scholarly journals Influence of Hot Compresses Versus Cabbage Leaves on Engorged Breast in Early Puerperium

2020 ◽  
Vol 5 (2) ◽  
pp. 7
Author(s):  
Mervat Caber Zagloul ◽  
Elsaida Gouda Naser ◽  
Hanan Elzeblawy Hassan
Keyword(s):  
Body Temperature ◽  
Placebo Treatment ◽  
University Hospital ◽  
Breastfeeding Initiation ◽  
Post Intervention ◽  
Pain Scales ◽  
Significant Difference ◽  
Postnatal Mothers ◽  
Quasi Experimental ◽  
Port Said

Breast engorgement is а common issue affecting breastfeeding initiation and length. There are minimal options for relieving the pain associated with breast engorgement. Therefore, further study of strategies to achieve successful pain relief is crucial to promoting progress in breastfeeding. This study was conducted to evaluate and compare the effectiveness of compressed cold cabbage leaves versus hot compresses among postnatal mothers in relieving breast engorgement. Αn interventional quasi-experimental study design used to conduct this study. The study was carried out in the postnatal wards of Ismailia & port-Said general hospitals, and Suez Canal University Hospital. Α convenient sample study was 60 breast-engorgement postnatal mothers. Tools of data collection were; an interviewing questionnaire sheet included socio-demographic and obstetrical data, Visual Analogue Scale, and Six-point engorgement scale. The results showed that before the intervention, there was no statistically significant difference between the two groups linked to breast engorgement symptoms & body temperature. But body temperature, scores of breast engorgement and pain were statistically significant differentiated between the two groups’ pre and post-intervention. Significant improvement in the breast engorgement and pain scales after the intervention was found, (p < 0.001). In conclusion, this study revealed that hot compresses and cabbage leaves compresses, as well, for relieving breast engorgement; are time-efficient and easy to perform. However, hot compresses are better than compresses of raw cabbage leaves to minimize discomfort among postnatal mothers and to alleviate breast engorgement. Additional randomized controlled trials with potential placebo treatment should be performed to elucidate the unspecific effects of the application of hot compress and cold Cabbage leaves. 

scholarly journals Effect of Health Educational Program on Knowledge, Attitude, and Reaction of Pregnant Women Regarding Obstetric and Newborn Danger Signs

2020 ◽  
Vol 2 (4) ◽  
pp. 14
Author(s):  
Somaya O. Abd Elmoniem ◽  
Elham A. Ramadan ◽  
Ahlam E. M. Sarhan
Keyword(s):  
Pregnant Women ◽  
Educational Program ◽  
Positive Attitude ◽  
Negative Attitude ◽  
University Hospital ◽  
Post Intervention ◽  
Neonatal Deaths ◽  
Danger Signs ◽  
Significant Difference ◽  
Quasi Experimental

Context: Globally, every minute, at least one pregnant woman dies from obstetric complications.  Also, the majority of neonatal deaths occur during the first week of life. These mortality rates can be reduced by increased knowledge, positive attitude, and appropriate reaction regarding obstetric and newborn danger signs. Aim: of the study was to examine the effect of health education program on knowledge, attitude, and the reaction of pregnant women regarding obstetric and newborn danger signs. Methods: A quasi-experimental research (pre/post-intervention) design was utilized to achieve this study's aim. A purposive sample of 70 pregnant women was recruited according to inclusion criteria. This research was conducted in the Antenatal Outpatient Clinic at Benha University Hospital. Two tools were used for data collection. They were a Structured Interviewing Questionnaire and a Modified Likert Scale to assess women's attitude. Results: 77.1% had poor knowledge pre educational program compared by 92.9% post educational program intervention. Regarding attitude, 52.9% had a negative attitude preprogram compared to 87.1% had a positive attitude post-program with a statistically significant difference between the two phases regarding all knowledge elements. The majority of them (83.3%) had an appropriate reaction (seeking medical help) after the educational program than a few of them pre educational program. Conclusion: The implementation educational program significantly improved pregnant women’s knowledge, attitude, and reaction regarding obstetrics and newborn danger signs. The study recommended developing antenatal classes for all pregnant women about key danger signs, appropriate decisions, and reactions in obstetric and newborn danger signs. Further research regarding replicating this study on a large representative probability sample is highly recommended to achieve more generalization of the results.

