tool A structured interviewing tool, labor progress record (Partograph), and neonatal Apgar score were used to collect the data. Results A total of 90 participants were enrolled into study. A total of 79 (87.8%) women agreed to have VBAC after counseling compared with only 11 (12.2%), who refused to have VBAC and chose CS. The trial of labor after cesarean (TOLAC) rate was 40.5%. The rate of VBAC was 31.6%. Success rate of TOLAC was 78.1%, whereas failed TOLAC was 21.9% owing to lack of labor progress and fetal distress. Overall, 68.4% had CSs lower segment cesarean section (LSCS). Among them, 37% had elective LSCS and 63% had emergency LSCS. Physician decision without any medical indication for CS was the most common indications of elective repeat CS, with a rate of 85%. Oligohydramnios was the most common cause for emergency CS delivery, with a rate of 44.5%. All women who delivered VBAC had normal progress of labor and their babies had normal Apgar score (8–10). No cases that underwent VBAC had any morbidity or mortality. Conclusion Counseling is needed for the selection of VBAC as a mode of delivery. Successful VBAC is associated with better fetomaternal and neonatal outcomes, so most women with one previous cesarean delivery with a low-transverse incision should be counseled and encouraged to undergo a trial of labor in her recurrent pregnancy. Recommendations A qualitative research study should be conducted to assess the satisfaction of women from VBAC and compare it with CS.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125260928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of knowledge and attitude of technical nursing school students regarding autistic children","authors":"F. Ahmed, Effat El Karmalawy, Enas Helmy","doi":"10.4103/enj.enj_2_21","DOIUrl":"https://doi.org/10.4103/enj.enj_2_21","url":null,"abstract":"Background Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impairments in reciprocal social interactions, as well as verbal and nonverbal communication deficits, with repetitive and stereotyped behaviors. When nursing students have knowledge regarding ASDs, they will be able to refer children at risk for ASD for diagnostic evaluation and intervention at the earliest possible opportunity, and also, it will enhance their attitude toward autistic children. Aim To assess knowledge and attitude of technical nursing school students regarding autistic children. Research design A descriptive correlation research design was used to conduct this study. Sample All students who finished the 5 years of technical nursing school were included in this study, representing 110 students (according to the list obtained from the technical nursing school at academic year 2018–2019). The technical nursing school at Kaser Al Aini Hospital which is affiliated to Faculty of Medicine, Cairo University was the site of the study. Patients and methods The data were collected using two tools: the first one is a student self-administered questionnaire. This tool included (a) demographic characteristics of the technical nursing school students and (b) students’ knowledge. It included questions to assess the technical nursing school students’ knowledge toward autistic children. The second tool is a technical nursing school students’ attitude scale toward autistic children. Results The mean age of the studied technical nursing students was 21.00. Most of them (90.9%) were single. There were statistically significant relations between their total level of knowledge and their level of attitude (P>0.001). There was a positive correlation between the technical nursing school students’ total score of knowledge and their total score of attitude regarding autistic children (P>0.01). Conclusion The study concluded that 45.5% of the technical nursing school students had satisfactory knowledge regarding autistic children. Overall, 76.4% of them had positive attitude regarding autistic children. Recommendations The study recommended introduction of autistic disease lecture in the curriculum of technical nursing school students from the first year and development of clinical protocols that can assist the technical nursing school students in care of autistic children positively.","PeriodicalId":149497,"journal":{"name":"Egyptian Nursing Journal","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134503675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}