American Journal of Nursing Research最新文献

{"title":"Factors Affecting Quality of Life and Work Productivity among Patients with Gout","authors":"M. Ali, S. Mosbah, N. M. El-Fadl","doi":"10.12691/AJNR-7-2-4","DOIUrl":"https://doi.org/10.12691/AJNR-7-2-4","url":null,"abstract":"Gout is the most common inflammatory arthritis today, affecting 4% of the adult US population. It is a serious disease that can significantly affect physical function and quality of life (QOL), where it has been advocated as an important outcome domain in studies of chronic gout. Aim of the study: To assess factors affecting quality of life and work productivity among patients with gout. Descriptive design: Was used to conduct the current study in rheumatology outpatient clinics, at Benha Teaching Hospital during the period from beginning of March 2018 till the beginning of September 2018. Subjects: Purposive sample of 168 patients recruited according to the study formula based on the total number of patients who admitted to the study settings during 2017. Tools: Three tools were utilized for data collection, structured interviewing questionnaire sheet, Medical Outcomes Study Questionnaire Short Form 36 Health Survey (SF-36) and Work Productivity and Activity Impairment Questionnaire. Results: Showed that both QOL as well as work productivity and activity impairment were best predicted by pain severity, diet aggravating frequency of attacks, nature of work as well as age. Besides, there was a negative and significant correlation (p= Conclusion: Factors affecting QOL and Work productivity and activity impairment among patients with gout were concerning pain severity, diet aggravating frequency of attacks, nature of work as well as age. Besides, the impairment on different aspects of life is often negatively associated with impairment in work productivity and activity, where they were mainly affected by gout. Recommendation: Health educational instructions is required regarding pain management and diet regimen for patients with gout.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126766785","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":"Online Harassment and Cyberbullying Victimization and Its Emotional Impacts among Female Nursing and Non-Nursing Students","authors":"H. Hassan, Eman Ali Abd El Moaty Sheha, W. Gamel, A. Arafa","doi":"10.12691/ajnr-7-2-1","DOIUrl":"https://doi.org/10.12691/ajnr-7-2-1","url":null,"abstract":"Background: The increasing internet utilization is associated with various disadvantages. Online cyberbullying and harassment victimization is one of these disadvantages that pose negative emotional consequences. Aim: This study aimed to detect the prevalence of online cyberbullying and harassment victimization amongst nursing students from El-Fayoum University in comparison to students from other faculties at the same university. In addition to figuring out the most significant correlates of victimization and its emotional consequences. Subjects and methods: A total of 308 female nursing students and 320 female non-nursing students from El-Fayoum University participated in this cross-sectional survey. For data collection, §N self-administered questionnaire was designed and distributed. The questionnaire included 3 sections; personal characters of the included students, online cyberbullying and harassment victimization during the past year, and the emotional consequences of victimization. Results: Of the surveyed female university students, 84 (27.3%) of the nursing students and 88 (27.5%) of the non-nursing students stated online harassment victimization during the past year, with no statistically significant differences between both groups (§²>0.05). Almost two-thirds of the victimized students from nursing and non-nursing faculties reported online harassment, victimization more than once with no statistically significant differences between both groups (§²>0.05). Urban residence and more hours of internet use per day did not correlate with the prevalence of online harassment victimization (§²>0.05) but associated with frequent exposure (§²<0.05). Anger (74.4%) was the most commonly reported emotional impact of online harassment victimization. Hatred, fear, sorrow, loneliness, and disappointment came next, however, with considerably lower rates. Conclusion: Female university students from nursing and non-nursing faculties were exposed to online cyberbullying and harassment victimization in recognizable rates. Recommendations: Further studies on the coping techniques to online harassment victimization should be conducted. Interventional programs to increase awareness regarding the windows of interference against online harassment according to the Egyptian Penal Code to reduce such intrusions and minimize their emotional effects should be considered.