Volume 6, Issue 1

Dietary Intervention Rich in Omega-3 Fatty Acid to Reduce Risk Factors of Cardiovascular Diseases at High Risk Patients
Original Research
Background: Cardiovascular Disease (CVD) is the number one killer in developed countries. In Egypt, CVD deaths account for 21.7% of total deaths. Patients at high risk have higher CVD mortality and morbidity following a cardiac event. Hypertension, Diabetes Mellitus (DM), Dyslipdemia and lack of physical activity have been identified as CAD risk factors. Also, inflammatory response and diet have been identified as additional factors that may influence the development of CAD. The relationship between inflammatory reaction and risk of CVD events is consistent and independent of other risk factors. There is evidence about the benefits of omega-3 fatty acids on CVD. Omega-3 fatty acids improve heart health by reducing triglyceride levels, decreasing the growth of atherosclerotic plaques, improving arterial endothelial function, lowering blood pressure, and reducing the risk of thrombosis. Further research is needed to confirm the cardio protective benefits of omega-3 fatty acids. Thus, the purpose of the current study was to examine the effect of dietary intervention rich in omega-3 fatty acids on reducing CAD risk factors for high risk patients. Methods: A quasi experimental (Pre- post test) design was used. Sample: A convenience sample of 100 patients with one or more risk factors of CAD. Setting: the study was conducted in the out-patient clinics at Menoufia University Hospital at Shebein El- Kom City. Tools: a) Interviewing Questionnaire; b) Cardiovascular Risk Assessment Scale (CVRAS); c) Obligatory Exercise Questionnaire; d) Serological level of Interleukin-2 (IL-2), C-reactive proteins, lipid profile and blood glucose level. Results: There was a statistically significant reduction in CAD risk score post intervention (13.50 ± 2.95) compared to pre intervention (22.94 ± 3.13). There was a statistically significant reduction in the inflammatory response, IL-2 (23.55 ± 4.44); C-reactive proteins (2.71 ± 1.39) post intervention compared to pre intervention (31.90 ± 4.80); (4.10 ± 1.38) respectively and physical activity (Paired t- test 10.71, P= 0.05). Conclusion: Omega-3 fatty acids can favorably decrease cardiovascular risk-factor, for primary and secondary prevention of CVD. Recommendation: A diet rich in Omega-3 fatty acids should be included when designing a dietary intervention targeting individuals at high risk for CVD.
American Journal of Nursing Research. 2018, 6(1), 30-38. DOI: 10.12691/ajnr-6-1-5
Pub. Date: February 28, 2018
7740 Views2534 Downloads
The Effect of Health Education Program for Caregivers about Circumcision in Neonates and Infants
Original Research
Circumcision is the excision of the foreskin of the penis which may be performed in the neonatal period or in later life. Circumcision benefits are minimizing urinary tract infection, enhances of penile hygiene, prevents of penile carcinoma. However, circumcision may cause complications such as bleeding, and infection. Some of these complications can be minimized through adequate health education by nursing staff to the caregivers who may influence circumcision outcome. The aim of the study to: identify the effect of health education program for caregivers about circumcision in neonates and infants. Design: a randomized controlled trial design was used only one month. Setting: study was conducted at Omar Ibn El Khattab Specialized Medical Center at Minia City. Sample: a random sample were selected and randomly equally divided into two groups study (20) and control (20). Tools: two tools were used, an interview questionnaire sheet was used to assess all caregivers' knowledge about circumcision before & after implementing the program and a post assessment sheet about circumcision care Results: this study showed significant improvement inthe total knowledge after health education program compared to total knowledge before implementing the program among study group. Conclusion: demonstration with written instructions offered to caregivers help in early detection of complication. Recommendation: health education program should be given by a qualified nurse supported by a simple clear hand out to caregivers in different hospitals.
American Journal of Nursing Research. 2018, 6(1), 24-29. DOI: 10.12691/ajnr-6-1-4
Pub. Date: February 08, 2018
6229 Views2397 Downloads
Exploring Nursing Students Engagement in Their Learning Environment
Original Research
Student engagement is seen more than to just involve student during organization time its meaning has become more vast than previously assumed. Now, it is viewed by diverse aspects not a one aspect consider enough to define engagement. Student’s emotional, cognitive and behavioral participation in their learning environment is considered as true engagement. It is not also helpful to engage student in course material but also help students to get better outcome. Nursing student engagement is essential in this respect that they have to pay double role. They not only engage in class room but also in clinical setting. In this research Cross-sectional study was done. Student Engagement Questionnaire (SEQ) developed by David Kember and Doris Leuing was used. Sample size of n=135 undergraduate students were taken. Data analyzed by using software SPSS 21. Bench markers of student engagement were analyzed by Pearson correlation and association between students engagements were analyzed by regression analysis. Results shows higher mean score in domain of meaningful process. Component of student engagement critical thinking, creative thinking and computer skills were highest mean score. Student shows the highest perception of work load and stress. There were no significant relationship between student engagement and self-reported cumulative GPA.
