scholarly journals Effect of educational program on improving knowledge and practice for adolescences with type 1 diabetes

2017 ◽  
Vol 6 (1) ◽  
pp. 36
Author(s):  
Nagat F. Abolwafa ◽  
Sanaa M. Ahmed ◽  
Sahar A. Aly

Background: Diabetes mellitus (DM) is one of the most common endocrine and metabolic conditions in childhood.Objectives: to determine the effect of educational program on the adolescences children knowledge and reported practices with type 1 diabetes.Method: Design pretest -posttest design was utilized to conduct this study.Setting: study was conducted at outpatient clinic for diabetes at Minia University Hospital for Obstetrics and Pediatrics.Sample: 50 adolescences children with type 1 diabetes.Tools: Pre-designed questionnaire sheet and Educational and training program.Results: this study showed significant improvement in adolescences knowledge and reported practices in post/test I and II.Conclusion: after the implementation of the program, there was remarkable improvement of adolescences children knowledge and reported practices.Recommendations: a developed program should be applied and repeat again every 6 months in the same study setting and adopted in other similar settings with required modifications, provision of continuing education programs.

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Sahar Wasfy ◽  
Rahma Soliman ◽  
Ebtisam El-Sayed ◽  
Basma Mahmoud

Introduction: Idiopathic Thrombocytopenic Purpura is an autoimmune blood disorder associated with decrease platelets level less than normal, which may result in bleeding occurrence. The actual cause is unknown. It may be progressive if untreated, but may remit spontaneously for several years. The aim of this study was to evaluate the effect of health educational program on nurses’ performance for children with Idiopathic-Thrombocytopenic-Purpura. Methods: The study was Quasi- experimental research design used for 50 nurses working at Pediatric Hematology Unit of Tanta University Hospital and Pediatric Hematology Unit of Al- Mabra Tanta Hospital. Two Tools were used to collect required data: structured interview schedule to collect biosocial data of nurses and observational check list regarding nursing practice. Results: The present study-represented that, three quarter of nurses had poor-knowledge and all of them had unsatisfactory level of practice before the-educational-program-implementation. While immediately and after one month from the implementation of the program the total-scores-of-nurses' knowledge and practice improved. Conclusion: There was a-significant improvement in nursing knowledge and practice in relation to nursing care for children with Idiopathic-Thrombocytopenic-Purpura. Recommendations: In-service-training program should be conducted periodically for nurses' teaching the basic knowledge and clinical skills.


2016 ◽  
Vol 23 (02) ◽  
pp. 121-128
Author(s):  
Jahangir Liaquat ◽  
Muhammad Adnan Bawany ◽  
Noman Shaikh ◽  
Adnan Ali Khahro ◽  
Falak Naz

Objectives: To find out the frequency of hypoglycemia in patients with diabeticnephropathy. Study Design: Cross sectional study. Setting: Emergency department anddepartment of medicine Liaquat university Hospital Hyd/ Jamshoro. Study Period: One yearfrom 01-03-2009 to 28-02-2010. Methodology: Two hundred cases of diabetic nephropathy onthe basis of symptoms and signs of hypoglycemia were selected in this study. Results: Out of200 patients, 102(51%) were males and 98(49%) were females, 10.5% had type-1 diabetes and89.5% had type-2 diabetes. Most of the patients belonged to 60 to 75 years of age. The averageduration of diabetes was 12.20 ± 6.14 years. Out of 23 hypoglycemic patients, 5 (21.7%)had type-1 diabetes in which 4 were male and one was female while 18 (78.3%) had type-2diabetes in which 10 were male and 8 were female patients. Conclusion: It was observed thathypoglycemia


