Background: Post operative nausea, vomiting, and retching are recurrent symptoms and can lead to complications ranged from mild e.g. unpleasant sensation, to severe e.g. aspiration and postpone patients' discharge. Also, the use of antiemetics accompained by side effects so, we in a great need for adding a non-pharmacological measure to routine hospital care. Aim: Explore the infleuence of deep breathing exercise on nausea, vomiting, and retching in postoperative orthopedic patients. Materials and methods: A quasi-experimental study was conducted at recovery rooms and orthopedic wards at Menoufia University Hospital, Egypt. A convenient sample of 84 patients divided into two groups control and study 42 for each, who were adult, conscious, and under general anesthesia. Three tools were used for data collection; Tool I patient information form, Tool II glasgow coma scale, Tool III index of nausea, vomiting, and retching (INVR). Results: There was a statistically significant difference in total scores of INVR between both groups after 6 hours (U (p1)=400.50 * (<0.001 * ) and 12 hours U(p2)=529.50 * (<0.001 * ). Conclusions: It was concluded that deep breathing exercise decreases nausea, vomiting, and retching among study group patients after both 6 and 12 hours. Recommendations: Deep breathing exercise should be added to routine hospital post operative care, and further researches on larger sample to explore frequency of antiemetic drugs use among patients performing postoperative deep breathing exercise.
Background: Mindfulness-based program incorporating meditation practices and self-efficacy are gaining popularity among cancer patients. The current study aimed to evaluate the effects of a mindfulness-based program and perceived self-efficacy for patients with lung cancer. Methods: A quasi-experimental study was conducted in the outpatient clinics and nuclear medicine clinic at the New Cancer Institute at Menoufia University, Shebien Elkom City, Egypt. A purposive sample of 160 patients with lung cancer was enrolled, from whom data were collected through 5 tools: Tool (1): Structured interview questionnaire including demographic and medical data, Tool (2): Condensed Memorial Symptom Assessment Scale (pre/post), Tool (3): Eastern Cooperative Oncology Group Performance Status (pre/post), Tool (4): Self-Efficacy Pulmonary Rehabilitation Adapted Index (pre/post) and Tool (5): Questionnaire about mindfulness which includes knowledge, reported practice and five-facet mindfulness (pre/post). Results: This study displayed statistically significant improvements in symptoms (5.65 ± 1.33 to 3.00 ± 1.36), performance status (1.75 ± .83 to 2.25 ± .86), mindfulness (18.62 ± 2.32 to 29.75 ± 4.06), breathing meditation (1.17 ± 1.64 to 5.70 ± 1.60), self-efficacy (20.37 ± 2.93 to 33.32 ± 5.11), and knowledge (1.65 ± 2.36 to 13.17 ± 2.004) for patients with lung cancer after program application. Conclusion: Implementation of a mindfulness-based program and perceived self-efficacy have positive effects on improving physical and psychological symptoms, breathing meditation practice, performance status, and knowledge among lung cancer patients.
Background: The population aged 60 years and older is growing both in number and proportion. One treatment option for elderly patients with sleep issues and poor communication skills is logotherapy. this training assesses the effects of altering the meaning of life and attitudes of older persons through training in areas like self-esteem, communication skills, and the elements of mental helplessness when facing specific events. The study aimed to evaluate the effectiveness of logotherapy training in self-esteem, communication skills, and the impact of events among older adults. The setting of the study: The study was conducted in El-Sadat nursing home, Berket El-Saba nursing home, and Elderly Club, Shebeen El-Kom, Menoufia, Governate, Egypt. Subjects: A Convenience sample of 50 senior males and females. Research Design: A quasi-experimental design was used to achieve the aim of the study. Data collection: Four tools were used; Tool (1): Socio-demographic and clinical characteristics structured interview questionnaire. Tool (2): The Cooper smith Self-Esteem Inventory Tool (3) Human communication skills scale Tool (4) Weiss and Marmar's Impact of Event Scale-Revised. Results: The findings of the study revealedthat the mean age of the studied older adults was 67.98±6.02 and, more than half of them (52%) were females.There was a decrease in the mean score of the total impact of the event scale in the posttest (41.92) than the pretest (62.74). There was an increase in the mean score of self-esteem in the post-test (22.24) than pre-test (16.48). In addition, the mean score of the total communication scale was increased in the post-test (195. 6) than in the pretest (160.98) with a statistically significant difference. Conclusion: Applying logotherapy training among older adults proved to be effective in improving self-esteem, and communication skills, and decreasing the impact of events among older adults.
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