Effect of Web Causation Epidemiological Model on Preventive Behaviors of Diabetic Females with Genitourinary Tract Infection

Context: Genitourinary tract infection becomes a silent epidemic that devastated female life. It is closely interrelated with hyperglycemia, diabetes, and lack of awareness about personal hygiene care. All increase the susceptibility to various types of infections. Aim: To assess the effect of the web causation epidemiological model on preventive behaviors of diabetic females with genitourinary tract infection. Methods: The study was conducted at a diabetic outpatient clinic in El Demerdash Hospital because it received clients from different areas and has a high population rate. This study encompasses a purposive sample of 100 females. A quasi-experimental research design was selected. Data were collected using a structured interviewing questionnaire and preventive practice checklists to assess the knowledge and practices of the diabetic female. Results: 69% of diabetic females had a family history of diabetes mellitus. 39% of them had satisfactory knowledge about causes that increased blood glucose in diabetic females shifted to 81% post-intervention. 35% of diabetic females had satisfactory knowledge about the function of the reproductive system at preprogram shift to 93% at post-program implementation. 34% of diabetic females had satisfactory knowledge about entry urinary tract infection methods at preprogram shift to 81% at post-program implementation. A highly statistically significant association between the presence of urine infection and the application of the web causation model (causative factors) such as lack of hygiene during menstruation, lack of hygiene before and after sexual intercourse, using mechanical contraceptive methods, increase in the intake of salty foods, poor glycemic control and lack of personal hygiene with the results of urine analysis for infection. Conclusions: Females exposed to the web causation epidemiological model exhibited better knowledge and preventive practices after exposure than their pre-intervention level. Apply the web-causation model to high population areas such as slum areas on a large group of participants to improve awareness and practices regarding diabetes mellitus and genitourinary tract infection. Replicate the current study on a representative sample to improve the generalizability

Compliance to self-care management among adults with chronic obstructive pulmonary disease

Background: Chronic obstructive pulmonary disease (COPD) is still defined as a disease state characterized by poorly reversible airflow limitation induced by cigarette smoke and/or other noxious particle and gases. The aim of this study was to evaluate the effect of intervention program for adults with chronic obstructive pulmonary disease on their knowledge and practices regarding compliance to self-care management. Research design: A Quasi-experimental research design was utilized to fulfill the aim of this study. Setting: This study was conducted at outpatient clinic of Menia Chest Hospital, Menia Governorate, Egypt. Sample: A purposeful sample of 115 COPD patients. Tool; one tool  was used included six parts. (1 socio-demographic characteristics of COPD patients, (2 medical history of COPD patients (3 the effect of COPD on activity of daily living and health status of COPD patients (4 Patents’ knowledge about COPD, (5) adults 'compliance to self-care management and (6) adults reported practices regarding self-care management. Results: less than two third of the studied sample had unsatisfactory total knowledge of COPD, in pre intervention program, comparing to less than three quarter of them had satisfactory total knowledge regarding COPD in post intervention program.&nbsp