Background:The main cause of mortality in the developed world is coronary artery disease. Low self-efficacy and self-esteem are associated with it. Self-efficacy is a critical, adjustable personal resource that influences rehabilitation adherence and disease outcomes including health-related quality of life in persons with cardiovascular disease. Aim: This study was aimed to determine the effect of social-platform educational instructions on self-efficacy and self-esteem of patients with coronary artery diseases. Subjects and method: Design: A quasi-experimental research design was utilized. Setting: The study was applied in the cardiology unit and outpatients' clinics at Port-Said University Hospital. Subjects: A Purposive sample of (80) adult patients diagnosed with coronary artery disease. Participants were equally and randomly allocated to an intervention and a control group, (40) patients for each one. Tools for data collection: Tool (1) a structured interviewing questionnaire, Tool (2) cardiac self-efficacy scale, Tool (3) cardiac exercise self-efficacy scale, Tool (4) Coopersmith Self-Esteem Inventory, and Tool (5) adult patients' satisfaction with socialplatform educational instructions. Results: The study result portrays that (82.5%) of the study group and (72.5%) of the control group were of the same age from 30-≤ 60 groups with a mean age (45.21 ± 7.02) (46.61 ± 10.43) respectively. The majority of the patients in the study group had satisfactory knowledge levels, and had high cardiac self-efficacy, self-esteem, and practice exercise self-efficacy post-social-platform educational instructions implementation. The mean score of selfefficacy in the intervention group significantly increased across the two measurement time points as well as self-esteem, while it remained significantly unchanged in the control group. Conclusion: Regarding knowledge, cardiac self-efficacy, cardiac exercise self-efficacy post, and after two months of social-platform educational instructions, there was a statistically significant difference between the study and control groups. Social-platform educational instructions were effective and significantly improved adult patients' knowledge, self-efficacy, and self-esteem. Recommendations: We recommend interventions to improve patient's compliance with treatment should be encouraged. Therefore, nurses can use this strategy to improve these patients' selfefficacy and self-esteem.
Background: Systemic lupus erythematosus (SLE) is an autoimmune, rheumatic disease, potentially affecting most organ systems. The disease is commonly considered to be chronic and occurs in often unpredictable flares, with alternating low and high disease activity. Good self-management is essential to managing lupus; as individuals with SLE can improve their prognosis by learning about many aspects of the illness as well as closely monitoring their own health with their care providers. Aim of the study: This study aims to evaluate the effect of Self-Management Guidelines on Awareness, health outcome and Self-Efficacy for Patients with
Background: Foot-drop in stroke patients usually occurs because the muscles that lift the foot are weakened by the neural system impairment. Foot drop splints and physical exercise are important to manage foot drop patients after stroke for safe and efficient walking. Aim: This study was aimed to evaluate the effect of foot splint and exercises session on foot drop and muscle strengthening among patients with stroke. Design: Quasi-experimental research design was used in this study. Setting: The current study was conducted in the neurological department at Port said University Hospital. Subjects: A purposive sample of 100 ischemic stroke patients was recruited for the study, and was assigned into two groups, with 50 ischemic stroke patients in each group (the study and control groups). Tools for data collection; Tool (1): Patient's interview questionnaire; Tool (2): Foot and ankle disability index (FADI) (pre/post), and Tool (3): muscle strength assessment scale (pre/post). Results:The results revealed that (84%) of the study group and (88%) of the control group were of the same age from 40-≤ 60 groups with a mean age (55.23 ± 7.02) (56.61 ± 4.45) respectively, (68%) were males. There was a statistically significant difference in the FADI scale total score among ischemic stroke patients within the study and control group post one month and three months post-implementation. There was a statistically significant difference in muscle strength scores among the study and control groups post one month and three months of implementation with an improvement in the level of muscle strength among the study group and then control group after implementation of foot splint and exercises. Conclusion: The application of a foot splint and exercises session has a positive effect on decreasing foot drop disability and improving muscle strengthening among patients with stroke. Recommendation: We recommend foot splints and exercises should be engaged in a rehabilitation program for patients with stroke to decrease disability associated with foot drop and improve muscle strengthening.
Background: Systemic lupus erythematosus (SLE) is an autoimmune, rheumatic disease, potentially affecting most organ systems. The disease is commonly considered to be chronic and occurs in often unpredictable flares, with alternating low and high disease activity. Good selfmanagement is essential to managing lupus; as individuals with SLE can improve their prognosis by learning about many aspects of the illness as well as closely monitoring their own health with their care providers. Aim of the study: This study aims to evaluate the effect of Self-Management Guidelines on Awareness, health outcome and Self-Efficacy for Patients with
Background: Nurses play a crucial role in helping curb the hazardous health impact of coronavirus disease , their quality of lives, psychological aspect and major functioning has been greatly affected by the pandemic. Aim Evaluate the effectiveness of nursing intervention program on quality of life, Posttraumatic stress symptoms and dispositional resilience among nurses who caring for patients with corona virus at isolation hospitals in Mansoura university hospitals. Method Quasi experimental design, one group pre-test post-test, convenient sample was conducted among 90 nurses isolation unit at Mansoura university hospital, Dakahlia/Egypt. Tools questionnaire to collect nurse's demographic data, nurses Quality of life SF-12 questionnaires (QoL), Impact of Event Scale Revised (IES-R) and Dispositional Resilience Scale (DRS). Results Total scores of quality of life and DRS domain were improve after implementation of nursing intervention program, while total score of IES-R was decreased after implementation of nursing intervention program, a highly statistically significant positive correlation between total scores of QOL and DRS after the program implementation as (t=0.400, p= 0.019; t=2.400, p=0.019; t=1.503, p=0.037). Conclusion The nursing intervention program tailored to needs is effective in improving nurses' quality of life and dispositional resilience, as well as decrease post-traumatic stress symptoms level. It was recommended to continuous educational program for nurses in clinical area to adapt with stressors through use dispositional resilience to enhance their quality of life. On-the-job continuing nursing education activities should be developed and implemented regularly to respond to nurses' unmet needs.
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