Background: Post operative nausea, vomiting, and retching are recurrent symptoms and can lead to complications ranged from mild e.g. unpleasant sensation, to severe e.g. aspiration and postpone patients' discharge. Also, the use of antiemetics accompained by side effects so, we in a great need for adding a non-pharmacological measure to routine hospital care. Aim: Explore the infleuence of deep breathing exercise on nausea, vomiting, and retching in postoperative orthopedic patients. Materials and methods: A quasi-experimental study was conducted at recovery rooms and orthopedic wards at Menoufia University Hospital, Egypt. A convenient sample of 84 patients divided into two groups control and study 42 for each, who were adult, conscious, and under general anesthesia. Three tools were used for data collection; Tool I patient information form, Tool II glasgow coma scale, Tool III index of nausea, vomiting, and retching (INVR). Results: There was a statistically significant difference in total scores of INVR between both groups after 6 hours (U (p1)=400.50 * (<0.001 * ) and 12 hours U(p2)=529.50 * (<0.001 * ). Conclusions: It was concluded that deep breathing exercise decreases nausea, vomiting, and retching among study group patients after both 6 and 12 hours. Recommendations: Deep breathing exercise should be added to routine hospital post operative care, and further researches on larger sample to explore frequency of antiemetic drugs use among patients performing postoperative deep breathing exercise.
Background: Helicobacter pylori (H. pylori) infection, a Gram-negative bacterium, causes gastrointestinal symptoms and severe complications after invading gastric mucosa. As the infection could be asymptomatic, it is crucial to enhance knowledge and practices of individuals for prevention of infection. Aim: This study aims to evaluate the efficacy of health literacy sessions regarding helicobacter pylori on students' knowledge and practices. Subject and Methods: A quasi-experimental study examined a convenient sample of 157 students at Damietta University hostels. The data were collected via two tools; tool I: students' characteristics tool and tool II: structured questionnaire (pre-and post-assessment). Results: There was a statistically significant difference in the overall mean scores of students' knowledge and practices between pre-and post-implementation of health literacy sessions (t =15.365, P = 0.000); (t =13.763, P = 0.001) respectively. Moreover, there was a statistically significant positive correlations between students' knowledge and practices through program phases. Conclusions and Recommendations: Screening of H. pylori for early detection should be applicable for most of the population. Furthermore, mass media awareness campaigns should be launched about preventive measures of H. pylori, and annual check-ups should be organized.
Background: Intradialytic hypotension (IDH) is a common and distressful complication of hemodialysis. It can cause uncomfortable symptoms for patients, lower dialysis efficiency, and result in vascular access thrombosis. Therefore, preventing this complication is essential. Aim: To evaluate the effects of cooling the dialysate and patient education on decreasing intradialytic hypotension. Design A Quasi-experimental study design was used. Methods A purposive 70 patients undergoing hemodialysis in a hospital in Egypt participated in the study. Tool I (Structured Interviewing Questionnaires Sheet) and Tool II (Intradialytic hypotension Assessment Sheet) were used to collect data. Interventions include educate patients some instructions help in decrease IDH. In addition, lower dialysate temperature. Results A statistically significant difference in the occurrence of intradialytic hypotension was observed between pre and post intervention during every hour of hemodialysis (p < 0.01). Also, more than half of the patients reported symptoms of intradialytic hypotension before intervention, including fatigue, sweating, cramps, and dizziness with a statistically significant difference from those after intervention (p = 0.001). Conclusion: As a result of the intervention done, the symptoms observed during dialysis and the prevalence of IDH decreased. Recommendations: Cooling the dialysate and educating patients instructions regarding diet and dealing with drugs can be routinely applied to prevent IDH in hemodialysis units.
Background: Since the COVID-19 outbreak the researches have been focused only on the infection spread prevention and treatment. Right now, there is no biomarker available that can expect people who are at high risk of susceptibility and symptoms severity of COVID-19 infection. Recent studies indicate that a persons' vulnerability and severity of COVID-19 infection may be significantly influenced by their ABO blood group. Aim: To explore the association between ABO blood grouping and both risk and severity of symptoms among post COVID-19 infection patients. Methods: A retrospective observational research design was used. A convenient 500 post COVID-19 infection individuals from Beni-Suef University hospital were participated in the study. Tool I patient characteristics and tool II COVID-19 related data were used for data collection. Results: The findings illustrated that 16.2% exposed to severe COVID-19 symptoms, blood group A represents the highest frequency 34.8% among other blood groups while blood group O depicts the lowest frequency 17.2%. Moreover, severity risk for blood group B individuals was significantly higher than blood group A individuals (OR= 1.795, 95% C.I = 1.027-3.137). In addition, a statistically significant correlation was found between increased age and severity of symptoms "moderate and severe" ( 2 = 41.626, p < 0.001). Conclusion and recommendations: As blood group A showed the highest frequency, following safety precautions is critical for those people, and in the event of a COVID-19 infection, strict treatment, thorough observation, and monitoring are required. Further researches about adding further doses of vaccination for blood group A individuals.
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