scholarly journals The Level of Knowledge of Nurses in Surgical Departments about the Occurrence of Stroke in Patients in the Postoperative Period

2020 ◽  
Vol 9 (4) ◽  
pp. 138-144
Author(s):  
Agnieszka Rucińska ◽  
◽  
Marcelina Skrzypek-Czerko ◽  
Anna Roszmann ◽  
Renata Piotrkowska ◽  
...  

Introduction. Each year 80 000 Poles are suffering from stroke. The most common risk factors are hypertension, diabetes and complications, hyperlipidemia, obesity, atrial fibrillation. Lifestyle modification, such as diseases controlling, diet changing, exercises, stop smoking and limiting alcohol consumption are known as stroke prevention. Thrombectomy and thrombolytic therapy definitely increase long-term survival and prognosis. Aim. Objective of the work is assessment of surgical nurses knowledge level about postoperative stroke. Material and Methods. The research was conducted on a group of 55 randomly chosen surgical nurses. The diagnostic survey method with a proprietary questionnaire was used for the research. Results. Nurses knowledge was poor. Education and age affect to answers. Higher education qualification nurses have higher knowledge level relative to less educated nurses. Younger nurses have higher knowledge level than older nurses. Conclusions. Cardiosurgery and vascular surgery are charged as the most risk onset postoperative stroke. Knowledge of surgical nurses about risk factors, prevention, symptom, complications and procedures in case of stroke onset have particular meaning in postoperative caring. (JNNN 2020;9(4):138–144) Key Words: knowledge, nursing care, postoperative period, stroke

Author(s):  
I. Ya. Krynytska ◽  
M. I. Marushchak ◽  
L. P. Mazur ◽  
T. I. Dzetsiukh ◽  
A. O. Hrad ◽  
...  

The aim of the work. To analyze the prevalence of nosocomial pneumonias (NP) in surgical and therapeutic departments and determine the nurses’ knowledge on the problem of preventing hospital pneumonia. Materials and Methods. In order to determine the nurses’ level of knowledge on the problems of preventing nosocomial pneumonia, a questionnaire was developed and applied, which included 20 questions with answers. Results and Discussion. The prevalence of hospital pneumonia in the departments of the therapeutic and surgical profiles is high. The incidence of NP in the surgical department is predominant in males, among the risk factors in which tobacco smoking prevails. In females with NP, the main etiological factors include poor nutrition and obesity. Comparing the level of nurses’ knowledge in therapeutic and surgical departments it was found that nurses of surgical department have shown better knowledge of NP identifying and epidemiology. Nursing stuff of both profiles has poor knowledge about pathogens of NP. The most problematic for nurses of both departments is the issue of preventing NP in case of various surgical interventions during preoperative period. Conclusions. The results of the surveys with this questionnaire can be used to focus educational programs on NP prevention.


2017 ◽  
Vol 2 (1) ◽  
pp. 29-38
Author(s):  
Muriyati ◽  
Safruddin

Knowledge is one of the factors that influence the implementation of the Professional Nursing Practice Model (MPKP). The phenomena and incidents that occurred in the Seruni treatment room showed that the application of MPKP was still not effective. Where there are some nurses who do not know what MPKP is. The purpose of this study was to determine the relationship of the level of knowledge of nurses about MPKP with the effectiveness of implementing MPKP in Seruni Room of H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. This type of research is an Analytical Observational study with a Cross Sectional design. The population in this study were all nurses in the Seruni Room of the H. Andi Sulthan Daeng Radja Hospital in Bulukumba Regency which numbered 30 people. The sampling technique in this study is the Total Sampling method with a sample of 30 respondents. The statistical test used was the Fisher-Extract Test. The results obtained that, in the form of nurses' knowledge level about MPKP with the effectiveness of the application of MPKP with a value of p = 0.045 <p (0.05). The results show that respondents who have a good level of knowledge are 10 respondents (33.3%) and respondents who have a lack of knowledge level are equal to 20 respondents (66.7%). Effective MPKP implementation was 12 respondents (40%) and ineffective MPKP application was 18 respondents (60%). With the conclusion that there is a relationship between the level of nurses' knowledge about MPKP with the effectiveness of implementing MPKP in the Seruni Room of the H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. Suggestions from this research are expected to be an effort to develop a model of professional nursing practice (MPKP) in each hospital, especially to continue to encourage concrete steps by continuing to increase the frequency of MPKP training for nurses so that the application of MPKP will be continuous with the good quality of service obtained by patients in the hospital.


