scholarly journals Effectiveness of Instructional Module on Breast Problems among Post Cesarean Section Mothers

2021 ◽  
Vol 2 (4) ◽  
pp. 14
Author(s):  
Amal F. Mohammed ◽  
Nabaweya S. Shehata
Keyword(s):  
Cesarean Section ◽  
Self Care ◽  
Routine Care ◽  
Maternity Hospital ◽  
Care Practice ◽  
Cesarean Section Delivery ◽  
Instructional Module ◽  
Quasi Experimental ◽  
Trauma Score

Contents: Enhancement of exclusivity of breastfeeding and increasing its duration is a recognized public health priority. Several common problems may arise during the breastfeeding period and mainly after cesarean section delivery, so assisting mothers in coping with and solving the problems may contribute to successful breastfeeding. Aim:  The study aimed to evaluate the instructional module's effectiveness on breast problems among post-cesarean section mothers. Methods: Quasi-experimental study (pre/post-test) design was used. A purposive sample of 100 women recruited in this study, which was conducted at the Postnatal Inpatient Maternity Unit & Breast-Feeding Clinic at Ain Shams University Maternity Hospital. The study utilizes six tools: A structured Arabic interview questionnaire, LATCH breastfeeding charting scale, mothers’ self-care practice observational checklist, Visual Analogue Scale, Six-point breast engorgement scale, and the Nipple Trauma Score, in addition to developed supportive material (instructional module). Results: A highly statistically significant improvement in all mothers' self-care practices in dealing with breast problems at the post and follow-up of intervention compared to pre-intervention (P <0.001). Also, there is a highly statistically significant reduction of breast problems among the study sample at the post and follow-up of intervention compared to pre-intervention (p < 0.001). The study also reveals a reduced degree of pain, breast engorgement, and nipple trauma score with highly statistically significant improvement on the total LATCH scale at the post and follow-up of intervention compared to pre-intervention (P< 0.001). Conclusion: The present study concluded that the implementation of the instructional module has improved the mothers’ self-care practice and has a positive effect on alleviating breast problems among post-cesarean section mothers. The study recommended an educational program regarding breast problems and their related management should be included in routine care for post-cesarean women.

scholarly journals Effect of Instructional Nursing Strategies on Endometriosis Symptoms

2021 ◽  
Vol 3 (4) ◽  
pp. 9
Author(s):  
Asmaa M. Mohamed ◽  
Shadia H. Mehaseb ◽  
Randa M. Ibrahim
Keyword(s):  
Self Care ◽  
Maternity Hospital ◽  
Study Data ◽  
P Value ◽  
Post Test ◽  
Quasi Experimental ◽  
Care Practices ◽  
Women's Knowledge ◽  
Women’S Knowledge

Context:  Endometriosis is a  chronic and incurable condition associated with debilitating pain and sub-fertility that affects approximately 176 million women worldwide. Aim: To measure the effect of instructional nursing strategies on endometriosis symptoms. Methods: A quasi-experimental (pre/post-test) design was utilized. The study was conducted at gynecological clinics at Ain shams University Maternity Hospital. A purposive sample of sixty women who meet the criteria of the study. Data were collected through three tools; endometriosis structured interviewing questionnaire, endometriosis health profile questionnaire, in addition to women compliance follow up record. Results: The study sample age was 32.47±5.24. There was a highly statistically significant improvement in women's knowledge regarding endometriosis after implementing instructional nursing strategy and at follow-up time compared to their knowledge before it at p-value ≥0.001. Also, there was a highly statistically significant improvement in women's practices to alleviate endometriosis symptoms after three months of implementing instructional nursing strategy compared to their self-care practices before it at p-value 0.001. Moreover, women who followed instructional nursing strategies had highly statistically significant improvement on endometriosis-related symptoms, pain, and fatigue after implementing the instructional nursing strategy at p-value ≥0.001. Conclusion: Women with endometriosis who follow instructional nursing strategies will have fewer symptoms, better knowledge, and improved self-care practices. An awareness program should be developed to upraise women's knowledge regarding endometriosis, and self-care management is recommended.

scholarly journals The effects of educational intervention on self-care behavior and expected clinical outcome in patient undergoing liver transplantation

2018 ◽  
Vol 8 (9) ◽  
pp. 102
Author(s):  
Salwa A. Mohamed ◽  
Heba Abdel-Azem Mostafa
Keyword(s):  
Liver Transplantation ◽  
Clinical Outcome ◽  
Educational Intervention ◽  
Assessment Tool ◽  
Self Care ◽  
Care Practice ◽  
University Hospitals ◽  
Convenience Sample ◽  
Quasi Experimental

