Context: Testicular cancer is the most common form of urogenital cancers among young men aged between 20–40 years. The incidence of testicular cancer is rapidly increasing. It is highly curable when detected and treated early. Aim: This study aimed to evaluate the effect of intervention guidelines on preventive behaviors among nursing males' students. Methods: A quasi-experimental study conducted at the technical institute of Beni-Suef university through the academic year (2018-2019). A convenient sample of (250) student male nurses have included in this study. Tools of data collection were a self-administrated questionnaire; Champion Health Belief Model Scale; testicular self-examination checklist, and student follow up card. Results: The current study revealed a mean age of students was 18.45 ± 1.65. The study showed that there was a significant increase in the mean score of satisfactory knowledge about testicular cancer and its preventive behaviors during follow up post-application of the intervention guideline at (p=0.001). Furthermore, an improvement in the testicular self-examination practices at post-intervention and follow (p=0.001). A statistically significant correlation revealed between the student nurses knowledge, practice, and preventive health believes and behaviors. Conclusion: The study concluded that intervention guideline designed based on the health belief model has a positive effect on promoting testicular cancer-preventive behaviors of student male nurses by improving their knowledge, practices, and health beliefs and behaviors. The study recommended dissemination of intervention guidelines among males at a different stage of life started from adolescents to reduce the risk of testicular cancer and its consequences on males reproductive health. Integrate the concept of TSE as a screening procedure for early detection of testicular cancer and other testicular disorders into the undergraduate curriculum of nursing faculties. Further research required to investigate barriers influencing the practice of testicular self-examination among Egyptian males.
Context: Chemotherapeutic drugs are chemical substances used for cancer treatment and known to be carcinogenic, teratogenic, and mutagenic to humans. Occupational exposure to chemotherapeutic drugs has led to higher health hazards among nurses who handle them. Aim: Assess chemotherapy health hazards among oncology nurses and its possible relation to malpractice and workplace environment. Method: A descriptive and exploratory research design used in the present study. All available nurses from both sexes working in the chemotherapy department comprised of 50 nurses, of one-year experience at least. The study conducted at Oncology Center in Minia City, Egypt, in the outpatient and inpatient chemotherapy department. Three tools used to collect the study data. An interview structured questionnaire for nurses, designed to assess socio-demographic characteristics and medical history of the studied nurses. The second tool is nursing practice observation checklists to assess safe practice in chemotherapy handling. The third tool was environmental safety checklists to assess workplace environmental safety. Results: The main results of this study clarified that about half of the study sample (48%) complained of health hazards presented as skin irritation/allergy, chest allergy, and inflammation of eyes (45.8%, 16.7%, 37.5% respectively). Maternal hazards presented mainly as irregular menstrual bleeding (50%), menorrhagia, and abortion (33.3%). Decrease environmental safety presented mainly as absence of biological safety cabinet, specific personal protective equipment (PPE), safe handling chemotherapy guidelines. Along with certain nurses' malpractice as the majority of the study sample (74%) has poor practice score in the handling of chemotherapy. Conclusion: This study indicated the presence of general and maternal health hazards among nurses handling chemotherapy in the form of general and maternal health hazards. The study also clarified nurses’ malpractice among about three-fourths of nurses and provide evidence of an unsafe environment. The results strengthened the increased need for improving nurses' knowledge and practice regarding chemotherapy handling along with the provision of needed equipment/supplies to underpin safe and effective practice in this area.
IntroductionFalling is a major health problem among old age persons and are the sixth cause of mortality and morbidity among them. Assessing the prevalence of falls among elderly in an Egyptian community and investigating its associated risk factors using the Arabic translation of the SHARE-Questionnaire.Subjects and methodsThis cross-sectional analytic study was a part of the pilot for AL-SEHA project. It included 289 old age people (50+ years age) residing in the study areas. The main project data were collected using the Arabic translation of the SHARE (Survey of Health, Aging, and Retirement in Europe) questionnaire. The original project data were collected by investigators from five universities, then uploaded to the internet server domain of the American University in Cairo (AUC) Social Research Center.ResultsThe prevalence of falls was 11.07% (95% CI: 7.95–15.21). Falls were significantly more among 70 years or older (p < 0.001), unemployed or housewives (p = 0.026), have a family caregiver (p = 0.022), and home facilities for disability (p = 0.015). They had significantly higher rates of ischemic heart disease, hypertension, dyslipidemia, stroke, and diabetes mellitus. The most frequently reported problems were the fear of fall and dizziness (62.5%). The multivariate analysis identified the history of stroke and diabetes mellitus, the fear of fall and dizziness, and the total number of health problems and the score of difficulty in performing physical activities as significant independent predictors of fall occurrence. The history of stroke was the strongest risk factor (OR 33.49, CI: 3.45–325.40).Discussion and recommendationsThe prevalence of falls among old age persons in the studied community is not alarmingly high. It is highest among stroke patients. Community interventions and rehabilitation programs are recommended to train and educate old age people, especially those at risk such as stroke and diabetic patients, and those with dizziness to improve their physical fitness and reduce the fear of fall among them.
Background: Death anxiety or fear of death is universal in all societies, especially among older adults, leading to a submissive attitude towards life with no desire to control. However, it could be alleviated by satisfaction with life. Aim of study: To investigate the relationship between older adults' fear of death/dying and their desirability of control and satisfaction with life. Subjects and methods: This cross-sectional analytic study was conducted in geriatric homes affiliated to the Ministry of Social Solidarity in Beni-Suef city and university hospitals' out-patient clinics on 199 older adults 60-year age or older. Data were collected using an interview questionnaire form with the Desirability of Control, Integrity versus Despair, and Collett-Lester Fear of Death scales, in addition to socio-demographic and health characteristics. Results: Participants' age ranged from 60 to 85 years, 52.3% males, and 44.2% with no education. 64.3% had high desirability of control, 75.9% had resolution in integrity vs despair scores, indicating satisfaction with life. The mean of average fear of death was 3.20 from a maximum of 5.00. Positive correlations were found between the scores of desirability of control and those of integrity-despair resolution score, and with the scores of fear of dying of others and death of self. The desirability of control score was a main positive predictor of the (life satisfaction score) integrity-despair resolution score. Conclusion; Older adults' perceived desirability of control had an influence their fears of death/dying, but this latter is not affected by their satisfaction with life. Recommendations: Social activities could improve older adults` life satisfaction and alleviate their fear anxiety. Encouraging older people to be socially active through community health nursing interventions is recommended.
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