Volume 7, Issue 3

Effect of Massage Therapy on the Mood and Pain of Post Cardiac Catheterization Patients
Original Research
Pain is the most important complaint experienced by patients undergoing cardiac catheterization. Many patients consider hospitalization and cardiac catheterization to be psychologically distressing. In recent years, there has been a focus on complimentary therapies to manage or alleviate pain and anxiety. Body massages is one of complimentary therapies and have been tested in different populations and found to have marked effect in decreasing pain and anxiety. Aim: The aim of the study is to examine the effect of massage intervention on the mood and pain of patient after cardiac catheter. Design: A randomized single blind clinical trial design was used. Setting: The study was conducted in in the Coronary Care Unit at King Fahd Hospital of the University in Al-Khobar, Kingdom of Saudi Arabia. Sample: A random sample of 40 adults post cardiac catheterization. Tools: Three tools were used to collect data: tool 1: Demographic and Medical data Sheet, tool 2: The Profile of Mood States (POMS). Tool 3: The McGill Pain Questionnaire. Results: There was a highly significant reduction in pain scores after the sessions of the massage therapy, and there were a highly significant difference between before and after message sessions intervention in relation to all components and total mean score of mood profile. Conclusion: integrating the massage therapy into nursing intervention can enhance the mood and ability state and decreased anxiety, depressions, confusion and pain of patients after cardiac catheterization,. Recommendations: Based on the result of the present study, it can be recommended that further study should be applied in relation to increase the sample of the study in control and experimental group, examine the relationship between illness perceptions and mood across coronary artery disease patients.
American Journal of Nursing Research. 2019, 7(3), 392-399. DOI: 10.12691/ajnr-7-3-21
Pub. Date: April 25, 2019
5051 Views1884 Downloads2 Likes
Effect of Positive End Expiratory Pressure on Central Venous Pressure in Mechanically Ventilated Patients
Original Research
Background: Central venous pressure (CVP) monitoring remains in common use as an index of circulatory filling and cardiac preload. Positive end-expiratory pressure (PEEP) in mechanically ventilated patients can affect CVP via increasing intra-thoracic pressure. Critical care nurses should be able to measure the CVP competently and identify the factors affecting its readings. Aim: The current study was conducted to determine the effect of PEEP on the CVP readings in mechanically ventilated patients. Methods: a descriptive design used in this study. A convenient sample of 200 adult critically ill patients of both sex, hemodynamically and respiratory stable, having a central venous catheter (CVC) in place, and attached to a mechanical ventilator and pulse oximeter were included in the study. The patient's baseline CVP was recorded while the patient connected to the mechanical ventilator, then the patients were temporary disconnected from the mechanical ventilator and the CVP measured again without the effect of PEEP. Results: About 40% of the study sample aged 45 to 64 years, 52.5% were males, 50 % suffered from respiratory disorders, and 49% were overhydrated. Eighty eight percent of the study sample was on PEEP levels between 5 to < 10 cmH2O. The CVP readings while the patients connected to MV were higher than CVP reading while the patients without PEEP, but these differences were not significant.Conclusion: CVP readings are not significant affected by the PEEP up to 15 cmH2O. The CVP can be reliably measured while patients are connected to MV. Recommendations: Measurement of CVP can be obtained while the patient is connected to MV.
American Journal of Nursing Research. 2019, 7(3), 387-391. DOI: 10.12691/ajnr-7-3-20
Pub. Date: April 24, 2019
3757 Views1317 Downloads
Mindfulness-Based Intervention Program on Stress Reduction during Pregnancy
Review Article
Mindfulness-based Cognitive therapy, theoretical and clinical work to working with mood concerns during pregnancy. Aim of this study was to evaluate the effect of the Mindfulness -based intervention Program on Stress Reduction during Pregnancy. Design: A quasi - experimental design was utilized in this study. Setting: The study was conducted in the obstetric outpatient clinics in Kafr El sheikh, University Hospital. Sample: A purposive sample was used for 100 pregnant women, who attained the above mentioned setting. Tools: three tools were used for data collection, interviewing questionnaire for assessing demographic characteristics for pregnant women. 2-perceived Stress Scale, 3 Mindful Attention Awareness Scale. Result:there are positive effects of mindfulness intervention program on the stress levels among studied mothers and the difference between stress scale levels pre and post intervention was highly significant (p=0.000). Conclusion this study concluded that women who learn mindfulness during pregnancy are likely to use those skills to mange stressful aspect of pregnancy, childbirth and parenting resulting in reductions in psychological distress and improvement in psychological well-being.Recommendation:Continuing mindfulness program about reduced stressful aspect of pregnancy, and researches are needed to detect the other problems to early management.