Background: Organ transplantation has the potential to rapidly restore the health and wellbeing of individuals experiencing end stage liver disease (ESLD). The aim of the research was to evaluate effects of educational intervention on self-care behaviors and expected clinical outcome in patient undergoing liver transplantation.Methods: A convenience sample of 60 liver patients was assigned for transplantation. The study was conducted in the transplanted Unit in Ain Shams University Hospitals. A quasi-experimental design with pre-post and follow up assessment has been used for this study. Tools were utilized to collect data such a) Self-care practice assessment tool, b) Patient physiological assessment sheet, and c) Demographic and medical health history tool.Results: Improvement in knowledge and self-care behaviors at the post and follow-up tests (p < .0001) after implementation of program compared by pretest evaluation. There are significant improvements in blood pressure (BP) and laboratory results through study stage (p < .001). The pain level improved after intervention and follow up (p < .0001). There are statistically significant between age, job and self-care behaviors at follow up phase.Conclusions: Liver transplantation patients showed a positive improvement in their knowledge, self-care and physiological outcomes after implementing of program. Replication of the study on larger probability sample from different geographical areas to achieve more generalizable results.

scholarly journals Self-care Practice and Associated Factors Among Hypertensive Follow Up Patients at East Gojam Zone Public Hospitals, North West Ethiopia, 2021

2021 ◽  
Author(s):  
Haymanot Mitiku Zeleke ◽  
Birtuka Assefa ◽  
Teshager Sergo ◽  
Nakachew Mekonnen
Keyword(s):  
Social Support ◽  
Associated Factors ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Co Morbidity ◽  
Poor Social Support ◽  
Care Practices ◽  
Unfavorable Attitude

Abstract Background: Self-care practice is crucial for the prevention and management of Hypertension. Poorly controlled hypertension leads to cardiovascular complication as well as organ damage. Despite the availability of several effective pharmacologic and non-pharmacologic therapies, hypertension control remains suboptimal. Self-care practices allow hypertensive patients to have improved quality of life by avoiding complication and decrease health care expenditure. Objective: we assessed self-care practice and its associated factors among Hypertensive Follow up patients at East Gojjam Zone public hospitals, Northwest Ethiopia, 2020.Methods: Institution based cross sectional study was conducted by both quantitative and qualitative methods from October 1-30, 2020. Epi data version 3.1 and SPSS version 25.0 were used for data entry and for analysis respectively. Descriptive statistics and binary logistic regression analysis was employed. Adjusted odds ratios were used to ascertain effect sizes for any association between the dependent and associated variables while significance level at p value of 0.05 was determined using 95% confidence intervals. Result: Out of 480 patients included in the study 51% have Poor self-care practices. About 44.6%, 92.5%, 82.8%, 62.5% of respondents were poor adherent to antihypertensive medications, low diet quality, poor practiced to physical activity, poor practice to weight management respectively. Some of the respondents 3.3%, 9.8% were smokers and were alcohol drinkers respectively. Educational status who cannot read and write (AOR=3.153, 95% CI: 1.674-5.939), no co morbidity (AOR = 0.418, 95% CI: 0.263-0.663), uncontrolled blood pressure status (AOR = 2.141, 95% CI: 1.271- 3.609), poor social support status (AOR = 2.587, 95% CI: 1.544-4.334) and unfavorable attitude (AOR= 3.193, 95% CI: 1.951-5.225) showed significant statistical association with poor self-care practice.Conclusion: The level of hypertension self-care practices found to be low. Therefore, education towards hypertension self-care practices should be strengthened for patients living with hypertension. Special attention should be given to patients with low educational level that cannot read and write, patients with co morbidity, uncontrolled state of hypertension, poor social support and those with unfavorable attitude towards hypertension management modalities.

scholarly journals Effect of early and progressive exercises on post-caesarean section recovery among women attending women's heath hospital

2017 ◽  
Vol 6 (2) ◽  
pp. 71
Author(s):  
Entisar Youness ◽  
Walaa Ibrahim
Keyword(s):  
Cesarean Section ◽  
Bed Rest ◽  
Postpartum Women ◽  
Oral Hydration ◽  
Nursing Role ◽  
Quasi Experimental ◽  
Effective Role ◽  
And Control ◽  
Health Hospital

