Volume 5, Issue 4

Osteoporosis Risk Factors among Working Women
Original Research
Osteoporosis is a significant public health problem with serious consequences. The aim of this study was to assess the risk factors of osteoporosis among working women, and develop health educational guidelines to prevent/reduce osteoporosis at Benha City. Research design: A descriptive correlation research design was utilized to conduct the study. Setting: The study was conducted at two Toshiba Elaraby Factories, they named; Benha Toshiba Elaraby’ factory at Qaluobia Governorate, and Quesna Toshiba Elaraby’ factory at Elminofyia Governorate. The sample included 10% from 3650 working women (365) working women they were selected as randomly from the above mentioned setting. Tools: One tool was developed by the researchers: Osteoporosis structured interviewing questionnaire: It consisted of six parts: Part I: Concerned with socio-demographic characteristics of the working women. Part II: Concerned with the obstetric history Part III: history of osteoporosis. Part IV: Medical and family history Part V: assess the Women's' knowledge about osteoporosis disease Part VI: risk factors of osteoporosis and life style: Results of this study showed; the highest percentages of women were found within age groups from 40-49 years (36.4%). Postgraduate's education represented the highest percentage (34.8%), only 7.7 were continuous movement. and 75.3% are from rural area. 63.3% of working women had good total knowledge score. 77.8% of the study subjects are suffering from osteoporosis. 63.3% had family history of osteoporosis. This study concluded that the common risk factors identified were; family history, lack of exercises, irregular exposure to sunlight, and insufficient taken protein and vitamin D. Also; osteoporosis health guideline were needed for prevention/ reduction of osteoporosis. The study recommended community based health programs on osteoporosis that targeted a wide audience should be implemented. 3- further studies are needed to evaluate the effect of osteoporosis health guideline in the prevention of osteoporosis.
American Journal of Nursing Research. 2017, 5(4), 148-157. DOI: 10.12691/ajnr-5-4-6
Pub. Date: August 28, 2017
9806 Views3202 Downloads
Parents’ Adjustment for Caring of Attention Deficit Hyperactivity Disorders Children
Original Research
Attention deficit hyperactivity disorder defined as a condition in which a child has troubles in paying attention and difficult focusing on tasks; act without thinking and trouble in sitting still. ADHD begins in early childhood; without treatment. It can cause problems at home with relationships and at school. Aim of the study was to evaluate nursing intervention of parents’ adjustment for caring of their ADH children. Research design was quasi experimental for this study. Sitting: The study was conducted at psychiatric outpatient clinic of Shebin Elkom, Menoufia University Hospital. Sample: The sample was convenience, consisted of 60 mothers providing care for their children suffering from ADHD. Tools of data collection were an interviewing questionnaire that includes four parts. Part 1: A Structured interviewing questionnaire; Socio demographic characteristics of studied parents and their children. Part 11: Family impact of childhood disability (FICD) scale. Part 111: This part was concerned with assessment of child completion and efficacy in the activity of daily life (ADL). Part IV: Care giver assessment about the health care needs of the child with ADHD. Results: The study revealed that about two thirds of the sample was boys and one third was girls. Also, most of the care givers live in rural areas, representing two thirds of the sample size. Concerning parent adjustment with children having ADHD; there was statistically significant disruption of normal family routines with p value equal 0.000. Also regarding needs of child with ADHD, there was statistically significant improvement in most of children's' behaviors after implementation of the program. Conclusion: This study concluded that there were improvements after program implementation and follow up in modifying the children behaviors and their needs. Recommendation: Continuous education programs are important to improve parents’ adjustment toward care of their ADHD children. Focusing on improving executive functioning as an important aim of improving ADHD behaviors.
American Journal of Nursing Research. 2017, 5(4), 139-147. DOI: 10.12691/ajnr-5-4-5
Pub. Date: August 28, 2017
8500 Views3027 Downloads
Effect of Two Educational Methods on Knowledge and Health Beliefs Regarding Prostate Cancer Screening
Original Research
Prostate cancer is a common health problem that in the majority of cases starts to develop at the age of 50 years, reaching its peak at 60–70 years of age. One way to decrease the burden of prostate cancer is early detection through screening. Aim: The aim of this study was to evaluate the effect of two different of education methods on knowledge and health belief regarding prostate cancer screening.Design: experimental and comparative approach design was utilized. Setting; the study was conducted at different administration departments enter the cordon of Suez Canal University. Sample: A purposive sample of 240 of men over 50 years and accepted in participating in the study and divided into two groups randomly (a group education and multimedia education).Tools: Data were collected through two main tools; I-A self-administered questionnaire to assess socio demographic characteristic and knowledge regarding prostate cancer prevention, questionnaire to assess participates in prostate cancer screening.II- health belief model to assess change in health beliefs during baseline, first and second post-test. Results; During the study, group education has participated in prostate cancer screening more than multimedia group. The group education raised the susceptibility perception on prostate cancer screening and while decreasing the barrier perception. Conclusion: the group education had a significant difference in the knowledge and health beliefs for prostate cancer screening more than multimedia education.Recommendation: Dissemination of prostate cancer screening through multimedia education based on HBM among men over 50 years to prevent the risk of prostate cancer.