American Journal of Nursing Research. 2019, 7(3), 375-386. DOI: 10.12691/ajnr-7-3-19
Pub. Date: April 22, 2019
6792 Views1878 Downloads1 Likes
Effect of Evidence-based Program among Adolescent Nursing Student’s Regarding Premenstrual Tension Syndrome
Original Research
Background:Premenstrual tension syndrome is one of the most common disorders in adolescent girls that could significantly interfere with activities of daily life. It refers to a group of expectable mood, behavioral, and physical symptoms that occurs 7-14 days before the onset of menstruation. The studies indicated that high proportion of adolescence suffering from PMS. So it is very important for these girls to determine efficacy of evidence-based program for increasing knowledge and decreasing the severity of PMS. Aim:Was to evaluate effect of evidence based program among adolescent nursing student’s regarding PMS. Quasi-experimental design:(pre and post intervention) was conducted. A total sample of (100) girls (All female students in the first and second grades) aged between 17 and 19 years, who suffered from PMS. Setting: The study was conducted at the Faculty of Nursing, Benha University. Data were collected through two main. Tools: A structured self-administered questionnaire, and self-practices daily activities toward PMS. Results:showed that, there was highly statistically significant difference in all items of knowledge & practices after application of the evidence-based program as compared with that before applying it. Meanwhile, after training program, there was a significant improvement in the student’s body weight after applying program compared with that before applying it, the mean weight pre –program was 77.4 +5. 8Kg, while the mean weight post –program was 68.89+6.332 Kg. Conclusion: Overall, the findings revealed that,the evidence-based program had a possible positive beneficial effect on increasing knowledge and decreasing PMS signs and symptoms severity. Also, the evidence based program has decreased the effect of PMS S & S on study group life. Thus, the study recommendedthat continuing health education program about PMS that aimed at understanding signs & symptoms of PMS which emphasize on self-care measures and life style modifications.
American Journal of Nursing Research. 2019, 7(3), 365-374. DOI: 10.12691/ajnr-7-3-18
Pub. Date: April 20, 2019
3758 Views990 Downloads1 Likes
Menstrual Profile and Body Mass Index among Female University Students
Original Research
Menstruation is a uniquely female phenomenon and the most important part of the female reproductive cycle. But painful menstrual pain is a common gynecological complain among women. Many factors play a role and affect the menstrual cycle, which includes hormonal changes, psychological factors, genetic factors and body mass index (BMI). Aim: The current study aimed to assess the relationship between Body Mass Index (BMI) and the severity of menstrual pain and to spotlight on the dietary habits of students and its association with the menstrual profile. Methods: Cross-sectional correctional study design was utilized. 177 agreed to participate in the study selected by stratified cluster sampling technique. A semi-structured self- administered questionnaire was used in data collection. Results: The findings revealed that less than one quarter 14.1 % & 17.5% of the study sample were in the extreme range either underweight or overweight, respectively. 79.1% of the study participants had reported pain during menses and 33.5 % of them describe this pain as severe pain. Furthermore, a statistically significant difference was found between BMI and menstrual profile. Conclusion: It can be concluded that BMI had an effect on the menstrual profile. Therefore, special attention should be given to adolescent's nutrition which leads to maintain the normal BMI and regulate the menstrual cycle. Recommendation: Lifestyle modification and nutritional counseling for female students could alleviate menstrual problems, promoting healthy eating habitats and maintaining an optimal BMI can improve menstrual health. Further research in the nutritional pattern in adolescents can be done especially during the menstrual cycle should be implemented.