2018 ◽  
Vol 6 ◽  
pp. 17-28
Author(s):  
Arati Timilsina ◽  
Bhagawati KC

Ethics deal with standards of conduct and moral judgment. Every day nurses require to make ethical decisions during patient care. They should have good knowledge and adequate practice of ethics to make ethical decisions. The aim of this study was to identify the knowledge and practice of patient care ethics among nurses. A descriptive cross sectional research design was used to conduct the study. Simple random sampling method was adopted to select 108 nurses among 133 nurses working in a regional hospital, Pokhara. Self-administered structured questionnaire schedule was used for data collection and analyzed using IBM SPSS Version 20. Descriptive and inferential statistics such as frequency, percentage, mean, standard deviation, Chi-square test was used to analyze the data. The findings revealed that 65.1 percent of nurses had satisfactory level knowledge and 76.4 percent had adequate practice level of patient care ethics. There was significant association between nurses knowledge level and professional qualification (p<.001). The level of practice does not have significant association with socio-demographic and job related variables. Similarly, no significant association between knowledge and practice level of patient care ethics was found. It concludes that the nurses with satisfactory level of knowledge and adequate level of practice are more than the nurses with unsatisfactory knowledge level and inadequate practice level of patient care ethics. Their practice of ethical principle is better than their knowledge in all principles except in the principle of justice. Nurses’ knowledge and practice of patient care ethics should be upgraded through educational and awareness programme. Janapriya Journal of Interdisciplinary Studies, Vol. 6 (December 2017), page: 17-28


Author(s):  
Netty Jojor Aritonang ◽  
Yenny Lisbeth Soahaan

Health education is one of the health education activities, carried out by spreading a message, instilling confidence with the aim that the community aware, know, understand, and want to do a suggestion related to health. Counseling can be done by the method of storytelling, assisted by finger puppet props. This study aims to determine the level of knowledge of students about oral health through counseling - using and without finger puppets. This research is a descriptive study with survey method which examines 36 samples. Data is collected through a questionnaire filled out by students, which is then processed using a frequency distribution table Through the results of the study, the following data are known: the score of knowledge level after counseling without teaching aids is 4 students (22%) in the good category, 14 students (78%) in the medium category, and no students in the bad category; after giving information with finger puppets props changes, 15 students (83%) in the good category, 3 students (17%) in the medium category, and no students in the bad category. This study concludes that counseling with the use of finger puppets is very effective, characterized by an increase in knowledge through this extension method.


2020 ◽  
Author(s):  
Kavin Mozhi James ◽  
Divya Ravikumar ◽  
Sindhura Myneni ◽  
Poonguzhali Sivagnanam ◽  
Poongodi Chellapandian ◽  
...  

