Heart surgery in children is done to repair heart defects for a child born with congenital heart defects and heart diseases. The aim of the study was to evaluate the effect of pre-hospital discharge care program on mothers' knowledge and reported practice regarding discharge care of children after congenital heart surgery. The study was conducted in the Heart Surgery Department at Abo-EL Riesh University Children Hospital. The sample included 30 mothers and their children that were available during the period of data collection. Three tools were used to collect data including: Tool I: Interviewing questioner sheet of the participants categorized into two parts. Part I and part II: Personal characteristics of the children and their mothers. Tool II: Assessment of mothers' knowledge regarding care of children after congenital heart surgery. Tool III: Mother's reported care practice checklist. Results: The results of the present study revealed that there was a highly significant difference in all items of care knowledge (activity, food, medication and follow-up) before, after immediately and after one month from discharge program with highly significant statistically (p < .001). Discharge program improve mothers' knowledge and practice regarding care of their children after congenital heart surgery. Recommendations: Comprehensive, multidisciplinary discharge planning should deign early and should include the mothers and children contain education regarding congenital heart surgery care.
<b><i>Introduction:</i></b> Diabetes is a chronic metabolic condition characterized by abnormally high blood glucose levels that eventually results in catastrophic damage to the heart, blood vessels, eyes, kidneys, and nerves. The available data from previous studies on the application of the 5 A’s model-based self-management program to increase knowledge and self-care practices in children are insufficient. Therefore, the purpose of this study was to determine the effect of a self-management program based on the 5 A’s paradigm on school-aged children with type 1 diabetes. <b><i>Methods:</i></b> The research design was quasi-experimental. The investigation was conducted at EL Mogamma EL Teby AL Shamal diabetes facility. This study enrolled a convenience sample of 90 children who were accompanied by their moms. Five tools were utilized to collect the data: questionnaire for children’s examination; questionnaire for diabetic knowledge; a questionnaire on diabetes self-care; Diabetic Attitude Scale; and self-care practices for diabetics. <b><i>Results:</i></b> A total of 72.2%, 90.0%, 91.1%, 93.3%, and 96.7% of youngsters, respectively, lacked knowledge, engaged in ineffective self-care activities, had a negative attitude, and practiced incompetently. Differences between pre- and post-program implementation are statistically significant when a self-management program based on the 5 A’s model is implemented. <b><i>Discussion/Conclusions:</i></b> Self-management and self-care models, particularly the 5 A model, are helpful at improving the control of these symptoms, reducing associated problems, enhancing nursing care, and enhancing patients’ quality of life. Increasing the duration of a self-management program based on the 5 A’s model for children with type 1 diabetes reduces negative attitudes and improves quality of life but requires follow-up.
Background: Oropharyngeal exercises were non-invasive and cost-effective treatment which acts by increasing the tone of pharyngeal muscles and may bring long-term benefits to the children. Aim of the study was to evaluate the effect of applying oropharyngeal exercise on sleep problems and quality of life in children with obstructive sleep apnea post-adenotonsillectomy. Research design: Quasi-experimental research design was utilized. The study was conducted at the outpatient and inpatient Ear, Nose, and Throat department (ENT) in Benha Health Insurance Hospital. A Purposive sample of 50 children accompanying their mothers was included in this study. Three tools were used for data collection 1) Children assessment questionnaire, 2) Child's sleep habits questionnaire and 3) OSA-18 quality of life questionnaire. Results: The mean age of the children was 9.62 ± 1.84years and 50% of them were male. More than half and more than three quarters (55% &76% respectively) of children reported higher sleep problems and poor quality of life pre-intervention phase. Meanwhile, post-intervention phases, more than two thirds and more than half (70%&54% respectively) of children reported low sleep problems, more than two thirds and two thirds (72%& 66% respectively) of them had good quality of life after 45days and 90days. Conclusion: Applying of oropharyngeal exercises daily for 3 months period had a significantly positive effect on decreasing sleep problems and improving quality of life in children with obstructive sleep apnea post-adenotonsillectomy. Recommendations: Conducting more continuing oropharyngeal exercises intervention program for mothers having children suffering from OSA to decrease the negative outcomes and improve quality of life with the necessity of follow-up.
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