scholarly journals Effect of a supportive-educative nursing intervention programme on knowledge of chlorhexidine gel for umbilical cord management amongst mothers in Cross River State, Nigeria

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Easter C. Osuchukwu ◽  
Chinwe F. Ezeruigbo ◽  
Paulina A. Akpan-Idiok ◽  
Ekaette F. Asuquo
Keyword(s):  
Umbilical Cord ◽  
Intervention Group ◽  
Knowledge Score ◽  
Nursing Intervention ◽  
Sub Saharan Africa ◽  
Healthcare Personnel ◽  
Intervention Programme ◽  
Cross River ◽  
Cross River State ◽  
Significant Difference

Background: Umbilical cord infection contributes significantly to neonatal mortality rate in sub-Saharan Africa. Studies have shown low knowledge of chlorhexidine (CHX) gel for umbilical cord management amongst mothers in low-resource settings, including Nigeria.Objective: The objective of this study was to assess the effectiveness of a supportive-educative nursing intervention programme on knowledge of CHX gel amongst mothers in Cross River State, Nigeria.Methods: A quasi-experimental study design was used, and study participants comprised 168 expectant mothers, who were purposely selected and assigned to randomised control and intervention groups. The instrument for data collection was a researcher-developed structured questionnaire. The data were analysed using Statistical Package for Social Sciences version 23 for descriptive and inferential statistics at significant level was set at p 0.05.Results: The result showed that at post-test the knowledge score of mothers on CHX gel improved significantly in the intervention group (t 77 = 24.394; p 0.05). The result showed no significant difference between mothers’ demographic variables and knowledge of CHX gel.Conclusion: A supportive-educative nursing intervention programme could effectively improve knowledge of CHX gel for umbilical cord management amongst mothers. This underscores the need to improve mothers’ knowledge of CHX gel by healthcare personnel.

scholarly journals The Effect of an Educational Plan Based on the Roy Adaptation Model for Fatigue and Activities of Daily Living of Patients with Heart Failure Disease

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Mahdieh Abdolahi ◽  
Mohammad Mahdi Doustmohamadi ◽  
Hojjat Sheikhbardsiri
Keyword(s):  
Heart Failure ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Daily Activities ◽  
Control Group ◽  
Roy Adaptation Model ◽  
Educational Plan ◽  
Significant Difference ◽  
Patients With Heart Failure ◽  
Adaptation Model

BACKGROUND: Cardiac failure is one of the most common chronic diseases with high rate of morbidity and mortality. Fatigue and decreased ability to perform daily activities are of the most common complications of this disease. The purpose of this study was to determine the effect of an educational plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure.METHODS: This experimental study was performed on 60 heart failure patients admitted in two educational hospitals supervised by the Kerman University of Medical Sciences in 2019. Sample was randomly assigned into two intervention and control groups. The intervention group received the care plan through a face-toface and group training program in 6 sessions at one month. Interval followed by a follow-up period for 4 weeks later. Fatigue level was calculated based on piper fatigue scale, and daily activities were calculated by Barthes scale.RESULTS: The finding indicated that there was a significant difference between the two groups (control and intervention) after the intervention. The result showed that the intervention group had significantly lower mean scores in fatigue and higher mean scores in daily activities compared to the control group after intervention P ≤ .05. There was a significant relationship between fatigue and daily activities of life with frequency of hospitalization and duration of disease in both groups, P ≤ .05.CONCLUSION: Implementation of Roy model-based education program as a low-cost, effective, and non-aggressive nursing intervention can reduce fatigue, and improve daily activities in patients with heart failure.

scholarly journals Effectiveness of Nursing Intervention on Health Locus of Control and Self-Efficacy in Women with Gestational Diabetes

2021 ◽  
Vol 3 (1) ◽  
pp. 12
Author(s):  
Sabah R. H. Ahmed ◽  
Safaa G. Salem ◽  
Nahed M. Saber ◽  
Reda T. A. Abou Elazab ◽  
Merfat M. Atia
Keyword(s):  
Locus Of Control ◽  
Gestational Diabetes ◽  
Self Efficacy ◽  
Health Locus Of Control ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Outpatient Clinics ◽  
Control Group ◽  
Significant Difference ◽  
And Control

