scholarly journals Impact of umbilical cord cleansing with 4% chlorhexidine on rate of omphalitis and separation time among newborns in Khartoum state, Sudan

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Abdelmoneim E.M. Kheir ◽  
Amna M.A. Mustafa ◽  
Awatif A. Osman

Infection of the umbilical cord remains high in developing countries with subsequent increase in neonatal mortality rates. This may be due to the practice of applying potentially harmful substances to the freshly cut cord. The aim of this study was to assess the impact of umbilical cord care with 4% chlorhexidine on the rate of omphalitis and separation time among newborns in Khartoum State. This was a quasi-experimental research design that was carried out in the main maternity hospitals of Khartoum state between February and August 2012. One hundred mothers and their respective babies were selected by convenience sampling and were divided equally into intervention and control groups. The tools used for data collection were a questionnaire and an observational checklist. The data were analyzed using Statistical Package for Social Sciences version 17 for descriptive and inferential statistics. Umbilical cord training was effective in enhancing mothers’ knowledge and skills in the intervention group. The result showed that the omphalitis rate was reduced significantly in the intervention group; also the intervention group had a shorter separation time (mean=5.02) compared to the control group (mean=7.24). In conclusion, the application of 4% chlorhexidine on the freshly cut umbilical cord stump, significantly reduces omphalitis rate. This inexpensive and simple intervention can save a significant number of newborn lives in developing countries.

2021 ◽  
pp. 014303432110250
Author(s):  
Celeste Simões ◽  
Anabela C. Santos ◽  
Paula Lebre ◽  
João R. Daniel ◽  
Cátia Branquinho ◽  
...  

Resilience is an individual’s ability to adapt successfully to and persevere during and after significant challenges. Resilience programmes based on a socioemotional learning approach have been associated with an increase in protextive factors (e.g., prosocial competencies), improvements in physical and mental health, and a decrease in internalised and externalised symptoms. The present study aimed to evaluate the impact of the RESCUR curriculum implemented in Portuguese schools on students’ academic, behavioural, and socioemotional outcomes, based on child and teacher reports. Participants included 1,084 children (53.2% male) aged 3-15 ( M = 7.24, SD = 2.31). A quasi-experimental study compared outcomes for an experimental intervention group (AIG) with a waiting list control group (WG). The results showed the RESCUR programme decreased mental health difficulties while increasing both prosocial behaviours and well-being. In addition, academic performance increased for those in preschool after implementation. Both teachers and children consistently reported positive behavioural changes in resilience-related competencies after implementing RESCUR. Our findings contribute to the recent research on the potential of RESCUR to address key socioemotional competencies and improve relevant protextive factors. Study limitations and future recommendations are addressed.


2019 ◽  
Vol 10 (4) ◽  
pp. 11
Author(s):  
Eman Abdel Fattah Hassan ◽  
Hoda Wahid Amer

Objective: To evaluate the impact of regular chest percussion on outcome measures for infants with pneumonia.Methods: A two-group pre-post quasi-experimental design was conducted in the Pediatrics Medical Unit at Abu Elrish Children’s Hospital, Cairo University. The experiment involved 100 infants fifty (control group) followed the hospital routine care and other fifty applied regular chest percussion (intervention group). Chest condition was assessed subjectively and objectively throughout five days before and after the regular chest percussion using Pediatrics Respiratory Severity Scales. Physiological measurements of infant’s respiratory rate, heart rate, and temperature and oxygen saturation were assessed. All research ethics were applied.Results: The mean of Pediatric Respiratory Severity Score (PRSS), temperature, respiration, heart rate and oxygen saturation among infants was statistically improved throughout the intervention days than the control group 1st, 2nd, 3rd and 4th days post the regular chest percussion at a significance level as p < .05.Conclusions: The regular chest percussion had a significant improvement in the respiratory health conditions for infants with bacterial pneumonia. This study recommends regular chest percussion that should be applied in medicine and intensive care units. Further researches must be done to add more evidence -based practices regarding the effect of chest percussion for children with pneumonia.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Roya Sheybani ◽  
Zahra Hosseini ◽  
Sayed Hossein Davoodi ◽  
Teamur Aghamolaei ◽  
Amin Ghanbarnejad

Abstract Background Evidence indicates the lower intake of fruits and vegetables than the recommended daily amount. Study aimed at determining the effects of peer education intervention on the consumption of fruits and vegetable in housewives. Methods A quasi-experimental was conducted with 130 housewives referring to health care centers in Bandar Abbas, Iran. Sixty-five subjects were recruited in each of the intervention and the control groups. Intervention group were divided into three subgroups each receiving a seven-sessions educational programs (lecturing and group discussion) through peers about the importance of benefits of fruits and vegetables consumption. Participants were followed for two months. Data were collected using a questionnaire in two stages of pre- and post-intervention. Differences in the outcome before and after the intervention were tested using T-test and paired T-test. Results The daily servings of fruits and vegetables in the intervention group increased from 1.73 to 4.20 and in the control group from 1.96 to 2.16; a statistically significant difference was also observed between the groups (P < 0.001). After the intervention benefits and self-efficacy of fruits and vegetables consumption significantly increased and perceived barriers of fruits and vegetables consumption significantly decreased in the intervention group (P < 0.001). Conclusion Peer education improves benefits and self-efficacy, reduces barriers, and increases the daily servings of fruits and vegetables in housewives.


