Background: Fatigue is common problems in patients undergoing hemodialysis. It often results in the early termination of a hemodialysis session. Objectives: This study aimed to evaluate the effect of reflexology foot message on fatigue level for patients undergoing hemodialysis. Methods: It was conducted at the hemodialysis units of Mansoura University Hospital and Esalam El-Dawly Hospital. The sample included 72 adult patients undergoing hemodialysis, divided equally into study and control groups, 36 patients each. Three tools were used to collect necessary data, hemodialysis patient's assessment, fatigue intensity scale and fatigue assessment. Results: The findings of the study revealed that there was no statistical significant difference between the study and control groups in relation to fatigue intensity, duration, alleviating factors, and frequency before interventions. While, patients on hemodialysis experienced significantly decreased fatigue intensity, duration and frequency throughout the nine massage sessions among the studied patients over the control groups. Conclusion: This study concluded that hemodialysis patients who receive reflexology foot massage had significant decrease in fatigue intensity. In addition to the improvement of physical activities, emotional wellbeing, sleeping pattern and social activities. Recommendation: This study recommended that reflexology foot massage should be used as evidence base for nursing practice with patients on hemodialysis.
Background Bronchoscopy plays a significant role in the diagnosis of a variety of pulmonary diseases, with low morbidity and rare mortality. The patient learning has appositive effects in decrease patient's anxiety, decrease incidence of complications; decrease the length of hospitalization and increase patient's cooperation therefore, Aim of the study: was to assess the learning needs for patients undergoing bronchoscope procedure at the study setting. Methods: Explorative descriptive research design was conducted in the'' Bronchoscope Unit'' at the Chest Department of the Mansoura University Hospital. The data were collected from convenient sample 150 patients of both sexes who correspond to inclusion criteria. Results: The results indicate that the majority of patients did not have knowledge about pre-procedure and post procedure preparations, post procedure complications, expected sensations from bronchoscope and how to manage the complications. It was noticed that patients need more information about these topics to help them to grants a sense of control and it can reduce anxiety, improve compliance, create realistic expectations, promote self-care and participation, and generate feeling of safety and security. Conclusion: The assessment of learning needs for patients undergoing bronchoscope clearly indicate that nurse need for a general teaching guideline to be used when dealing with bronchoscope patients to help patients, participation in achieving a successful outcome of the bronchoscope procedure and treatment plan.
Decubitus ulcers are important health problems and one of the maintrials that health organization facingevery day. Now a day various innovative modality of wound treatmenthave been endorsed including wound care. Recently, application of topical insulin helpsin healing ofdecubitus ulcers. Therefore, the aim of this study was to investigate the efficacy of applying topical insulin therapy in healing processof decubitus ulcers in immobilized patients.Design: ARandomized control trial research design was conducted in Neurological and Medical Departments at Alexandria Main University Hospital. Subjects: this study composed of 60 patients divided into two equal groups, study group who receive topical insulin dressing and control group who receive routine hospital dressing. Results, indicates significant improvement in decubitus ulcers healing forthe study group compared control to their where p value (˂0.05)Conclusion, topical application of insulin has a very powerful effect in healing process for decubitus ulcers. Recommendation: in service education program for nurses working in neurological and medical departments
Background: Immobilized patients are vulnerable to pressure ulcer development due to severity of illness, increased length of stay, poor tissue perfusion due to hemodynamic instability, immobility, and poor nutritional status Pressures sores are areas of localized damage to the skin and underlying tissue friction. This type of damage can also be known as pressure ulcers, bedsores, or decubitus ulcers. Aim: Evaluate the effect of safety Skin protocol on pressure ulcer occurrence among immobilized patients. Subjects and method: Design: A quasi-experimental research design was utilized. Subjects: convenience sample of 70 adult patient, assigned into two groups (study and control) each group consisted of 35 patients. Setting: The study was conducted in the Mansoura University Hospital at Neurological departments and Neurological ICU. Tools: Two tools were utilized tool one pressure ulcer status, tool 2 skin safety observational chick list, and it was done at the time of admission until six days. Results: data revealed that 70% of patients maintained their skin integrity all over the study period, 30% develop the first stage of the ulcer. The effect of safety skin protocol was significant statistically. Conclusion: Immobility, increase pressure, Immobilized patients more susceptible to pressure ulcers Recommendations: It is important to enhance the awareness level among the public, patients, and also the health care providers regarding the importance of applying safety skin protocol for immobilized patients from admission regular educational programs to continuously update the nurse's knowledge with the advanced and effective practice of skin care and early detection of pressure ulcers.
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