scholarly journals Effect of structured teaching guidelines on patient's knowledge, practice, and self-efficacy regarding colostomy care

2019 ◽  
Vol 8 (1) ◽  
pp. 1 ◽  
Author(s):  
Sheren El-Sayead Shrief ◽  
Islam Mokhtar Mokhtar
Keyword(s):  
Self Efficacy ◽  
Positive Impact ◽  
Personal Characteristics ◽  
Structured Interview ◽  
University Hospital ◽  
Control Group ◽  
Surgical Department ◽  
Significant Distinction ◽  
Structured Teaching ◽  
Knowledge Practice

Background: nurses are primarily health professional who is engaged in the management of colostomized individuals who go through different physical and psychosocial transformations.Aim: to evaluate the effect of applying structured teaching guidelines on patient's knowledge, practice, and self-efficacy regarding colostomy care.Hypothesis: application of structured teaching guidelines will have a positive impact on patient's knowledge, practice, and self-efficacy regarding colostomy care. Design: pre-post analytic study.Setting: the study was carried out in the surgical department, and outpatient clinic at Beni-Suef University hospital and Aswan oncology Hospital.Sample: A total number of 50 adult patients, both sex, conscious, having a permanent colostomyTools: four tools were utilized in this study; Tool I: A structured interview questionnaire sheet which comprised two parts: Part I: Personal characteristics of the studied patients, Part II: Patients` knowledge about colostomy care; Tool II: Patient's Generalized Self-Efficacy Scale; Tool III: An observation checklist (pre/post /follow – up assessment) and Tool IV: The structured teaching Guidelines.Results: There was a statistically significant distinction between both the study and control group regarding patient's knowledge, practice, and self-efficacy regarding colostomy care.Conclusion: Application of the structured teaching guidelines had a positive impact on patient's knowledge, practice and self-efficacy regarding colostomy care with an obvious statistically significant distinction between pre and post-intervention.Recommendations: Replication of the same study on larger probability sample at different geographical locations for data generalizability, and distribution of the booklet for patients with a colostomy to improve their outcomes.  

scholarly journals Effect of Perioperative Instructions on Postoperative Discomforts and Satisfaction Level among Patients Undergoing Thyroidectomy

2020 ◽  
Vol 2 (1) ◽  
pp. 12
Author(s):  
Yasmin F. M. Abd Elazeem ◽  
Nesrine E. M. Abdel-Karim ◽  
Eman F. A. M. Aly
Keyword(s):  
Structured Interview ◽  
University Hospital ◽  
Control Group ◽  
Satisfaction Level ◽  
Control Groups ◽  
Control Group Design ◽  
Convenience Sample ◽  
Patient’S Satisfaction ◽  
Surgical Department ◽  
Patients Satisfaction

Context: Thyroidectomy is a type of surgery directed to remove all or part of the thyroid gland. Documented complications after thyroidectomy are rare, but their consequences can often be life-threatening. Patients who receive perioperative instructions about what to expect after the operation often have better coping with postoperative discomforts minimizes post-surgical complications and reduces the duration of hospitalization. It also improves patient safety and reduces the anxiety induced by the intervention. In addition to this, it elevates the patient's satisfaction level. So, perioperative instructions are essential. Aim: The present study aims to determine the effect of perioperative instructions on postoperative discomforts and satisfaction levels among patients undergoing thyroidectomy. The study hypothesized that postoperative patients who receive the perioperative instructions exhibit fewer discomforts and more satisfaction than those who do not. Methods: The study utilize a quasi-experimental (study/control group) design. It was conducted at the Head and Neck Surgical Department of Alexandria Main University Hospital.  A convenience sample included 70 adult patients were selected from the setting mentioned above who have enrolled either study or control groups, 35 patients, for each. Three tools were used for data collection. A structured interview questionnaire aimed to assess the socio-demographic characteristics and clinical data of the study subjects. Discomfort assessment scale to rate the patient's level of discomfort against six common postoperative problems. Perioperative instructions patients’ satisfaction questionnaire developed to determine the patients' ′ satisfaction level regarding perioperative instructions. Results: There were statistically significant differences among the study and control groups in the first, second, and third weeks regarding total discomfort score level, where t=3.606, p=<0.001; t=3.049, p=<0.001; t=21.213, p=<0.001respectively. The studied patients had higher level of satisfaction compared to those in the control group with statistically significant differences regarding overall scores of satisfaction, and with preoperative instruction, postoperative instruction, and psychological preparation, where t=48.382, p=<0.001; t=6.023, p=<0.001; t=27.997, p=<0.001; t=32.939, p=<0.001respectively. Conclusion: The study hypotheses were accepted as postoperative patients who receive perioperative instructions exhibit less discomfort and a more satisfying level than those who do not. The perioperative instructions should be applied to the care of patients undergoing thyroidectomy to decrease patients' discomfort and increase their satisfaction level.  