Abstract Back ground: Fall is the most common patient safety incident in health care organization. This study was initiated to obtain information regarding knowledge & attitude on fall and awareness of fall risk factors among nurses to device evidence based and multidisciplinary educational and training programme to improve patient safety and thereby reducing morbidity and mortality associated with fall. Methods: A descriptive cross sectional survey study was conducted among 339 registered nurses working in Tertiary care hospitals across Chennai, Tamil Nadu, India. Modified version of previously validated standard questionnaire was administered by the investigators through online survey method to explore the level of knowledge &attitude on fall and awareness of inpatient fall risk factors among Nurses. Results: In this study, 15.6% of participants had adequate knowledge on fall, 57.2% had favorable attitude towards fall and 38.3% adequate awareness on fall risk factors. Years of experience in nursing has statistical significant association with level of knowledge on fall. The participant’s attitude towards fall had statistical significant relationship with age, education, experience in nursing and previous patient fall experience. The correlation between fall knowledge, attitude of fall and awareness of fall risk factors were highly significant. Majority of the participants expressed their favorable attitude towards need for fall preventive education. Conclusion: In our study, it is evident that there is a void which has to be filled to improve the knowledge, attitude and awareness on fall and its risk factors .There is a need for extensive education and holistic, multifactorial and interdisciplinary training program to be undertaken through various health care organizations.


2017 ◽  
Vol 2 (1) ◽  
pp. 29-38
Author(s):  
Muriyati ◽  
Safruddin

Knowledge is one of the factors that influence the implementation of the Professional Nursing Practice Model (MPKP). The phenomena and incidents that occurred in the Seruni treatment room showed that the application of MPKP was still not effective. Where there are some nurses who do not know what MPKP is. The purpose of this study was to determine the relationship of the level of knowledge of nurses about MPKP with the effectiveness of implementing MPKP in Seruni Room of H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. This type of research is an Analytical Observational study with a Cross Sectional design. The population in this study were all nurses in the Seruni Room of the H. Andi Sulthan Daeng Radja Hospital in Bulukumba Regency which numbered 30 people. The sampling technique in this study is the Total Sampling method with a sample of 30 respondents. The statistical test used was the Fisher-Extract Test. The results obtained that, in the form of nurses' knowledge level about MPKP with the effectiveness of the application of MPKP with a value of p = 0.045 <p (0.05). The results show that respondents who have a good level of knowledge are 10 respondents (33.3%) and respondents who have a lack of knowledge level are equal to 20 respondents (66.7%). Effective MPKP implementation was 12 respondents (40%) and ineffective MPKP application was 18 respondents (60%). With the conclusion that there is a relationship between the level of nurses' knowledge about MPKP with the effectiveness of implementing MPKP in the Seruni Room of the H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. Suggestions from this research are expected to be an effort to develop a model of professional nursing practice (MPKP) in each hospital, especially to continue to encourage concrete steps by continuing to increase the frequency of MPKP training for nurses so that the application of MPKP will be continuous with the good quality of service obtained by patients in the hospital.


2009 ◽  
Vol 22 (1) ◽  
pp. 76-88 ◽  
Author(s):  
Awat Feizi ◽  
Anoshirvan Kazemnejad ◽  
Gholamreza Babaee ◽  
Zohreh Parsayekta ◽  
Zahra Monjamed

Cancer is increasingly being seen as a disease that is preventable and manageable. Knowledge often does constitute one element in the behavior change process. In addition, to promote the cancer prevention programs, data on level of knowledge among the target population are needed. The present research (as the first) aimed at providing information on level and correlates of awareness of cancer risk factors among the general public in Iran. The level of knowledge about 12 cancer risk factors (as a section of a multipart questionnaire) was assessed in a representative sample of 2500 adults (aged >18 years) in Tehran, Iran. The data were analyzed using latent class regression with the R statistical package. A small proportion of the respondents (12.2%) had high knowledge level and most of them had mixed (56.9%) and low level of awareness (30.9%). The most important determinants of knowledge level included level of education, gender, and family history. The results provided valuable clues and guidelines toward the formulation of relevant cancer prevention strategies, especially within the scope of health education. The applied statistical model presented a new descriptive and analytical perspective to evaluate the level of knowledge about the cancer risk factors and its determinants.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Lytfi Krasniqi ◽  
Mads P. Kronby ◽  
Lars P. S. Riber

