Impact of Nursing Educational Program on Reducing or Preventing Postoperative Complications for Patients after Intracranial Surgery

Intracranial surgery means any surgery performed inside the skull to treat problems in thebrain and surrounding structures. Aim: Evaluate the impact of nursing educational program on reducing or preventing postoperative complications for patients after intracranial surgery. Subjects and methods: Sixty adult patients had intracranial surgery (burr hole, craniotomy and craniectomy) were included in this study. Their age ranged from18-65 years old, fully conscious after operation. Patients divided into two groups; control group (30 patients who received routine care) and study group (30 patients who received nursing educational program). Three tools were used for data collection; tool I patient assessment sheet, tool II nursing educational program after intracranial surgery and tool III patient evaluation sheet. Results: A good improvement in total knowledge scores of study group patients after application of nursing educational program. Significant reduction and/or prevention of systemic and neurosurgical postoperative complications for study group patients after application of nursing educational program. Conclusion:Improving patients` knowledge in study group had a favorable effect in reducing or preventing systemic and neurosurgical postoperative complications than in control group. Recommendation: Establishment of health care educational center in neurosurgery department to educate patients about their conditions. Keywords: Nursing educational program– Intracranial surgery– Postoperative complications

Strategies of Daily Living Rehabilitative Activities for Post Stroke Patients at Minia University Hospital

Back ground: Stroke is a leading cause of disability. Rehabilitation aims to hasten and maximize recovery from stroke by treating the disabilities caused by the stroke. Therefore, the aim of this study determine the post stroke patients' knowledge and practices in relation to disease and activities of daily living before the implementation of stroke rehabilitation and examine the effect of stroke rehabilitation on stroke patients' knowledge and practices in relation to disease and activities of daily living strategies. To fulfill the aim of these study three research hypotheses were formulated; Quasi-experimental research design was utilized to fulfill the aim of this study. The study sample included 60 male and female adult patients with stroke they were allocated randomly into two groups, study and control (30 patients each) the sitting Rheumatology and Rehabilitation Department at Minia University Hospital. Four tools were utilized for data collection; socio-demographic and medical data sheet, pre/post knowledge questionnaire interview schedule, Barthel index scale, Ashworth scale and Construction patient teaching booklet about stroke and activities of daily living performance. Before, immediate post test, after two month. Results of the study documented a significant improvement in knowledge and practices post strategies in study group in addition to reaching of an optimum level of independence for daily activities living and improvement degree of spasticity in study group more than control group, . In conclusion, education of stroke patient is necessary to achieve an optimum level of functioning. Replication of this study on larger probability sample is highly recommended. Key words: Activities of Daily Living Strategies - Stroke- Patient's out come