American Journal of Nursing Research. 2019, 7(3), 368-372. DOI: 10.12691/ajnr-7-3-17
Pub. Date: April 19, 2019
3770 Views1211 Downloads
Flipped Classroom as a Teaching Strategy and Community Health Nursing Student’s Engagement, Satisfaction and Achievement
Original Research
Flipped Classroom is a promising alternative to traditional lectures in nursing education, helping nursing students become more involved in classroom activities. Can lead to a high level of student satisfaction, self-speed and independence. The aim of this study was to evaluate the effect of inverted education as a teaching strategy on the participation of students in community nursing, satisfaction and achievement. Design: A quasi-experimental design was used in this study (study and control group). Setting:This study was conducted in faculty of nursing at Fayoum University. Subjects: A total number of students 140 students were enrolled in this study, both sex studies at second semester, fourth year during study of community health nursing course, academic year 2016/2017. Tools: data was collected through self-administer questionnaire sheet which include personal characteristics, students engagement scale: satisfaction scale and achievement questionnaire sheet. Results: Around three quartets (71.4%) of student undergoing flipped classroom as a teaching strategy achieved a moderate level of achievement compared with half (50%) of student undergoing lecture based learning (post test).There were highly statistical significant between pre and posttest of study and control group regarding student satisfaction and engagement. Recommendations: The need for provided deferent innovative educational strategies for students, introduce Flipped Classroom to other courses for students with different class levels and encourage students for using different models of Flipped Classroom as a teaching strategy.
American Journal of Nursing Research. 2019, 7(3), 362-367. DOI: 10.12691/ajnr-7-3-16
Pub. Date: April 17, 2019
3772 Views1115 Downloads
The Effect of a Trans-Theoretical Model Based Intervention on Physical Exercises Behaviour among Postpartum Women at Benha City, Egypt
Original Research
Background: Physical activity behaviour during the postpartum period is very important to improve maternal health and prevent complications both in the short and long term. This study aims to evaluate the effect of a trans-theoretical model based intervention on physical exercises behaviour among postpartum women at Benha City, Egypt.Methods: A quasi-experimental design was utilized. The study was conducted at family planning outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 86 postpartum women were included in the present study. Three tools were used for data collection; first tool: structured interviewing schedule to collect data about the subjects' demographic characteristics, medical and obstetric history and knowledge towards postpartum exercises. Second tool; the trans-theoretical model of behaviour change questionnaire, it composed of the four main dimensions that are stage of change, self-efficacy, decisional balance (pros and cons), experiential and behavioural process of change. Third tool; international physical activity questionnaire short-form to assess the postpartum physical activity level. Results: The mean age of the studied women was 28.88±5.89 years. There were statistically significant improvements (P<0.05) regarding to women' knowledge, and all constructs of trans-theoretical model which include self-efficacy, decisional balance, experiential and behavioural processes of change after the trans-theoretical model based intervention as compared to before. Conclusion: The trans-theoretical based intervention was efficient in improving women's knowledge, postpartum exercise behaviour. This was observed in increasing women's self-efficacy, decisional balance pros, experimental and behavioural processes of change. While reducing decisional balance cons. Recommendation:The nurse should implement trans-theoretical model based interventions for postpartum women to promote postpartum exercise behaviour.
American Journal of Nursing Research. 2019, 7(3), 342-353. DOI: 10.12691/ajnr-7-3-15
Pub. Date: April 12, 2019
4292 Views1282 Downloads
Study Hyperemesis Graviderum Requiring Hospital Admission during Pregnancy: Effect of Nursing Implication on Its Progress
Original Research
Background: Hyperemesis grаvidarum (ΗG) refers to an extreme form of morning sickness that causes severe nausea and vomiting during pregnancy. It is potentially lethal if not treated. Aim: This study aimed to identify risk factors for hyperemesis grаviderum requiring hospital admission during pregnancy and evaluate the effect of an educational program on women’s knowledge and severity of hyperemesis gravidаrum. Subject & Methods: Case-control design had been utilized within antenatal in-patient/outpatient wards at Αin-Shams Maternity Hospital, Egypt. One hundred pregnant women (50 of them were previously admitted hyperemesis compared with 50 ones with no previously admissions for hyperemesis) were chosen. Α structured interviewing questionnaire schedule, and Pregnancy Unique-Quantification of Emesis (РUQE) questionnaire sheet were utilized. Pre/post evaluation questionnaire had been used to assess attendant's severity and information around the hyperemesis grаviderum. Results: There is а significant difference regarding risk factors of hyperemesis grаviderum in two groups, women who have а previous history for admission to hospital were more liable for hyperemesis grаviderum than no-admitted ones. Regarding РUQE, there is а positive significant correlation between РUQE score with age among hyperemesis grаviderum group. Conclusion: Women who are housewives, middle age, improper level of education, rural dwellers, insufficient income, moreover, multigravida, multiple gestations, and previous history of abortion or who admitted to hospital for a history of motion sickness, previous usage of oral contraceptives were liable for hyperemesis grаviderum than other ones. All women with hyperemesis grаviderum achieved both better score in their knowledge and symptoms degree after implementing the educational program than before it. There is а progression in knowledge score and regression in РUQE score. Recommendations: Replication of this study on a larger sample, on a broad area and different settings of the study is recommended in order to generalize the results.