American Journal of Nursing Research. 2018, 6(1), 18-23. DOI: 10.12691/ajnr-6-1-3
Pub. Date: January 29, 2018
6345 Views2689 Downloads
Knowledge and Perception of Health Practitioners towards MERS-CoV in Hail Region, Kingdom of Saudi Arabia
Original Research
Objective: This research determines the level of knowledge and the perceptions of the health practitioners about MERS-CoV to target the needs in addressing the health threat. It also aims to relate the participants’ age, gender, civil status and educational attainment between the seriousness, susceptibility and extent of anxiety, efficacy, and self-efficacy, and the intention to carry out the measures. Methods: This research utilized a correlational approach. The participants were the health practitioners in the hospitals of Hail Region, Kingdom of Saudi Arabia. A total of 264 health practitioners completed the survey (response rate of 83%) as a result of a convenience sampling. Weighted mean, standard deviation and Chi-square test of independence were used to analyze the data. Results: The health practitioners have high knowledge on MERS-CoV; as an inflammation of the lungs (2.64 ± 0.48); always gives symptoms (2.67± 0.52), and can be prevented by practicing good hygiene (2.62 ±0.64). The MERS-CoV is perceived as a very serious disease (4.24±0.56). Moreover, the susceptibility of MERS-CoV, and extent of anxiety are perceivably contracted in the absence of preventive measures (3.30±1.18), and with no vaccination (2.7±0.90). On efficacy/self-efficacy, the health practitioners are very certain (4.40 ± 0.69) and neutral with their intention to carry out the measures (3.38±0.72). Age (P=0.001), civil status (P=0.026) and educational attainment (P=0.001) yielded significant relationship with the intention to carry-out the measures. Equally, the educational attainment (P=0.031) prove significant to efficacy and self-efficacy. Conclusion:The high level of knowledge and good perception of the health practitioners about MERS-CoV may contribute in anticipating the disease outbreak.
American Journal of Nursing Research. 2018, 6(1), 12-17. DOI: 10.12691/ajnr-6-1-2
Pub. Date: January 29, 2018
5164 Views1899 Downloads
Effect of an Educational Intervention for Infertile Women Regarding Natural Fertility Methods and Sexual Skills for Improving Sexual Function
Original Research
Background:Nowadays, infertility is considered as a social concern which can lead to the couples’ psychological imbalance, relationship disturbance and divorce. Sexual satisfaction is mainly affected by the consequences of infertility, such as decrease of self-esteem, depression, anxiety, and sexual relationship with failure in reproduction. Aim: was to evaluate the effect of an educational intervention on infertile women’ knowledge, practices and attitude regarding natural fertility methods and it is effect on female sexual function. Research design:A quasi experimental design was used. Setting: The study was carried out in the Gynecology clinic at Benha University Hospital. Purposive samplewas used to recruit 100 infertile women attending to the Gynecology clinic at Benha University Hospital during seven months. Three tools were used for data collections: A Structured interviewing questionnaire, women’s attitude toward adaptation of infertility and female sexual function index was conducted to assess sexual function in infertile women. Results: Revealed that 49.0% of women had poor knowledge before intervention. However, 73.0% of them had good knowledge after one month of intervention respectively. Moreover, there was a highly statistically significant correlation (P < 0.01) between the infertile women' sexual function scores pre and post one month of intervention. As well as, only 4.0 % of the studied women had positive attitude toward adaptation of infertility before intervention. Meanwhile, after one month of intervention the positive attitude changed to 92.0% respectively. Conclusion: the implementation of an educational intervention was effective and significantly improved women’s knowledge, practice and attitude towards natural fertility methods and sexual skills. The study recommendedthat adequately planned in-service training programs related to sexual function and satisfaction must be established to develop women’s knowledge, practices and attitude in order to fit newly developed concepts for adaptation.
American Journal of Nursing Research. 2018, 6(1), 1-11. DOI: 10.12691/ajnr-6-1-1
Pub. Date: January 19, 2018
8356 Views3202 Downloads