American Journal of Nursing Research. 2017, 5(4), 129-138. DOI: 10.12691/ajnr-5-4-4
Pub. Date: August 09, 2017
7807 Views2243 Downloads
Effects of Deferred Versus Early Umbilical Cord Clamping on Maternal and Neonatal Outcomes
Original Research
Background: Recent protocol proposed by the World Health Organization to manage the third stage of labour replaced the early cord clamping by deferred cord clamping to induce numerous neonatal benefits. But this practice is still resisted in most of the Arab countries. The aim of this study was to evaluate the effectiveness of deferred versus early umbilical cord clamping on maternal and neonatal outcomes. Methods: A quasi experimental research design was utilized. The study was conducted at labour unit in Damanhour National Medical Institute. Sample: A convenience sample of 150 parturient women undergoing normal vaginal delivery were randomly divided in two groups; deferred cord clamping (n= 75) and early cord clamping (n= 75). Tools: Three tools were used for data collection; 1) Structured interview schedule to collect data about the women' demographic characteristics and reproductive history. 2) Maternal outcomes assessment sheet. 3) Neonatal outcomes assessment sheet to assess the immediate and late neonatal outcomes. Results: There were no statistically significant differences (P > 0.05) between deferred and early cord clamping groups in relation to the maternal risk for post-partum hemorrhage, duration of third stage of labour and the need for manual removal of the placenta. Furthermore, a highly statistically significant differences (p < 0.001) were observed regarding neonatal hemoglobin, hematocrit, and red blood cells between the two groups. The mean total bilirubin level was significantly higher (P < 0.05) in the deferred cord clamping group than early cord clamping group.Conclusion: The study concluded that deferred umbilical cord clamping did not increase the risk of maternal post-partum hemorrhage, duration of third stage of labour or the need for manual removal of the placenta. Also, deferred cord clamping significantly increased neonatal hemoglobin, hematocrit, and red blood cells level without serious elevation in the total bilirubin level as it was still in the low intermediate risk or below 75th percentile. Recommendation:Institutionalization of deferred cord clamping in all governmental hospitals and medical educational settings through providing policies, procedures and guidelines regarding this practice. This could significantly improve the intra-natal care for the neonate without harmful consequences for the mother.
American Journal of Nursing Research. 2017, 5(4), 115-128. DOI: 10.12691/ajnr-5-4-3
Pub. Date: August 02, 2017
11025 Views3767 Downloads1 Likes
Effect of Manual Fundal Pressure during the Second Stage of Labor on Maternal Outcomes among Parturient Women
Original Research
Introduction: Fundal pressure during the second stage of labour has been used to assist spontaneous vaginal birth and decrease second stagetime or to avoid the need for operative delivery.Aim: to study the effect of manual fundal pressure during the second stage of labor on maternal outcome among parturient women.Subjects and methods: design: A prospective, observational design was used. Sample: 672 parturient women aged 20 to 35 years, pregnant in a singleton, living fetus presented by vertex with gestational age between 37 and 40 weeks, with uncomplicated pregnancies. Tools ofdata collection: three tools used to collect data. Tool I: to collect characteristics of the study sample, tool II: partogram to collect labor data and tool III: birth outcome sheet.Results: about 63.1% of the study sample underwent performing uterine fundal pressure and the remaining (36.9%) delivered without fundal pressure. About 51.8% of women who delivered with fundal pressure had complications as cervical tears, vaginal tears and post partum hemorrhage. About 17.4 % of non fundal pressure cases delivered with the same complications. Duration of the second stage of labor was shorter in fundal pressure group than non fundal group (82.8% and 60.9% respectively).Conclusion &Recommendation: Women with fundal pressure experience more complications like vaginal and cervical tears compared to non fundal pressure cases. Maternity nurses should be aware about the benefits and risks of uterine fundal pressure technique during childbirth.
American Journal of Nursing Research. 2017, 5(4), 109-114. DOI: 10.12691/ajnr-5-4-2
Pub. Date: July 22, 2017
7703 Views2444 Downloads
Nursing Students’ Satisfaction with Their Clinical Learning Environments
Original Research
Clinical placement is a vital part of nursing students’ education. The clinical learning environments consider the first place of professional practice for nurses and student opinion contribute to its improvement. The aim of the current study was to assess nursing student's level of satisfaction with their clinical learning environment. A descriptive, cross sectional research design was used. A convenient sample of 400 nursing students enrolled from Faculty of Nursing. This study was conducted at the Faculty of Nursing, Menoufia University. Clinical Learning Environment Inventory (CLEI) used to measure nursing student's satisfaction with their clinical learning environments. The mean score of the total CLEI scale was 118.90 (54.86) which indicate a medium level of satisfaction. The satisfaction subscale perceived by the nursing students as the most important domain 23.68(9.98) of clinical learning environment. While, the least important domain perceived by nursing students was individualization subscale 14.42 (7.87). Nursing students have a medium level of satisfaction with their clinical learning environments. Assessment of nursing student's level of satisfaction plays an important role in the education process, thus it is necessary to assess the learning environment from different perceptions. Collaboration between the nursing educational institutions and health care agencies is essential to ensure the availability of effective clinical learning environment, which meet the needs of undergraduate nursing students.
American Journal of Nursing Research. 2017, 5(4), 104-108. DOI: 10.12691/ajnr-5-4-1
Pub. Date: June 29, 2017
9465 Views3415 Downloads