No abstract

Background: Sexual distress impacts women’s mental well-being. Anger/aggression, separation, divorce, and depression may be results of sexual distress. It harms woman’s mental health, in turn, impact the relationship between spouses. Aim: The present study aimed to assess women’s sexual distress associated with cervical cancer. Methods; Design: A descriptive design was used for the current study. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: Data was collected through a structured interviewing questionnaire sheet, female sexual distress scale. Results: The results of the study revealed that 35.7% of women were in the 1st degree when diagnosed, 88.6% of the studied women had sexual distress. There was a statistically significant relationship between the educational level of women, marriage age, and their total sexual distress scores, while there was no relationship between age and residence of women and their total sexual distress scores. Conclusion: Sexual distress was more prevalent among older, less educated, urban dwellers, and those whose age of marriage was less than 20 years old. Recommendations: Preparing health classes for cervical cancer women regarding sexual distress following cervical cancer.

Background The incidence of end-stage renal disease (ESRD) has increased by 30–40% in the last decade. These patients have a higher mortality rate of 3–8 times compared to the general population. In the present study, we aimed to detect cardiovascular complications and their relation to the first-year mortality rate in patients on hemodialysis in Aswan University Hospital, upper Egypt. Patients and Methods Our study was a cross-sectional study which was done at the hemodialysis unit in Aswan University Hospital from May 2016 to May 2018. The study included 100 patients with ESRD on regular hemodialysis (first year on programmed hemodialysis). All patients were subjected to full clinical examination and laboratory studies includngd complete blood count (CBC), kidney function tests, serum calcium and phosphorus level, parathormone (PTH) hormone, serum albumin level, C-reactive protein (CRP), echocardiography and electrocardiogram (ECG), and lateral abdominal x-ray for detection of aortic calcification. Results The present study included 47 males and 53 females, with a mean age of 50.6 ±13.89 years. The main risk factors for patients with ESRD were hypertension (48%) followed by diabetic nephropathy (36%), glomerulonephritis (15%), idiopathic etiology (11%), obstructive uropathy (8%), lupus nephritis (6%), polycystic kidney disease (4%) and cardio renal syndrome (1%). Twenty-seven deaths have been noted during the first year of dialysis treatment. The leading causes of death were cardio-vascular events (66, 67%), infection (22, 22%) and malignancy (11, 11%), The most common cardiovascular events were myocardial infarction (27.8%), sudden cardiac death (SCD) (27.8%) and heart failure (22.2%). Conclusion In conclusion, our study showed that the main risk factors for ESRD patients in Aswan University Hospital are hypertensive nephrosclerosis, diabetic nephropathy, glomerulonephritis and idiopathic etiology, and the main causes of first-year mortality were cardiovascular events followed by infection and malignancy.

No abstract

Background: Cervical cancer affects all aspects of a patient's life, including sexual functioning and intimacy. Sexuality is one of the indicators of quality of life; it influences thoughts, feelings, actions, social integration, and therefore, physical and mental health. The present study aimed to evaluate the impact of protocol of nursing intervention on sexual dysfunction among women with cervical cancer. An intervention study design was conducted in out-patient clinic in the oncology unit at Beni-suef university Hospital. A purposive sample of 70 women was included in the study. A quasi-experimental (prepost) study design was used. Data was collected through four types of tools structured interviewing questionnaire sheet, female sexual function index, female sexual distress scale and body image scale. In addition to Supportive material (educational booklet) was given to women. Results: There were high statistical significant differences in the women's total score of knowledge about cervical cancer, total scores of female sexual function index, female sexual distress scale and body image scale at post intervention in which the women had higher score at post intervention p (< 0.001). Conclusion: Educational booklet proved to have a positive effect on knowledge and sexual function of women with cervical cancer. Recommendations: Multidisciplinary collaboration approach for addressing sexual problems related to cervical cancer, preparing health classes for cervical cancer women regarding sexual dysfunction with cervical cancer and further research about nurse's perception and practices regarding sexual dysfunction with cervical cancer.

No abstract

Background: Sexuality is an important part of normal human functioning. Gynecological cancer and its treatments can affect one or more phases of the sexual response cycle, through alterations of sexual function. Sexual dysfunction is one of the most distressful symptoms among cervical cancer survivors. Sexual distress is a broad term encompassing any sexual discomfort and dysfunction. Sexual difficulties following cervical cancer can be stressful for couples as it can feel like a core part of the relationship has disappeared. Aim: The study is conducted to evaluate the impact of an educational program on sexual issues (sexual dysfunction & sexual distress) among cervical cancer survivors' women in Northern Upper Egypt. Methods; Design: A quasi-experimental design. Setting: out-patient clinic in the oncology unit at Beni-Suef University Hospital. Subjects: A purposive sample of 70 women. Tools: structured interviewing questionnaire sheet, female sexual function index, and female sexual distress scale. Results: The results of the study revealed regression of all items of women’s sexual distress scores, and progression of all items of women’s sexual items post-program compared to pre-one. Conclusion: The teaching program was very effective in improving sexuality among cervical cancer survivors' women. Recommendations: Disseminate the educational booklet at health centers and oncology outpatients. Integrate psychologist, psychosexual specialist, and social worker in treatment and counseling program for women with cervical cancer in the early stage of their treatment.

Background: Cervical cancer diagnosis and treatment can bring changes related to а woman's body image; which in turn can have a devastating on intimate relationships. Aim: The present study aimed to assess women's body image distress associated with cervical cancer. Methods; Design: A descriptive design was conducted. Setting: out-patient clinic in the oncology unit at Beni-Suef University hospital. Subjects: A purposive sample of 70 women. Tools: Data was collected through a structured interviewing questionnaire sheet, and body image scale. Results: The results of the study indicate that the majority (90%) of the studied women had body image distress. There is a statistically significant relationship between age and marriage age of women and their total body image scores. Conclusion: There is a statistical association between body image statuses amongst those women who were undergoing cervical cancer treatment concerning their socio-demographic characteristics. Recommendations: Implement an educational program to improve the self-body image for women with cervical cancer