2020 ◽  
Vol 2 (3) ◽  
pp. 12
Author(s):  
Nehal M. Abo El-Fadl

Context: Systemic chemotherapy plays a pivotal role in curative therapy for patients with hematological neoplasms and several types of advanced solid tumors. Extravasation describes an anticancer agent's accidental leakage from a vessel into the surrounding tissues, leading to irreversible local injuries and severe disability. Despite its considerable clinical importance, evidence-based information on extravasation in chemotherapy is lacking. Aim: This study aimed to evaluate the effect of an educational program on nurses' performance regarding the prevention and management of intravenous extravasation chemotherapy. Methods: The following hypotheses were formulated to achieve the study aim. H1: Nurses' performance related to the prevention and management of intravenous extravasation chemotherapy will be improved after implementing the educational program compared to the pre-program. H2: There will be a significant correlation between nurses’ knowledge and practice post-program implementation. A quasi-experimental research design was utilized to conduct the current study in the oncology unit at Benha University Hospital. A convenience sample consisted of all available nurses (n=40) working in the oncology unit were recruited to achieve the aim of this study. Two tools were used, the nurses' knowledge assessment questionnaire and the nurses' practice observational checklist regarding the prevention and management of intravenous extravasation chemotherapy. Results: This study shows that most nurses had an unsatisfactory level of total knowledge and inadequate total practice regarding the prevention and management of intravenous extravasation chemotherapy pre-program implementation (85% and 56%). This result improved significantly regarding all knowledge and practice elements immediately post-program implementation, where the majority of the nurses had a satisfactory level of their total knowledge and adequate total practice (95% and 94%) that was slightly decreased three months after program implementation (75%) for both knowledge and practice. Conclusion: The majority of the nurses surveyed had an unsatisfactory performance level (knowledge and practice) concerning the prevention and management of intravenous extravasation chemotherapy pre-program implementation. In contrast, most of the studied nurses had statistically significant improvement in their performance immediately and after three months from program implementation, which supported the current study hypotheses. The study recommended continuous in-service training programs and establishing guidelines to help the oncology nurses revise, acquire, and develop their knowledge and practice regarding preventing and managing intravenous extravasation chemotherapy.


2020 ◽  
Vol 16 (6) ◽  
pp. 619-627
Author(s):  
Elisa Cipponeri ◽  
Cesare Blini ◽  
Christian Lamera ◽  
Valentina De Mori ◽  
Giovanni Veronesi ◽  
...  

Background : There is no data available on the best insulin treatment to counteract the effects of glucose excursions due to a moderate alcohol intake associated with portions of slight fat and protein-containing food, as often the case during social happenings or “happy hours”. Introduction: This study analyzes the glycemic control and quality of life in 8 adult type 1 diabetic (T1D) patients on insulin-pump therapy which were invited to consume a traditional Italian aperitif (“Spritz” and chips). Introduction : This study analyzes the glycemic control and quality of life in 8 adult type 1 diabetic (T1D) patients on insulin-pump therapy which were invited to consume a traditional Italian aperitif (“Spritz” and chips). Methods: Patients consumed Spritz aperitif twice: using their habitual bolus, based on carbohydrates (CHO) counting (V1), or with a personalized, advanced bolus (V2) calculated from insulin/Kcal derived from Fats and Proteins (FPU). Post-prandial glucose was continuously monitored; glucose incremental areas (iAUC), glucose peak and time to peak, and estimated change from V1 to V2 from repeated- measures models were computed. Each patient fulfilled validated questionnaires on quality of life, knowledge about diabetes and CHO counting. Results : After the educational program, a reduced iAUC (0-80 min: -306, p=ns; 40-80 min: -400, p=0.07) due to greater (p=0.03) and prolonged double-wave insulin boluses was observed. Blood glucose peak and time to peak were also reduced. Moreover, improvements in the psycho-affective dimension, as well as in the alimentary knowledge were detected. Conclusion: Therefore, a personalized educational program on CHO + FPU counting together with insulin bolus management can improve glycemic control during social consumption of alcohol, with positive reflections on the psycho-affective dimension. Further studies are mandatory to confirm such preliminary results.


Author(s):  
Ivy van Dijke ◽  
Phillis Lakeman ◽  
Naoual Sabiri ◽  
Hanna Rusticus ◽  
Cecile P. E. Ottenheim ◽  
...  