Effectiveness of a vancomycin dosing protocol guided by area under the concentration-time curve to minimal inhibitory concentration (AUC/MIC) with multidisciplinary team support to improve hospital-wide adherence to a vancomycin dosing protocol: A pilot study

2021 ◽  
pp. 1-6
Author(s):  
Panipak Katawethiwong ◽  
Anucha Apisarnthanarak ◽  
Kittiya Jantarathaneewat ◽  
David J. Weber ◽  
David K. Warren ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Multidisciplinary Team ◽  
Kidney Injury ◽  
University Hospital ◽  
Routine Practice ◽  
Post Intervention ◽  
Coagulase Negative Staphylococci ◽  
Time Curve ◽  
Concentration Time ◽  
Quasi Experimental

Abstract Background: Limited data are available on the implementation of an area under the concentration-time curve (AUC)–based dosing protocol with multidisciplinary team (MT) support to improve adherence with vancomycin dosing protocol. Objective: To evaluate the effectiveness of an AUC-based dosing protocol with MT support intervention with adherence to a hospital-wide vancomycin dosing protocol at Thammasat University Hospital. Method: We conducted a quasi-experimental study in patients who were prescribed intravenous vancomycin. The study was divided into 2 periods; (1) the preintervention period when the vancomycin dosing protocol was already applied in routine practice and (2) the post-intervention period when the implementation of an AUC-based dosing protocol with MT support was added to the existing vancomycin dosing protocol. The primary outcome was the rate of adherence, and the secondary outcomes included acute kidney injury events, vancomycin-related adverse events, and 30-day mortality rate. Results: In total, 240 patients were enrolled. The most common infections were skin and soft-tissue infections (24.6%) and bacteremia (24.6%). The most common pathogens were coagulase-negative staphylococci (19.6%) and Enterococcus spp (15.4%). Adherence with the vancomycin dosing protocol was significantly higher in the postintervention period (90.8% vs 55%; P ≤ .001). By multivariate analysis, an AUC-based dosing protocol with MT support was the sole predictor for adherence with the vancomycin dosing protocol (adjusted odds ratio, 10.31; 95% confidence interval, 4.54–23.45; P ≤ .001). The 30-day mortality rate was significantly lower during the postintervention period (8.3% vs 20%; P = .015). Conclusions: AUC-based dosing protocol with MT support significantly improved adherence with vancomycin dosing protocol and was associated with a lower 30-day mortality rate.

scholarly journals Effect of antenatal education on knowledge and utilization of facility-based delivery services among pregnant women in two health institutions in Alimosho, Lagos state

2020 ◽  
Vol 8 (10) ◽  
pp. 3457
Author(s):  
Orji Urenna Okafor ◽  
Ademuyiwa Iyabo Yewande
Keyword(s):  
Pregnant Women ◽  
Knowledge Score ◽  
Education Programme ◽  
Health Concern ◽  
Intervention Package ◽  
Post Intervention ◽  
Antenatal Education ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Delivery Services

Background: Facility-based delivery care is an essential component of maternity care. Overtime, its under-utilization despite improvement in antenatal attendance has become a public health concern in Nigeria. To assess the effect of antenatal education on the knowledge and utilization of facility-based delivery services among pregnant women in primary health facilities in Alimosho, Lagos.Methods: Quasi-experimental design of 2 groups pre- and post-intervention was adopted and through multi-staged sampling techniques, 128 participants were selected but 117 completed the study. Self-developed structured questionnaire with reliability index of 0.76 was used for data collection. The intervention package was antenatal education package on benefits and components of delivery services. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 23 statistical package.Results: The mean age of participants in control and experimental groups was 32.3±9.60 and 34.7±8.21 years respectively. Findings revealed moderate knowledge mean score (control- 54.97±10.52; experimental-52.14±11.09) and low pre-intervention utilization mean score (control 13.33±3.41; experimental-13.17±4.21). Findings also showed significant improvement on post-intervention mean knowledge score of 52.14±11.09 versus 104.75±5.56 and a significant difference in post-intervention utilization (p=0.000) and follow-up (p=0.013) on the experimental group.Conclusions: The study concluded that the antenatal education programme had positive effect on the pregnant women’s knowledge and utilization of health facility delivery services, therefore, there is need to strengthen and intensify antenatal education at all levels of healthcare using appropriate teaching techniques.

