Volume 8, Issue 6

Relation between Therapeutic Compliance and Functional Status of Patients Undergoing Hemodialysis
Original Research
Hemodialysis is the most common treatment modality for patients with end stage renal disease. The functional status of patients who underwent hemodialysis is decreased over time and may affect the patients' compliance with the treatment process. Aim: This study aimed to determine the relation between therapeutic compliance and functional status of patients undergoing hemodialysis through the following: (1) Assessment of functional status of patients undergoing hemodialysis. (2) Assessment of therapeutic compliance of patients undergoing hemodialysis. (3) Determine the relation between functional status and therapeutic compliance for patients undergoing hemodialysis. Study design: A descriptive -correlational research design was used to achieve the aim of this study. Setting: This study was carried out in the Hemodialysis Unit at Edku General Hospital affiliated to Health Insurance Hospitals at Elbeheira Governorate, Egypt. Subjects: A convenience sample of all patients (n=100 patients) undergoing hemodialysis in Hemodialysis Unit in Edku General Hospital were recruited to participate in this study. Data collection tools: (1) Patients' assessment tool: to assess demographic characteristics and clinical data of patients. (2) End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ): to assess therapeutic compliance for patients undergoing hemodialysis. (3) Choice Health Experience Questionnaire (CHEQ): to assess functional status of patients undergoing hemodialysis. Results: The results of the study showed that 69% of the studied patients were non-compliant to their therapeutic regimen, and 81% of them had poor level of functional status. Conclusion: The study concluded that there was statistically significant relation between overall functional status of patients undergoing hemodialysis and overall compliance with the therapeutic regimen. Recommendations: It is recommended to develop and educational booklet for patients undergoing hemodialysis to improve their adherence to the treatment regimen.
American Journal of Nursing Research. 2020, 8(6), 632-640. DOI: 10.12691/ajnr-8-6-6
Pub. Date: November 02, 2020
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The Relationship of Relatives’ Illness Perception, Expressed Emotion and Their Burden in Caring for Patients with Schizophrenia
Original Research
Background: The chronic burden of care to a patient with schizophrenia which produce negative emotions. As a result of de-institutionalization, caregivers have greater burden for the care of their mentally ill relatives. Objective of this study was to explore the relationship of relatives’ illness perception, expressed emotion and their burden in caring for patients with schizophrenia. Design: This study followed a correlation descriptive research design. Setting: This study conducted at inpatient and outpatient psychiatric department of Tanta University Hospital. Subject: The study subjects consist of 100 relatives of patient with schizophrenia. Tools: Tool 1 consisted of 2 parts: Part 1 Socio-demographic and general characteristics of studied participants, Part 2 Illness Perception Questionnaire-Schizophrenia Carers Version (IPQ-SCV), Tool 2 Family Questionnaire (FQ), Tool 3 Caregiver Burden Interview. Results: it was found that the studied participants had poor illness perception total score, it was found that the studied subjects (47%) had high emotional over- involvement level while it was observed that the two thirds of the studied relatives (61%) had high level of family criticism. majority of studied participants had moderate level of family burden. Conclusion: The results concluded that there was a significant positive correlation between family illness perception and family expressed emotion, also there was a significant positive correlation between family emotional expression and family burden level. Recommendations: this study recommended future studies to investigate distress and burden among caregivers with high emotion expression for intervention, reducing family stress and burden.
American Journal of Nursing Research. 2020, 8(6), 624-631. DOI: 10.12691/ajnr-8-6-5
Pub. Date: October 27, 2020
436 Views269 Downloads
Zone Tool: Improving Self-Care and Self-Efficacy among Patients with Chronic Kidney Disease
Original Research
Chronic Kidney Disease (CKD) mortality has increased in Egypt; consequently, comprehensive health education is necessitated. This study aimed to: develop and employ, then, evaluate the developed zone tool as a health education strategy on CKD patients’ self-care management and self-efficacy levels. A methodological design was implemented. Two hundred patients with CKD were randomly assigned as an assessment group, then, by systematic random sampling; 30% of them, were recruited as an experimental group. Three tools were used for data collection: Tool one: Patient's sociodemographic and clinical characteristics questionnaire, Tool two: CKD Self-Management Instrument, and Tool three: Self-Efficacy for Managing Chronic Disease Six-Item Scale. Results for the assessment group showed an obvious low level in self-care management and self-efficacy perceptions. After using the developed zone tool among the experimental group; the findings revealed little improvement in clinical characteristic’s values, and considerable improvement in self-care management and self-efficacy perception levels within 1st, 2nd, to 3rd assessments. Conclusion: the developed zone tool is a crucial educational approach to improve CKD patient’s self-care management, and self-efficacy perception levels. Recommendations and further studies: interdisciplinary involvement should be integrated into developing comprehensive and valid CKD health education materials. Evaluation of health education’ compliance among CKD patients is a required study.
