Context: Pregnancy is associated with normal physiological adaptive changes. Biochemical parameters reflect these changes and are distinct from the non-pregnant state. Low levels of health literacy have been shown to result in less healthy choices, riskier behavior, poorer health, less self-management, and more hospitalization among that category of adult patients. Aim: The study aimed to examine the effect of pregnancy on liver function tests among pregnant women during various trimesters of pregnancy and compare with non-pregnant and determine the patients' level of health literacy regarding the variation of liver function tests among those patients. Methods: A descriptive cross-sectional design was used to achieve the study aim. A random sample of 65 women was selected from an outpatient clinic in the maternity hospital; 54 out of them were pregnant women. Three tools were used to collect data, socio-demographic and clinical data assessment sheet; assessment of liver function tests by Cobas c 311; and health literacy management scale. Results: The sample's age range was between 20-40 years. This study revealed that; serum albumin levels decreased from the first trimester (3.7-4.7), and this decrease became progressively more accentuated as the pregnancy advanced (3.35-4.36 decreased significantly to 3.19-3.81). There was no significant decrease in serum AST between pregnant and non-pregnant women, but there was a significant decrease in ALT in pregnant women compared with non-pregnant women (11.90 Vs. 8.60 at p 0.017). In the current study, Serum alkaline phosphatase (ALP) was significantly higher (P˂0.0001) during the third trimester (63-171) compared with the second trimester (33-137), and the first trimester (36-129), and with the control group (48-122). Finally, it was found that a significant decrease in total serum bilirubin concentrations during the second (0.11-0.38) and third trimesters (0.12-0.42) compared to control (0.11-1.57) and the first trimester (0.12-0.85). Moreover, most of the studied sample has a low level of health literacy for all subscales and the total scores. Conclusion: During normal pregnancy, most values of liver function tests remain below the normal upper limits compared to non-pregnant women. Any increase in serum ALT and AST activity levels and serum bilirubin should be considered pathologic and prompt for further evaluation. Moreover, most of the studied sample has a low level of health literacy for all subscales and the total scores. The study recommended that the liver function tests should be routinely investigated during pregnancy to outline any pathologic changes. Focusing on the nurse's role, she should emphasize increasing the patient's level of health literacy regarding the variation of liver function tests. So, it is a must for nurses to develop many skills to enable them to function for this category of patients with low health literacy levels. Also, those patients should be equipped with information-seeking behavior, decision-making abilities, and problem-solving approaches along their health and illness continuum.
Telehealth refers to the usage of any electronic materials in the form of voice, images, documents, etc. The aim: to examine the effect of asynchronous mobile health nursing intervention on medications adherence and quality of life among patients with psoriasis. Design: A quasiexperimental research design. Subjects: A purposive sample including 60 patients who were admitted to the dermatology outpatient clinics, were divided randomly into the study and control group of 30 patients in each. Setting: This research was conducted at a university hospital dermatology clinic. Instruments of the study: (I): Structured interview questionnaire. (II): Modified 12-Item Medication Adherence Scale. (III): Dermatology Life Quality Index. Results:The mean of knowledge score, adherence level was increased, and improve quality of life index increased significantly throughout the phases of the intervention among study group subjects with statistically significant differences existed between them. Conclusion: Using (mobile health) in education about psoriasis and its management significantly improving total knowledge score, medications adherence improved the quality of life. Recommendations: designing different mobile patient engagement applications to provide a simple way for follow-up, and education. Replication of the study using a large number of subjects, and longer follow-up time to permit a chance for results generalization.
Overview: On line, learning has always been a debatable topic, yet during COVID-19. The students have no choice to choose online or traditional learning. Ministry of education has forced all students in Saudi Arabia to study through blackboard as a digital platform to protect them from COVID-19. The outcome of online learning has not been investigated as well as student's readiness, acceptance and environmental infrastructure. Aim: identify nursing student's perceived barriers, achievement and satisfaction to blackboard utilization as a digital platform. Design: exploratory descriptive research design was used. Setting: college of applied medical science, affiliated to Jouf University. Tools: four tools were used, 1-Nursing student's socio demographic characteristics, 2-Nursing students perceived achievements to black board digital platform, 3-Nursing Students perceived satisfaction to blackboard digital platform, 4-Nursing student's perceived barriers to blackboard digital platform. Result: blackboard was found to be unfamiliar way by more than half of the students (56.41). However, the finding conveyed that students with high computer experience had few obstacles to learn than those students with no computer experience, there were positive correlations with high statistical significant between all of sub-scales of black board perception regards perceived achievements, satisfaction and barriers. Conclusions: the study highlights nursing student's perceived barriers (hard method), need training, make students psychological disturbed. Moreover, it facilitates student's contribution & frustrates them to improve learning skills.
Background:The application of the WHO multimodal strategy during the periods of the outbreak of COVID-19, is of great importance for improving nurses', knowledge, practice, and professional quality of life. Aim: To Evaluate the Effectiveness of the application of the WHO multimodal strategy on knowledge, practice, and professional quality of life of a nurse's during the Covid-19 pandemic and compare between nurses working in intensive care unit and isolation word about knowledge, practice, and professional quality of life. Design: Quasi-Experimental research design was utilized. Setting: The current study was carried out at general Quwesna Hospital, Menoufia governorate, Egypt. At isolation wards for COVID-19 patients and intensive care unit (ICU). Subject: a purposive sample of (110) nurses providing direct care for Covid-19 patients, they were divided into two groups study group one: (45) nurses in ICU and Study group two: (57) nurses at isolation wards. Tools: Tool I-nurse's socio-demographic and medical data. Tool (2): Covid-19 nurses knowledge assessment. Tool (3): Covid-19 nurses practice Observational checklist, and Tool (4) The Professional Quality of Life scale (ProQOL). Results: A highly significant difference was found between both groups pre/post application of WHO multimodal guidelines about knowledge and practice mean scores. Compassion Satisfaction was increased from an average level to the high level and burnout was decreased from average level to the low-level post-intervention of application of WHO multimodal strategy. Conclusions: The application of the WHO multimodal strategy had been proven to significantly increase knowledge, practice and Professional quality of life mean score of nurses. Recommendations: Applications of the WHO multimodal strategy and replication of the study using a large probability sample from a different geographical area to allow for greater generalization of the results.
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