Background: Post Extubation Dysphagia (PED) can potentially cause life-threatening consequences, early detection of PED is essential to reduce complications. Understanding the treatment modalities of PED is essential to minimize complications and improve quality of treatment. Oral care intervention and safe-swallowing education are valuable to improve and prevent dysphagia in vulnerable patients' post-extubation. The aim of this study is to assess the effect of oral care intervention and safe-swallowing education on dysphagia among ICU patients post endotracheal extubation. Subjects and Method: Design: A quasi-experimental design was utilized. Setting; Medical intensive care units (ICUs) in Emergency hospital affiliated to Tanta University hospitals. Sample: A purposive sample of 40 adult patients, who underwent emergency oral endotracheal intubation for at least 48 hours. Tool 1: Bio socio-demographic data questionnaire; Tool 2: Modified Standardized Swallow Assessment (MSSA). Data was collected through three phases; assessment, implementation and evaluation through 10 months. Results: there is a dramatic improvement in in MSSA score and in the satisfactory level of MSSA post intervention in the study group which are highly statistically significant, compared to a slight gradual improvement in MSSA score post intervention in addition; there are no significant differences in the satisfactory level of MSSA scores throughout the study period in the control group. Conclusion: oral care intervention along with safe-swallowing education for the patients and their family care giver reduces dysphagia of ICU patients post endotracheal extubation. Recommendation: Nurses can play an important role in reducing dysphagia among ICU patients post endotracheal extubation by include the oral care intervention and safe-swallowing education in the daily routine care provided for patients post endotracheal intubation.
Background: Burn injury is considered as one of the most painful types of trauma that a patient can experience. Pain management is an integral component of nursing practice. Attention has been paid to the use of complementary and alternative therapies as non-pharmacological methods for reducing patient's pain and anxiety. Aim of the study: to assess the effect of massage by using lavender and chamomile oils of intact skin on pain and anxiety of moderately burned patients. Research design: A quasi-experimental research design was used to conduct the study. Sample and setting: The study was conducted on 60 burned patients at Burn Unit, Tanta Emergency University Hospital, Egypt; the sample was divided into two groups; control group who received routine hospital care and study group who received aroma therapy massage with lavender and chamomile oils. Tools of data collection: three tools were used: Tool (I) A structured interview schedule, it comprised of two parts; (part I) patient's sociodemographic data; (part II) Clinical data, Tool (II) Burns Specific Pain Anxiety Scale (BSPAS) and Tool (III) Beck Anxiety Inventory scale (BAI). Results: revealed a significant reduction in pain and anxiety level after implementation of aroma therapy massage with lavender and chamomile oils than pre intervention in study group compared to control group who didn't receive intervention. Conclusion: aroma therapy massage with lavender and chamomile oils can play an important role to control pain and anxiety among burned patients with combination of pharmacological treatment. Recommendation: Nursing staff must focusing on a standardized continuous pain and anxiety assessment and documentation as they are a cornerstone of pain and anxiety control ,also application of aromatherapy massage with lavender and chamomile oils for burned patients as a protocol of nursing care to reduce burn pain and anxiety level.
Breast cancer and its treatment especially chemotherapy-related symptoms may greatly affect the nutritional status of the patient so good nutrition are important especially during treatment , it can lead to better outcomes for breast cancer treatment. Aim of the study: to determine the effect of nutritional teaching program on clinical outcomes for breast cancer patients undergoing chemotherapy. Research design: Quasi-Experimental design was utilized in this study, Subjects and setting: A convenience sample of 60 patients who had primary breast cancer at Clinical Oncology and Nuclear Medicine Department at Tanta University Hospital in the specialized chemotherapeutic wards and in outpatient's clinic. ; The sample was divided randomly and equally into two groups; control group was received routine hospital nutrition and study group who received nutritional teaching program and routine hospital. Tools of data collection: two tools were used, tool I: structured interview schedule. Tool II: "Nutritional status assessment tool consisted of four parts: Part (1) physical examination, physiological parameter, signs and symptoms of nutritional deficiency .Part (2): Dietary intake. Part (3)Anthropometric measurements observational checklist .Part (4): laboratory data. Results indicated that there were highly statistically significant differences between study and control groups throughout the study period regarding mean knowledge P= (0.012, 0.008 and 0.019) respectively, regarding pale skin, fatigue ,weakness, alopecia, constipation and vertigo in the third month after chemotherapy sessions since p=( 0.002, 0.010, 0.044, 0.020, 0.020 and 0.010) respectively. Conclusion: It can be concluded that early nutritional teaching program before beginning chemotherapy session and during chemotherapy periods is very effective on reducing chemotherapy side effects and improving health status. Recommendation nutritional support, advice and guidelines by dietician and nurse of the nutritional regimen should be undertaken for patients undergoing chemotherapy.
Background: Worldwide extremities fractures is one of the most frequent causes of physical disability and changes in patients' quality of life. Aim: This study aimed to assess extremities fractures and fixation and their effects on patients' quality of life. Subjects and methods: A descriptive study that was conducted at the Orthopedic Departments in Tanta University Hospital and Casualty Hospital affiliated to Ministry of Higher Education, Egypt. A convenience sample of 100 adult patients (18-60years) of both sexes, conscious and able to communicate verbally without any neurological problems. The assessment was done four times throughout the period of the study before fixation surgery and one week, one month and three months after fixation surgery. Three tools were used: Tool (1) Structured interview questionnaire that included 2 parts, part (1) Sociodemographic questionnaire and Part (2): Clinical assessment. Tool (II) The short musculoskeletal function assessment questionnaires. Tool (III): Short form 36 (SF-36) health survey questionnaire. Results: There was a negative impact of extremities fracture on patients' total quality of life. oth extremities and specific lower extremity fracture had the poorest quality of life scores than upper extremity fracture. Conclusion: Extremities fractures and their surgical management including internal and external fixation have a considerable effect on all dimensions of patients' quality of life.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.