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.
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.
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.
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