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128897626","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 Evidence Based Practice Training Program on Professional Nurses’ Decision Making Abilities","authors":"Mahdia Morsi El Shahat, Nora Ahmed Abd Allah","doi":"10.12691/ajnr-7-1-13","DOIUrl":"https://doi.org/10.12691/ajnr-7-1-13","url":null,"abstract":"Effective implementing of evidence based practice has potential benefits for professional nurses, patients, healthcare systems and reduces inappropriate deviations in healthcare practices, supplies a set of standards for enhancing clinical decision making abilities. Aim of the study: This study was aimed to assess of the effect of evidence based practice training program on professional nurses` decision making abilities. Design: A quasi experimental design was used in this study. Setting: This study was conducted at intensive care unit at Benha University Hospital and Benha Teaching Hospital. Subjects: A convenient sample of 68 professional nurses recruited from the presented units and had the following inclusion criteria; had a Bachelor degree in nursing science and willing to participate in the study. Tools for data collection: The study tools divided into four tools: Evidence-Based Knowledge Questionnaire, Evidence-Based Practice Questionnaire (EBPQ), Evidence-Based Practice Attitudes Scale and Decision Making Abilities Questionnaire. The results showed that, there was statistically significant improvement among the professional nurses' knowledge, skills, and attitudes regarding evidence based practice after implementation of the training program. There was highly statistical significant improvement in the professional nurses decision making abilities thorough program phases. As 40.7 % of them were able to make decision before the program which improved to 67.4% immediate post the program and decrease to 60.3% three months follow up the program. The study concludes that, the implementation of the Evidence-Based Practice training program was significantly succeeded in enhancing total knowledge, skills, and attitudes of professional nurses that significantly improves their decision-making abilities. The study recommended that: Conduct continuous in-service training and education programs for refreshing and updating professional nurses knowledge and skills about the evidence-based practice. A brief basic educational intervention on EBP with online and face-to-face learning can produce improvements in the knowledge and skills of clinical nurses.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114720237","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":"The Impact of Chest Physiotherapy Technique (CPT) on Respiration, Pain and Quality of Life Post Thoracic Wall Fixation Surgery among Flail Chest Patients (FC)","authors":"H. Mohamed, Eslam I. Ragab, M. A. Bary, M. Elshazly, A. Latif, M. Beshay","doi":"10.12691/AJNR-6-6-15","DOIUrl":"https://doi.org/10.12691/AJNR-6-6-15","url":null,"abstract":"Background: FC is the most extreme type of blunt chest wall casualty with death rate up to 20%. These patients may require prolonged days of mechanical ventilation for ongoing respiratory dysfunction, leading to high rates of pulmonary complications. This study aimed to assess the impact of CPT on respiration, pain and quality of life post thoracic wall fixation surgery in Flail Chest Patients. It followed a quasi-experimental, pretest-posttest comparison. The study was carried out in cardiothoracic surgery intensive care unit (ICU) at Qena university hospital. A convenience sample comprised of 30 adult patients from both sexes with flail chest and no contusion. They were given pharmacological epidural and oral analgesic medications to reduce pain during physiotherapy practice post chest stabilization surgery. Tool 1: A self-reporting Assessment Questionnaire were comprised pain rating index scores pre and post CPT and prior epidural analgesic administration, and symptoms associated with pain, Health-related quality of life and Dyspnea scale. Sociodemographic characteristics were attached to the tool 1. Tool 2: A clinical data base assessment were taken pre and post CPT, included: Part I: Laboratory investigation of a Standardized lung function tests which Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1) and Peak Expiratory Flow (PEF) were recorded and ABGs includes PaO2, PaCo2, SO2, and PH in addition to vital signs ( Part II) and Diagnostic test assessment includes Chest x-ray, and chest tomography CT was done before chest stabilization surgery to confirm the diagnosis in accordance of study criteria(Part III). Tool 3: CPT include, breathing and coughing exercise and IPPB., secretion mobilization techniques like chest wall percussion, and vibration and incentive spirometer. Results/conclusion: the majority of the studied sample was male and were from 50 - 60 years and illiterate. The effect of CPT on the symptoms associated pain, and pain intensity were still persistent in decrease post discharge at late follow up till 6th month. The majority of subjects had no dyspnea on 3rd and 6th month of follow up. so, their HRQOL scores improved with a high significance in the area of mobility, self-care, anxiety and depression, the performance of usual activities and pain and discomfort on 6 months of late follow-up. Also, it was noticed that the mean of Pulmonary Function Test (PFT), and ABGs improved in the late follow-up. This improvement has been definitively shown in all outcomes parameter post chest physiotherapy performed after surgical fixation of FC. Recommendation: Moreover, this study recommended that all the physiotherapy approaches should be planned and applied as an individual programs tailored to the FC patients following a comprehensive evaluation.