Head injury remains one of the most common causes of death worldwide. Approximately 10 to 50% of patients with head injury developed disability at some points of their illness, and represent one of the most common brain casualty encountered by neurosurgeons. Aim of the study: The study was aimed to determine the effectiveness of semi-fowler's position on the hemodynamic function among patients with traumatic head injury. Research design: A quasi-experimental research design was utilized in this study.Setting: The study was conducted at Emergency Care Unit at Benha University Hospital. Subjects: A convenient sample included 70 patients who were admitted at the above mentioned setting. Tools: Two tools were used: patient's assessment data and hemodynamic parameters assessment. Results: Demonstrated that less than half of the studied patients aged between 38 -<48 years old, (87.1%) of them were males, (55.7%) had traffic accident. As well, there were highly statistically significant relations between the semi-fowler's position and the studied patient's hemodynamic state and ABG, indifferent assessment phases, there were highly statistically significant relations between the studied patients' age, gender, smoking habits and the APACHE score, there were highly statistically significant relations between the studied patients in semi-fowler's position and the Acute Physiology And Chronic Health Evaluation score in pre-position, after 15and 30 minutes of the semi-fowler's position. Also, there were positive correlations between the studied patient's APACHE score and their Glasgow coma scale Conclusion: There were highly statistically significant relations between the semi-fowler's position and the studied patient's hemodynamic state and ABG results in different assessment phases of the study. Recommendations: Replication of the study using a larger probability sample from various geographical areas to attain more generalizable results. A study should be carried out on the aspects of knowledge, attitude, and skill towards therapeutic positions.
Background: Venous thromboembolism in the form of deep venous thrombosis and pulmonary embolism is a leading cause of hospital related deaths worldwide with range between 10 and 30% and associated with additional morbidity and mortality. Aim of the study: Was to evaluate the effect of an educational program on nurses' performance regarding prevention of venous thromboembolism among critically ill patients. Design: Quasi experimental research design was used to achieve the objective of the current study. Setting: This study was conducted at Benha University Hospital in intensive care units (General, Coronary and Critical Care Unit). Sample: Convenient sample of 120 nurses included in the study. Tools: Two tools were used, I: An interview questionnaire to assess nurses' knowledge regarding prevention of venous thromboembolism, it consisted of two parts, part1: Demographic data for nurses, part 2: Nurses' knowledge related to venous thromboembolism and II: Observational checklist for the evaluation of nursing suffering from venous thromboembolism. Results: Majority of the nurses had unsatisfactory knowledge and practice regarding prevention of venous thromboembolism pre intervention program (72.5% and72.5%) respectively which improved immediately post program intervention to (65.8% and78.3%) respectively as (P ≤ 0.001).
Conclusion:The educational program has positive effect in improving nurses' performance (knowledge and practice) regarding prevention of venous thromboembolism among critically ill patients. Recommendations: Conducting continuous educational and training programs for nurses regarding prevention of venous thromboembolism among critically ill patients.
Background: Implementation of evidence-based nursing guidelines for thyroidectomy patients can enhance their health outcomes by improving compliance and promoting healthy lifestyles. Aim of study: This study aimed to evaluate the effectiveness of an evidence based nursing guidelines on thyroidectomy patients' health outcomes at General Surgery departments.. Research design: A Quasi -experimental research design was conducted to achieve the aim of this study. Subjects: A purposive subject of 80 adult patients who were admitted within 9 months in the General Surgical departments at Benha University Hospital, scheduled for thyroidectomy surgeries and accepted to participate in this study. Setting: This study conducted in General Surgical departments and outpatient surgical clinic at Benha University Hospital. Tools of data collection: three tools were used in this study: I: Structured questionnaire assessment. II: Patients Practical observational checklist and III: Patients' health outcomes assessment. Results: There was statistically significance improvement in patient's knowledge, practice and health outcomes immediately, on 7 th days and one-month post implementing of evidence based nursing guidelines compared to pre implementing evidence based guidelines (p =<0.001) and a positive significant correlation between patients' knowledge and practice was found immediately, on 7 th days and onemonth post implementing of an evidence based nursing guidelines. Conclusion: Implementing of an evidence based nursing guidelines for thyroidectomy patients had improved of patients' health outcomes through high significantly increased level of their knowledge, practice and compliance to discharge instructions scores, and decreased overall postoperative complications rate. Recommendations: Developing and designing an in-service training program for nurses' staff members on applying the evidence-based nursing practice in the field of surgical nursing care including pre and postoperative management, especially for thyroidectomy patients.
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