the offspring in prenatal and postnatal periods and later life.  Lack of self-care is the most important reason for mortality in diabetic patients. Self-efficacy has a significant role in enhancing successful adherence to healthy behaviors, lifestyle modifications, and diabetes control among gestational diabetes pregnant women. Aim:  The current study aimed to evaluate the nursing intervention (NI) effectiveness on health locus of control (HELOC) and self-efficacy in women with gestational diabetes (GD). Methods: A quasi-experimental design (study and control group) was used. The researchers conducted this study at the Antenatal Outpatient Clinics of Shebin El-Kom Teaching Hospital, Menoufia Governorate, Egypt. A purposive sample of 120 women with GD was carefully chosen from the nominated setting and dispersed accidentally into two identical groups (study and control group). Three tools were used for collecting the study data: A structured self-administered questionnaire, the Multidimensional Health Locus of Control Scale-C Form, and the General Self-efficacy Scale. Results: There is a statistically significant difference between the intervention and control groups in their internal health locus of control (HELOC) scores after the intervention, with a mean difference of 4.70 at CI 95% for the intervention group p<0.001. A non-statistically significant difference was found between the intervention group and the control group in the external health locus of control (HELOC) mean scores before and after the intervention, although there was a significant difference between the change in both groups p=0.032. Also, there is a highly statistically significant difference between the intervention group and the control group in the self-efficacy scores after the intervention in the intervention group, where p<0.001 compared to a non-significant difference between them before the intervention group intervention (p=0.555). Conclusion: The study concluded that the women with GD who attended NI sessions obtained higher HELOC scores (internal and external) and higher self-efficacy scores than those who do not. Educational nursing intervention should become a fundamental part of the total management of gestational diabetes in antenatal outpatient clinics.

scholarly journals Cadmium, Cobalt, Lead and Zinc Levels in Soil and Edible Vegetables in Yala Urban Area of Cross River State, Nigeria

2020 ◽  
Vol 24 (5) ◽  
pp. 835-838
Author(s):  
M.A. Akpe ◽  
P.U. Ubua ◽  
I.B. Onyebuenyi
Keyword(s):  
Urban Area ◽  
Dry Season ◽  
World Health ◽  
Chemistry Laboratory ◽  
Average Level ◽  
Cross River ◽  
Cross River State ◽  
Flame Atomic Absorption ◽  
Significant Difference ◽  
Dry Seasons

The average level of cadmium (Cd), cobalt (Co), lead (Pb) and zinc (Zn) in the soil and edible vegetables samples collected randomly in Yala Urban Area of Cross River State was determined using flame Atomic Absorption Spectrometer. The samples were digested and analyzed for the metals level or concentration in Chemistry Laboratory, University of Calabar. The eight vegetables selected for the study were Amaranthus spp., Corchorusolitorius, Murraya koenigii, Ocimum grattissimum, Solanum melongena, Talinum triangulare, Telferia occidentalis and Vernonia amygdalina. The results indicated that the average level of the metals in the soil in mgkg-1 ranged from (0.005-0.021) and (0.004-0.019) in rainy and dry seasons respectively for Cadmium, (0.162- 0.475) and (0.163- 0.472) in rainy and dry season respectively for Cobalt, and (0.434-1.030) and (0.432-1.027) in rainy and dry season respectively for Zinc. Also, the average level of the metals accumulated by the vegetables in mgkg-1 ranged from (0.002-0.009) and (0.001- 0.007) in rainy and dry season respectively for Cadmium, (0.050-0.198) and (0.048-0.195) in rainy and dry season respectively for Cobalt, and (0.158-0.383) and (0.156-0.380) in rainy and dry season respectively for Zinc. The level of Lead in the soil or vegetables was not detected. The average level of metals accumulated by the vegetables and that present in the soil was in the order: Zinc > Cobalt > Cadmium > Lead. These results revealed that there is no significant difference between the level of metals in the soil or that accumulated by the vegetables in rainy and dry seasons of the year. Also the level of metals accumulated by most of the vegetables was directly proportional to the amount present in the soil where they are planted. The Target Hazard Quotients of these metals was less than 1. These results imply that the concentration of Cadmium, Cobalt, Zinc and Lead in the soil and vegetables were still low and within the permissible limits of World Health Organization. Thus, the consumption of the vegetables in the area may not pose any health risk for now. Keywords: Heavy metals, Concentration, Soil, Edible vegetables.

scholarly journals Effects of Predictive Nursing Intervention among Patients with Acute Stroke