scholarly journals The Effect of a Self-Efficacy-Enhancing Intervention on Perceived Self-Efficacy and Actual Adherence to Healthy Behaviours Among Women with Gestational Diabetes Mellitus

2019 ◽  
Vol 18 (4) ◽  
pp. 513
Author(s):  
Iman Al-Hashmi ◽  
Felicia Hodge ◽  
Karabi Nandy ◽  
Elizabeth Thomas ◽  
Mary-Lynn Brecht
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Self Efficacy ◽  
Patient Adherence ◽  
Antenatal Clinic ◽  
Text Messages ◽  
University Hospital ◽  
Control Group ◽  
Sultan Qaboos University

Objectives: This study aimed to evaluate the effectiveness of a self-efficacy-enhancing intervention (SEEI) on perceived self-efficacy and actual adherence to healthy behaviours among women with gestational diabetes mellitus (GDM). Methods: This comparative pre-post study was conducted at the Antenatal Clinic of the Sultan Qaboos University Hospital, Muscat, Oman, between October 2016 and January 2017. A total of 90 adult Omani women with GDM were randomised to either a control group receiving standard prenatal care or a SEEI group. The SEEI group received an additional health education session and biweekly text messages to encourage adherence to healthy behaviours. All participants completed self-reported standardised questionnaires to determine perceived self-efficacy and actual adherence at baseline and after four weeks. Results: At baseline, there were no significant differences between the control and SEEI groups in mean scores for perceived self-efficacy (122.9 ± 19.9 versus 118.2 ± 19.5; P = 0.26) or actual adherence to healthy behaviours (3.1 ± 1.2 versus 3.2 ± 1.0; P = 0.23). However, after four weeks, there was a significant positive difference between the SEEI and control groups in terms of pre-post change in scores for both perceived self-efficacy (9.9 ± 19.6 versus −1.8 ± 17.6; P <0.05) and actual adherence to healthy behaviours (1.5 ± 1.1 versus 0.4 ± 0.8; P <0.01). Conclusion: The SEEI was found to significantly improve perceived self-efficacy and actual adherence to healthy behaviours among a group of Omani women with GDM.Keywords: Attitude to Health; Health Behaviors; Self Efficacy; Patient Adherence; Gestational Diabetes; Oman.

scholarly journals Effect of Exercise Program on Fatigue and Depression among Geriatric Patients Undergoing Hemodialysis

2019 ◽  
Vol 8 (2) ◽  
pp. 23
Author(s):  
Soad Hassan Abd Elhameed ◽  
Doaa El Sayed Fadila
Keyword(s):  
Geriatric Patients ◽  
Controlled Trial ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Exercise Program ◽  
Structured Interview ◽  
University Hospital ◽  
Control Group ◽  
Control Groups ◽  
And Control

Background: Fatigue is one of the foremost common complications faced the hemodialysis elderly patients. Fatigue not only impact the daily lives and activities of patients but it conjointly influences their quality of life, which can afterwards result in magnified depression, tiny social interactions and increase dependency on others.Aim: Determine the effect of exercise program on fatigue and depression among geriatric patients undergoing hemodialysis.Design: Randomized controlled trial (pretest post-test) design was used.Setting: The study was carried out in the dialysis units of Mansoura University Hospital and New Mansoura General Hospital.Subjects: A purposive sample of 62 geriatric patients undergoing hemodialysis was selected and randomly allocated into two equal groups, study group (n = 31) and control group (n =31).Tools: Three tools were used; Structured interview questionnaire sheet, Multidimensional Fatigue Inventory Scale and Geriatric Depression Scale Short Form.Results: The mean age of the study and control groups was 63.45±4.49 and 64.7±5.25 respectively. A high statistically significant change in fatigue and depression score (pre and post 2 months) between the study and the control groups was observed (P=0.000). Moreover, a statistically significant relation was observed between fatigue and age of the hemodialysis geriatric patients after implementation of the exercise program (P= 0.002).Conclusion: Implementation of the exercise program proved to be effective in improving the level of fatigue and depression among geriatric patients undergoing hemodialysis in the study group.Recommendation: Encourage geriatric patients undergoing hemodialysis to perform regularly range of motion and relaxation exercises in order to alleviate fatigue and overcome depression.  

