Background: Patients post-cardiac surgeries are developed restrictive pulmonary impairment postoperatively. Different respiratory modalities are used to reduce pulmonary complications. Aim: to compare between patients using different respiratory modalities post-cardiac surgeries regarding pulmonary complications rate. Design: Descriptive comparative research design. Subject: 150 patients post-cardiac surgeries, divided into three groups (A, B & C), 50 for each group. Group (A) practiced deep breathing and coughing exercises, Group (B) used incentive spirometer and the group (C) used all previous respiratory modalities. Setting: This study was conducted at cardiovascular hospital affiliated to Ain Shams University. Tools: Patients' demographic & clinical data form and postoperative pulmonary complications assessment sheet. Results: The studied patients post-cardiac surgeries in group (C) who practiced different respiratory modalities had lower post-operative pulmonary complications rate than the patients in other groups (A & B) with statistical significant difference < 0.01. Conclusion: Using of different respiratory modalities had significant positive effective on reducing post-operative pulmonary complication rate among patients post-cardiac surgeries. Recommendation: the importance of using different respiratory modalities for all patients' post-cardiac surgeries in other setting.
Background: Esophageal varices are enlarged or swollen veins that occur on the lining of the esophagus. Varices can be life-threatening if they break open and bleed. Aim: This study was conducted to assess nurses' performance (knowledge, practice and attitude) while caring of patients with bleeding esophageal varices. Design: An exploratory descriptive design was utilized to achieve the aim of the study. Setting: The study was conducted at medical ICU and hematemsis unit at Zagazig University Hospitals. Study subject: A convenient sample of (30) nurses working in the previously mentioned units within 6 months. Tools: three tools were used including: I-Nurses' selfadministered questionnaire used to assess nurses' knowledge and demographic characteristics of the study nurses. II-Likert scale used to assess nurses' attitude in caring of patients with bleeding esophageal varices. III-Nurses' observational checklist used to assess nurses' practice in caring of patients with bleeding esophageal varices. Results: 65.7% and 53.33% of nurses had unsatisfactory level of knowledge and practice, while 60% of them had a positive attitude regarding caring of patients with bleeding esophageal varices. Conclusion: there was a highly statistically significant relation between total nurses' knowledge and practice. Recommendations: Further research are recommended to study new approaches in the area of care and management of patients with bleeding esophageal varices and evaluate its reflection on patient's outcomes.
Context: Discharge planning for patients undergoing lumbar disc herniation surgery is considered a strategy for promoting their home and community outcomes. Aim: This study aimed to evaluate the discharge plan's effect on patients' outcomes with lumbar disc herniation surgery. Methods: A quasi-experimental design was utilized to conduct this study. The study was conducted in the neurosurgical ward at El-Demerdash hospital and outpatient clinic at Ain Shams University Hospital, affiliated to Ain Shams University. A purposive sample of 60 patients with lumbar disc herniation surgery was selected according to specific inclusion criteria. The sample size was determined statistically by power analysis considering the total number of patients with lumbar disc herniation surgery in El Demerdash hospital (2016). Tools of the study included patients’ interviewing questionnaire regarding patients’ demographic characteristics, assessment of patients' knowledge, and patients' outcomes assessment tools that include Oswestry disability index, the lower extremity functional scale, and the social dysfunction scale and SF36 to assess psychological outcome. Results: The present study revealed that the mean age of the patients under study was 39.58±8.69, 60% of them were females, and there was a highly statistically significant difference among patients under study throughout discharge planning phases regarding their knowledge, their level of disability, their lower extremity functional scale, total social dysfunction, and total psychological outcomes pre and at follow-up. There were statistically significant relations between patients' level of knowledge and their outcome pre and three months after implementing the discharge plan. Conclusion: Application of discharge planning regarding lumbar disc herniation surgery improved patients' outcomes. The discharge plan should be available in the neurosurgical department and clinic for all patients who will be undergoing lumbar disc herniation surgery should be updated periodically.
Background: Fever is a common problem in ICU patients; it is a medical condition when there is an uncontrolled rise in the body temperature, measured as above 37.5 degrees Celsius. Aim of the study: This study aimed to assess nurse's performance regarding patients with fever at intensive care units. Study design A descriptive exploratory design was used in this study. Setting intensive care units at Nasser General Hospital, affiliated to Ministry of Health. Study subject: A convenience subject of all available nurse's Tools: I Self -administration questionnaire, II nurses' practice observational checklist, III-Nurses' attitude rating scale. Results: revealed that the mean age of the studied nurses were 26.1±4.4, 62.9% of the studied nurse's had satisfactory level of knowledge, there was 75% of them had satisfactory level of practices and 55.7% of nurses under study had positive attitude toward patients with fever at intensive care units. Furthermore, there was a positive correlation between attitude and their practices, there is a statistically negative correlation between knowledge and attitude of studied nurses regarding patient with fever at intensive care units. Conclusion: More than two thirds of the studied nurses had satisfactory level of knowledge, three quarter of them had satisfactory level of practices regarding patients with fever at intensive care units, and more than half of the studied nurses had positive attitude toward patients with fever at intensive care units. Also, there is high significant relation between nurses' knowledge, practice & their demographic characteristics. Recommendations: in service training program must be developed based on nurses' need assessment regarding care of patients with fever.
Background: Seizure is a brief episode of signs or symptoms due to abnormal excessive or synchronous neuronal activity in the brain. Aim: the present study aimed to assess nurses' performance regarding caring for patient with seizures. Design: descriptive exploratory design Setting: Neurological ICU and Emergency Unit at Elsheikh Zayed specialized hospital, 2 nd floor, 6 th October. Subject: a convenient sample of all available nurses (50) working in neurological ICU, emergency unit at ELsheikh Zayed specialized hospital. Tools: three tools were used nurses' selfadministered knowledge questionnaire, nurses' observational checklist and likert scale to assess nurses' attitude regarding patient with seizures. Result: the result of this study showed that, 84% of the studied nurses had unsatisfactory level of knowledge, while 80.0% of them had positive attitude and 74% of them had unsatisfactory level of practice regarding care of patient with seizure. Also, there was fair positive correlation between total nurses knowledge and their total practice level while there was no statistical significance difference association between total nurses knowledge and their attitude toward seizure disease Conclusion the majority of the studied nurses had unsatisfactory level of knowledge and three quarters of them had unsatisfactory level of practice regarding care of patient with seizure. While the majority of them had positive attitude Also. Recommendations: in-service training program must be developed based on nurses' needs assessment regarding care of patients with seizure.
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