Wiedza, postawa i zasady postępowania pielęgniarek wobec chorych na padaczkę

Background: This work handled three aspects: to assess the nurses’ knowledge and practice with regard to patients with epilepsy, to study the outcome of training of nurses regarding epilepsy. Material and methods: The study conducted at the Department of Neurology at Assiut University Hospital. Data collected from all nurses (n = 35) working at the Department of Neurology. The following tools were used for data collection; a pre-/post-test questionnaire sheet for the assessment of the nurses’ knowledge of epilepsy, an observation checklist sheet for nurses, and the patient’s assessment sheet to assess the nurses’ practice. The work involved nine sessions, each about 30 minutes long, applied to teach nurses about all data necessary for the patients with epilepsy. Results: A good improvement in the mean knowledge and practice scores observed following the implementation of the designed nursing protocol. A significant decrease in complication rate which resulted from bad practice during fit following the implementation of the designed nursing protocol. A reduction in seizure-related complications reported after the training of nurses with the designed nursing protocol which acts as an additional advantage. Conclusion: Improving the nurses’ knowledge and practice with regard to patients with epilepsy will lead to the improvement the health and social conditions of patients with epilepsy.Wprowadzenie: Autorzy opracowania przeanalizowali stan wiedzy i praktykę pielęgniarek w odniesieniu do pacjentów z padaczką, a także wyniki odbytego przez pielęgniarki szkolenia na temat padaczki. Materiał i metody: Badanie przeprowadzono na Oddziale Neurologii Szpitala Uniwersyteckiego w Assiut. Dane zebrano od wszystkich pielęgniarek (n = 35) pracujących na oddziale. Do zbierania danych wykorzystano następujące narzędzia: kwestionariusz przed i po wprowadzeniu programu edukacyjnego służący do oceny stanu wiedzy pielęgniarek na temat padaczki, listę obserwacyjną dla pielęgniarek, formularz oceny stanu pacjenta w celu oceny praktyki pielęgniarek. Szkolenie przeprowadzono w dziewięciu 30-minutowych sesjach, w trakcie których pielęgniarki uzyskały wszelkie informacje potrzebne do opieki nad chorymi z padaczką. Wyniki: Zaobserwowano wyraźną poprawę średniej stanu wiedzy i wyników praktyki pielęgniarskiej po wdrożeniu programu opieki pielęgniarskiej, jak również znaczny spadek liczby powikłań spowodowanych nieprawidłowym postępowaniem z pacjentem podczas napadów padaczkowych. Ponadto stwierdzono zmniejszenie liczby zgłaszanych powikłań ponapadowych po wdrożeniu programu opieki pielęgniarskiej, co stanowi dodatkową jego zaletę. Wnioski: Poprawa stanu wiedzy oraz praktyki pielęgniarek w odniesieniu do chorych na padaczkę doprowadzi do poprawy stanu zdrowia i warunków życia osób z padaczką

Effect of Comprehensive Nursing Interventions on Quality of life among Women with Stress Urinary Incontinence

Stress Urinary Incontinence (SUI) is called a silent epidemic which is not a life threatening condition, but a worldwide problem at the same time which contributes to poor quality of life. Aim: Design, implement comprehensive nursing interventions for adult women with stress urinary incontinence and evaluate the effect of these interventions on improving their quality of life. Quazi experimental research design was utilized to conduct this study. This study was carried out in the Urology and Nephrology Assuit University Hospital and its affiliate Clinic. A sample of 50 adult women, the mean age of studied patients was (42.22±11.84). Two tools were used by the researcher namely: Tool I: A structured interview questionnaire sheet it included two parts, part i: demographic data of patient and part ii: medical& urological data assessment. Tool II: Kings Health Questionnaire (KHQ), it is a standardized questionnaire used to assess the impact of stress urinary incontinence on quality of life. The results showed that the quality of life among adult women with stress urinary incontinence were improved after the implementation of comprehensive nursing interventions with a statistically significance difference (p>0.05) in all quality of life domains. . We conclude that provided comprehensive nursing interventions are effective in improving QOL in adult women with SUI. Given the study results, it is recommended that expand of public education efforts through various methods about importance of health educational interventions for appropriate management of stress urinary incontinence among women

Barriers to Adherence to Oral Hormonal Therapy Among Breast Cancer Women

BACKGROUND: Oral hormonal medication is an essential part of the management of breast cancer for hormone receptor-positive patients. OBJECTIVE: This study aimed to evaluate barriers to adherence to oral hormonal therapy among breast cancer women. METHOD: A descriptive study was utilized on 200 adult women diagnosed with metastatic breast cancer, newly received oral hormonal therapy. Those women were admitted to the outpatient clinic at South Egypt Cancer Institute at Assiut University. Using interview questionnaire sheet included, demographics, medical data, patient knowledge assessment, Morisky Medication adherence scale, and factors affecting drug adherence checklist. RESULTS: The highest percentage among the studied sample their age was above 4o years (91%). Around (50%) the duration of illness was more than 5 years. 57% of patients the duration of oral hormonal therapy was more the three years. Our study explores that studied patients nearly had no knowledge regarding all items of oral hormonal therapy.  In addition, most of them are not compliant with oral hormonal therapy. The most important predictor factors for medication compliance are psychological/behavioral factors. CONCLUSION: Most of the patients are not compliant with oral hormonal therapy, so, nurses should counsel cancer patients about oral hormonal therapy, addressing reasons for no adherence and handling them