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Urinary Tract Infection among Pregnant Women and its Associated Risk Factors: A Cross-Sectional Study ميرفت محمد الكاشف- تمريض الامومة و النساء و التوليد
Urinary tract infection is widespread among pregnant women and is accompanying adverse maternal, fetal, and neonatal outcomes. Even so, no data exist regarding this problem in Wadi Addawser to guide specific management and thus to avert the adverse consequences. The study aimed to assess the urinary tract infection among pregnant women and its associated risk factors and to investigate the most common antibacterial agent used by infected pregnant women. A total of 303 pregnant women who attend the obstetrics and gynecology clinic with the inclusion criteria were included. The sample was collected using a structured interview. The study results showed, 53.5 % of the studied women had positive pathogens in the urine culture. E. coli (37%) followed by Klebsiella pneumonia (27%) had the highest percentage of the isolated pathogens. Amoxicillin and cefoxitin (40.1% &21.6%, respectively) are the most antibiotics used by infected women, while the lowest used antibiotics are fusidic acid (5.6%). The clinical symptoms such as frequency of micturition, dysuria, lower abdominal pain, urine color change, painful burning sensation, incomplete bladder evacuation were e most common among infected women. Since the symptoms are a good predictor for urinary tract infection during pregnancy, so early screening for pathogens and proper treatment for infected cases should be applied. Keywords: An antibacterial agent; Pregnant women; Urinary tract infection. ...
Effect of educational nursing instructions on outcomes of patients receiving percutaneous alcohol ablation therapy for hepatocellular carcinoma treatment سحر علي عبدالمحسن عبدالمحسن
Background: Percutaneous ethanol ablation therapy has emerged as a safe and predictable technology for treating certain patients with cancer who otherwise have few treatment options. Patients need to be familiar with all phases of the procedure to decrease post ablation syndrome. Aim: Evaluate the effect of educational nursing instructions on outcomes (knowledge and post ablation syndrome) of patients receiving percutaneous alcohol ablation therapy for treatment of hepatocellular carcinoma. Design: Pretest and Posttest research design was used to test the study hypothesis and fulfill the aim of the t s udy. Methods: This study was conducted at Al-Rajhy Intervention Ultrasound unit at Assuit University. A purposeful sixty patients admitted to receive percutaneous alcohol ablation therapy where the first thirty admitted patients considered as a control group and received the routine hospital care while the second followed thirty admitted patients received the educational nursing instructions (study group). Tools: (i) Percutaneous alcohol ablation patient interview questionnaire sheet and (ii) Post ablation syndrome questionnaire sheet both tools used pre and post application of educational nursing instructions Results: A statistically significant differences between the study and control groups in knowledge about percutaneous alcohol ablation therapy (p>0.05). A significant increase in study group patient’s knowledge and decrease in post ablation syndrome after educational nursing instructions application. Conclusion: Implementation of educational nursing instructions was very useful in improving patients’ knowledge about percutaneous alcohol ablation therapy which leads to minimize post ablation syndrome. Recommendations: There is a need for educating hepatocellular carcinoma patients who receive percutaneous alcohol...
Awareness of Nurses Regarding Hemodialysis Complications سحر علي عبدالمحسن عبدالمحسن
Abstract The aim of this study was to assess the nurse's awareness regarding hemodialysis complications. Subjects and Methods: A descriptive research design was utilized to conduct this study. This study was carried out at the hemodialysis unit in Manfalut central Hospital, Manfalut city - Assiut.The study sample consisted of nurses 35 nurses; ( males and females) working in the hemodialysis unit at Manfalut central Hospital, age ranges between 18 - 55 years and agreed to participate in the study. Self-administered questionnaire sheet was utilized to collect data pertinent to the study with the following parts; Part 1: ''Nurse's sociodemographic characteristics'', Part 2: ''Nurse's awareness regarding hemodialysis practices'', Part 3: ''Nurse's awareness regarding hemodialysis complications''. Results: (88.6%) of the studied nurses were having good level of knowledge regarding hemodialysis complications and (11.4%) of them were having poor knowledge level. Most of the studied nurses were females and their age ranged from (18-27) years. Conclusion: There was a highly statistically significant difference between nurse's knowledge regarding hemodialysis complications with their years of experience. Recommendations: Increase awareness of nurses through attending scientific meetings and conferences is important to keep the nurses pace with the rapidly growing wealth of knowledge and practice regarding hemodialysis for preventing its complications. ...