scholarly journals Effect of Lavender Essential Oil Inhalation on Anxiety Level for Patients Undergoing Closed Magnetic Resonance Imaging

2020 ◽  
Vol 2 (3) ◽  
pp. 9
Author(s):  
Eman A. A. Dabou ◽  
Yasmin F. M. AbdElazeem ◽  
Hend A. E. Elshenawie
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Essential Oil ◽  
Imaging Techniques ◽  
Structured Interview ◽  
Anxiety Level ◽  
University Hospital ◽  
Control Group ◽  
Resonance Imaging ◽  
Significant Difference

Contents: Magnetic resonance imaging (MRI) is one of the medical diagnostic imaging techniques that can provoke or exaggerate anxiety in certain patients. It may sometimes lead to the cancelation of the MRI.   The lavender essential oil has a long historical anxiolytic benefit. Aim: This study aimed to examine the effect of lavender essential oil inhalation with a massage on anxiety level for patients undergoing closed magnetic resonance imaging. Methods: A quasi-experimental research (study/control group) was used to achieve the aim of this study. The study conducted at Magnetic Resonance Imaging Unit in Main University Hospital, Alexandria, Egypt. A convenient sample of 100 patients divided into the study and control group (50 patients for each). Two tools were used in the present study. Those were structured interview questionnaire that elicited the patients' sociodemographic characteristics, and State-Trait Anxiety Inventory to identify the patients' anxiety levels. Results: There were no statistically significant differences between both groups concerning the anxiety level before the MRI procedure (χ2=2.041, P = 0.495). While there were statistically significant differences between both groups concerning anxiety level post-MRI procedure and after receiving of interventions (χ2 =35.135, P=0.000), there was a highly statistically significant difference between anxiety level before and after receiving intervention in study group patients (t= 77.059, P=0.000). Conclusion: Patients undergoing a closed magnetic resonance imaging who inhaled and massaged their hands with Lavender essential oil exhibited a reduced level of anxiety compared to the control group and compared to their preintervention level. The study recommended using the lavender essential oil, which is an inexpensive and noninvasive intervention in reducing MRI anxiety or other anxiety-producing procedures.

scholarly journals The Effects of Gamified Flipped Learning Method on Student’s Innovation Skills, Self-Efficacy towards Virtual Physics Lab Course and Perceptions

2021 ◽  
Vol 13 (18) ◽  
pp. 10163
Author(s):  
Hana Dler Ahmed ◽  
Gulsum Asiksoy
Keyword(s):  
Physics Education ◽  
Self Efficacy ◽  
Engineering Students ◽  
Positive Impact ◽  
Control Group ◽  
First Year ◽  
Flipped Learning ◽  
Structured Interviews ◽  
Digital Platforms ◽  
Laboratory Courses

Laboratory courses are extremely important in Physics education in terms of providing a better understanding of the theoretical course subjects by the students. However, since the COVID-19 epidemic caused education to be carried out remotely and digitally all over the world, practical as well as theoretical courses were moved to digital platforms. Therefore, this study investigated the effects of the Gamified Flipped Learning (GFL) method on students’ physics self-efficacy and innovation skills in a virtual physics laboratory course. The study was carried out with true experimental design and the participants were a total of 70 first-year engineering students, which were randomly divided into two groups. The experimental group was trained with the GFL method, the control group was trained with Classical Flipped Learning (CFL) method. Data were collected from a physics self-efficacy questionnaire, innovative skills questionnaire, and semi-structured interviews form. The research results showed that GFL method has a positive impact on the innovation skills of students although insignificant improvement was introduced by gamified-flipped learning on students’ self-efficacy. In addition, the interviews with the students revealed a positive perception of gamification, by mentioning some important aspects of the process that were extremely beneficial.

scholarly journals Construction of Exercise Behavior Model in Patients with Rheumatoid Arthritis

2020 ◽  
Author(s):  
Eun-Soo HAN ◽  
Young-Ran KWEON
Keyword(s):  
Rheumatoid Arthritis ◽  
Self Efficacy ◽  
Autonomy Support ◽  
Structural Equation ◽  
Structural Model ◽  
Positive Impact ◽  
Autonomous Motivation ◽  
Exercise Behavior ◽  
Self Report ◽  
University Hospital

