Attention deficit hyperactivity disorder defined as a condition in which a child has troubles in paying attention and difficult focusing on tasks; act without thinking and trouble in sitting still. ADHD begins in early childhood; without treatment. It can cause problems at home with relationships and at school. Aim of the study was to evaluate nursing intervention of parents' adjustment for caring of their ADH children. Research design was quasi experimental for this study. Sitting: The study was conducted at psychiatric outpatient clinic of Shebin Elkom, Menoufia University Hospital. Sample: The sample was convenience, consisted of 60 mothers providing care for their children suffering from ADHD. Tools of data collection were an interviewing questionnaire that includes four parts. Part 1: A Structured interviewing questionnaire; Socio demographic characteristics of studied parents and their children. Part 11: Family impact of childhood disability (FICD) scale. Part 111: This part was concerned with assessment of child completion and efficacy in the activity of daily life (ADL). Part IV: Care giver assessment about the health care needs of the child with ADHD. Results: The study revealed that about two thirds of the sample was boys and one third was girls. Also, most of the care givers live in rural areas, representing two thirds of the sample size. Concerning parent adjustment with children having ADHD; there was statistically significant disruption of normal family routines with p value equal 0.000. Also regarding needs of child with ADHD, there was statistically significant improvement in most of children's' behaviors after implementation of the program. Conclusion: This study concluded that there were improvements after program implementation and follow up in modifying the children behaviors and their needs. Recommendation: Continuous education programs are important to improve parents' adjustment toward care of their ADHD children. Focusing on improving executive functioning as an important aim of improving ADHD behaviors.
Substance abuse may lead to criminal behaviors. Substance abuse has major impact on individuals, families and communities, as its effects are cumulative, contributing to costely, social, physical and mental health problems. Aim of the study: This study aims to examine effect of health and psycho education on the adolescents' knowledge, attitude and perception regarding substance abuse. Design: A quasi experimental design was used to conduct this study. Tool of data collection: Data collection was carried out by using the following tools: An interview questionnaire form that covers two parts. Part I: Demographic characteristics such as: age, father and mother's education, parents' job etc… Part II: It comprised 54 items: four items sought information about respondents' level of knowledge and awareness of, and personal familiarity with, illegal drugs; 35 items explored perceptions, attitudes and beliefs about drug use, drug users and drug-related issues plus 15 items elicited socio-demographic data including the respondents' age, marital status etc. Results: There is statistically significant improvement in the level of knowledge after intervention, with p=0.000.Adolescents positive attitude toward addicts has increased post intervention representing 45.8% of the sample compared with 32.6% pre intervention. Moreover, the positive perception of the adolescents regarding addiction has increased representing 28.3% post intervention compared to 3.3% pre intervention. Conclusion: Adolescents have poor knowledge, poor attitude and poor perception regarding substance abuse. Intervention including health and psychoeducation has an effective result on students knowledge, attitude, and perceptrion of substance abuse. Recommendations: Frequent assessments of adolescents knowledge, attitude and perception regarding substance abuse. Assessing sources of students information and providing frequent educational program for adolecents regarding substance abuse among Egyptian schools. Collaboration of Ministry of Health with Ministry of Information in providing intervention programs targeting adolescents and school students for prevention of substance abuse.
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