2021 ◽  
Author(s):  
Lina Gong ◽  
Chunhong Ruan ◽  
Xuan Yang ◽  
Wanli Lin
Keyword(s):  
Sleep Quality ◽  
Acute Stroke ◽  
Daily Life ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Hunan Province ◽  
Control Group ◽  
Significant Difference ◽  
Movement Function ◽  
Neurologic Function

Background: To explore the effects of predictive nursing intervention among patients with acute stroke. Methods: One hundred and sixty participants were included. They were hospitalized in the Department of Neurology of a third-level first-class hospital in Changsha, Hunan Province, from January to August 2019. They were categorized into control group and intervention group by random number table, with 80 patients in each group. General nursing for patients in Neurology Department was offered to the control group. On the basis of general nursing, predictive nursing intervention was offered to the intervention group. The effectiveness of predictive nursing intervention were evaluated by disparity in neurologic function, movement function, daily life ability and sleep quality before intervention and 2 weeks after intervention. The neurologic function, movement function, daily life ability and sleep quality were evaluated by National Institute of Health acute stroke scale (NIHSS), Fugl-Meyer scale, Barthel indicator, and Pittsburgh sleep quality indicator (PSQI), respectively. Results: There was no significant difference in gender, age, complications and treatment methods between two groups. There was no significant difference in the scores of NIHSS, Fugl-Meyer scale, Barthel indicator, and PSQI before intervention. The scores of NIHSS and PSQI were significantly lower in the intervention group than those in the control group, and the scores of Fugl-Meyer scale and Barthel indicator were significantly higher in the intervention group than those in the control group (P <0.05). Conclusion: Predictive nursing intervention could help improve not only neurologic function, movement function, and daily life ability, but also sleep quality among patients with acute stroke.

Diagnosis of Lymphatic Filariasis Using Immunochromatography and Microscopy in Three Local Government Areas of Cross River State, Nigeria

2020 ◽  
Vol 41 (2) ◽  
Author(s):  
M Maurice ◽  
E.U Sode ◽  
I.B Otu-Bassey
Keyword(s):  
Local Government ◽  
Lymphatic Filariasis ◽  
Neglected Tropical Diseases ◽  
Age Groups ◽  
Public Health Problem ◽  
Diagnostic Methods ◽  
Blood Samples ◽  
Cross River ◽  
Cross River State ◽  
Significant Difference

Human Lymphatic filariasis (LF) caused by three types of filarial worms; Wuchereria bancrofti, Brugia malayi and Brugiatimori is one of the neglected tropical diseases and spread by bites of infected Anopheles, Culex, Aedes, Ochleratus andMansoni mosquitoes. The study evaluated diagnostic methods using blood samples from 420 consented participants in threeLocal Government Areas of Cross River State. Blood samples were examined following one hour of administration ofDiethylcarbamazine citrate for LF microfilaria microscopy (Knott’s concentration) and for LF antigen usingimmunochromatographic (ICT) method (Alere filariasis test strip). Of the 420 samples examined, 1.7% was found to bepositive using microscopy while 4.8% were positive using ICT. There was no significant difference in the diagnosis oflymphatic filariasis using microscopy and ICT among participants in the local government areas (χ2= 21.84, p>0.05). Of the214 males and 206 females examined, 4.2% males and 5.3% females tested positive using ICT while 1.4% males and 1.9%females were found positive using microscopy. The difference in the infection between gender was statistically significant(χ2=0.298, p<0.05). Participants aged 21-24 years had the highest prevalence of 19.4% while the least prevalence of 1.5%was observed among age group 9-12years using ICT. Also, no significant difference was observed in the diagnosis of LFamong the age groups (χ2= 19.88, p>0.05). The study showed that LF still remains a public health problem in Cross RiverState. Mass drug administration should be scaled up in the state so as to reduce and finally eradicate the disease. Keywords: Diagnosis, Lymphatic filariasis, Immunochromatography, Microscopy

scholarly journals The pilot study of radiology nursing intervention in abdominal 3-T Magnetic Resonance examination

2016 ◽  
Vol 50 (6) ◽  
pp. 961-964 ◽  
Author(s):  
Gui-qing Dong ◽  
◽  
Wen-wen Wang ◽  
Kai Deng ◽  
Guang-li Wang ◽  
...  
Keyword(s):  
Image Quality ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
Nursing Interventions ◽  
Success Rates ◽  
Significant Difference ◽  
Abdominal Examination ◽  
The One ◽  
And Control