scholarly journals Effectiveness of application of a manual for improvement of alarms management by nurses in Intensive Care Units

2021 ◽  
Vol 39 (2) ◽  
Author(s):  
Amirhossein Yousefinya ◽  
Camellia Torabizadeh ◽  
Farid Zand ◽  
Mahnaz Rakhshan ◽  
Mohammad Fararooei
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Blood Pressure Monitoring ◽  
Post Intervention ◽  
Alarm Management ◽  
Effective Interventions ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control ◽  
Time Type

Objective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital in southeastern Iran. The intervention was a 4-hour workshop was on topics related to the adverse effects of alarms, standardization of ECG, oxygen saturation and blood pressure monitoring systems, and the use of ventilators and infusion pumps. Data were collected thorough 200 hours of observation of 60 ICU nurses (100 hours’ pre-intervention and 100 hours’ post-intervention). Response time, type of response, customization of alarm settings for each patient, the person responding to an alarm, and the cause of the alarm were analyzed. Alarms were classified into three types: false, true and technical. Results. The results showed a statistically significant difference between the pre- and post-intervention frequency of alarm types, frequency of monitoring parameters, customized monitoring settings for patients, and individuals who responded to alarms. The percentage of effective interventions was significantly higher for all parameters after the intervention (46.9%) than before the intervention (38.9%). Conclusion. The employment of a manual for management of alarms from electronic equipment in ICUs can increase the frequency of appropriate responses to alarms in these units.

scholarly journals Perceptions of caregivers on immunization in Ntungamo district, Uganda

2021 ◽  
Vol 8 (12) ◽  
pp. 5729
Author(s):  
Byamukama Topher ◽  
Keraka M. Margaret ◽  
Gitonga Eliphas
Keyword(s):  
Risk Factor ◽  
Intervention Group ◽  
Cost Effective ◽  
Systematic Sampling ◽  
Control Group ◽  
Post Intervention ◽  
Mortality And Morbidity ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control

Background: Immunization is one of the most cost-effective public health interventions to reduce child mortality and morbidity associated with infectious diseases. The objective of this study was to determine the perceptions of caregivers on immunization in Ntungamo district.Methods: Quasi-experimental study was used with health centres assigned to intervention and control groups. Purposive sampling was used to select the two counties where the study was done. Proportional sampling was done to get study samples from each health facility, while systematic sampling was done to get study participants. A total of 787 children from twelve health facilities provided the study sample. A post intervention evaluation was conducted to determine the effect of these interventions. Association of variables was tested using Mann Whitney U-test and Chi-square.Results: On benefits, most caregivers in the intervention group (85.3%) and in the control group (54.3%) regarded immunization as very highly and moderately beneficial to their children respectively. On risks, most caregivers in the intervention group (85.5%) and control group (43.1%) regarded the risk factor associated with immunization as very low and moderate respectively. From hypothesis testing, there was a significant difference on the perceived benefits and risks of immunization between the intervention and control group.Conclusions: Most caregivers in the intervention and control group regarded immunization as very highly beneficial and moderately to their children respectively. Most of the caregivers in the intervention and control group regarded the risk factor associated with immunization as very low and moderate respectively. 

scholarly journals Nurse led educational intervention on the knowledge of management of selected childhood conditions among mothers of under five in tertiary hospitals in Bayelsa state

