{"title":"Nursing role in early detection of cardiac amyloidosis: a case report","authors":"Noof Eid Al shammari","doi":"10.14419/ijans.v11i1.32155","DOIUrl":"https://doi.org/10.14419/ijans.v11i1.32155","url":null,"abstract":"Cardiac amyloidosis (CA) is a rare health condition that occurs due to amyloid deposits in the heart's tissues, it causes restrictive cardiomy-opathy, which leads to heart failure and death. This report discusses a case of 72-year-old Saudi male known case of hypertension, diabetes mullets, left ventricular dysfunction, and chronic kidney dysfunction presented to hospital with shortness of breath, paroxysmal nocturnal dyspnea, and orthopnea. Patient's physical examination revealed jugular vein distention, generalized pitting edema and abdominal distension. Echo image exhibited abnormal myocardial texture with moderate global hypokinesia, left ventricular D shape, and thickened interatrial sep-tum. CA diagnosis is complex, and its diagnostic accuracy is relatively limited. Delay in CA diagnosis continues to challenge clinicians, which has adverse effects on patient's quality of life, and mortality rate. Underdiagnosis mainly because disease has nonspecific symptoms which often associated with poor prognosis. To aid in early diagnosis and treatment, nurses should be aware about symptoms, diagnostic approach, and disease progression of CA.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131743247","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":"Challenges experienced by cancer patients receiving treatment at Oshakati oncology clinic, Oshana region, Namibia","authors":"Ester Mulenga, Elise Mutanga","doi":"10.14419/ijans.v10i2.31834","DOIUrl":"https://doi.org/10.14419/ijans.v10i2.31834","url":null,"abstract":"People living with cancer encounter different problems; some are related to their diagnoses and treatment. The purpose of the study was to explore and describe the challenges experienced by cancer patients receiving treatment at Oshakati oncology clinic in Namibia. A qualitative, exploratory and descriptive study was conducted using purposive sampling and twelve patients diagnosed with different types of cancer were interviewed using unstructured individual in-depth interview. Data were transcribed verbatim and Tesch `s method was used to analyze the data.The study revealed multifaceted challenges which include physical constraints such as physical ailments, long distance to health facilities and excessive travelling; financial and resource constraints as well as other challenges such as negative attitudes of health workers, poor communication and inadequate provision of information to patients. The study concluded that understanding those challenges will assist the government, private sectors, non- governmental organization and health workers to come up with intervention strategies to support cancer patients effectively. The study recommends the need to decentralize oncology services and to provide in-service training to the health workers working with patients living with cancer. ","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":" 125","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113952625","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}
Didace Ndahayo, Emmanuel Bimenyimana Gapira, Theos Mbabazi, G. Chironda
{"title":"Factors associated with hemodialysis adequacy among end stage renal disease patients on maintenance hemodialysis in Rwanda","authors":"Didace Ndahayo, Emmanuel Bimenyimana Gapira, Theos Mbabazi, G. Chironda","doi":"10.14419/ijans.v10i1.31454","DOIUrl":"https://doi.org/10.14419/ijans.v10i1.31454","url":null,"abstract":"The aim of this study was to assess the factors associated with dialysis adequacy in ESRD patients on maintenance hemodialysis in Rwanda. A descriptive cross-sectional study was conducted. A sample size of 66 hemodialysis patients was selected using purposive sampling strategy. An interview scheduled guide was used to collect data. Dialysis adequacy was calculated using kt/v Daugirdas & Schneditz formula. The mean hemodialysis adequacy was 1.26± 0.34. Most participants [41(62%)] had optimal hemodialysis adequacy of equal or greater than to 1.2, 19 (29%) had near optimal hemodialysis adequacy (0.8 - 1.2 kt/v) and only 6 (9%) had less than optimal hemodialysis adequacy (kt/v <0.8). Factors associated with hemodialysis adequacy were hospital settings (p = .010), age (p = .007), BMI (p =.004) and blood pressure level ((p = .018). Moreover, mode of transport and type of drinking water was significantly associated with hemodialysis adequacy (p = 0.032 and 0.030 respectively). In conclusion, the level of hemodialysis adequacy was low in 38% of ESRD patients with associated factors predominantly demographics. Therefore, further research inquiry is needed on additional factors which include technical aspects to establish their association with hemodialysis adequacy. ","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133398289","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}
