Violence against women is social violence though practiced on individual level because the society accepts this violence and in many cases encourages it. Condemnation of any kind of violence is a basic assumption in our current research.The aimof this study was to explore impact of various socio-demographic factors on different aspects of violence against women. Descriptive designwas used to conduct this research .This study was carried out in faculty of Nursing atSohag University. The sample consisted of 194 clients.Toolsused in this study, included patient assessment sheet (tool I),the Socio-Economic statues (Tool II), and the aspects of violence against women questionnaire (Tool III). Results:The current study showed predominance of various aspects of domestic gender based violence, as The majority of our clients opinion preference of having male children (69%), and favoring female circumcision (51%). A considerable proportion of the study participants encouraged early mirage of girls (24%), polygamy (15.5%), support negligence of female opinion (27%), believe in his right of wife beating (14%) or rape (12%), and wouldn’t mind of controlling his wife’s income (9%).Conclusion& Recommendation:Considerable proportions of our clients showed negative attitude towards female gender in terms of preferring male than female children, early marriage of female children, polygamy and spousal violence that may take the following forms; wife batting, wife rape, control of wife income or stingy behavior toward wife.So it is prudent to highlight the purpose and essence of marriage in religion. It is also judicious to maximize the role of health care providers, as nurses in identifying women at high risk of domestic violence (through screening programs in prenatal clinics) and backing and teaching them how to manage an illness tacking into consideration WHO recommendations.
Background: Nowadays, intraocular surgery is widely performed and the ophthalmic nurse is the backbone of the eye care. Any deficiency in providing adequate nursing care pre or post eye surgery can lead to serious complications. The study aimed to: Evaluate the effect of implementing the nursing guideline on nurses' performance regarding patients undergoing cataract or glaucoma surgery. Method: Quasi-experimental research design was utilized to conduct this study. Sample: A convenience sample of 36 nurses working at Ophthalmology Mansoura Hospital was included in this study. Tools: Data were collected using two tools, first tool was pre/post structured questionnaire sheet, and it included two parts; part 1- included socio demographic characteristics of the studied nurses and part 2- included nurses' knowledge regarding the care provided to patients with cataract or glaucoma surgery. Second tool was pre/post observation checklist for nurses' practice pre, and post surgery. Results: Post implementing the guideline; there were high statistical significant differences in nurses’ knowledge, preoperative practice, and postoperative practice (p<0.001) and a statistical significant relation was found between nurses' educational level with their knowledge, preoperative practice, and postoperative practice (p=0.044, 0.050, 0.048 respectively). Conclusion: Applying the designed nursing guideline is effective in improving nurses' knowledge, and practice regarding the care provided to patients with cataract or glaucoma surgery. Recommendation: It is recommended to; develop a specialized orientation program for the newly appointed nurses, provide the nurses with continuous training courses, set restrict supervision on nurses' application for infection control precautions, and encourage them to become involved in research studies.
Background:There is an emerging awareness that acutely ill and immobilized neonates are at risk for iatrogenic pressure injury. Therefore, it is crucial for nurses to understand the physiologic indices of pressure injury development and their interventions should be based on evidence-based information to reduce neonatal morbidity and mortality while increasing quality of care in the neonatal care setting.The aim of this study was to evaluate the effectiveness of preventivebundle guidelineson reducing iatrogenic pressure injuries among critically ill neonates.Research design: A quasi-experimental design was used. Settings:This study was conducted at the neonatalintensive care units in Benha Specialized Pediatric Hospital.Sample:A Convenient sample of nurses' (n=50) and critically ill neonates(n=60) were included from the above thementioned setting.Those neonateswere divided equally into two groups(study and control).Tools of data collection:Four tools were used namely; structured interviewing questionnaire format,pressure injury preventive bundle compliance checklist,Braden Q Risk Assessment Scales, andnurses opinion likert scale. Results:High percentage of the neonates (76.7%& 83.3%), in the study group were not at risk of pressure injury in the first and second week of admission respectively;this increased to 90.0%before discharge. While around (40%) of neonates in the control group were at high risk of pressure injury from the first week of admission till before discharge. Moreover. The result revealed that there was a significant improvement in nurses knowledge regarding pressure injuries as well as their compliance with preventive bundle guidelines after bundle implementation.Conclusion:The implementation of preventive bundle guidelines proved to be effective in improving nurses' knowledge and their compliance, with a positive impactontheincidence of pressure injury among critically ill neonates. Recommendation: Preventive bundle guidelines should be implemented in all hospitals caring for children to reduce the harm associated with hospital-acquired pressure injuries.
Efforts to manage hypertension in pregnancy, on evidence based medicine using pharmacological therapy lower blood pressure, so it can reduce morbidity and mortality in the maternal and prinatal. Therefore, prior to administration of anti-hypertensive drugs, the need to consider pharmacodynamic and pharmacokinetics that occur in the mother and fetus. Labetalol and nifedipine are category C (FDA) antihypertensive drugs that can be used as an option in the treatment of hypertension during pregnancy, because they do not have teratogenic risks for both pregnant women and the fetus. The making of this article is intended to determine the safety of the use of antihypertensive drugs, labetalol and nifedipine during pregnancy.