Abstract OBJECTIVE The aim of this study was to investigate the effect of radiology nursing intervention in abdominal examination at 3-T MRI. METHOD 60 patients with abdominal diseases were divided into two groups randomly: MR nursing intervention group and control group. All the patients underwent abdominal MR examination at 3-T. The MR nursing interventions were performed in nursing intervention group. The outcomes, including one-time success rate, the ratio of diagnosable MR images and the points of image quality, were compared between these two groups. RESULTS The one-time success rates in control group and MR nursing intervention group were 66.67% and 96.67% with significant difference ( χ2 =9.017, P<0.05). The ratios of diagnosable images in the two groups were 76.67% and 96.67% with significant difference (χ2 =5.192, P<0.05). The points of MR image quality in the two groups were 1.87±0.86 and 2.33±0.55, respectively. There was significant difference between these two groups (t=-2.508, P<0.05). CONCLUSION The effective nursing intervention can make the patients cooperation better in abdominal MR examination and improve the image quality significantly.

Orem’s Self-Care Model with Multiple Sclerosis Patients’ Balance and Motor Function

2019 ◽  
Vol 33 (1) ◽  
pp. 46-54
Author(s):  
Ardashir Afrasiabifar ◽  
Zahra Mehri ◽  
Hamid Reza Ghaffarian Shirazi
Keyword(s):  
Multiple Sclerosis ◽  
Motor Function ◽  
Intervention Group ◽  
Self Care ◽  
Nursing Intervention ◽  
Control Group ◽  
Care Model ◽  
Significant Difference ◽  
The Mean ◽  
Multiple Sclerosis Patients

Orem’s self-care model has been introduced as a nursing model to empower participants with chronic diseases. This study aims to investigate the effectiveness of nursing interventions using Orem’s self-care model with multiple sclerosis participants’ balance and motor function. Sixty-three participants with multiple sclerosis were randomly assigned to intervention and control groups. The nursing intervention using Orem’s self-care model was performed for eight sessions of 45–60 minutes in the intervention group. In the intervention group, a significant increase (improvement) was observed in the mean scores of balance before (17.09 ± 1.97) and after the intervention (33.75 ± 6.01). A significant decrease (improvement) was observed in the mean of motor functions before (4.12 ± 0.34) and after the intervention (1.59 ± 0.71) ( p = 0.001). However, no significant difference existed in the mean scores of balance ( p = 0.10) and motor function in the control group ( p = 0.20). The nursing intervention using Orem’s self-care model improved balance and motor function of participants with multiple sclerosis.

scholarly journals Effect of Nursing Care Strategy on Functional Outcomes among Patients after First Time Stroke

2019 ◽  
Vol 1 (2) ◽  
pp. 13
Author(s):  
Marwa M. Ali ◽  
Rasha F. Mohamed ◽  
Amina A. Mahmoud
Keyword(s):  
Nursing Care ◽  
Functional Outcomes ◽  
Intervention Group ◽  
Depression Scale ◽  
Knowledge Score ◽  
University Hospital ◽  
Control Group ◽  
Significant Difference ◽  
Functional Disabilities ◽  
First Time

Context: Strokes are life-changing events not merely affect a person physically but also emotionally as it may result in physical disabilities, which lead to functional disabilities as difficulties carrying out daily activities as working, walking, talking, eating, bathing, with loss of energy in addition to depressive status as a result of functional disabilities. Daily nursing care strategies are essential to stroke management. Since, it can overcome spasticity and hemiplegia through sustained stretching by various positioning, repetitive performance of a specific movement, and teaching patient to use and adapt the affected limb during functional activities. Aim: The aim of this study is to evaluate the effect of nursing care strategy on functional outcomes among patients after the first-time stroke. Methods: A quasi-experimental design used to conduct the current study in neurology department to be followed through neurology outpatient clinic at Benha University Hospital. During the period from the beginning of February 2018 till the beginning of January 2019.Subjects: Purposive sample of 171 patients to be at the end of study period (Intervention group 72 & control group 69), recruited according to the study formula based on the total number admitted to the study settings during 2017. Tools: Two tools utilized for data collection, (1)Structured interviewing questionnaire for patients, (II)Functional outcomes scales, involving: Modified Ashworth scale, Modified Barthel index, as well as the Center for Epidemiologic Studies Depression Scale (CES-D Scale). Results: Showed that there was highly statistically significant difference in term of increased knowledge score among the intervention group compared to controls, as well as a significantly lower degree of spasticity, a higher level of independence in performing activity of daily living (ADL), besides, lower depression score among intervention group compared to controls. It also showed a significant correlation between the degree of spasticity with both of independence in performing ADL and degree of depression among intervention group after nursing care strategy implementation. Conclusion: The nursing care strategy was effective in improving patients’ knowledge as well as the functional outcomes among intervention group revealing a significant correlation between the degree of spasticity with both independence in performing ADL and degree of depression. The study suggested continuous education and training program planned and offered regularly to stroke patients in the neurology and rehabilitation unit. Also recommended written, a simple booklet about stroke and its management should be provided & be available for patients and their families (relatives).

