Proper nutrition found to be an essential in health maintenance and restoration in the critically ill patient. Aim of the study was to evaluate the effect of early enteral nutrition guidelines on occurrence of gastrointestinal complications among acute lung injury patients. Design A quasi-experimental research design was used to conduct this research. This study was carried out at Trauma Intensive Care Unit at Assiut University hospital. Sample: was consisted of 30 patients in each group. Tools: Tool I: Modified patient assessment questionnaire, Tool II: Gastrointestinal complications assessment related to enteral nutrition. Methods: data about 30 patients receiving enteral nutrition before enteral nutrition guidelines were retrospectively compared with data for 30 patients admitted after implementation of the guidelines. Results of the present study showed Patients in the after intervention group had a lower gastrointestinal complications than before intervention group. Conclusion: Implementing early enteral nutrition guidelines reduce occurrence of gastrointestinal complications among acute lung injury patient in ICU Recommendations: Provision an educational programs for nurses about enteral nutrition guideline.
Dyspnea and a higher volume of secretions are common complaints among chronic obstructive pulmonary disease patients. As a result, there is a current tendency to adopt non-pharmacological approaches to help clear secretions, improve lung function, and relieve dyspnea. So, the aim of this research was to evaluate the effect of autogenic drainage and acupressure on the respiratory outcomes of non-invasive mechanically ventilated COPD patients. A quasi-experimental design was used. Setting: chest and general intensive care units at Assuit University Hospitals. Sixty noninvasive mechanically ventilated COPD patients recently admitted were included. Data was collected using two tools: tool I: patient assessment sheet, tool II respiratory outcome assessment sheet. Results: There was a highly significant reduction in the respiratory rate in study group after application of autogenic drainage and acupressure at 3 rd and 7 th day (p<0.001), significance differences were found regarding PaO2, SaO2 before and after intervention between study and control groups at 7 th day with P. value (0.004, 0.029and 0.005&0.005)respectively. Moreover, there was highly significance increase in the amount of sputum clearance at 7 th day (p<0.001), improvement with highly significance in dyspnea measures among study group patients 7 th day (p<0.005) after extubation and (p<0.001) before discharge. Conclusion: applying autogenic drainage and acupressure had statistically significant positive effect on respiratory parameters outcomes on non invasive mechanically ventilated COPD Recommendations: provide educational program for nurses about AD and acupressure.
Critical care nurses are more liable for the occurrence of burnout, stress and inappropriate use of stress coping mechanisms. Burnout is caused by the negative effects of job stress. Because of burnout nurses may become less productive, or absent due to illness, as well as the fluctuation of staff increases. So, A quasi-experimental research design with one group pre/post-test approach was used to assess the effect of psychological educational programs on Stress Coping Mechanisms and Burnout syndrome among Critical care Nurses. Setting: General, trauma, pediatric, internal medicine and open heart surgery intensive care units at Sohag University Hospital. Sample: A convenient sample of all nurses working in the selected setting and who is in the actual work force during the study time. Tools: Online questionnaire covers three tools as follows Tool Ι: Burnout self-assessment questionnaire Tool II: The Perceived Stress Scale-10 and Tool III: The Brief COPE Inventory. Results: shows statistically significant improvements in parameters for Maslach Burnout Inventory as Mean±SD for Emotional Exhaustion was (32.29±11.36 pre-program versus 23.69±14.72 post-program), Depersonalization (12.73±6.19 pre-program versus 10.61±6.51 post-program) and Personal accomplishment (37.35±9.53pre-program versus 43.37±5.48post-program). Conclusion: application of a psychological programs has a positive effect on reducing the level of burnout, and stress among critical care nurses. Recommendations: Training programs about burnout syndrome and Stress management techniques should be held periodically for critical care nurses.
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