A. Mohamed, M. A. El-Aziz, Asmaa Aly Mahgoup, Zain Hassan
{"title":"Effect of stacked breathing exercise on reducing pulmonary infection and complications for patients with pleural effusion","authors":"A. Mohamed, M. A. El-Aziz, Asmaa Aly Mahgoup, Zain Hassan","doi":"10.14419/IJANS.V10I1.31295","DOIUrl":"https://doi.org/10.14419/IJANS.V10I1.31295","url":null,"abstract":"Background: Chest expansion exercises are widely used for patients with pleural effusion. One of these exercises is stacked breathing exercise which has shown to be effective in mobilizing greater lung volumes and in achieving and sustaining deep inspiration. But it is not known whether it will have similar effects in patients with pleural effusion and if it has effect on reducing pulmonary infection and complications for these patients. Objective: Was to evaluate the effectiveness of stacked breathing exercise on reducing pulmonary infection and complications for patients with pleural effusion. Design: A randomized controlled experimental study was used in this study. Participants: sixty patients with pleural effusion were selected by convenience sample and randomly assigned into two groups; the intervention and control groups (30 patients each). Method: Three tools were used. Tool I was Pleural effusion assessment tool included demographic and medical history, hemodynamic parameters and assessment of respiratory system. Tool II is stacked breathing exercise tool used to assess the exercise done to the intervention group. Tool III was Patients' outcomes evaluation sheet used to assess the effect of stacked breathing exercise on pulmonary infection score and complications. Results: There were significant differences in pulmonary infection score and complications between the intervention and control groups. Pulmonary infection score in the intervention group was much lower, and their complications were lower than those in the control group. Conclusion: implementing stacked breathing exercise had significant effect in reducing pulmonary infection and complications in patients with pleural effusion than the routine hospital care.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125109775","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}
E. A. A. Elhamid, Nehad Ezz Eldin Abdallah, Safaa Mohamed Abd Elrahman
{"title":"Nurses' compliance to patient and environmental safety guidelines in critical care units","authors":"E. A. A. Elhamid, Nehad Ezz Eldin Abdallah, Safaa Mohamed Abd Elrahman","doi":"10.14419/ijans.v9i2.29726","DOIUrl":"https://doi.org/10.14419/ijans.v9i2.29726","url":null,"abstract":"The ability to provide safe and high-quality care to patients is the primary goal and the focus for many health care providers. Guidelines can be used to reduce adverse event in practice and to promote the delivery of high quality and evidence-based health care. The aim of the study to investigate nurses' compliance to patient and environmental safety guidelines in critical care units. Descriptive research design was utilized to achieve the aim of this study. The study was carried out at three of Minia University Hospitals in Minia city. All available nurses (n= 88) who were working in critical care units at time of data collection in the selected hospitals. An environmental and patient safety guidelines questionnaire was used to achieve the aim of this study. Results: less than two third of studied subject were not compliance to patient safety nurses', while nurses complied to environmental safety with 62.5% in critical care units; also, there is highly statistical significance between departments and nurses' compliance to patient safety. Thus, it was concluded that less than two third of studied subject were not compliance to patient safety. As well as environmental safety in critical care units was appropriate with 62.5% in critical care units. Recommendations: Staff development programs for nurses working in critical care units related to patient and environmental safety as well as ensuring that the organization’s annual budget includes adequate resources to implement and evaluate health and safety activities.