AbstractPreconception carrier screening offers couples the possibility to receive information about the risk of having a child with a recessive disorder. Since 2016, an expanded carrier screening (ECS) test for 50 severe autosomal recessive disorders has been available at Amsterdam Medical Center, a Dutch university hospital. This mixed-methods study evaluated the experiences of couples that participated in the carrier screening offer, including high-risk participants, as well as participants with a general population risk. All participants received genetic counselling, and pre- (n = 132) and post-test (n = 86) questionnaires and semi-structured interviews (n = 16) were administered. The most important reason to have ECS was to spare a future child a life with a severe disorder (47%). The majority of survey respondents made an informed decision (86%), as assessed by the Multidimensional Measure of Informed Choice. Among the 86 respondents, 27 individual carriers and no new carrier couples were identified. Turn-around time of the test results was considered too long and costs were perceived as too high. Overall, mean levels of anxiety were not clinically elevated. High-risk respondents (n = 89) and pregnant respondents (n = 13) experienced higher levels of anxiety before testing, which decreased after receiving the test result. Although not clinically significant, distress was on average higher for carriers compared to non-carriers (p < 0.0001). All respondents would opt for the test again, and 80.2% would recommend it to others. The results suggest that ECS should ideally be offered before pregnancy, to minimise anxiety. This study could inform current and future implementation initiatives of preconception ECS.


2021 ◽  
Vol 7 ◽  
pp. 237796082110261
Author(s):  
Marwa H. Ageiz ◽  
Hayam A. Elshrief ◽  
Huda M. Bakeer

Background Developing a professional identity is rooted in the dimensions of professionalism and professional development. Moreover, the need for teaching professionalism has a mutual relationship with the formation of a desirable professional identity. Aim The current study aimed at developing a professionalism manual for the nurse managers to improve their perception regarding professionalism and professional identity. Design Quasi-experimental research design with pre-test, post-test, and follow-up was used. Setting The study was conducted at two different hospitals; Menoufia University hospital and Al-helal Insurance hospital, Menoufia Governorate, Egypt. Subjects The participants included all nurse managers at different levels from the two different hospitals ( n =100). Tools: tool 1: Professionalism Questionnaire and tool 2: Professional Identity Assessment Questionnaire were used to collect data. Results there was a statistically significant improvement in professionalism perception and professional identity level immediately after administering the professionalism manual and after three months in the follow-up phase than the pre-test phase. Additionally, there was a statistically significant positive correlation between two variables of the study at the post and follow-up phases, but not significant at the pre-test phase. Conclusion the professionalism manual was effective in improving nurse managers’ perceptions regarding professionalism and professional identity. Recommendations: Incorporate the attributes of professionalism that were included in the professionalism manual as a guide for the performance review processes of nurses.


2021 ◽  
Vol 104 (9) ◽  
pp. 1519-1527

Objective: The authors assessed whether anesthesia residents who acted as a scenario creators would have better knowledge retention than their juniors 90 days after participating in a simulation-based anesthetists’ non-technical skills (ANTS) workshop. Materials and Methods: A prospective observational study via simulation ANTS workshop was conducted at a university hospital in southern Thailand in November 2017. Seven third-year post-graduate (PGY-3) residents volunteered as scenario creators, while the remaining anesthesia residents were randomly selected to participate in or observe three case scenarios, which were cardiac arrest, hypotension, and difficult ventilation. Resident’s knowledge was assessed before, immediately after, and 90 days after the workshop using a 20-item multiple-choice questionnaire. Predictors of change in knowledge scores were analyzed using multivariate linear regression analysis and presented as beta coefficient (β) and 95% confidence limits (CL). Results: Twenty-four anesthesia residents were recruited in the present study and included eight PGY-1, seven PGY-2, and nine PGY-3. The roles consisted of seven scenario creators, seven participants, and 10 observers. The overall immediate post-test and 90-day post-test scores increased significantly compared to the pre-test scores with a mean of 15.5 and 13.2 versus 11.7 (p<0.001 and p=0.007, respectively). The predictors of change in 90-day scores were PGY-3 versus PGY-1 (β 95% CL 4.0 [0.5 to 7.6], p=0.039), and role of participants and observers versus scenario creator (β 95% CL 5.5 [2.2 to 8.8] and 6.7 [2.8 to 10.6], p=0.004, respectively). Conclusion: Anesthesia residents who were participants or observers could improve their knowledge 90 days after a simulation-based ANTS workshop without necessarily being a scenario creator. Keywords: Anesthetists’ non-technical skill; Knowledge retention; Scenario creator; Simulation workshop


Sign in / Sign up

Export Citation Format

Share Document