Background: Surgical Site Infection (SSI) is defined as infection that occurring within 30 days after surgical procedure or within a year of implantation of prosthesis. Surgical Site Infection can happen in up to 30% of surgical procedures and records for up to 14% of Hospital Acquired Infection (HAIs). Aim of the Study: The aim of this study was to assess levels of nurse's Compliance; knowledge and practice regarding prevention of surgical site infection Guidelines and identify the barriers facing nurses' compliance with surgical site infection prevention Guidelines. Design: Cross sectional descriptive study design self-reported survey. Settings: Data was collected from surgical departments from selected Menoufia Governorate Hospitals, Egypt. Sample: A large convenience sample of 450 nurses was selected. Initially 600 questionnaires were distributed, of which only 400 returned completed, a response rate of 66.6%. Tools: was comprised of the: 1) Pre-designed structured questionnaire to assess nurses' socio-demographic characteristics' and Nurses' knowledge, 2) Likert-scale: to assess nurses' compliance, nurses' practice and nurses' barriers facing nurses with surgical site infection prevention guidelines. Study period: The study was conducted from July to November 2019 in the selected hospitals. Results: nurses' compliance mean scores were in low level with a mean of 13.01, it is clear that most of the nurses have poor knowledge, most of the nurses have poor practice about surgical site infection, concerning the most barriers of compliance facing nurses with surgical site infection prevention guidelines, were lack of a professional model, having no enough time, and some measures for the prevention of surgical site infection are not nurses' responsibilities. Conclusions: Nurses working in the surgical related wards reported a low level of knowledge, practice and compliance regarding the prevention of surgical site infection guidelines. The most barriers of compliance with surgical site infection prevention guidelines that reported by nurses were, lack of a professional model, nurses do not have enough time,
Sham feeding has been demonstrated to be one of the methods to increase bowel motility. Gum chewing, as an alternative to sham feeding, provides the benefits of gastrointestinal stimulation without the complications associated with feeding. Aim: to evaluate the effect of sham feeding on postoperative clinical outcomes among patients undergoing elective abdominal and gynecological surgeries. Subjects: A purposive sample including 150 patients who were admitted to the general surgical and gynecological unit for undergoing elective open abdominal surgeries such as cholecystectomy, appendectomy, hysterectomy, myomectomy. Were divided randomly into two equal groups 75 patients in each Study group (I): practice post-operative sham feeding in addition to the usual routine hospital care such as early mobilization and Control group (II): Follow the usual routine hospital care such as early mobilization only. Setting: The study was conducted at the general surgical and gynecological unit of Menoufia University Hospital. Instruments: Three instruments were utilized, I: A structured Interviewing Questionnaire, II: Postoperative Patient's Outcomes Questionnaire and III: Visual Analogue Scale (VAS). Results: Significant statistical differences existed between both groups regarding the time of resumption of gastrointestinal functions, postoperative ileus symptoms, and incidence of nausea, vomiting, pain and length of hospital stay. Conclusion: Patients who practiced chewing gum as alternative for sham feeding experience earlier return of bowel motility in terms of bowel sounds, first flatus and feeling of hunger than those patients who did not practice chewing gum. Furthermore, there was a significant reduction in pain and length of hospital stay among patients who were practice chewing gum than those who were not. Recommendations: the study recommended that: Sham feeding in a form of gum chewing should be added in the protocol of postoperative nursing care and conducting further studies for evaluating the effect of sham feeding on postoperative ileus among patients undergoing abdominal and gynecological surgeries using a larger sample and different geographical areas.
Telehealth refers to the usage of any electronic materials in the form of voice, images, documents, etc. The aim: to examine the effect of asynchronous mobile health nursing intervention on medications adherence and quality of life among patients with psoriasis. Design: A quasiexperimental research design. Subjects: A purposive sample including 60 patients who were admitted to the dermatology outpatient clinics, were divided randomly into the study and control group of 30 patients in each. Setting: This research was conducted at a university hospital dermatology clinic. Instruments of the study: (I): Structured interview questionnaire. (II): Modified 12-Item Medication Adherence Scale. (III): Dermatology Life Quality Index. Results:The mean of knowledge score, adherence level was increased, and improve quality of life index increased significantly throughout the phases of the intervention among study group subjects with statistically significant differences existed between them. Conclusion: Using (mobile health) in education about psoriasis and its management significantly improving total knowledge score, medications adherence improved the quality of life. Recommendations: designing different mobile patient engagement applications to provide a simple way for follow-up, and education. Replication of the study using a large number of subjects, and longer follow-up time to permit a chance for results generalization.
Ureteral stent is a hollow tube with multiple side holes that is used widely by the urologists in many urological procedures. This study was carried out to determine the effect of nursing Staff development regarding ureteral stent management on nurses' knowledge and practice. A quasi-experimental research design was utilized to achieve the aim of the study. A design of one group pre/post test was used. This study was conducted in urological department of university Hospital in Menoufiya. A purposive sample of 70 nurses were selected. These nurses provided care for patients admitted to the urological department in the previously mentioned setting. I-Structured Interviewing Questionnaire: II-and An Observational Checklist. Study findings shows that none of the nurses in the study sample had satisfactory total knowledge and practice at the pre-program implementation. Although few of them had satisfactory knowledge regarding some aspect, the majority had unsatisfactory knowledge regarding ureteral stent management, patient's teaching and stent removal which shows that there is a need of educational programmes in order to improve their knowledge level. The score of total knowledge and practice were significantly increased immediately after the program, and continued to be higher at the follow-up period, this may indicate that, educational programme leads to gain knowledge, and improve practice which might have an impact on improvement of ureteral stent management. The current study shows that none of the nurses in the study sample had satisfactory total knowledge at the pre-program implementation, indicating that the respondents lacked knowledge. However, the score of total knowledge increased immediately after the program, and continued to be higher at the follow-up phase, indicating that the nurses gained knowledge after the teaching program which was implemented. On the other hand, it was observed that there was an association between age, years of experience, and knowledge, and practice of nurses regarding uretral stent management. As well, age, years of experience, and education were found to have an impact on knowledge scores. Nurses should take initiative to improve their knowledge and practices by using online education, virtual learning, booklets, posters, brochures, charts etc.
Introduction: One of the most profound long-standing consequences of diabetes mellitus is diabetic nephropathy. In many countries, diabetes is proved to be the most frequent single cause of end-stage renal disease. Aim of the work: analyze the association between diabetic nephropathy grade and quality of life among type II diabetic patients. Material and methods: Quantitative descriptive study design applied on a purposive sample of 41 individuals with type II diabetes attended to the medical outpatient clinic in Menoufia University Hospital. Tools: Tool I-A structured interviewing questionnaire. Tool II-Assessment of the kidney function. Tool III-Kidney Disease Quality of Life. Results: serum creatinine and blood urea nitrogen were increased, also the estimated glomerular filtration rate (eGFR) was decreased in individuals with type II diabetes as disease duration increase. The prevalence of diabetic nephropathy in the current work was high representing 56.1%. In addition increasing body mass index more than 25. Diabetic nephropathy was associated with all five HRQOL dimensions as patients in stage 3-kidney disease had lower scores than patients in stages 1 and 2. Conclusion: The present data confirm that the most striking risk factors for diabetic nephropathy in the type II diabetes are BMI ≥ 25, diabetes duration, hypertension, age ≥ 50 years, and family history. Recommendation: The current study recommended that urinalysis should be performed regularly as part of a screening program which is a preventive intervention to preserve the kidneys in diabetic patients and will detect individuals with nephropathy early.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.