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117206097","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":"Relationship of fear and fatalism with breast cancer screening among women using health belief model","authors":"H. Elsaba, Amal Samir Abd El-Maksoud","doi":"10.14419/ijans.v9i2.30970","DOIUrl":"https://doi.org/10.14419/ijans.v9i2.30970","url":null,"abstract":"Despite the potential benefits of screening in discovering breast cancer, many women still do not follow recommended screening regimens. Fear of cancer detection and fatalistic beliefs were identified by previous studies as the main reasons given by women for noncompliance with breast cancer screening. The aim of this descriptive study is to explore relationship of fear and fatalism with breast cancer screening among a convenience sample of 136 women recruited during their visit to the Gynecology Clinic at the Maternity University Hospital in Alexandria, Egypt. The study tool consists of four parts: (1) Bio-sociodemographic information; (2) Champion Breast Cancer Fear Scale (CBCFS); (3) Powe Fatalism Inventory (PFI); (4) abridged version of the Champion Health Belief Model Scale (CHBMS). The findings revealed that only 3.7% and 14.7% of women practiced regular breast self-examination and had previously had mammography, respectively. Negative correlations were found between fatalism and health beliefs; and between fear and health belief. A positive correlation was found between fatalism and fear. The findings of this study add some experimental support for the relationships between fear, fatalism, and breast cancer screening behavior.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"64 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133905327","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":"Psychosocial distress among patients with cancer at a county referral hospital in Kenya","authors":"Francis Justin Kinoti, S. Oluchina, B. W. Mbithi","doi":"10.14419/ijans.v9i2.30745","DOIUrl":"https://doi.org/10.14419/ijans.v9i2.30745","url":null,"abstract":"Introduction: Cancer diagnosis and treatment are emotionally draining to patients and their caregivers. For a long time, treatment for cancer has been associated with pain, suffering and death. These negative consequences of cancer create psychosocial effects such as anxiety and fear. Therefore, there is need to recognize and accurately identify this psychosocial distress problems on patients with cancer by healthcare providers to figure out interventions for these psychosocial issues. Objective: To assess the psychosocial distress among patients with cancer attending the Machakos county referral hospital palliative care unit. Subjects and Methods: Data were collected through descriptive cross-sectional design where a total of 97 patients were interviewed and filled the questionnaires and the National Cancer Center Network distress thermometer and problem list. The data was analyzed using the Statistical Package for Social Sciences (SPSS) for windows version 24. Descriptive statistics such as the means, standard deviation and frequencies were generated and Pearson Chi square test of association computed to determine the associations between the independent and the dependent variables. The confidence interval was set at 95% (p≤ 0.05). Results: The study findings revealed that 72.2% of the respondents were distressed. Majority (83.3%) of the respondents reported being in pain, 64.9% of them cited problems with decision making about treatment, while 59.8% of the respondents said that they were experiencing fatigue. Other issues cited by the respondents included financial constraints and facing difficulties while eating. The study results also showed that there was statistically significant association between having psychosocial distress and gender (P=0.015) and cancer treatment (P=0.015). Conclusion: There is a very high prevalence of psychosocial distress among patients with cancer with the leading psychosocial distress problem being pain.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116941629","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":"Coping experiences of Pakistani nurses against corona stressor; a qualitative study","authors":"A. Haider","doi":"10.14419/ijans.v9i1.30834","DOIUrl":"https://doi.org/10.14419/ijans.v9i1.30834","url":null,"abstract":"Objective: The aim of the present qualitative study was to find out how Pakistani Nurses are experiencing the coping strategies against CoronaStressor. Background: Corona is the WorldWide stressor for Nurses. The Pakistani Nurses are experiencing this stressor and are coping with it too. The present study is on Coping of Nurses of Pakistan against CoronaStressor. Method: Narrative variation of qualitative research with conventional content analysis was applied to extract results from openended interview questions which were administered on nurses face to face with purposive sampling technique. Results: Six major themes; five of conventional coping strategies and one new coping strategy were used by Nurses against CoronaStressor. Discussion & Conclusion: Nurses in Pakistan are using Standard Operating Procedures as a new coping strategy against Corona Stressor with the already established conventional coping strategies.