American Journal of Nursing Research. 2020, 8(6), 608-623. DOI: 10.12691/ajnr-8-6-4
Pub. Date: October 23, 2020
515 Views290 Downloads
Evidence-Based Practice in Midwifery and Maternity Nursing for Excellent Quality of Care Outcomes
Mini Review
Evidence-based (EƁ) was defined as the explicit, conscientious, and judicious usage of the current best evidence in decision making regarding the individual patients’ care. The aim of EƁР is to do the right thing, at the right time, for the right person, in other words ensure quality care for the individual client.
American Journal of Nursing Research. 2020, 8(6), 606-607. DOI: 10.12691/ajnr-8-6-3
Pub. Date: October 23, 2020
450 Views313 Downloads
Nursing Intervention on Improvement Personal Hygienic Practices among Pruritus Vulvae Women
Original Research
Background: The precise incidence is unknown, many women often face a condition called pruritus vulvae, which can be basically the itching caused in vulva. While this may start with mild itching, if left untreated it can affect the health to a great extent. Aim: our target for the current study was to evaluate the impact of nursing intervention on improving personal hygienic practices among pruritus vulvae women. Subjects and Methods: The study was carried out at the outpatient (gynecological clinic) at two governmental hospitals located in Port Said city using a quasi-experimental research design. The study subjects consisted of 293 women with pruritus vulvae who attended at the outpatient gynecological clinic was recruited with this study in line with the inclusion and exclusion criteria. The tools were used contains; A Structured interviewing schedule, evaluation form and follow up record were designed. Resultsindicates more than three quarters (76.1%) of women complained of itching in the external genitalia that has been frequent within just half (48.8%) of women and continuous in 33.8% of women. women follow inadequate hygienic practice traditional method (sitz bath) were much more likely (58.2% vs. 11.5%) to own primary/ preparatory school compared to other women follow adequate hygienic. Majority of women improved in knowledge and personal hygienic practices that revealed at the post (82% & 83.6%) and follow-up phases of the programs (66% & 87.2% respectively). Also, more than two third of women (68.3%) more like to reached complete improving from their complains. Meanwhile, surprising enough as much as 21.8% studied women faced recurrence of symptoms at follow up phase post two months. Conclusion: women’s receive program show an improvement of their knowledge and personal hygienic practices and so on complete improvement from their clinical features of pruritus vulva. Recommendation:Do and encourage continuous awareness and counseling improvement programs aiming to increase knowledge and personal hygienic practices of women's.
American Journal of Nursing Research. 2020, 8(6), 596-605. DOI: 10.12691/ajnr-8-6-2
Pub. Date: October 20, 2020
430 Views252 Downloads
Effect of Sexual Health Educational Program on Enhancing Female Sexual Function during Pregnancy
Original Research
The normal anatomical, physiological and emotional changes that occur during pregnancy impact pregnant woman’s whole life, including her sexual function and quality of life. The aim was to evaluate the effect of sexual health educational program on enhancing female sexual function during pregnancy. Design: a quasi-experimental design was used. Setting: This study conducted in antenatal clinic at Helwan General Hospital. Sample: A purposive sample of 240 pregnant women was used and equally divided into first, second and third trimester. Tools: two tools were used for data collection in this study, 1st tool was an interviewing questionnaire to collect data about socio-economic characteristics, sexual health knowledge, effect of pregnancy on sexual function, sources of sexual health information during pregnancy as well as myths and misinformation related to sexuality during pregnancy 2nd tool was female sexual function index (FSFI) which was a validated and reliable measure of female sexual function Results:The study denoted that there was an improvement of pregnant women’s total score of knowledge with statistically significant difference between post and follow-up test. More than three quarter (75.8%) of the pregnant women had good sexual function at the post test than of pre test. Conclusion:Sexual health education during pregnancy was effective in enhancing pregnant women’s knowledge, sexual beliefs as well as sexual function during pregnancy. Recommendation:providing sexual health counseling during pregnancy as an essential part of routine antenatal care.
American Journal of Nursing Research. 2020, 8(6), 588-595. DOI: 10.12691/ajnr-8-6-1
Pub. Date: October 11, 2020
539 Views293 Downloads