Background: Despite the awareness that regular exercise has a positive impact on maintaining health, patients with rheumatoid arthritis (RA) engage in markedly less exercise than do the general population. Weaimed to construct and test a structural equation model of exercise behavior in patients with RA based on selfdetermination theory and self-efficacy theory. Methods: Participants were 214 outpatients with RA at Chonnam National University Hospital located in the Gwangju City, South Korea from Mar to Apr 2018. A structured self-report questionnaire was used to assess autonomy support, autonomy, competence, relatedness, autonomous motivation, self-efficacy, and exercise behavior. Collected data were analyzed using SPSS 22.0 and AMOS 22.0 program. Results: The structural model showed a good fitness with the data (χ2= 727.27, df = 392, P<0.001, TLI = 0.92, CFI = 0.93, RMSEA = 0.07, SRMR = 0.07). Autonomous motivation and self-efficacy had a significant effect on exercise behavior in patients with RA. This model explained 21.2% of the variance of exercise behavior in patients with RA. Conclusion: Self-efficiency and autonomous motivation should be promoted in order to strengthen the exercise behavior of patients with RA.

scholarly journals Personality traits in patients with refractory versus non-refractory epilepsy

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Khaled A. M. Elbeh ◽  
Yasser M. Elserogy ◽  
Menna F. Hamid ◽  
Romany H. Gabra
Keyword(s):  
Personality Traits ◽  
Factor Model ◽  
Five Factor Model ◽  
Structured Interview ◽  
Openness To Experience ◽  
University Hospital ◽  
Control Group ◽  
Arabic Version ◽  
Adult Intelligence Scale ◽  
Epileptic Patients

Abstract Background Epilepsy has significant effects on the behavior of most people who suffer it. In some cases, the seizure activity itself is manifested as a brief change in behavior that might appear unusual to the casual observer. Evidence also suggests that epilepsy can affect behavior when seizures are not occurring. Descriptions of inter-ictal behavior in people with epilepsy have a long and controversial history. The study aims to assess the personality disorders among epileptic patients and impact of the severity of epilepsy on personality traits. Methods: This study is conducted upon 90 patients presented at outpatient clinic of epilepsy in Assiut University Hospital diagnosed as having epilepsy versus 40 cross-matched healthy controls. Patient group were classified into two groups (refractory versus controlled groups). All patients and control were subjected to (1) detailed medical interview. (2) Assessment of intelligence using The Arabic Version of Wechsler Adult Intelligence Scale. (3) Conventional EEG study. (4) The Arabic Version of The Structured interview for the five-factor model of personality. Results A relationship was found between personality traits and the severity of epilepsy. When patients have more severe epilepsy, they often have a high seizure frequency, they use more antiepileptic medications. It is likely that in those patients the need for control is usually high (because seizures mean a loss of control). Regarding the five-factor model of personality which we used to assess the personality traits of our selected studied samples, we found that the five main domains of the scale which are neuroticism, extraversion, openness to experience, agreeableness and conscientiousness differ markedly between the two groups of our patients. We found neuroticism was markedly increased at the refractory epileptic patients than the controlled epileptic ones, while extraversion, openness to experience, agreeableness, and conscientiousness increased at the controlled epileptic patients than the refractory epileptic ones. Conclusion Patients with epilepsy have raised scores for several personality traits also those personality traits are different in patients with refractory and controlled epilepsy. Also, those personality traits are different compared with a control group from the general population.

scholarly journals The relation of attitude towards technology and mastery experience after an app-guided physical exercise intervention: a randomized crossover trial (Preprint)

2021 ◽  
Author(s):  
Kai Sassenberg ◽  
Inka Roesel ◽  
Gorden Sudeck ◽  
Katharina Bernecker ◽  
Jennifer Durst ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Self Efficacy ◽  
Exercise Intervention ◽  
Positive Impact ◽  
Hip Osteoarthritis ◽  
Perceived Usefulness ◽  
University Hospital ◽  
Attitudes Towards Technology ◽  
Mastery Experience ◽  
Guided Therapy

BACKGROUND Physical exercise has been found to assert a positive impact on many muscular conditions. Exercise under face-to-face supervision is the gold standard, but access to it is limited for instance for economic reasons. App-guided therapy is an intervention that is more affordable and easier accessible. However, attitude towards technology is a key predictor for media adoption and is therefore expected to shape user-experience during app-guided therapy. This might be of particular importance for mastery experience, which are crucial for promoting exercise-related self-efficacy and perceived usefulness of the interaction. Both should empower patients to continuously exercise. OBJECTIVE This study sought to test whether attitudes towards technology predict mastery experience and perceived usefulness of the interaction after an app-versus a physiotherapist-guided treatment. We expect that attitudes towards technology positively predicts both outcomes in case of the app-guided but not in case of the physiotherapist-guided treatment. METHODS Patients (N = 54) with clinically diagnosed hip osteoarthritis participated in two training sessions with the same exercise intervention, once guided by an app on a tablet computer and once guided by a physiotherapist in a German university hospital. The order of the sessions was randomized. Attitude towards technology was assessed as predictor before the first session, mastery experience and the global perceived usefulness of interaction as self-reported outcomes after each session. RESULTS In line with our hypotheses, attitude towards technology predicted mastery experience (b = .16, SE = .07, P = .02) and usefulness of interaction (b = .17, SE = .06, P = .01) after the app-based training but not after the training delivered by a physiotherapist (Ps > .3). Mastery experience was lower for the app-based training but reached a very similar level as the physiotherapist-guided training for those holding a very positive attitude towards technology. CONCLUSIONS The attitude towards technology predicts the extent of mastery experience after app-guided exercise therapy. As mastery experience are highly important for self-efficacy and future exercise behavior, attitudes towards technology should be considered when delivering app-guided exercise treatments. CLINICALTRIAL German Clinical Trial Register number: DRKS00015759