scholarly journals Concentration of Heavy Metals (Cd, Co, Cr, & Fe) in Soil and Edible Vegetables in Obudu Urban Area of Cross River State, Nigeria

2019 ◽  
pp. 1-7
Author(s):  
Akpe, Michael Akomaye ◽  
Ubua, Placcidus Unimuyi
Keyword(s):  
Heavy Metals ◽  
Urban Area ◽  
Solanum Melongena ◽  
Dry Season ◽  
Cross River ◽  
Cross River State ◽  
Significant Difference ◽  
Dry Seasons ◽  
The Mean ◽  
Mean Concentration

The soil and edible vegetable samples were collected from Obudu Urban Area of Cross River State and were digested and analyzed for the Cd, Co, Cr, and Fe (heavy metals) concentration using Atomic Absorption Spectrometer (AAS) in the University of Calabar Laboratory. The eight vegetables considered for the study were Amaranthus spp., Corchorus olitorius, Murraya koenigii, Ocimum grattissimum, Solanum melongena, Talinum triangulare, Telferia occidentalis and Vernonia amygdalina. The results showed that the mean concentration of the metal in the soil in mgkg-1 ranged from (0.004-0.0048) and (0.005-0.046) in rainy and dry seasons respectively for Cd, (0.004-0.025) and (0.006-0.016) in rainy and dry season respectively for Cr, and (0.112-0.173) and (0.116-0.151) in rainy and dry season respectively for Fe. The concentration of Co was not detected in the soil or vegetables. The mean concentration accumulated by the vegetables and that present in the soil was in the order: Fe> Cd> Cr> Co. These results suggest that there is no significant difference between the amount of metals in the soil or that accumulated by the vegetables in rainy and dry seasons of the year. Also the amount of metals accumulated by most of the vegetables was directly proportional to the amount present in the soil where they are planted. The bioaccumulation ratios were all less than 1. These results indicate that the concentration of Cd, Co, Cr, & Fe in the soil and vegetables were still low and within the permissible limits of WHO/FAO. Thus, the consumption of the vegetables in the area may not cause any harm for now.

scholarly journals Traditional Variables and Umbilical Cord Management among Mothers in Calabar Education Zone, Cross River State, Nigeria

2021 ◽  
pp. 152-157
Author(s):  
Pauline Ekun Ekuri ◽  
Levi Udochukwu Akah ◽  
Effioanwan Irene Duke Nkere ◽  
Stephen Ushie Akpa ◽  
Itam Ben Edet
Keyword(s):  
Health Care ◽  
Umbilical Cord ◽  
Health Care Services ◽  
Survey Design ◽  
Traditional Beliefs ◽  
Beliefs And Practices ◽  
Cross River ◽  
Cross River State ◽  
Nursing Mothers ◽  
The Impact

This study investigates the influence of traditional variables on umbilical cord management among nursing mothers in Calabar Education Zone, Cross River State. Two research questions were answered in the study. The survey design was adopted for this study. The sample size of 748 nursing mothers that delivered within six months, currently obtaining postnatal health care services was drawn from a population of 1,068 nursing mothers in the area of study. “Traditional Variables and Umbilical Cord Management Questionnaire (CVUCMQ)” was used for data collection. Cronbach Alpha method was used to analyse the data with reliability estimates for the variable ranging from .81 to .88. The first finding indicates that traditional beliefs affect neonatal umbilical cord management by nursing mothers. The second finding of this study shows the influence of traditional practices on neonatal umbilical cord management by nursing mothers in Southern Cross River State. Based on these findings, it was concluded that the impact of traditional beliefs and practices are the strong traditional variables that nursing mothers and health care workers must pay due attention to ensure effective delivery of quality patient care. The study recommended among others that there should be forums to address traditional rulers and their cabinets on the dangers of unhealthy traditional beliefs and practices surrounding umbilical cord management.

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