Cerebral palsy is one of the most common pediatric neurological disorders which encompasses a negative psychological, emotional, social and physical consequences of providing care. Providing a high level of care for children with cerebral palsy may affect both the physical, social, and psychological health of the mothers who take care for those children. Mothers experience many stressors which affect their daily lives. So, nursing intervention is a key element of managing cerebral palsy children, support their parents and enhance their coping strategies to reduce their tension and stress and adapt to their new situation. Aim: Evaluate the effect of nursing intervention on stress and coping strategies among mothers of their children with cerebral palsy. Method: A quasi-experimental design was used for this study, including 65 mothers caring of children with cerebral palsy. The tools of data collection were as: a structured questionnaire sheet, Parenting Stress Index-Short Form, Coping Health Inventory for parents and Gross Motor Function Classification System before and after six months of nursing intervention. Results: The study revealed that, the total mean score of mothers’ stress was high before nursing intervention while, this score was low after nursing intervention. Also, the total mean score of mothers’ coping strategies was low before nursing intervention while, this score was high after nursing intervention. In addition to, there was a statistical significance difference between mothers’ level of stress and their coping strategies applied to decrease their stress before and after the nursing intervention. Conclusion: Nursing intervention was effective in reduction of mothers’ stress and raising the coping strategies of mothers of children with cerebral palsy. Recommendations:Various parenting approaches and coping strategies need to be recommended and taught to mothers to decrease their stress. Also, nurses should play a key role in health teaching and counseling the mothers about all aspects of care of their children with Cerebral palsy and ways to overcome the stress associated with this care.
Adolescence is a journey from the world of the child to the world of the adult. Adolescence is very important since it is the time in life when major physical, psychological and behavioural changes take place. The potential synergistic effects of unhealthy lifestyle behaviours on the risk of chronic conditions as iron deficiency anaemia and health outcomes among adolescents’ girls are a key issue for their health. Aim: this study aimed to identify the life style risk factors of iron deficiency anemia among adolescents’ girls. Design: A case control study design Setting: The study was accompanied at one school from urban and eight from rural preparatory school girls. Subjects: The total number of the randomly selected girls was 240 preparatory school girls (120 girl students as cases who have anemia and the same number of non-anemic girls recruited in control group). Tool: data was collected using one toolentitled adolescent girl's structured interview questionnaire Results: according to multivariate analysis logistic regression the factors which showed significant relation to students with iron deficiency anemia were many.Concerning factors related to demographic characteristic, father's occupation, Underachiever students, Mother’s education, Place of residence, and low monthly family income.Moreover factors related to sleeping pattern and activity practices included physical inactivity, absence of nap sleep hours. With respect to risk factors related to student's feeding practices, the observable risk factor for iron deficiency anemia was not consumed snacks. Additionally other factors were found as not eating daily breakfast, eating less than 2 meals/day and time of drinkingtea. Conclusions & Recommendations: There is significant association of iron deficiency anemia with adolescents’ girls’some socio-demographic characteristics and their activities related to life style. Subsequently, there is requisite to increase awareness of anemia among adolescent girls and their parents.