2020 ◽  
Vol 8 (9) ◽  
pp. 3171
Author(s):  
Ebikienmo Forcebray ◽  
Sowunmi Christiana O.
Keyword(s):  
Educational Intervention ◽  
Intervention Programme ◽  
Post Intervention ◽  
Knowledge And Skills ◽  
Under Five ◽  
Childhood Conditions ◽  
Significant Difference ◽  
Tertiary Hospitals ◽  
Quasi Experimental ◽  
Daunting Challenge

Background: Infant and child mortality remains a daunting challenge in Nigeria as findings showed inadequacy in knowledge and skills regarding management of selected childhood conditions among mothers. This study assessed a nurse-led educational intervention on management of selected childhood conditions among mothers of under-five in tertiary hospitals in Bayelsa State.Method: Two group pre-test, post-test quasi-experimental design was used for the study. Total enumeration was adopted to include 150 mothers of under-five. Data were collected using a self-developed questionnaire and a checklist pre and post intervention. Two research questions were answered using descriptive statistics of while hypotheses were tested using inferential statistics of t-test at 0.05 level of significance.Results: Findings showed that pre-intervention knowledge was below average in both control (23.19±6.66) and experimental (21.97±7.32) while an improvement was found with the participants' post-intervention knowledge on the management of selected childhood conditions in the experimental (49.99±5.86) group and not with the control (23.82±6.75) group. No significant difference was found in the pre intervention knowledge (Mean difference=1.22, t(148)=1.01, p=0.103) in the control and experimental group, while a significant difference was reported in the post intervention mean score on knowledge (Mean diff. = 26.17, t(148)=19.45, p=0.000) in the control and experimental group.Conclusion: The nurse-led intervention programme improved knowledge and skills in the management of selected childhood conditions among mothers of under-five. It is recommended that more awareness should be created on the management of selected childhood conditions parameters.

Effectiveness of an Educational Intervention to Participation in Physical Activity: A quasi-experimental model-based study

2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi
Keyword(s):  
Physical Activity ◽  
Educational Intervention ◽  
Stages Of Change ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Post Intervention ◽  
Chi Square ◽  
Significant Difference ◽  
Quasi Experimental

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.

scholarly journals Assessment on the Effect of Active Management of Third Stage of Labour With and Without Uterine Massage on Maternal Outcome among Postnatal Mothers

2021 ◽  
Vol 8 (8) ◽  
pp. 31-39
Author(s):  
Aparajita Kundu ◽  
Manasi Jana
Keyword(s):  
Sampling Technique ◽  
Maternal Outcome ◽  
Active Management ◽  
Control Group ◽  
Postpartum Bleeding ◽  
Significant Difference ◽  
Third Stage ◽  
Uterine Massage ◽  
Postnatal Mothers ◽  
Quasi Experimental

The most common cause of maternal death worldwide is postpartum hemorrhage (PPH) and Active Management of Third Stage of Labour (AMTSL) is the most important prophylactic intervention for prevention of PPH. A study was undertaken to assess the effect of AMTSL with and without uterine massage on maternal outcome among postnatal mothers in a selected hospital, WB. In this quasi-experimental study, Total 60 (Experimental Group-30, Control Group-30) postnatal mothers who undergone spontaneous vaginal delivery were selected by non-probability purposive sampling technique followed by randomization. The uterine massage is applied for 1 min immediately after placental delivery to 2 hours of postpartum at every 15 mins interval. The results revealed that there was no statistically significant difference of mean amount of postpartum bleeding between experimental and control group at 1st hour, 2nd hour, 24 hours, and 48 hours [t1= 1.06, t2= 1.52, t3=0.47, t4=0.26 at df (58), p>0.05]. The general condition (BP, Pulse, Respiration) after 1st hour, 2nd hour, 24 hours and 48 hours were comparable and statistically not significant between the two groups. There was no significant association between amount of postpartum bleeding and obstetrical parameters like parity, gravida, POG, presence of episiotomy, birth weight, time of placental delivery, presence of tear and time of initiation of breast feeding etc. for both groups. Based on the results of the current study, it can be concluded that the mothers who received the uterine massage along with AMTSL get no additional benefit as compared to control group. Keywords: Active management of third stage of labour (AMTSL); Uterine massage; Maternal outcome; Postnatal mother.