American Journal of Nursing Research. 2019, 7(3), 328-341. DOI: 10.12691/ajnr-7-3-14
Pub. Date: April 09, 2019
6694 Views1974 Downloads
A Study of Knowledge and Health Habits among Patients with Osteoporosis
Original Research
Background: Osteoporosis (OP) affects around 200 million females in the word, and it has become major health burden for healthcare providers. Aim of the Study: The aim of this study is to determine the knowledge level and health habits among patient with osteoporosis. Subjects and Methods: A total of 120 samples were collected from Mansoura Hospital University Outpatient clinic of Rheumatology. Sample includes both male and female osteoporosis. Results: Univariate analysis was performed to know the baseline knowledge level, and t-test, ANOVA was used to find the significant knowledge and lifestyle hobbits which revealed stress induced osteoporosis were high among individuals 92%, lowest in checking Vitamin D 2%. The Magnitude of impact of healthy lifestyle behaviors and education level on Osteoporosis is very significant. Conclusion and Recommendation: Osteoporosis is a preventable disease. Through appropriate education and lifestyle changes, the incidence of osteoporosis can be reduced. Public health leaders should perform community-based public health programs for osteoporosis protection and incorporate osteoporosis exercise based on successful evidence-based researches, however giving support for more research that is a requirement to further examine and advance the effectiveness of various programs in various public.
American Journal of Nursing Research. 2019, 7(3), 322-327. DOI: 10.12691/ajnr-7-3-13
Pub. Date: April 11, 2019
4664 Views1378 Downloads
Self-Rated Anxiety and Attitude Responses of Pediatric Nurses Surveyed about Providing End of Life Care
Original Research
Background: End of Life care is a critical topic for pediatric patients with terminal conditions, aiming at improving their life in spite of prognosis. It is the most traumatic aspect of pediatric nursing due to unpleasant sensations and experiences that obstruct nurses’ abilities to apply satisfactory care regarding End of Life. Aim: to identify the association between self-rated anxiety and attitude responses of pediatric nurses surveyed about providing End of Life care. Method: A descriptive correlational design was utilized. The sample composed of 48 nurses in neonatal and pediatric intensive care units in general hospitals in Port Said Governorate. Tools: The 20-item state anxiety questionnaire and the nurses’ attitudes toward pediatric end of life care were used to collect data. Results: 46.8% of the studied nurses had demonstrated generally positive attitude toward End of Life care. 33.3% of them had tendered to reported sometimes to have anxiety symptoms, there is a statistical significant relation between level of anxiety and the attitude toward areas with comfort in discussing the pediatric End of Life care, and physician involvement. Conclusion &Recommendation: positive attitude of pediatric nurses concerning End of Life care. Moreover, negative nurses’ attitude toward the benefits of pediatric nursing care relating End of Life, and there was a statistical significant relation between level of anxiety and the attitude toward comfort in discussing the pediatric nursing care regarding End of Life, and physician involvement. Therefore, The study findings emphasize the need for acquainting pediatric nurses with effective coping strategies to overcome anxiety to improve their attitude toward End of Life care.
American Journal of Nursing Research. 2019, 7(3), 316-321. DOI: 10.12691/ajnr-7-3-12
Pub. Date: March 27, 2019
4705 Views1806 Downloads1 Likes
Exploring the Experiences of Nursing Students during Debriefing: A Qualitative Study
Original Research
Background: Debriefing is a process involving the active participation of learners, guided by a facilitator or instructor whose primary goal is to identify and close gaps in knowledge and skills. It promotes understanding and supports transfer of knowledge, skills and attitudes with the focus on safe and high quality patient care. Hence, the aim of the study was to explore the experiences of nursing students during debriefing. Methodology: The study was conducted at the College of Nursing – Jeddah, King Saud Bin Abdulaziz University for Health Sciences. A qualitative research design was used which included convenient sampling of nursing students who were enrolled in clinical courses. Four focus groups were conducted until saturation was reached. Focus groups were recorded, transcribed verbatim and data analysis followed a content analysis approach. Results: Three main themes emerged: facilitators, barriers and the way forward. The participants within this study highlighted that learning from shared experiences of colleagues was a factor that promoted a positive attitude towards debriefing. Long clinical days was the most prominent barrier to debriefing with debriefing sessions focusing on the same content that was discussed in the clinical area was identified as the next barrier. Hence nothing new was added in order to promote learning during debriefing. Conclusion: This study affirmed many of the common, frequently cited advantages and disadvantages of the debriefing process. There is certainly an opportunity for the process to be improved by using evidence-based methods that will achieve the same or better results.