Abstract Background This study describes the long-term survival, risk of reoperation and clinical outcomes of patients undergoing solitary surgical aortic valve replacement (SAVR) with a Carpentier-Edwards Perimount (CE-P) bioprosthetic in Western Denmark. The renewed interest in SAVR is based on the questioning regarding the long-term survival since new aortic replacement technique such as transcatheter aortic-valve replacement (TAVR) probably have shorter durability, why assessment of long-term survival could be a key issue for patients. Methods From November 1999 to November 2013 a cohort of a total of 1604 patients with a median age of 73 years (IQR: 69–78) undergoing solitary SAVR with CE-P in Western Denmark was obtained November 2018 from the Western Danish Heart Registry (WDHR). The primary endpoint was long-term survival from all-cause mortality. Secondary endpoints were survival free from major adverse cardiovascular and cerebral events (MACCE), risk of reoperation, cause of late death, patient-prothesis mismatch, risk of AMI, stroke, pacemaker or ICD implantation and postoperative atrial fibrillation (POAF). Time-to-event analysis was performed with Kaplan-Meier curve, cumulative incidence function was performed with Nelson-Aalen cumulative hazard estimates. Cox regression was applied to detect risk factors for death and reoperation. Results In-hospital mortality was 2.7% and 30-day mortality at 3.4%. The 5-, 10- and 15-year survival from all-cause mortality was 77, 52 and 24%, respectively. Survival without MACCE was 80% after 10 years. Significant risk factors of mortality were small valves, smoking and EuroSCORE II ≥4%. The risk of reoperation was < 5% after 7.5 years and significant risk factors were valve prosthesis-patient mismatch and EuroSCORE II ≥4%. Conclusions Patients undergoing aortic valve replacement with a Carpentier-Edwards Perimount valve shows a very satisfying long-term survival. Future research should aim to investigate biological valves long-term durability for comparison of different SAVR to different TAVR in long perspective.


2019 ◽  
Vol 103 (11-12) ◽  
pp. 578-584
Author(s):  
Fatih Ciftci ◽  
Fazilet Erözgen

Perforated peptic ulcers continue to be an important problem in surgical practice. In this study, risk factors for peptic ulcer perforation-associated mortality and morbidity were evaluated. This is a retrospective study of patients surgically treated for perforated peptic ulcer over a decade (March 1999–December 2014). Patient age, sex, complaints at presentation, time lapse between onset of complaints and presentation to the hospital, physical findings, comorbidities, laboratory and imaging findings, length of hospitalization, morbidity, and mortality were recorded. The Mannheim peritonitis index (MPI) and Acute Physiology and Chronic Health Evaluation (APACHE) II score were calculated and recorded for each patient on admission to the hospital. Of the 149 patients, mean age was 50.6 ± 19 years (range: 17–86). Of these, 129 (86.5%) were males and 20 (13.4%) females. At least 1 comorbidity was found in 42 (28.1%) of the patients. Complications developed in 36 (24.1%) of the patients during the postoperative period. The most frequent complication was wound site infection. There was mortality in 26 (17.4%) patients and the most frequent cause of mortality was sepsis. Variables that were found to have statistically significant effects on morbidity included age older than 60 years, presence of comorbidities, and MPI (P = 0.029, 0.013, and 0.013, respectively). In a multivariate analysis, age older than 60 years, presence of comorbidities, and MPI were independent risk factors that affected morbidity. In the multivariate logistic regression analysis, age older than 60 years [P = 0.006, odds ratio (OR) = 5.99, confidence interval (CI) = 0.95] and comorbidities (OR = 2.73, CI = 0.95) were independent risk factors that affected morbidity. MPI and APACHE II scoring were both predictive of mortality. Age older than 60, presentation time, and MPI were independent risk factors for mortality. Undelayed diagnosis and appropriate treatment are of the utmost importance when presenting with a perforated peptic ulcer. We believe close observation of high-risk patients during the postoperative period may decrease morbidity and mortality rates.


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