scholarly journals The Effect of Happiness Training on Psychological Well-Being in Patients with Thalassemia Major

2021 ◽  
Author(s):  
Mohammad S. Sargolzaei ◽  
Milad G. Shirsavar ◽  
Jasem Allahyari ◽  
Ali Bazi ◽  
Abolghasem P. Nasirabady
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Thalassemia Major ◽  
Routine Care ◽  
Control Group ◽  
Post Intervention ◽  
Psychological Well Being ◽  
Significant Difference ◽  
Quasi Experimental ◽  
And Control

Objectives: Thalassemia major (TM) is a chronic hematological disease that can have deep effects on patients’ mental health and psychological well-being. So, the present study was conducted to determine the effects of happiness training on the psychological well-being of TM patients. Methods: This quasi-experimental study with a pre/post-test design was performed on 52 patients with TM in Zabol city (Iran) from August to December 2020. The patients were randomly categorized into experimental and control groups. In the experimental group, happiness training was performed in eight sessions, each for 60 minutes. The control group received routine care. The data collection tool was the Ryff's Scale of Psychological Well-being (RSPWB). Data were analyzed by SPSS 16 statistical software using descriptive (mean and standard deviation) and inferential (paired and independent t-test) statistics. Results: Regarding the psychological well-being score at the pre-test stage, there was no statistically significant difference between the intervention (74.92 ± 6.36) and control (74.57 ± 5.83) groups (p = 0.83). After the intervention; however, a statistically significant difference was observed between the two groups in terms of psychological well-being (p <0.001). Also, a statistically significant difference was seen comparing the psychological well-being score between the pre- and post-intervention phases in the experimental (p = 0.01) but not control (p = 0.12) group. Conclusion: The results of this study showed that happiness training improved TM patients’ psychological well-being. Therefore, this type of training can be used as an appropriate educational strategy to improve psychological well-being in these patients.Keywords: Happiness; Education; Mental Health; Thalassemia.

scholarly journals Effect of Educational Intervention Guideline on Quality of Life among Women with Polycystic Ovary Syndrome

2020 ◽  
Vol 1 (4) ◽  
pp. 14
Author(s):  
Aziza I. Mohamed ◽  
Shimaa A. Moustafa
Keyword(s):  
Quality Of Life ◽  
Polycystic Ovary Syndrome ◽  
Educational Intervention ◽  
Polycystic Ovary ◽  
University Hospital ◽  
Life Questionnaire ◽  
Post Intervention ◽  
Ovary Syndrome ◽  
Significant Difference

Contexts: Polycystic ovary syndrome is a common endocrine disorder among women at the childbearing period that diminished women’s quality of life. Aim: The current study evaluated the effect of educational intervention guidelines on quality of life among women with polycystic ovary syndrome. Methods: The current study conducted at the outpatient gynecological clinic at Benha University Hospital. A Quasi-experimental design used to collect data from a purposive sample of 98 women diagnosed with polycystic ovary syndrome. Three tools used for data collection.  A structured interviewing questionnaire, a healthy practice assessment scale, and health-related quality of life questionnaire for polycystic ovary syndrome. Results: The study findings revealed that women's knowledge mean score was increased from (8.84±5.72) pre-intervention to (33.56±3.91) at post-intervention. Besides, the healthy practice was satisfactory improved, as practice mean score was increased from (11.41±4.56) to (28.85±2.47) at the post-intervention phase, with a statistically significant difference between the two phases, that subsequently affect the improvement of studied women’s quality of life. Conclusion: An educational intervention guideline is effectively improving the quality of life of women with polycystic ovary syndrome. Educational intervention guideline is essentially recommended for women with polycystic ovary in order to improve different quality of life domains. Counseling and health education program must be provided to all women attended gynecological clinics to increases women knowledge regarding PCOS and its management, to enable early detection, and to improve their quality of life. A replication of the study on a larger probability sample in order to obtain generalizability is highly recommended.

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