Background: Ovarian cancer is one of the ten most frequent malignant tumors in female population with a high rate of mortality.The aim of this study: was to investigate health related quality of life among ovarian cancer women receiving chemotherapy at zagazig university hospitals. Research design: a descriptive study design. Settings: The present study was conducted in the gynecologic oncology outpatient's clinic at zagazig university hospitals. The sample: consisted of 75 women diagnosed with ovarian cancer and receiving chemotherapy. Tools of data collections:Three tools were used: Tool (1): An interview schedule including 3 parts: First part: to collect the socio-demographic characteristics, the second part for a reproductive history and third part for: treatment modality, protocol of chemotherapy and problem encountered after ovarian cancer treatment.Tool (II): Cancer Patient Quality of Life Scale (EORTC QLQ-C30). Tool (III): Ovarian Cancer Quality of Life Scale (EORTC QLQ-OV28).Results: the highest affected dimension of health related quality of life (EORTC QLQ-C30) was for physical functioning scale with mean of (76.0Â±16.4) the role functioning scale (mean 75.80), and emotional functioning scale (mean 73.6) following by social functioning scale and cognitive functioning (mean 72.4, 61.70 respectively). Meanwhile the higher symptom scores for QLQ-C30 were found for fatigue, nausea and vomiting (88.00Â±9.00 & 85.00Â± 19.25 respectively). The highest mean scores of ovarian cancer module QLQ -OV28 were body image and attitude to disease/treatment following by sexuality (75.83, 65.55& 51.66 respectively). Additionally the higher mean score for the symptoms scales on the OV-28 instrument were peripheral neuropathy and chemotherapy side effects (85.92& 80.95 respectively). Conclusion: It can be concluded that women with ovarian cancer and receiving chemotherapy experience high prevalence of chemotherapy symptoms that adversely affected their quality of life. Recommendation: Further research should be carried out to identify the best strategies to further integrate results of quality of life assessments in ovarian cancer treatment protocols and to examine the long-term effects of cancer and its treatment on patients and their families.
Fatigue is one of the most frequent complaints reported by the end stage renal disease patients who are undergoing hemodialysis. It limits patientsâ€™ daily activities and independence. The aim of this study was to evaluate the effect of warm water foot bath on fatigue in patients undergoing hemodialysis. The present study was conducted at Kasr Al-Aini Center (Nephrology- Dialysis â€“Transplantation) at Cairo University hospital. A purposive sample consisted of 88 chronic renal failure patients (44 each in experimental and control group).Quasi experimental pre-post test non equivalent control group design was used. Data was collected using demographic sheet, Fatigue severity scale and bath thermometer. The study results revealed that in the experimental group a decrease of 8.46 points was indicated for the participants in the experimental group (time 1 is 53.73 Â±3.22, time 3 after warm water footbath 45.27 Â±5.98).Also a significant reduction was reported between the pre-test and post test score F = 42.447, P <0.0001. The current study concluded that most of the patients undergoing hemodialysis were suffering from fatigue. Warm water footbath is effective in reducing fatigue among patients who are undergoing hemodialysis. The study recommended that complimentary therapy such as warm water foot bath therapy should be added into hemodialysis complications treatment. The same study can be replicated in different settings on hemodialysis patients.
Background: Pressure ulcer has been described as one of the most costly and physically debilitating complications in the 20th century and they are the third most expensive disorder after cancer and cardiovascular diseases. A significant amount of evidence has accumulated indicating that SKIN care bundle is considered as an essential component of pressure ulcer prevention practice for nurses to combat the incidence of pressure ulcers. However, standardized guidelines and protocols for pressure ulcer prevention in pediatric intensive care units have not been universally implemented. Aim: This study aimed to evaluate the effect of implementing a designed SKIN care bundle protocol on modifying nurses' practices toward pediatric intensive care unit patient.Subject and method: A quasi experimental design was used. The study was conducted at the pediatric medical intensive care units affiliated to Mansoura University Children's Hospital (MUCH) and international Hospital of Sandoup in El - Mansoura City, Egypt. The study included a convenience sample of 84 nurses, 105 pediatric intensive care unit patients, recruited for six monthsâ€™ period. Tools: Three tools were used to collect data. Tool 1: An interview questionnaire sheet for nurse's knowledge. Tool 2: Observational checklist used to determine nursesâ€™ performance regarding SKIN care bundle. Tool 3: Braden scale risk assessment tool to assess severity of risk for developing pressure ulcer among critically ill pediatric patients. Results: The majority of the studied nurses didn't receive any training program about SKIN care bundle for pressure ulcer prevention and more than one third of the studied nurses had an insufficient knowledge, as well as more than half of the studied nurses had an unsatisfactory practice regarding SKIN care bundle preprogram, which improved to have a sufficient knowledge and a satisfactory practice after the program and at follow up respectively. There was a significant positive association between nurses' knowledge and practice at p < 0.001. Conclusion: The program had a positive effect on the critical care nursesâ€™ knowledge & practices as well as on the pediatric intensive care unit patients as represented by a decrease in percentages of the studied pediatric patients who had a high risk for PUs development to immediately after & at follow up program implementation respectively.Recommendation: Including SKIN care bundle interventions & Braden risk assessment into nursesâ€™ routine care and developing regular and continuous educational programs for the critical care nurses according to their needs aiming at refreshing their knowledge and improving their practice for critically ill pediatric patients
Background: Creating a participative work environment for the professional nurses is an exciting organizational strategy that fostering the autonomous decision making, reducing job burnout and dissatisfaction in healthcare settings. Aim of the study: to assess factors facilitate head nursesâ€™ policy development and autonomy in decision making Design: descriptive, comparative design was used to fulfill this study. Setting: in International Teaching Hospital affiliated to Tanta University Hospital and El-Menshawy Hospital affiliated to Ministry of Health in Tanta. Sample: The sample size integrated all available nurse leaders in International Teaching and El-Menshawy Hospitals estimated 350 head nurses. Tools of data collection: An structured questionnaire was used to collect data for the present study consists of two tools likert type rating scale, tool 1: Factors that act as facilitators to nurse leaders participation in health policy development scale, tool 2: Nurse leaders autonomy scale Results: Factors of involvement, knowledge and skills, support, image of nursing, enabling structures and available resources were identified as a high facilitators for head nurses participation in health policy development process in El â€“ Menshawy hospital 87.00% and in the teaching hospital 98.00% , the head nurses perceived high autonomy related to their unit operations decisions 88.00% and patient care decisions 94.00% in the teaching hospital while moderate in El â€“ Menshawy hospital, there was a positive relationship between factors that facilitate the nurse leadersâ€™ participation in health policy development and their autonomy in decision making related to patient care decisions in both hospitals. Conclusion: Factors that facilitate head nurses participation in health policy development process were high in both hospitals, the head nurses perceived high autonomy related to their unit operations decisions and patient care decisions in the teaching hospital while moderate in El â€“ Menshawy hospital, there was a positive relationship between factors that facilitate the nurse leadersâ€™ participation in health policy development and their autonomy in decision making related to patient care decisions in both hospitals Recommendations: Support participative decision making through minimizes bureaucratic management style and facilitate upstream communication and empower involvement of nurse leaders on organizational committees and workgroups.