American Journal of Nursing Research. 2019, 7(3), 310-315. DOI: 10.12691/ajnr-7-3-11
Pub. Date: March 23, 2019
3312 Views999 Downloads
Levels and Types of Conflict Experienced by Nurses in the Hospital Settings: A Comparative Study
Original Research
Conflict is an inevitable phenomenon in any environment where people interact. Although individuals, groups, and organizations work to accomplish their goals, there is always a continuous interaction between them during this process conflicts, disagreements, and inconsistencies between the parties can rise. Aim: The main aim of the current study was to compare types and levels of conflict experienced by nurses in National Medical Institute at Damanhur (Egypt) and Taif Governmental Hospitals (Saudi Arabia). Subject and methods:A comparative cross-sectional research design was utilized in the present study. Random sample (450) nurses from both Egyptian and Saudi hospitals composed the study sample. Nursing Conflict Scale was used to assess the types and levels of conflict experienced by nurses in the hospital settings. Results:Interpersonal conflict and intragroup conflict were the most common types of conflict experienced by Egyptian nurses. On the other hand, the greatest popular types of conflict experienced by Saudi nurses were intragroup conflict and competitive conflict. Conclusion: Egyptian nurses experienced moderate to high level of conflict, while, Saudi nurses experienced moderate to low level of conflict. Additionally, Egyptian nurses experienced a higher level of conflict than Saudi nurses. Recommendations: Nurse managers should develop effective conflict management strategies to decrease conflict between nurses and to create a more healthier and productive work environment which definitely affect the quality of nursing care provided.
American Journal of Nursing Research. 2019, 7(3), 301-309. DOI: 10.12691/ajnr-7-3-10
Pub. Date: March 29, 2019
5686 Views1876 Downloads1 Likes
Impacts of Seizure Care Simulation Intervention on Mothers’ of Epileptic Children Efficiency, Believes, Anxiety and Seizure Care
Original Research
Background; Epilepsy is one of the most common neurological disorders among children. Lack of knowledge about safe care among mothers whom are the first care providers will affect children life and mother self efficiency. Aim of the study; to assess impacts of seizure care simulation intervention on mothers’ of epileptic children efficiency, believes anxiety and seizure care. Design: Quasi experimental research design was used. Sample & setting; 73 mothers admitted with their epileptic children in neurology & pediatric departments from June - July 2018 at Menofyia university hospital /Shibeen El Kom and accept to participate in the study were included. Intervention was given to them into 5 sessions post test was conducted after one month post hospital discharge. Results; 70% of mothers aged 20-40 years and 78% of them their epileptic children were male. Regarding subjects knowledge; 60% of them had correct answer post the intervention related to definition of epilepsy, 70% causes of epilepsy and 80% of them know correctly pre seizure manifestation, also about two thirds of them post one month from the intervention had correct answer regarding care pre seizure attacks, care during seizure and correct care post seizure attacks with significant difference were found pre and post one month from intervention. Regarding maternal self efficiency level nearly all mothers post one month from the intervention very sure that; they can know if their child has seizure attack before it happen and can manage seizure effectively. Maternal believes about epileptic children abilities were improved post one month from intervention. There was significant difference in maternal seizure management practice pre and post one month from intervention also maternal anxiety was decrease post one month from intervention. Conclusion: Seizure care simulation intervention produces significant improvement in maternal knowledge, change their attitude and improve their care practice which decrease maternal anxiety and raise their self efficiency. Recommendation: Mothers of epileptic children need special preparation through well planned educational intervention which support them to practice effective physical &psychological care and maintain their physical and psychological safety, well being and decrease their anxiety level regarding their children health and all family members wellbeing.