2016 ◽  
Vol 13 (2) ◽  
pp. 27-30 ◽  
Author(s):  
Md. Khairuzzaman ◽  
MA Mannan ◽  
Abdul Matin ◽  
Mst. Monjuman Ara Sarker ◽  
Nihar Ranjan Sarker ◽  
...  

Background: Cord separation time has evolved as an important justification for recommending against the topical use of chlorhexidine on the cord. Objective: This present study was undertaken to determine the impact of cord cleansing with chlorhexidine on cord separation time and maternal acceptance of chlorhexidine in umbilical cord care. Methods:  Between April 2013 to July 2014, 340 newborns were randomly assigned within a tertiary level hospital in Bangladesh to receive 1 of 2 cord care regimens: clean and dry cord care (control) and single cord cleansing with 4% chlorhexidine. Results: The mean cord separation time in newborns of chlorhexidine group was significantly longer than dry cord care group (p < 0.001). Mother of newborns in chlorhexidine group more frequently reported “longer than usual” cord separation time. Overall satisfaction of mother with cord separation time was high (95.9%). Conclusion: Topical chlorhexidine significantly increased cord separation time.Journal of Science Foundation, 2015;13(2):27-30DOI: http://dx.doi.org/10.3329/jsf.v13i2.27929


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Thor Arne Haukedal ◽  
Inger Åse Reierson ◽  
Hanne Hedeman ◽  
Ida Torunn Bjørk

Simulation-based learning is an effective technique for teaching nursing students’ skills and knowledge related to patient deterioration. This study examined students’ acquisition of theoretical knowledge about symptoms, pathophysiology, and nursing actions after implementing an educational intervention during simulation-based learning. A quasi-experimental study compared theoretical knowledge among two groups of students before and after implementation of the intervention. The intervention introduced the following new components to the existing technique: a knowledge test prior to the simulation, video-recording of the performance, and introduction of a structured observation form used by students and facilitator during observation and debriefing. The intervention group had significantly higher scores on a knowledge test conducted after the simulations in comparison to the scores in the control group. In both groups scores were highest on knowledge of symptoms and lowest on knowledge of pathophysiology; the intervention group had significantly higher scores than the control group on both topics. Students’ theoretical knowledge of patient deterioration may be enhanced by improving the students’ prerequisites for learning and by strengthening debriefing after simulation.


2016 ◽  
Vol 25 (3) ◽  
pp. e40-e47 ◽  
Author(s):  
Carmen S. Rodriguez ◽  
Meredeth Rowe ◽  
Loris Thomas ◽  
Jonathan Shuster ◽  
Brent Koeppel ◽  
...  

Background Sudden speechlessness is common in critically ill patients who are intubated or have had surgery for head and neck cancer. Sudden inability to speak poses challenges for hospitalized patients because strategies to facilitate communication are often limited and unreliable. Objective To determine the impact of a technology-based communication intervention on patients’ perception of communication difficulty, satisfaction with communication methods, and frustration with communication. Methods A quasi-experimental, 4-cohort (control and intervention) repeated-measures design was used. Data were collected daily for up to 10 days. Patients in adult critical care units were followed up as they were transferred to other units within the institutions selected for the study. The impact of a technology-based communication system (intervention) was compared with usual care (control). Patients’ communication outcomes pertinent to communication with nursing staff that were evaluated included perception of communication ease, satisfaction with methods used for communication, and frustration with communication. Results Compared with participants in the control group, participants in the intervention group reported lower mean frustration levels (−2.68; SE, 0.17; 95% CI, −3.02 to −2.34; P &lt; .001) and higher mean satisfaction levels (0.59; SE, 0.16; 95% CI, 0.27 to 0.91; P &lt; .001) with use of the communication intervention. Participants in the intervention group reported a consistent increase in perception of communication ease during the hospital stay. Conclusions The results facilitated evaluation of a bedside technology-based communication intervention tailored to the needs of suddenly speechless critically ill patients.


