Background: Premenstrual syndrome (PMS) is a common cause of substantial psychological and physical distress for women during their reproductive years. Forty percent of women have symptoms that are severe enough to disrupt some aspect of their daily lives, 5% are incapacitated by their symptoms. Despite the magnitude of this problem, a lot of confusion exists in medical and lay communities alike about what is and is not effective for treatment of PMS. The study aimed assessing premenstrual symptoms, self care practices among women at reproductive age attending Maternal and Child Health (MCH) centers in Menoufia governorate, Egypt and Hodidha governorate, Yemen and evaluate the effect of evidence-based nursing management on severity of premenstrual syndrome among them. Subjects and methods: A quasi experimental study was used. Subjects consisted of 2000 clients (1000 Hodidha clients and 1000 Menoufia clients). Structured Interviewing questionnaire, tool about assessment of premenstrual symptoms severity and pre-post knowledge test were used. Results: there was statistically significant differences in the severity of premenstrual symptoms before and after administration of evidence based nursing management for 3 months (3menstrual cycles). Conclusion: clients experience decrease severity of premenstrual syndrome after administration of evidence based nursing management for 3 months (3 menstrual cycle). Recommendation: Effective evidence based program about premenstrual syndrome, care of gynecological problems should be included into educational program of maternal and child health (MCH) centers in rural Menoufia governorate, Egypt and Hodidha governorate, Yemen. More research is needed to expand the evidence base on effective interventions for premenstrual syndrome and to translate knowledge into practices. Future studies are needed to be performed about prevalence, consequences, and management methods of premenstrual syndrome in different settings in Egypt and Yemen and other Arabic countries.
Background: Competence of maternity nurses affects directly on the quality of health care and women's gratification or satisfaction. Postpartum quality of care is considered a vital part in promoting maternal and neonatal health and symbolizes the process of nursing care. The aim of this study is to assess the competence of nurses in rendering postpartum care and its effect on women's satisfaction. Methodology: A descriptive exploratory research design was utilized. Setting: Three hospitals affiliated to Ministry of Health and Population were selected for their availability of labour and delivery units. Sample: 300 women in reproductive age and all nurses working in Obstetric/Gynecological wards in the previously selected settings. Tools for data collection: Data were collected using: An observational check list for nurses and a structured interviewing questionnaire for women. Results: The total mean of women's satisfaction was quite high (3.90±0.62), whereas that of orientation and information was 3.83±1.00, advices provision was 3.83±1.8 and specific nursing care 1.32±0.46. It is evident that women were less satisfied with the specific postpartum nursing care they received. The study revealed that there was a positive and highly statistically significant correlation between satisfaction of post partum women and competences of rendered nursing care. Conclusion: There were a highly statistically significant difference between the competences of rendered nursing care and postpartum women's satisfaction. Recommendations: Competence-based nursing care should be provided after the planned birth for mothers in the postpartum unit. Future studies should focus on postpartum mothers' needs of care that reflect on their satisfaction with the services provided.
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