Ideal wound care for split-thickness skin graft donor sites should include dressings that promote healing, prevent complications, and are cost-effective. The aimof this study is to evaluate the effect of hydrocolloid dressing versus paraffin gauze dressing for split thickness skin grafting donor sites in terms of pain and wound healing. Methods: quasi-experimental design was conducted over period of one year for 35 patients who admitted for skin graft. The participants were recruited from one of the big teaching hospitals in Cairo at Egypt. The Numeric Rating Scale (NRS) and Bates Wound Assessment Tool (BWAT) were used alongside a background/medical data sheet to collect the data. The selected two dressing material were changed for three to four times. Result it was observed that there was a gradual decrement in the Bates Wound Assessment Tool scores during 4th ,7th ,10th ,and 14th days during changing the dressing at duoderm /hydrocolloid and paraffin gauze dressing sites, But, decrement at the duoderm sites was greater and faster than paraffin gauze dressing sites with a mean and standard deviation equal to(23.34±.998, 16.20±2.03, and 13.77±1.13 versus 25.80±1.53, 23.14±2.15,and 18.85±1.61)respectively. The mean healing time for complete re –epithelialization was equal to 8.6 day ±1.08, for hydrocolloid sites versus 15.2 day± 3.02 for paraffin gauze site)respectively. Also, there were a statistical significance difference between the three durations of changing the dressing at the paraffin and duoderm sites for the same subjects with F/ratio/P value equal to( 17783.959 / .000*).As regards to pain subjects exhibited lesser pain intensity during ,7th ,10th ,and 14th days during changing duoderm dressing sites in comparison with paraffin gauze sites. Conclusion: Hydrocolloid dressing resulted in shorter healing time, faster re –epithelialization, fewer dressing changes and reduced pain when compared with paraffin gauze dressing. Recommendation Hydrocolloid dressing is recommended dressing for partial split thickness skin grafting donor sites. A larger randomized study is required to generalize the findings.
Background:Depressive disorder is the most prevalent psychiatric disorder that influences 350 million individuals worldwide. It negatively affects social, familial functioning, and work productivity due to depressive symptoms that include disturbed eating and sleep habits, lack the desire to do things, impaired social and occupational functioning, and inability to maintain successful relationship besides the depressed mood. In response to their depressive symptoms, some individuals use ruminative thoughts to identify why they feel depressed in an attempt solve their problem. However, rumination exaggerates the depressive symptoms and may impair social problem solving.
Method:A descriptive cross sectional research design was conducted in the in-patient Psychiatry Department at Mansoura University Hospital. The data was collected from 85 patients living with depression who fulfilled the inclusion criteria. The Ruminative Response Scale (RRS) and Beck Depression Inventory (BDI-II) were used to achieve the purpose of the study.Results:The results of the current study revealed that severity of depression positively significantly correlated with ruminative thoughts (p= 0.010). Furthermore, weak negative significant correlation between severity of depression and reflection domain of rumination in (RRS)wasdetected (p=0.011).Weak positive significant correlation between severity of depression and brooding domain of rumination in (RRS) (p=0.007).
Conclusion:in conclusion, the severity of depressive disorder was positively correlated with ruminative thoughts.
The study aims to assess comorbid psychiatric problems among children with Autism Spectrum Disorder in an Egyptian sample. A descriptive exploratory cross sectional design was utilized with a sample of 90 children diagnosed with Autism spectrum disorder who attended the children's outpatient clinic of psychiatry department at Mansoura University Hospital. Data was collected by using three tools. Results revealed that the majority of the studied sample had low and very low levels of socioeconomic status (53.4%), about two thirds (68.9%) of the studied sample have a moderate level of severity of autism symptoms, while (31.1%) of the studied patients have a high level of severity of autism symptoms. The most common comorbid psychiatric problems of studied sample were hyperactivity, learning problems, conduct problems, impulsive-hyperactive, anxiety and psychosomatic problems (19.07 ±3. 01), (9.91±1.01), (8.77 ±2.76), (8.32 ±1. 68), (6.16 ±1. 60) and (1.12±1.06) respectively. There is statistically significant correlation between severity of autism, and all comorbid psychiatric problems (except the anxiety) ( p ? 0.001). In conclusion, the results of the current study indicate the importance of early recognition of symptoms of autism, comorbid psychiatric problems and active involvement in comprehensive health educational programs for caregivers of children with ASD are recommended.
Fear of falling (FOF) is a common health problem facing older adults. Investigating its predictors can help in prevention of fall and fear of falling. Objective: To determine the predictors of fear of falling among community dwelling older adults in Mansoura city. Design: Descriptive cross-sectional design was used. Settings: The study was conducted in urban and rural areas affiliated to Mansoura city.Subjects: 528 older adults' residents in selected urban and rural areas using systemic random sample were included in the study. Tools: Four tools were used: Socio demographic and Clinical Data Structured Interview Schedule, Katz and Akpom Scale, the Modified Falls Efficacy Scale (MFES), and Berge Balance scale. Results: FOF is prevailing among 64.4% of community dwelling older adults. FOF is higher among older adults with advanced age, females, chronic diseases, suffering from visual & hearing impairments, use of assistive devices and have moderate to high fall risk. Conclusion: Fear of falling was prevalent among community dwelling older adults. Recommendation: Assessment of fear of falling frequently and screening for those at higher risk of developing fear of falling and fall. Education programs should be implemented for elders in different sectors in Mansura.