Ovarian cancer accounts for 3% of all female cancers and has a high mortality rate among gynecological malignancies. Early diagnosis carries a high survival rate of 93%. So, this study was carried out to assess the knowledge and awareness of Jordanian women about ovarian cancer symptoms and risk factors. A cross-sectional survey design was used; 896 women completed the survey. The mean of total symptoms recognized was low at level of 3.2 ( SD = 2.7) out of 10. The three highest known symptoms among women were as follows: extreme fatigue (43.2%), back pain (42.4%), and persistent pain in pelvic area (40.7%). The most commonly known risk factor was smoking (68.4%), followed by having ovarian cyst(s) (59.7%). Hence, with the absence of an effective screening program, a national awareness campaign is urgently needed to improve the public's understanding of symptoms and risk factors and increasing women's confidence in symptom recognition.
Background: A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks "interventions" by the professionals involved in the patient care are defined, optimized and sequenced either by hour, day or visit. The aim of the present study was to examine the effect of implementing clinical Pathway to improve birth and neonatal outcomes. Design: Quasi-experimental study was used. Settings: this study was conducted at Maternal and child health center and labor unit of El-Basher Hospital /Amman Jordon. Subjects: The simple random sample of 150 mothers were selected and divided into equal group; intervention group (75 mothers who received clinical pathway during third trimester of pregnancy and/or labor) and control group 75 mothers who not received clinical pathway. Pregnant mothers were selected between 28-36 week antenatal visit, observed, and followed during labor for the use of pathway. Results of the study: revealed that there was significance difference between intervention and control groups concerning implementation of clinical pathway through application of "counting fetal movement and implementation of comfort measures", throughout the third trimester of pregnancy, labor process, that affect the progress and effect in reducing the severity of labor pain. There were significant differences among two studied group regarding pain intensity in relation to cervical dilatation CX 3-4 cm (11.570, 0.054* respectively), CX 5-7cm (13.348, 0.013* respectively) and CX 8-10 cm (12.671, 0.015* respectively). The duration of labor during all stages of labor were significant difference among studied groups (p <0.05, p <0.001 respectively) for total hours. The results shows that, the mean of APGAR score at 5 th minute and at 10 th minute in intervention group were significant higher (6.9±1.1 and 8.8±1.3) than in control group (4.8±0.8 and 7.03±1.5). Conclusions:-The use of clinical care pathways: "counting fetal movement and implementation of comfort measures" for optimizing prenatal care had a positive influence on child birth process and neonatal outcomes in obstetric practice. Recommendations: 1. Application of clinical pathway for pregnant mothers is essential for improving maternal status, reducing complication and reducing the duration of hospital stay and better neonatal outcome. 2. Ongoing in-service training programs should be designed and implemented at delivery room to improve nurses' practices on the basis of nurse's actual needs.
The occurrence of hot flashes amid Early and Late menopause has been portrayed as up to 80% in many societies. Hypertension is by far the most significant menace factor that distresses ladies at the early postmenopausal years. Around 30 to 50%of ladies develop hypertension before the age of 60 and the onset of hypertension can bring about an assortment of symptoms that are regularly credited to menopause. 1, 2 Aim of the study was to analyze the Association of Hot Flashes with Higher Blood Pressure among early and late Postmenopausal Women. The study was directed at Maternal and child health care center (MCH) Gynecology Clinics and in two urban communities Jarash City and Amman/Jordan amid the period from (August 2014 to August 2015). Suitable examining procedure was utilized. The present study included 200 postmenopausal ladies somewhere around 45 and 60 years, isolated into two groups: (Early post menopause [EPM], <10 y, n = 100) and (Late post menopause [LPM], ≥ 10 y, n = 100) and symptomatic (self-reported score >3 on a scale from 0 to 10 for hot flashes force) and asymptomatic (review ≤3) [14] inside every post menopause ladies group. The result of the study demonstrates that the relationship between blood pressure amongst symptomatic and asymptomatic ladies inside EPM and LPM. The SBP and DBP were constantly higher in symptomatic contrasted with asymptomatic ladies: in the EPM group, there is no significant contrast with respect to age, height, and weight between the two groups (P > 0.05). Age, height, and weight of the symptomatic group were 52. 52 (49-55) years, 1.6 (1.5-1.6) m, and 76.7 (60.5-89.8) kg, individually. Conclusion: Hot flashes relationship with hypertension that may lead to complains that are frequently credited to early and late menopause, encourage ladies to change their way of life by consistent aerobic exercises can adjust the blood pressure level or defer the start of hypertension.
Background: Laparoscopy as a minimal tool can accurately and quickly confirm the diagnosis and reduce both delay in diagnosis and non-therapeutic laparotomy rate. Shoulder pain is a common complaint following gynecological laparoscopic surgery. The purpose of the study was to investigate the efficacy of heat pad versus effleurage massage in reducing shoulder pain after gynecological laparoscopic operations Design: A quasiexperimental design (non-equivalent group design) (case & control) was utilized Sampling: a convenience sample of 90 women after gynecological laparoscopic operation were enrolled. Setting: The current study was conducted at obstetrics and Gynecology departments of two settings in Menoufia governorate: University Hospital and Shebin El-Koom Teaching Hospital. Results:The study finding revealed women who used heat pads after gynecological laparoscopic operations had less shoulder pain intensity than those who don't. Women who used effleurage massage had less shoulder pain intensity than those who don't Facial expressions that show pain were reduced after using heat pads, effleurage massage in comparison with the control groups' weredecreased from 46.7%, 26.7% and 26.7% respectively on pre-intervention to 36.7 %, 16.7%, and 43.4% post-intervention. Conclusion:Effleurage Massage revealed a higher efficacy than both heat pads in reducing shoulder pain after laparoscopic operation. Recommendation: Nursing education curriculum should be updated to include non-pharmacological management of shoulder pain after laparoscopic operation.
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