Assessment of Nurse’s knowledge and practice for patients undergoing Cardiac Catheterization سحر علي عبدالمحسن عبدالمحسن
Abstract Background: Cardiac catheterization is an invasive procedure indicated in a wide variety of circumstances. It is used for diagnostic evaluation and therapeutic intervention in the management of patients with cardiac diseases. Aim of the study: this study aimed to assess nurse's knowledge and practice regarding patients undergoing cardiac catheterization. Research design: descriptive research design was utilized in this study.Setting: the study was conducted in cardiac catheterization unit at Assiut University Hospital. Participants: A convenience sample including all nurses working (24) at cardiac catheter unit who are willing to participate in the study.Tools: A) Structured interview questionnaire sheet. b) Observation checklist sheet. Results: the results showed that; the highest percent of nurses (41.7%) their age was more than 30 years and have diploma degree; (62.5%). Their years of experience ranged from5 to 10years (41.7%). The majority of nurses (87.5%) had no in-service training courses related to cardiac catheterization and heart disease. Conclusion: nurses showed inadequacy of their knowledge and practice regarding care of patients undergoing cardiac catheterization. Recommendations: Nurses are need for in- service training programs and refreshing courses to improve their knowledge which will reflect into their knowledge and practice while working with patients. ...
Prevalence and risk factors leading to orthopedic wound infection at Assiut Hospital University سحر علي عبدالمحسن عبدالمحسن
Orthopedic wound infection is a clinical syndrome caused by invasion and multiplication of invading, disease- producing microorganism in body (Shrestha & Thapa, 2018). Incidence rate in orthopedic patients, the surgical site infection prolong hospital stay on average for two weeks, double rehospitalization rates, and costs can increase by (300%). In addition, patients may have physical limitations and decreased patient's quality of life (Husebye et al., 2012) Risk factors of orthopedic wound infections are age, gender, obesity, anemia, malnutrition, tobacco smoking, length of hospital stay, presence of chronic disease, Preoperative hyperglycemia, use of prophylactic antibiotic, skin and surgical preparation, surgical procedure time, type and location of surgery, use of drains, blood transfusion and menstruation during surgery for females (Daines et al., 2015) Manifestations of orthopedic wound infection: fever, pain, swelling, redness in or near a wound, yellow, yellow –green or foul smelling drainage from a wound, change in color or size of a wound, hematoma, dehiscence and pus (Santos et al., 2010) ...
Effect of Nutritional Counseling on Nutritional Practices and Dietary Health Habits of Pregnant Women سحر علي عبدالمحسن عبدالمحسن
Diet is an important and modifiable lifestyle behavior that can affect risk factor development for optimal health and well-being [1,2]. Pregnancy is a dynamic, anabolic state, characterized by a series of adjustments whose purpose is to allow growth and development of the fetus. These adjustments relate to changes in the maternal behavior affecting the metabolism of all nutrients. They depend primarily on the nutritional status of the mother before conception and explain its ability to adapt to various nutritional situations [3]. The main purpose of nutrition relies on the adequate consumption of required nutrients according to an individual’s age, sex, and physiologic environment [4]. Unbalanced and insufficient nutritional problems occur especially in developing countries at every stage of life and can cause serious health problems if precautions are not taken [5]. During pregnancy; nutritional needs increase and nutrition should be considered. Women need to and have a regular healthy diet before getting pregnant for the following reasons; to facilitate pregnancy, to carry their child until full term, to have her child at normal weight and time, and to breastfeed [6,7]. ...