American Journal of Nursing Research. 2019, 7(3), 293-300. DOI: 10.12691/ajnr-7-3-9
Pub. Date: March 18, 2019
3562 Views914 Downloads
Developing Corrective Actions to Improve Academic Advising Process
Original Research
Background: Academic advising plays a crucial role in academic success; it was considered an integral part in achieving faculty educational goals. The aim of the current study was to develop corrective actions to improve academic advising process throughinvestigating the obstacles and solutions from the perspective of both academic advisors and students.Method: An analytical cross-sectional research design has been used. The sample included 51 academic advisors and 424 students enrolled in the faculty of nursing at Mansoura University. A Socio-demographic questionnaire, academic advisor’s performance sheet, and academic advising obstacles sheet were used to collect data. Results: Obstacles related to advisors scored higher rather than other obstacles from the students’ point of view. Students' levels varied significantly with advisors’ performance and obstacles. There is no significant correlation between advisors’ performance and academic advising obstacles as preserved by studentsConclusion:Providing academic advising training sessions and incentives can improve academic advising. Therefore, the findings pointed to enhance academic staff' abilities related to academic advising through training programs. In addition, further researches are suggested in this area.
American Journal of Nursing Research. 2019, 7(3), 286-292. DOI: 10.12691/ajnr-7-3-8
Pub. Date: March 17, 2019
3691 Views1000 Downloads
The Effect of Back Massage on Perceived Sleep Quality among Adult Patients in Intensive Care Units
Original Research
Introduction: Sleep disturbance is a commonly reported problem in the intensive care unit (ICU). Evidence suggests that sleep disturbance has negative influences on different body systems which may delay recovery, increase the length of intensive care stay, and consequently raise the cost of health care services. Aim: The aim of this study was to investigate the effect of back massage on perceived sleep quality among adult patients in intensive care units (ICUs). Method:The study has a quasi-experimental design with repeated measures. The study involved 100 adult patients recruited from six ICUs affiliated to Mansoura University Hospitals in Egypt. The participants were randomized to either an intervention group who received a 10-minute back massage session for 3 consecutive nights or a control group who rested quietly during the intervention. Data were collected using Verran and Snyder-Halpern Sleep Scale and Factors Affecting Sleep Quality Scale. Results:No significant differences were detected between the two groups before the intervention concerning the three main sleep subscales 'disturbance', 'effectiveness', and 'supplementation'. However, a significant difference was noted among the two groups after implementing massage intervention (P=0.000*). The results indicated improvement in sleep quality among the back massage group. The findings illustrated that sleep-disruptive causes in ICU are multifactorial. Critical care nurses need to adopt different strategies for management of modifiable sleep-disruptive factors such as noise, light, alarms and lack of privacy to enhance patients' sleep quality. Conclusion:Back massage is an effective intervention in promoting sleep quality for ICU patients. It can be then included in routine nursing care of ICU patients.
American Journal of Nursing Research. 2019, 7(3), 278-285. DOI: 10.12691/ajnr-7-3-7
Pub. Date: March 14, 2019
5820 Views1741 Downloads3 Likes
Using Pressure Garment versus Hospital Routine Care on Reducing Scars Immediately after Burn Surgery
Original Research
Background: Abnormal scar advancement resulting from burn injury in children has basic impact on adolescents' children physical and mental working as well as health- related costs for both family and the health care benefit.The study aims: to evaluate using of pressure garment versus hospital routine care on reducing scars immediately after burn surgery. Research design:quasi-experimental research design was utilized within the current study. Subjects: purposive sample including (40) male and female adolescents' children and early adult hood were included within the current study and divided into two groups study (20) and control (20). Setting: the study was carried out at Minia General Hospital in burn inpatient department. Tool of data collection: one tool was used to gather information has divided into two parts: First part:developed by researchers to assess adolescent children and early adulthood biosociodemographic characteristic as (age, sex…. ect.). Second part: The Patient and Observer Scar Assessment Scale (POSAS) scare assessment scale consists of 2 subscales: (the patient and observer scar assessment scale). Results: observable decreasing of burn scars among study group after applying pressure garment immediately post burn surgery during follow up (within 3, 6 and 9 months). Conclusion: utilizing of pressure garment was an effective method in reducing burn scar among adolescents' children and early adulthood immediately after burn surgery. Recommendations: training programs for nurses in burn units overhauled with the evidence-based practices and recent strategies for decreasing burn scar which has huge results on adolescents' children physically and mentally.
