Background: Systemic Lupus Erythematosus (SLE) is a multisystem, autoimmune disease, it affect all organ systems or tissues, involvement of the skin, joints, central nervous system, and kidneys are among the most frequent manifestations. SLE is a chronic disease, the patients are generally treated with long-term regimens or even life-long immunomodulatory or immunosuppressive medications. Adhering to medications can be a challenge for patients with SLE. Objectives: This study aimed to identify the factors affecting adherence of medication for patients with systemic lupus erythematous. Setting: The study was conducted at the Blood Disease and Immunology inpatient Department of Alexandria Main University Hospital and the affiliated Outpatient Clinic. Subjects: This study comprised a convenience sample of 60 adult patients of both sexes and diagnosed with systemic lupus erythematous. Tools: three tools were used Tool I: Patient's Sociodemographic Characteristics , clinical data & Patient's Knowledge Structured Interview Schedule .Tool II Korean Version of the Hill-Bone Medication Adherence Subscale (HBMA-K) ,and tool III : Factors Affecting SLE patients' Adherence to medications checklist. Results: The study result revealed that more than half of studied patients had fair knowledge level regarding SLE. More than half of studied patients had low adherence to SLE medication, finally the patient related factors were the most factors affecting the adherence level on other hand Condition-related factors rated the lowest factors affecting the adherence level . Conclusion: this study revealed that more than half of the studied patient with SLE were low level adherence to their medications, and more than half of them had poor knowledge related to SLE disease. In addition to it was found that patient related factors are most factors affect medications adherence for SLE. Recommendations Develop and apply an educational sessions in order to improve patients knowledge regarding the SLE disease and consequence of non adherence with medication. provide communication between the healthcare provider and the patient, as well as simpler prescription regimens, to enhance medication adherence.
Low back pain is the most common musculoskeletal work-related condition among nurses. Acupressure is the type of complementary medicine frequently used today. Acupressure is a technique that involves pressing with a finger to release endorphins, which causes muscle relaxation and pain relief. This study aimed at determining the effect of acupressure on chronic low back pain among nurses working in the operating rooms. Setting: This study was carried out in the operating rooms (OR) of three departments namely OR (A) for colon surgery, OR (B) for oncology& hepatobiliary surgery. Finally OR (C) for head and neck surgery in Alexandria Main University Hospital. Design: a quasi-experimental design was used. Tools: Interviews scheduled to collect socio-demographic and job characteristics, Million visual analog scale (MVAS), and questionnaire were used for the occupational role. Results: a statistically significant difference in pain severity between the study and control group after 6 weeks of acupressure massage (p<0.001*) was observed. Concerning the post-test mean score of occupational role in the study group was 19.50± 8.22, while in the control group was 52.33 ±7.42, with a highly statistically significant difference between the two groups at p (0.001*). Conclusion: Acupressure is an effective complementary therapy for reducing occupational low back pain in nurses employed in operating rooms as well as improving their occupational function. Recommendation: educational nursing program about effect and technique of acupressure should be conducted.
Nurses caring for burn injured patient had high stress levels in the workload and time pressure. The main stressful factors among burn injured patient care are high patients` death, emergency situations, and low supportive relationships. Prolonged stress without effective coping strategies may negatively contribute to the nurses' quality of life and quality of care delivered. Aim of the study: Assess perceived stress and coping strategies among nurses caring for burn injured patient and to investigate the relationship between perceived stress and coping strategies among those nurses. Design: A descriptive correlational design was utilized for this study. Setting: The study was conducted in burn unit at Main Alexandria University hospital. Subjects: All nurses are working in burn care unit (45 nurse) were included in the study. Tools: Socio-demographic and work characteristics interview schedule, Perceived Stress and Brief Cope Scale. Results: Results of the study revealed that, more than half of the studied nurses had moderate level of perceived stress and rest of them having high level. The majority of the studied nurses had moderate level of problem-focused, emotion focused and dysfunctional coping strategies. A positive statistical significant relationship between nurses' perceived stress and behavioral disengagement & selfblame coping strategies and a negative statistical significant relationship between perceived stress and active coping & planning, seeking emotional support and positive reframing coping strategies were found. Conclusion & recommendations: Perceived stress among studied nurses negatively related to problem-focused & emotion-focused coping strategies and positively related to dysfunctional coping strategies. Based on the findings, it is recommended to implement programs to tackle nurses' stress level and improve their coping skills.
Hypertension (HTN) is a major risk factor contributing to cardiovascular disease, which is the main cause of death world wide. Isometric handgrip strength(HGS) exercise, a non-pharmacological lifestyle modification, has been recommended as a first-line treatment for hypertension. This study aimed to examine the effect of isometric handgrip strengthening exercise on blood pressure among hypertensive patients. Subjects: a quasi-experimental research design was conducted on sixty medicated hypertensive patients and divided attentively into two equal groups. Control group which, exposed to routine hospital care only. While study group was followed the isometric handgrip strength exercise program. Two tools were used for collecting data Tool I Patients' Assessment Interview Schedule and Tool II International Physical Activity Questionnaire-Long Form (IPAQ-LF).Results: there was a statistically significant reduction in systolic blood pressure between the study group with Mean ± SD (111.50±7.23 mmHg) and control group (126.16±7.32 mmHg) after 10 weeks of an exercise program with statistical significance between both groups at PV = .00 . There was a significant reduction in diastolic blood pressure between the study group with Mean ± SD (71.33±5.58mmHg) and control group (79.50±7.37 mmHg) with statistically significant between both groups after 10 weeks of exercise programPV = .00 . Conclusion: isometric handgrip exercise significantly reduced the SBP and DBP within 10 weeks of the study duration &therefore, the prescription of isometric handgrip exercise in addition to other lifestyle modifications should be encouraged for the hypertensive patient
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