Background: Stroke is one of the major healthcare challenges, being one of the leading causes of death, disability, and dependency in the activity of daily living worldwide Homecare of stroke patients is having a great role in the patient recovery. Patient family caregivers and relatives can play an important role in the care of patients. But how to continue proper care of the patient at home after discharge, they don't know what to do and don't have practice as well. In this view, the researcher believes that it might be a great help for caregivers and the patients to teach theirs about stroke and home care of stroke patients. Objective: The study aims to evaluate the effectiveness of a planned health teaching on the caregiver's knowledge and competence of home care of stroke patients. Therefore, improve the patients' functional ability. Methods: The two group pre and post-test, quasi-experimental design was conducted among 50 caregivers of stroke patients, assigned to 25 caregivers as a control group and 25 caregivers as an experimental group. The study was done in the university hospital at El Fayoum city from 1st March 2019 to 31st August 2019. Four tools were used for data collection after reviewing relevant data as the following; a structured interviewing questionnaire, caregiver's knowledge questionnaire regarding stroke, caregiver's practices regarding bed position, Position Change and Transfer, and Range of Motion Exercises, and patient function ability assessment according to Barthel index. Results: revealed that there was a poor score level of knowledge and competence of home care practices before the intervention. However, there was an improvement of score level in the control and experimental group post-intervention, but the higher score was observed in the experimental group. The mean score level of patient functional ability in the experimental group improved than the control group through follow up. Highly statistical significance was found between control and experimental group post-intervention related to knowledge and practices. A positive significant correlation between caregiver's practices and patients function ability in the experimental group was found. Conclusion: planned health teaching is important after patients discharge to increase the caregiver's knowledge and competence of home care practices of post-stroke patients; resulting in improved patient functional ability.
Defibrillation is electrical therapy used to quickly terminate lethal dysrhythmias through defibrillation or cardioversion and early defibrillation lead to higher rates of survival. Critical care nurse is the first realize to life-threatening conditions so it is important that critical care nurses must have sufficient knowledge and skills about defibrillation. Aim: evaluate the effect of training program on nurses' knowledge and practice regarding defibrillation. Design: A quasi-experimental design was used. Setting: The study was conducted in coronary care unit at Beni-Suef University Hospital. Sample: All convenient samples 38 nurses. Tools: Two tools were used (1) a self-administered questionnaire to assess knowledge, (2) an observational checklist to assess practice regarding defibrillation. Results: preprogram; the majority of the nurses had unsatisfactory knowledge and practice regarding defibrillation (84.2% and 92.1% respectively). A significant improvement was found immediately post-program (86.8% and 81.6% respectively) while this improvement lowered slightly post 3 months at follow up (76,3% and 71,1% respectively). Conclusion: A statistically significant improvement in nurses' knowledge and practice had got after implementation of the program which supported the study hypothesis. Recommendation: Continuous in-service training programs about defibrillation.
Background: Pain is common in critically ill patients, inadequate pain relief post cardiac catheterization delays recovery and lead to increased workload of heart and increased hospital stays. Rhythmic breathing is simple, low cost, non-invasive technique and effective in reducing the pain severity. Aim of this study is conducted to examine the effect of rhythmic breathing technique on the pain intensity of patient after cardiac catheter. Design: A quasi-experimental design was used.
Background: Ileus commonly happens post abdominal surgery and is associated with complication and may delay recovery. The study is hypothesized that chewing gum decreases postoperative ileus by improving early recovery of gastrointestinal function. Aim: The study aims to investigate the effect of chewing gum on the postoperative recovery of gastrointestinal function after gynecological and abdominal surgery. Methods; Design: A quasi-experimental research design. Setting: the study was conducted at the general surgery department, and gynecological department at the university hospital in El Fayoum city. Subjects: a purposive sample of 60 postoperative women. Tools: Data collection tool consists of structured interviewing schedule, post-operative assessment sheet, and patient satisfaction of using gum. Results there was significant difference between two groups according to patient's performance after surgery, also there was significant difference between two groups as regarding vomiting time, abdominal distention and amount of oral fluid intake. Conclusion: the study conclude that chewing gum is an accessible, effortless, safe, harmless, cheap, and effective method in declining ileus and accelerating gastrointestinal recovery after gynecological and abdominal surgery. Recommendations: Chewing sugar-free gum should be added in the protocol of nursing care after gynecological and abdominal surgery in the surgery units.
COVID-19 a highly infectious disease threatened the world and created a big challenge to healthcare systems and their personnel worldwide. Nurse plays very important role in infection prevention and control, safeguard the community and providing care at this critical time. Aim of this study is evaluate the effect of an education program on nurses' performance regarding COVID-19. Design: A quasiexperimental design was used. Setting: this study was conducted in surgical and obstetric units at Beni-Suef University Hospital. Sample: all nurses (n = 40) working at surgical and obstetric units. Tools: Two tools were used a selfadministered questionnaire to assess knowledge and observational checklist to assess practice. Results: preprogram; the majority of the nurses had unsatisfactory knowledge and practice regarding COVID-19 (87.5% and 90%respectively). A significant improvement was found immediately post-program (90% and 92.5% respectively) while this improvement lowered lightly post three months at follow up (77.5%and 80% respectively). Conclusion: A statistically significant improvement in nurses' performance had got after implementation of the program which confirming the study hypothesis. Recommendation that the necessary of continuous in-service training programs about COVID-19.
The ECG is a non-invasive, effective, simple cardiac test and useful in diagnosing cardiac disorders and detecting any arrhythmia. It plays a critical role in reducing morbidity and mortality in patients with coronary artery disease. Nurses working in critical care areas are responsible for monitoring and interpreting ECGs. Aim of this study is to evaluate the effect of an education program on nurses' performance (knowledge and practice) regarding electrocardiography. Design: A quasi-experimental design was used. Setting: this study was conducted in the coronary units at Benha University Hospital. Sample: all nurses (n = 32) working at coronary units. Tools: Two tools were used a self administered questionnaire sheet to assess knowledge and observational checklist to assess practice regarding electrocardiography. Results: this study showed that the majority of the nurses had unsatisfactory knowledge and practice regarding electrocardiography pre program implementation (96.9% and 87.1% respectively) which improved significally immediately post program (90.6% and 87.5% respectively) p value <0.001, while this improvement lowered slightly post 3 months at follow up (78.1% and 81.2% respectively). Conclusion: the majority of the nurses were having an unsatisfactory performance (knowledge and practice) regarding electrocardiography pre the program implementation. Meanwhile, the majority of the studied nurses had got statistically significant improvement in their performance post the program implementation, while this improvement lowered slightly post three months at follow up, which supported the study hypothesis. Recommendation that the importane of continuous in-service training programs about ECG for the purpose of refreshing, updating the nurses knowledge and practice regarding ECG.
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