American Journal of Nursing Research. 2019, 7(3), 269-277. DOI: 10.12691/ajnr-7-3-6
Pub. Date: March 13, 2019
3990 Views894 Downloads
Effectiveness of Reach to Grasp Training Using Trunk-Restraint on Trunk Arm Control after Stroke
Original Research
Background: Rehabilitation of upper limb is a challenge; constraint of compensatory trunk movement by trunk-restraint may be a crucial element to take in throughout training of reach to grasp for stroke patients with upper arm impairment. Aim: Evaluate the effectiveness of reach to grasp training using trunk-restraint on trunk arm control after stroke. Method:Experimental design was used on randomized control sample of eighty stroke patients in this study chosen by simple randomization. The study was conducted from the 1st of January, 2017 to the 1st of January, 2018. Three tools were used to conduct this study: Interviewing questionnaire, Fugl-Meyer Upper Extremity (FMUE) Scale, and Modified Ashworth Scale. Results: The majority of the studied groups (95.0% and 90.0%) were an ischemic stroke for the study and control group respectively. Statistical significant increase in elbow extension score at the study group compared with the control group that registers just 2.20° increase in elbow extension (P: 0.000). Conclusion: Use of trunk restraint is an effective therapy for the training of reaching and grasping, which reduce the upper extremity impairment, increased elbow extension, and reduce the excessive trunk movement during reaching. Recommendations:The current study recommended the conduction of additional studies at a variety of health institutions in Egypt, with a large sample size and long-term follow-up.
American Journal of Nursing Research. 2019, 7(3), 262-268. DOI: 10.12691/ajnr-7-3-5
Pub. Date: March 10, 2019
3347 Views840 Downloads
Effect of Instructional Program on Primipara Mothers' Knowledge Regarding Neonatal Care
Original Research
Care of newborn depends on a lot of knowledge, skills and attitude of the mother. The ideal basic needs for any newborn include warmth, cleanliness and breast feeding. The neonatal period is the most vulnerable time for a child’s survival, in which face the highest risk of dying in their first month of life, so it can be prevented by proper and timely care of the newborn. Aim of the study:Evaluate the effect of instructional program on primipara mothers' knowledge regarding neonatal care. Research design: Quasi-experimental research design was used. Setting: The study was conducted at Maternal and Child Health Centers (Kebly & Bahary) at Shebin El-Kom-Menoufia Governorate, Egypt. Subjects and methods:A purposive sample of 100 primipara mothers who attended to maternal and child health center from June 2017 to September 2017.Results: The study was revealed statistical significant improvement of mothers' knowledge regarding to the neonatal care that were noticed at the post and follow-up test. Conclusion:. Based on the findings of the present study, the primipara mothers' knowledge were increased after the instructional program and also the mother’s had a good knowledge regarding neonatal care with statistical significant difference regarding the aspects of neonatal care knowledge in the post-test compared with the pre-test. Recommendations:Increasing the information and education regarding neonatal care at MCH centers for pregnant women especially primipara is required. Further researches recommended for increasing primipara mothers' awareness and enhancing their level of knowledge related to essential neonatal care which helps to reduce neonatal mortality rate.
American Journal of Nursing Research. 2019, 7(3), 256-261. DOI: 10.12691/ajnr-7-3-4
Pub. Date: March 09, 2019
4768 Views1680 Downloads
Effect of Coffee Consumption on the Incidence of Post Dural Puncture Headache among Patients Receiving Spinal Anesthesia
A Clinical Study
Spinal anesthesia provides excellent outcome for surgeries below the umbilicus like varicose veins surgery. Unfortunately, spinal anesthesia has complications such as Post Dural Puncture Headache (PDPH). Conservative treatments of PDPH include vasoconstrictors such as caffeine that found in coffee. The nurse observes patients for post spinal anesthesia complications especially Post Dural Puncture Headache (PDPH) and gives appropriate nursing interventions. Design: Quasi-experimental research design was used in this study. Aim: to determine effect of coffee consumption on the incidence of Post Dural Puncture Headache among patients receiving spinal anesthesia.Hypothesis of the study: Postoperative patients who consume coffee exhibit less incidence of Post Dural Puncture Headache than who don’t consume it.Setting: The study was carried out in Main University Hospital, Alexandria. Egypt. Subjects: The sample of the study consisted of a convenience sample of 60 postoperative patients (had varicose veins surgery) received spinal anesthesia. They were divided randomly into 2 equal groups, control and study (coffee) groups. Tool:PostoperativeHeadache Assessment Sheet was used in order to collect data. It included four parts: Part I: Bio-socio demographic data, Part II: Headache diagnosis, Part III: Headache assessment items, and Part IV: Assessment of needing for analgesics. Results: The chief result in this study was that the incidence of PDPH is less in coffee group than in the control group with statistical significant differences between both groups (P= (0.001*, 0.020*, 0.020*, 0.038*) after 4 hours, first, second, and third days, respectively. Conclusion: The study hypothesis was accepted as incidence of Post Dural Puncture Headache is decreased in postoperative patients who consumed coffee than in those who don’t consume it.Recommendation:Replicate this study among different samples (age, sex, diagnosis, type of operation).