2019 ◽  
Author(s):  
Netty Isnawati ◽  
Irna Nursanti ◽  
Giri Widagdo

Background: Menopause is a condition which a woman has no longer experiences of menstruation that occurs in the range age from 50 to 59 years. Nowadays, menopausal women will experience changes in physical and sexual health that will affect their psychological health. Objectives: The purpose of research by providing Health Packages can improve the Understanding and Ability to Overcome Menopause Problems in Bekasi City. Methods: This study used a quasi experimental pre-post test with control group design. The sample was 132 respondents for one group using purposive sampling technique.With inclusion criteria:menopausalwomen ,abletoread and write, still have a partner (husband), no serious illness complications, were willing tobe respondents,were presentat the time ofthe study.The resultsof the study were analyzed using a median on univariate, paired sample t-test and t-independent test on bivariate. Results: The results showed there were differences before and after the health package intervention was given with an average of understanding and ability to overcome physical problems of -0.239, sexual -0.368, psychology -0.237 with p value 0.00 while in the control group it was averaged on understanding and ability to overcome physical problems -0.030 p value 0.218, sexual – 0.033 p value 0.123, and psychology -0.023 p value 0.426. Conclusions: From this study it could be concluded that after giving a health package to the intervention group and the control group that was not given a health package the same increased, but in the control group the increase occurred only in the sexual problem section only because this was due to the information received based on previous experience and also the information obtained by respondents is not in full so that there is some decline in the value of understandingandabilityofrespondents.healthpackageinterventionscanbeusedas astandardprocedureinimprovingthequalityofindependentnursingcareservicesfor menopausal women and for further researchers could use as a reference in exploring research on menopause by conducting qualitative research.


JKEP ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 44-53
Author(s):  
Ulty Desmarnita ◽  
Yuli Mulyanti

Hypertension during pregnancy may lead to a serious condition called preeclampsia.Health cadre should be provided with information concerning identification of such risk. This study aimed to identify the impact of guidebook of pregnant woman with preeclampsia on knowledge and attitude in pregnant women in health cadre. The study design was quasi-experimental withnon-randomized pretest-posttest group control approach. This study involved 60 health cadres whom were assigned into two groups, intervention group (n= 30) and control group (n= 30) and recruited through purposive sampling technique. The results suggest that there was significant difference in health cadre’s attitude between both groups (p= 0.000). Variable of duration being a cadre is the most determinant factor affecting cadre’s attitude. Health promotion through guidebook of pregnant woman with preeclampsia was effective in improving health cadre’s attitude. Authors recommend health cadres to use the guidebook of pregnant woman with preeclampsia when enacting their duties. 


2019 ◽  
Vol 6 (2) ◽  
pp. 123-132
Author(s):  
Lusi Andriani ◽  
Sri Yanniarti ◽  
Desi Widiyanti ◽  
Elvi Destariyani

The incidence of Cervical cancer about 16/ 100,000 women, 70% of deaths occur in poor and developing countries. It is estimated that approximately 528,000 new cases of cervical cancer and caused 266,000 people to die. The purpose of this study to determine the impact of local language movies on knowledge and motivation Women in the implementation of early detection of cervical cancer by the IVA test. This study uses a quantitative method with a design quasi-experimental pre and post-test with control group design, data were collected using a questionnaire. Samples were 60 women in the Kampung Melayu district area consists of 30 people as the intervention group and 30 in the comparison group. The data analysis used univariate, the bivariate test of T-dependent and T-test Independent, multivariate use MANCOVA. Results showed knowledge before and after intervention increased from 10.73 into 12.80 with p-value(0.000) and Motivation scores increase of 56.57 into 60.40 with p-value (0.002). There are significant differences between the intervention group and the comparison group with p-value(0.002) for the knowledge and p (0.000) for motivation. There was a significant effect of the variable Independent Movie towards Knowledge and Motivation women with pValue 0.00, covariate variable does not affect the knowledge and motivation with p-Value greater than α =0.05. Need to campaign on an ongoing basis to be able to motivate women in carrying out the examination IVA and the media that is used needs to be varied so that women interested and more easily understand the message.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1564-1572
Author(s):  
Satibi Satibi ◽  
Achmad Fudholi ◽  
Hafizh Amrullah ◽  
Aya Shaufia Itsnayain

A medication error can cause severe injury for the patient, even mortality, and that can be prevented. Preventing medication error is done by upgrading the drugs administrators knowledge at the Community Health Center in handling the high alert drugs. One of the possibility is by training. This research is conducted to understand the influence of training toward the suitability of high alert drugs storage. This research constitutes quasi-experimental design with pre and post-analysis approach along with by using a control group as a comparison. The  population of research consists of all of community health centre drugs administrators in Ogan Komering Ilir Regency and Mataram City. The sample of research are the drugs administrators, Human Resources, who work at the Community health centre of Ogan Komering Ilir and Mataram city were chosen to use non-probability sample.  The intervention was conducted toward the drugs administrators with the material that has been standardized by the Ministry of Health of the Republic of Indonesia.  The instrument is in the form of List of Visit that has been validated to assess the suitability of high alert drugs storage at Community health centre by using SPSS-23 with Wilcoxon Signed Rank and Mann-Whitney U tests. The result of the research shows that the majority of the Intervention group of Community health centre (83,33%) the storage of high alert drugs is appropriate with the standard after training.  The percentage difference of the appropriate high alert drugs storage test between intervention group and control group after the training (p<0,05). This study concludes that the training that was conducted toward the drugs administrators can increase the percentage of high alert drugs suitable storage that lead to the decreasing of medication error incidents at Community health centre.


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