Background: Systemic Lupus Erythematosus (SLE) is a chronic disease that distresses multiple organ systems and roots a broad spectrum of clinical and immunological manifestations. Progressive relaxation exercises showed a great impact on many suffers in both medical and surgical conditions. Aim: to determine the effect of progressive muscle relaxation technique on quality of life and fatigue severity among systemic lupus erythematosus patients. Design: A quasi experimental research design with a pretest-posttest control group was used. Setting: The study was conducted at the Kidney Diseases Outpatient Clinic at the Damanhur Medical National Institute. Subjects: A purposive sample of 80 adult patients diagnosed with SLE (40 patients for each group). Tools: Three tools were used, Tool (I) "Demographic data structured interview schedule for patients with Systemic Lupus Erythematosus". Tool (II):-"Systemic Lupus Erythematosus Quality of Life Interview questionnaire". (SLEQOLIQ). Tool (III):-Fatigue Severity Scale. Results: Approximately two thirds of patients were aged from 30 to 40 years, majority were female, married; secondary educated, manual work and house wife, from rural area with insufficient income. Majority of patients on a state expense for paying treatment, with more than three years disease duration, discover the disease through its manifestations, suffering from CVD, renal failure and anemia as disease complications. It was found a significant difference between the control and study group regarding quality of life dimensions, total quality of life, and fatigue level even after 15 days and 30 days of follow up while there was no significant difference between both groups before intervention. Conclusion: The application of the progressive muscle relaxation technique as a complementary therapy for SLE patients is encouraged where the safety, simplicity, and effectiveness of this technique enhance the QOL and decrease fatigue of SLE patients.
Anticoagulant medications help prevent thromboembolisms, and improve health. The most common negative consequences of anticoagulant injection are pain, bruising that affect negatively on patient satisfaction. Non pharmacological methods to decrease such consequences had a great attention. Aim of the study: Explore the effectiveness of thumb manual pressure application on anticoagulant subcutaneous injection pain, bruising, and satisfaction experienced compared to routine SCI. Study design: A quasi-experimental nonequivalent one-group selfcontrolled design was used. Setting: the study applied in the orthopedic Surgery department at New-surgery hospital of Zagazig University hospitals. Subjects: a convenience sample of a single group from both males and females. It included 88 participants. Tools: Four tools were used in this study. The same participants were both in control and intervention. The same nurse applied a subcutaneous injection into the upper outer Lt arm followed by thumb pressure for 10 seconds as an intervention group. Whereas, the routine SCI in the upper outer Rt arm was injected in the same patient by the same nurse and considered as a control group. Pain level, bruising and patient satisfaction were assessed. Results: there was a statistical significance difference in the pain level, bruising and satisfaction, explored via less pain intensity, minor bruising and high satisfaction level where thumb manual pressure applied over the left arm SC anticoagulant injection. Conclusion: manual pressure application is a more effective method in reducing pain, bruising and increasing satisfaction level due to subcutaneous injection. Thus using such non-pharmacological methods was effective.
Diabetic foot ulcer is a debilitative disease with severe consequences in diabetic patients. Wound healing is a complex biological process that restores skin integrity. Conventional dressings were found ineffective for these ulcers. Insulin accelerates wound healing in diabetes by enhancing growth of different cell types and affects proliferation by keratinocytes, endothelial cells, and fibroblasts. Aim of the study was to evaluate the effect of topical insulin on diabetic wound healing among patients with diabetic foot ulcer. Research design: A quasi experimental research design was utilized. Settings: The study was conducted at inpatient vascular surgery department at Alexandria Main University Hospital. Tools of data collection: One tool was used for data collection. It consisted of two parts. Part I: Socio demographic and clinical data and Part II: Bates-Jensen wound assessment tool. Results: The result of the study revealed that there was statistical significant improvement in all items of foot ulcer assessment in the study group over control after two and three weeks of daily topical insulin dressing. There was statistical significant improvement in diabetic foot ulcer severity among the study and control groups after one week, after two and three weeks daily topical insulin dressing. The findings of the present study also showed that diabetic foot ulcer in the study group need less time than the control group for complete healing. Conclusion: This study concluded that patients with diabetic foot ulcer who receive topical insulin dressing exhibit enhanced healing rate than patients who do not receive such intervention. Recommendations: Incorporate the technique of topical insulin dressing in clinical nursing curricula, evaluate this method on other type of wound than diabetic foot ulcer and in service training programs for nurses about topical insulin wound dressing.
Background: Cellulitis is considered as a one of the common acute skin infection which causes pain, swelling and erythema. Moreover, it may carry a socioeconomic burden. Recently, 5% potassium permanganate dressing solution has been extensively used as a trustworthy antiseptic as for many types of wounds. Aim: to determine the efficacy of Potassium permanganate dressing solution on accelerating cellulitis healing process. Design: Quasi-experimental design. Setting: At inpatient surgical department at Alexandria Main University Hospital. Subjects: a convenience sample of 40 adult cellulitis patients of both sexes. Results: no statistically significant difference between both groups during the 1 st assessment was found. During 2 nd and 3 rd assessment, there were statistically significant differences in the study group over the control group in most items of cellulitis severity assessment. Conclusion: 5% potassium permanganate solution as a topical antiseptic dressing solution for cellulitis is viable and well tolerated, effectively hastening the cellulitis healing including decreasing the severity of pain, edema and erythema.
BackgroundThe widely prevalent condition of the inner ear's vestibular system, which is essential for preserving balance, is known as Benign Paroxysmal Positional Vertigo (BPPV). Epley's manoeuvre and Brandt-Daroff exercises are the two extremely often used manoeuvres for the management of posterior canal BPPV. These maneuvers primarily serve to move debris from the canal to the utricle and to alleviate discomfort. Objective: To assess the effect of Epley's Maneuver and Brandt-Daroff Exercises on decreasing severity and recurrence of benign paroxysmal positional vertigo. Method: A quasi-experimental research design with a pretest-posttest control group was used. Otolaryngology clinic of Matrouh General Hospital, Egypt was the study setting. Eighty adults were randomized to the experimental group (n = 40) and the control group (n = 40). Results: 80 participants were analyzed; the Epley's maneuver and Brandt-Daroff exercises group showed a significantly greater improvement in on the duration and frequency of BPPV, overall vertigo handicap questionaire in the study group at three weeks (p=0.002 * ,0.014*, 0.000 and 95% ) and at six weeks (p=0.000*, 0.001*, 0.000; and 95% CI 3.692 to1.658, 31.430 to -8.326 and11.946 to 6.504) respectively. Conclusions: Application of Epley's maneuver and Brandt-Daroff exercises is feasible and effective in alleviating duration, frequency, and severity of BPPV and its impact on physical activity, emotional wellbeing and social activities. Recommendations: To lessen the duration, frequency, and severity of BPPV, Epley's technique and Brandt-Daroff exercises must be incorporated into the therapeutic routine care.
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