American Journal of Nursing Research. 2019, 7(3), 248-255. DOI: 10.12691/ajnr-7-3-3
Pub. Date: March 06, 2019
5196 Views1771 Downloads
Psychosocial Impact of Night Shift Work among Nurses in Saudi Arabia
Original Research
Background: A considerable number of studies have identified psychological and social difficulties resulting from night shift work among nurses. However, studies of the risk factors of experiencing the psychological and social impact of night shift work among hospital nurses is crucial but lacking. This study aimed to investigate the psychological and social effects of night shift work and the associated factors among nurses in Saudi Arabia (SA). Methods: This was a cross-sectional, descriptive survey carried out from May to July 2017 among nurses working night shifts in public hospitals in all regions of SA. The data were collected through online or paper-based self-administered questionnaires. Multivariable logistic regression analysis was utilized to identify the predictors of experiencing the psychological and social impact of night shift work. Results: A total of 1521 nurses completed the survey. The overall median psychological effect score was 14.0 (maximum 20). A total of 88.2% (1341/1521) of the participants reported a psychological impact due to night shift work. The overall median social effect score was 15.0 (maximum 20). A total of 90.9% (1383/1521) of the participants reported a social impact due to night shift work. Being a female nurse, a Saudi or Filipino national, being involved in rotating or fixed night shift work, dislike or occasional dislike for night shift work, and having had 6-10 weeks or over 20 weeks of night shift work in the preceding year were independent predictors of having a psychological impact due to night shift work. Furthermore, being involved in rotating night shift work, dislike or occasional dislike for night shift work, and having had over 20 weeks of night shift work in the preceding year were independent predictors of having a social impact due to night shift work. Conclusion: There was a high psychosocial impact of night shift work among nurses in the study setting. The development of incentives and support structures for nurses involved in night shift work is recommended.
American Journal of Nursing Research. 2019, 7(3), 238-247. DOI: 10.12691/ajnr-7-3-2
Pub. Date: March 04, 2019
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Lifestyle Intervention for Reducing Leg Cramps among Pregnant Women
Original Research
Background: Leg cramps are a common discomfort during pregnancy account 30-50% of pregnant women. Lifestyle intervention help in reducing symptoms and discomfort associated with leg cramps. Aim: Was to study the effectiveness of lifestyle intervention for reducing leg cramps among pregnant women. ResearchDesign: A quasi-experimental design was used. Setting: This study was conducted in Outpatient Clinic at Obstetric and Gynecological Department affiliated at Benha Teaching Hospital. Sampling: A purposive sample of 212 pregnant women having leg cramps and divided into study and control group. Tools: Three tools were used for collecting data; 1) A structured interviewing questionnaire; it includes four parts personal characteristics of studied women, past and current obstetric history, leg cramps history, and studied women's knowledge. 2) Modified Healthy Life Style Assessment Scale. 3) Visual analogue Scale. Results: showed that the mean age in the studied group and control group were27.06±6.45 & 26.98±7.43 respectively. And secondary education is the education level of the large proportion of both study and control group 49.1% & 57.5% respectively, there was highly significant differences between two groups in all items related to their knowledge p<0.001. Also, there were significant differences between two groups in all items related to nutritional life style, rest and sleep in addition exercise, physical activity and intensity of leg cramps pain(p<0.001). Conclusion: implementation of lifestyle intervention was effective in improving pregnant women's Lifestyle, through improving their knowledge and decreasing the severity and frequency of leg cramps. Recommendation: The nurses should provide all pregnant women at antenatal clinics with a self-care guideline about lifestyle intervention for reducing leg cramps during pregnancy to improve their awareness.
American Journal of Nursing Research. 2019, 7(3), 228-237. DOI: 10.12691/ajnr-7-3-1
Pub. Date: March 03, 2019
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