No abstract

Chronic renal failure (CRF) is one of the most chronic diseases which are considered a major public health problem affecting human societies at all stages of development. It is characterized by a complete and irreversible loss of kidney function that requires dialysis or kidney transplantation to sustain life. This study aimed to assess the effectiveness of using Children Apperception Test (CAT) in assessing depression among children with chronic renal failure. The study was conducted in Hemodialysis Unit at El-Mansoura University Children's Hospital and Hemodialysis Unit at National Hospital of Sandoup in Mansoura City. A conveniance sample of 74 children aged 6 to 10 years, who are diagnosed with chronic renal failure since 6 months or more and free from other chronic illness .Three tools were used to collect necessary data which included a semi-structured interview questionnaire, The children's depression inventory to assess presence of depression among studied children and the children apperception test. Results: The results of this study revealed that the majority of studied children had depression with different level (91.9%) compared to 8.1% of them who had non depression and the children apperception test was effective in analyzing internal conflict and revealed hidden emotions that manifested depression. Recommendations: Regular and continuous training courses should be provided to nurses in order to improve their knowledge and practices regarding depression's assessment by using projective tests and team of nurses and psychologists should be available in hemodialysis units to provide care of psychological aspect of children .

Background: Enteroscopy is an important diagnostic and therapeutic procedure. In children, adequate bowel preparation is mandatory for imaging and surgery, but tolerability as well as efficacy must be considered. As a result, good bowel preparation before to such procedures is a critical element in the diagnosis, monitoring, and lowering the risk of probable contamination. Aim: The purpose of this study was to assess the importance, efficacy, and safety of care bundles (CBs) in bowel preparation for pediatric enteroscopy. Methods: Between July 2019 and December 2019, Mansoura University Children Hospital enrolled children who underwent electronic enteroscopic surgery in a randomized controlled trial (RCT) under conventional nursing (CN), and between January 2020 and June 2020, children who had the surgery were enrolled under the care bundle trial (CG). All children in both previously mentioned groups were lavaged with a polyethylene glycol electrolyte solution to prepare their bowels (PEG-ELS). The CBs included education for nurses, risk assessment for inadequate bowel preparation, education for children and families, and observation and assessment during preparation. We compared the two groups' satisfaction with hospitalization, comfort and safety, family anxiety levels, and quality of bowel preparation. Results: This study enrolled a total of 83 children, 44 in the CB group and 39 in the CN group. The CB group outperformed the CN group in terms of bowel preparation quality [(8.35±6.86) vs. (4.34±02.75) at P<0.001]. Furthermore, the CB group's anxiety score was substantially lower than the CN group's (3.28±0.85 vs. 5.45±1.78 respectively at P>0.001. Conclusions: The use of care bundles in the bowel preparation of children undergoing enteroscopy had a favorable impact on the quality of preparation and satisfaction with hospitalization, as well as reducing the anxiety of patients and their families. Recommendation: Intensive training and educational programs about the evidence bowel preparation protocols should be considered for surgical nurses and all children and their parents undergoing such procedure as a standard of practice.

Background: Enteroscopy is an important diagnostic and therapeutic procedure. In children, adequate bowel preparation is mandatory for imaging and surgery, but tolerability as well as efficacy must be considered. As a result, good bowel preparation before to such procedures is a critical element in the diagnosis, monitoring, and lowering the risk of probable contamination. Aim:The purposes of this study were to assess the efficacy, and safety of care bundles (CBs) in bowel preparation for pediatric enteroscopy, also evaluate the patients' tolerance and safety regarding it, in addition to assess families' anxiety level, and their satisfaction with hospitalization. Methods: Between July 2019 and December 2019, Mansoura University Children Hospital enrolled children who underwent electronic enteroscopic surgery in a randomized controlled trial (RCT) under conventional nursing (CN), and between January 2020 and June 2020, children who had the surgery were enrolled under the care bundle trial (CG). This study enrolled a total of 83 children, 44 in the CB group and 39 in the CN group as well as included 80 nurses with 40 nurse in each group e. All children in both previously mentioned groups were lavaged with a polyethylene glycol electrolyte solution to prepare their bowels (PEG-ELS). The CBs included education for nurses, risk assessment for inadequate bowel preparation, education for children and families, and observation and assessment during preparation. We compared the two groups' satisfaction with hospitalization, comfort and safety, family anxiety levels, and quality of bowel preparation. Results: The CB group outperformed the CN group in terms of bowel preparation quality [(8.35±6.86) vs. (4.34±02.75) at P<0.001]. Furthermore, the CB group's anxiety score was substantially lower than the CN group's (3.28±0.85 vs. 5.45±1.78 respectively at P>0.001. Conclusions: The use of care bundles in the bowel preparation of children undergoing enteroscopy had a highly statistical significance on the quality of preparation and satisfaction with hospitalization, as well as reducing the anxiety of patients and their families. Recommendation: Intensive training and educational programs about the evidence bowel preparation protocols should be considered for surgical nurses and all children and their parents undergoing such procedure as a standard of practice.