scholarly journals THE EFFECT OF SENSE OF COHERENCE ENHANCEMENT PROGRAM BASED ON SALUTOGENESIS FOR ELDERLY WITH METABOLIC SYNDROME

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S142-S142
Author(s):  
Jungmi Yun ◽  
Hyoung Sook Park
Keyword(s):  
Social Support ◽  
Metabolic Syndrome ◽  
Health Behavior ◽  
Sense Of Coherence ◽  
Self Efficacy ◽  
Tai Chi ◽  
Intervention Group ◽  
University Hospital ◽  
Control Group ◽  
Physiological Indicators

Abstract This study aimed to develop and verify a sense of coherence (SOC) enhancement program based on salutogenesis for elderly with metabolic syndrome. This study was a quasi-experimental study. The inclusion criteria were patients with metabolic syndrome aged 60 or over who visited the outpatient department of a university hospital and a public health center located in an urban area. The intervention group (n=24) attended the SOC enhancement program. The health promotion theoretical framework, salutogenesis, provided the program structure and conceptual framework of this study. This program included comprehensibility, manageability, and meaningfulness which were core concepts of salutogenesis and consisted of multiple tailored behavior interventions composed of education, Tai-Chi exercises, individual activities, self-monitoring, self-help groups, and individual counseling. This program was provided once a week over 10 weeks, but Tai-Chi exercise was conducted twice a week. The control group (n=25) was provided with general health information once. The interactions between groups and measurement time showed significant differences in self-efficacy (p=.001), perceived social support (p&lt;.001), SOC (p&lt;.001), health behavior (p=.010), and the physical health-related quality of life (p=.001). The metabolic-related physiological indicators showed significant improvement in total cholesterol (p=.004) and LDL-cholesterol (p=.009). This study showed that the SOC enhancement program strengthened the self-efficacy, social support, and SOC in the elderly with metabolic syndrome, improved the health behavior, and was effective in improving some metabolic-related physiological indicators. Based on the results of this study, I suggest to expand the scope of the sense of coherence program and conduct the intervention longer.

scholarly journals Unintended Positive Consequences of Development Centres in University Graduates

2021 ◽  
Vol 12 ◽  
Author(s):  
Melissa White ◽  
Jürgen Becker ◽  
Marieta du Plessis
Keyword(s):  
South Africa ◽  
Self Efficacy ◽  
Positive Impact ◽  
Intervention Group ◽  
Experimental Methodology ◽  
Future Research ◽  
Control Group ◽  
Sample Population ◽  
University Graduates ◽  
Development Centre

This study investigated development centres as a method to improve the generalised self-efficacy of university graduates. This research was motivated by the various challenges, graduates face in order to successfully transition into the world of work. Although there is a general scarcity of skills in many emerging economies like South Africa, graduate unemployment rates remain high. Additionally, graduates are not making the immediate impact that employers would expect due to a lack of technical and “soft skills.” General self-efficacy is an important attribute for job applicants because it provides them with the confidence to solve problems efficiently. The primary research objective was to identify whether the generalised self-efficacy of graduates can be positively affected by a development centre approach in the short-term and long-term. The sample population for this research included Industrial Psychology graduates at a select university in the Western Cape, South Africa (n=17). A quasi-experimental methodology was implemented where an intervention group (n=7) and a control group (n=10) were taken through a development centre approach. The results of the intervention indicated that a development centre approach has a positive impact on self-efficacy levels over the short and medium term. Results from the study emphasise the importance of self-efficacy in graduate employability and indicate how development centres can be used to improve self-efficacy levels. The findings of this study provide a basis for future research into the further development of graduate self-efficacy and the potential benefits for first time job seekers.

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