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114815875","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":"Social cultural factors influencing health seeking practices among men suffering from lower urinary tract symptoms attending surgical outpatient clinic at a county referral hospital in Kenya","authors":"F. Muriuki, B. W. Mbithi, S. Oluchina","doi":"10.14419/ijans.v9i1.30914","DOIUrl":"https://doi.org/10.14419/ijans.v9i1.30914","url":null,"abstract":"Health seeking practices is critical towards early screening, detection and control of Lower Urinary Tract Symptoms (LUTS) whereby human prostate gland is the major cause of benign prostate hyperplasia (BPH) and prostate cancer (PCA), which mostly accounts for LUTS. Social cultural factors such as cultural beliefs, educational level, income level and religion among many others have a direct influence on health seeking practices both positively and negatively in as far as LUTS are concerned. The researcher explored social cultural factors influencing health seeking practices among men with LUTS attending surgical outpatient clinic at Meru level five hospital (Kenya). De-scriptive cross-sectional study design was used to collect data from 120 men with LUTS, and 4 health workers. Census method was used to select the study participants with questionnaires, interview guide and focused group discussion used as instruments of data collection. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) software version 22, whereas the qualitative data was analyzed using qualitative techniques. Descriptive statistics were computed to generate percentages and frequencies, which were then presented in tables and charts. Logistic regression was used whereby P-values were employed to determine the statistical significance of results with cut off set at (p ≤0.05). Majority (67.0%) of the patients with LUTS were aged between 61-70 years. Also, majority (68.8%) of the respondents had primary level of education, with majority (72.0%) of them being farmers with an income level of below Ksh. 20,000. The study results showed that social cultural factors had statistical significant influence on health seeking practices among men with LUTS.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134180996","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}
Ashwaq A Alosaimi, Sabreen Abdullah Alamri, Manal Mohammed Abduljawad, Sahar M. Yakout, S. Moawed
{"title":"Dietary knowledge, attitude, and practice regarding prevention of iron deficiency anemia among pregnant women in Riyadh, Saudi Arabia","authors":"Ashwaq A Alosaimi, Sabreen Abdullah Alamri, Manal Mohammed Abduljawad, Sahar M. Yakout, S. Moawed","doi":"10.14419/ijans.v9i1.30456","DOIUrl":"https://doi.org/10.14419/ijans.v9i1.30456","url":null,"abstract":"Background: Iron deficiency anemia (IDA) is recognized as the world’s most widespread nutritional disorder, affecting 1.6 billion people that constitute about 25% of the global population, and it is one of the most common diseases complicating antenatal women worldwide, particularly in the developing countries. There have been few research studies on IDA in pregnancy in Arab countries including Saudi Arabia. Objectives: This study aimed to assess the knowledge, attitude, and practice (KAP) on IDA among pregnant women in Riyadh, Saudi Arabia. Methods: A correlational study was used to collect data from a convenience sample of 314 pregnant women in Al Yammamah Hospital. Socio-demographic and obstetric characteristics, knowledge, attitude, and practice toward IDA during pregnancy questionnaire were determined and were analyzed for association. The KAP questionnaire was developed by the researchers based on Food and Agriculture Organization (FAO) guidelines. Results: Majority of the participants were in the age group 31 years and older who were university graduates, housewives, and have a monthly income of more than 5000 Saudi Riyals. In addition to their obstetric history, majorities were multigravida and multipara, in their third trimester, had no previous surgical or obstetric surgical history or complications in their previous pregnancies. Significant associations were found between the level of hemoglobin and income and dietary practices. Education is a major predictor of knowledge, attitude and practice among Saudi pregnant women. Conclusions: Saudi pregnant women have modest knowledge and positive attitude regarding IDA during pregnancy. Appropriate nutritional counseling during antenatal follow up should be encouraged and should include all women in reproductive age.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115260207","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}