Orthopedic casting is a routine procedure used for managing fractures in all age groups. Patient counseling is considered as the most valuable tool to ensure proper cast maintenance and improve patient outcomes. Aim of the study:To investigate the effect of self-care nursing instructions on reducing specific potential local complications among patients with limbs plaster cast. Research design: Quazi experimental research design (pre-posttest) was utilized. Setting: Orthopedic clinic and department of Minia university hospital, Egypt. Sample: The purposive sample technique was used to select 60 patients with a newly applied upper or lower limb plaster cast. Tools: Three tools were utilized for collecting data of this study. First tool: A structured interview questionnaire was developed and filled by the researchers to assess sociodemographic, medical data and cast patient's knowledge and practice about cast care. Second tool: Pain numerical rating Scale. The third tool: Was a Post-applied cast assessment tool used to assess the incidence of any signs and symptoms of potential local complications. Results: There was a highly statistically significant improvement of the patients' knowledge and self-care practices about cast care which consequently leads to a low incidence of specific potential cast complications among them. Conclusion: Implementation of self-care nursing instructions was effective in improving knowledge and practice about cast care as well as reflected low incidence of potential local complications among patients with limb plaster casts. Recommendations: Applying nursing interventions regarding cast care on a large sample and other different types and locations of the orthopedic cast and measuring the effect of nursing intervention on reducing both local and systemic complications. Designing and implementing an educational training program for orthopedic nurses to improve the quality of care before, during, and after casting.
Background: The prevalence of type 2 diabetes mellitus (DM) is greatly associated with obesity. This study aimed to determine which anthropometric measure is the most predictive for type 2 diabetes mellitus (T2DM) in Egyptian adults concerning body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHTR) and waist-to-hip ratio (WHR). Methods: A case-control study was conducted on 202 randomly selected individuals, 101 of whom were diagnosed T2DM (≥ 20 years old) patients attending the medical units of Minia University hospital and 101 controls who were recruited from the local community and were confirmed negative T2DM diagnosis. Study Tool: An interview questionnaire consists two parts: 1) Demographic characteristics, and 2) clinical data including disease history of T2DM, laboratory investigations and anthropometric measurements. The anthropometric measurements were measured according to standard World Health Organization protocols. Results: Cases aged 54.68±7.38 with 63.4% were male while controls aged 47.7±11.54 and 35.6% were males. Receiver operating curve analysis showed WC had the highest discriminatory power in men (area-under-the-curve [AUC] = 0.905 at 99.5 cm) and women (AUC=0.801 at 103.5 cm), while AUCs in men and women were (0.885 and 0.784) for WHTR, (0.790 and 0.753) for BMI, and (0.669 and 0.663) for WHR, respectively. After binary logistic regression, age-adjusted odds ratios confirmed the association. Conclusions: WC showed the best discriminatory power among other anthropometric measures in predicting T2DM in Egyptian adults at 99.5 cm for men and 103.5 cm for women. Recommendations: the study should be replicated on large probability sampling among Egyptians.
Background: Peripheral intravenous catheters are the most common invasive devices used during clinical care worldwide. Aim of the study:To investigate the effect of implementing designed nursing intervention protocol to reduce peripheral catheter cannula complications among adult's patients. Research design: A Quasi-experimental research design was utilized in this study conducted in the medical and surgical inpatient units in Minia University Hospital. Two hundred male and female adult inpatient (study and control groups). Results: showed that the majority of the studied group did not develop any peripheral catheter cannulation complications and no pain, erythema, swelling, and no palpable hardening of vein at catheter site while control group more than one-third of them developed phlebitis, near to one quarter had painful I.V site with erythema, some degree of swelling and the minority of them had streak formation and no palpable cord with statistically significant differences. Conclusion: Implementation of nursing intervention protocol was effective in reducing peripheral venous catheter complications.
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