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125681259","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 Nursing Program on Improving Nurses’ Knowledge and Skills Regarding Care of Eclamptic Women","authors":"EkbalAbd El Rheem Emam, Nahed Mousa Saber","doi":"10.12691/ajnr-6-7-4","DOIUrl":"https://doi.org/10.12691/ajnr-6-7-4","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122486125","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":"Risk Factors of Academic Underachievement among Preparatory School Students in El-Behira Governorate","authors":"Naglaa Kamel Abduallah Hussein, Marwa Mohamed Ahmed Ouda","doi":"10.12691/ajnr-6-7-3","DOIUrl":"https://doi.org/10.12691/ajnr-6-7-3","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115202019","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":"Effectiveness of Exercises on Fatigue Level in Patients with Systemic Lupus Erythematosus","authors":"F. Kamel, N. El-Mokadem, O. Latif, A. A. A. Soud","doi":"10.12691/ajnr-6-6-7","DOIUrl":"https://doi.org/10.12691/ajnr-6-6-7","url":null,"abstract":"Systemic Lupus Erythematosus (SLE) is a rheumatic disease characterized by a variety of symptoms, especially fatigue and pain. Currently there is no effective pharmacological treatment for fatigue in SLE. Research suggests that exercise can reduce feelings of fatigue. Aim: to examine the effects of exercise intervention on fatigue level among patients with SLE. Methods: A quasi-experimental (pre-post test) design was used. The study was conducted at the Chronic Illness Clinics in Menoufia University Hospital, at Shebin El-Kom district, Menoufia Governorate. A convenient sample of 70 patients was recruited. Tools: A Semi Structured Demographic Sheet; Piper Fatigue Scale to assess fatigue level. Results: There was a statistically significant difference between the study and the control group regarding fatigue level post intervention, 54.3% and 40% of the study and the control groups respectively experienced severe fatigue pre intervention compared with 17.1% and 31.4% post intervention. Also, there was a relationship between fatigue level and gender as well as educational level among the study group. Conclusion: Fatigue should be considered as an important factor influencing patient daily life independent of disease activity. Recommendations: Prepare training programs for nurses about the importance of adding exercise to patient’s schedule for the reduction of fatigue among patients with SLE along with the routine hospital care.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133287223","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":"Self-Care Practices of Preparatory School Students with Type 1 Diabetes Mellitus in ELBehira Governorate","authors":"Naglaa Kamel Abduallah Hussein, Samiha Hamdi Sayed Ramadan, Amal Yuosef Abd ElWahed","doi":"10.12691/ajnr-6-7-2","DOIUrl":"https://doi.org/10.12691/ajnr-6-7-2","url":null,"abstract":"","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130733709","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 Educational Program on Knowledge and Health Care Practices about Nephrotic Syndrome among Mothers of Pre-School Children","authors":"N. Abolwafa, Y. Hossein","doi":"10.12691/AJNR-6-5-5","DOIUrl":"https://doi.org/10.12691/AJNR-6-5-5","url":null,"abstract":"Background: Nephrotic syndrome is a clinical state that is common in preschool children includes massive proteinuria, hypoalbuminemia, hyperlipemia, and edema. Mothers are the primary care giver; if they have adequate knowledge and awareness about therapeutic facilities to treat children from nephrotic syndrome through educational program. The aim of the study: to evaluate the effect of educational program on knowledge and health care practices about nephrotic syndrome among mothers of pre-school children. Design: pretest-posttest design was utilized to conduct this study. Setting: The study conducted in pediatric word at Minia University Hospital for Obstetrics and Pediatrics Sample: 50 mothers of pre-school children about nephrotic syndrome. Tools: Pre-designed questionnaire sheet, sheet about reported practices and Educational program. Results: Result of this study showed significant improvement in mothers knowledge and health care practices about nephrotic syndrome in post/test. Conclusion: After program implementation there was remarkable improvement of mothers knowledge and health care practices about nephrotic syndrome. Recommendations: A developed program should be applied and repeat again in the same study setting.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114939872","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}