Effect of Nursing Instructions on Life Style of Patients Receiving Radioactive Iodine Therapy for Thyroid Disorders سحر علي عبدالمحسن عبدالمحسن
The thyroid gland is located in the lower portion of the anterior neck. It consists of two lobes, one on each side of the trachea. The lobes are connected in front of the trachea by a narrow bridge of tissue called the isthmus. The thyroid gland plays a major role in regulating the body's rate of metabolism and growth and development. (Linton, 2013) A healthy person produces just enough thyroid hormone to meet their needs. Levels rise and fall according to the environment and the level of activity. The biological term is homeostasis, each cell, each tissue, each organism aims to compensate for internal and external changes and keep the body's critical functions within a narrow range. It’s a bit like using a thermo state on a central heating system to keep the house at a comfortable temperature, for example, when it,s cold thyroid hormone production rises, in response cells convert more fuel to energy, which generates heat (Greener, 2014). ...
Dietary lifestyle modifications for vitiligo patients سحر علي عبدالمحسن عبدالمحسن
The most common pigmentary disorder is vitiligo that is characterized by progressive loss of melanocytes from the epidermis which manifests as white macules and/or patches on the skin and/or mucosa with or without whitening of hair.[1] The clinically characteristic symptoms of the vitiligo are pale or milk-white macules or patches due to the selective destruction of melanocytes.[2] Vitiligo is a worldwide health problem with an estimated prevalence of 0.5%-1%. In about 50% of patients, vitiligo starts before the age of 20 years, and both sexes are equally affected.[3] According to Alkhateeb et al.,[4] the disorder affects various ethnic populations with varying prevalence estimates ranging from 0.1% to 2.0% based on the general populations in previous studies. ...
Nurses’ Perception and Bedside Observation Concerning Enteral Feeding at Neonatal Intensive Care Unit عطيات محمد حسن سيد
Abstract Background: Enteral feeding (EF) is the preferred method of feeding for high-risk neonates. So, major attention should be directed to nurses' perception and bedside observation concerning EF. Aim: This study aimed to determine nurses’ perception and bedside observation concerning EF at NICU. Design: Descriptive research design was utilized. Setting: This study was carried out at NICU in Assiut University Children Hospital. Subjects: A convenience sampling of 60 nurses who had clinical experience at least three months in NICU was included. Tools: Two tools were used to collect necessary data which included; personal characteristics questionnaire for nurses (tool 1) and enteral feeding questionnaire (tool 2). Results: 48.33% of the studied nurses had high level of perception and more than half (58.33%) of them had high level of practice concerning enteral feeding, 100 % of the studied nurses who aged 35 years and more and the majority of them who had 10 years and more of experiences had high level of perception and practice (85.2 and 96% respectively). Conclusion: About half of the studied nurses had high level of perception and more than half of them had high level of practice concerning enteral feeding. More experienced, attendance training programs and aged nurses had high level of enteral feeding perception and practice. Recommendations: Provision of continuing educational programs on regular basis is suggested in order to refresh and updated nurses' perception and practice. ...
Frequency and Intensity of Conflict between Adolescents and their Parents in Assiut Governorate عطيات محمد حسن سيد
Introduction Nowadays adolescents and their parents as a family can face many challenges in daily life communication. These challenges can deliver tension, disagreements or quarrels between adolescent's autonomy and parents' desires which need to be managed and resolved (Shearman & Dumlao, 2008). “Adolescence” is a critical period of life that includes physiological and psychological changes which start between the beginning of puberty and establishment of social independence (Steinberg, 2014). Adolescence can be a very difficult period; the changes that occur during this period are often confusing for both adolescents and their parents. One goal of every adolescent is to be accepted as an autonomous adult. Adolescent’s desire for independence and peer acceptance often contributes to the tendency to conform to peer group influences and to challenge of parental authorities (Shehata & Ramadan, 2010). Conflict is defined as any disagreement, difference, and argument about an issue that a rise in family life. Conflict is a complex and multifaceted construct as it includes any differences of opinions, whether it is negative or positive between parents (Cummings & Davies, 2011 & Kouros, 2010). These differences range from minor daily stresses and disagreements to severe verbal, emotional, and physical arguments (Esfandyari et al., 2011). In spite of this fact about conflict, conflict can be either destructive as the adolescent may witness their parents’ displays of anger and hostility or constructive conflict which depicts good role modeling and the use of problem-solving strategies and affection (Pinheiro, 2006). Disagreements are not a central characteristic of...
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