Background: Cesarean section is the oldest surgery performed in obstetrics. Time needed for recovery of post cesarean section woman is more than those needed for vaginal delivery. The nursing role is to make women after C. S more independent in resuming their daily activities as soon as possible. This can be achieved by early exercises to faster her recovery and reduce complications associated with prolonged bed rest after C.S.The study aimed to assess the effect of early and progressive exercises on C. S recovery among post caesarean women for women attending Women’s Health Hospital, Assiut University, Egypt.Methods: A study and control quasi-experimental design used on 340 posts cesarean section women divided into two groups, study and control, each group contained 170 postpartum women. A structured interviewing questionnaire used as a tool which included Sociodemographic, Obstetric characteristics and follow-up data.Results: Findings of this study revealed that there were significant differences between both groups regarding post-cesarean section recovery variables, which included analgesics required, self-void after catheter removal, breast feeding, oral hydration, and first flatus passed after exercises as per the independent t-test (p<0.05).Conclusion: Early and progressive exercises had an effective role in improving post cesarean section women recovery.Recommendations: Early and progressive exercises should be encouraged as a routine part of care for women within 2 hours after cesarean section.

scholarly journals Self-care practice and its predictors among adults with diabetes mellitus on follow up at public hospitals of Arsi zone, southeast Ethiopia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Rahel Nega Kassa ◽  
Ibrahim Yimer Ibrahim ◽  
Hana Abera Hailemariam ◽  
Mekdes Hailegebriel Habte
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Diabetic Patients ◽  
Care Providers ◽  
Family History Of Diabetes ◽  
Arsi Zone ◽  
Southeast Ethiopia

Abstract Objective Diabetes mellitus is a chronic illness that requires ongoing patient self-management and support to prevent acute complications and to reduce the risk of long- term complications. The objective of the study was to assess diabetic self-care practice and its predictors among adults with diabetes mellitus on follow up at hospitals of Arsi zone, southeast Ethiopia. Results Above half (53.3%) of diabetic patients had good self-care practice. Younger age (AOR: 8.95, 95% CI 1.89,42.48), earning a high income (AOR: 2.495, 95% CI 1.0,5.85), having a family history of diabetes (AOR: 4.5, 95% CI 1.3, 15.5), long duration since the diagnosis of diabetes (AOR: 2.14,95% CI 1.127,4.05), not having diabetic complications (AOR: 3.87, 95% CI 2, 7.48), and having glucometer (AOR: 4.08, 95% CI 1.78 l, 9.33) were significantly associated factors with good diabetic self care practice. Efforts should be made to prevent complications of diabetes mellitus, to support patients who are aged and who have no glucometer at their home to promote good self-care practice. Particularly, health care providers should give special attention to newly diagnosed patients.

scholarly journals Self-care practice and associated factors among type 2 adult diabetic patients on follow up clinic of Dessie referral hospital, Northeast Ethiopia

2021 ◽  
Vol 5 (1) ◽  
pp. 031-037
Author(s):  
Addis Sisay Gedamu ◽  
Kassahun Sewunet Ademe ◽  
Ayele Samuel Anteneh ◽  
Nega Abebe Dires ◽  
Tegegne Kirubel Dagnaw
Keyword(s):  
Associated Factors ◽  
Self Care ◽  
Education Level ◽  
Referral Hospital ◽  
Care Practice ◽  
P Value ◽  
Diabetic Patients ◽  
Dessie Referral Hospital

Background: Diabetes mellitus is a common health problem in the world and Africa including Ethiopia. Its complication is the major cause of morbidity and mortality of people due to improper self-care practice. Objective: To assess self-care practices and associated factors among type 2 adult diabetic patients on follow-up clinic of Dessie referral hospital, Ethiopia. Method: Institutional based cross sectional study was conducted. Total of 278 type 2 diabetic patients was selected by systematic random sampling technique and data was collected by interviewer administered pretested questionnaire. Epidata 3.1 and SPSS version 23 software were used for data entry and analysis, respectively. In bivariate analysis, variables having a p - value of < 0.2 were entered to multivariate analysis model and statistical significance was declared at p - value of < 0.05 and 95% confidence interval. Results: The response rate was 269 (96.76%) of the total 278 participants. Among the respondents 150(55.8%) had good diabetic self-care practice. This study showed that primary school education level (AOR=2.592, 95%CI=1.104-6.087, p = 0.029), secondary school education level (AOR=3.873, 95%CI=1.325-11.323, p = 0.013), college/university graduate (AOR=3.030, 95%CI=1.276-7.197, 0.012), attended diabetic education regularly (AOR=2.981, 95%CI=1.050-8.462, p = 0.040), member of diabetic association (AOR=3.496, 95%CI=1.440-8.483, p = 0.006) and having glucometer at home (AOR=2.634, 95%CI=1.357-5.111, p = 0.004) were significantly associated with diabetes self-care practice. Conclusion: Nearly half of diabetic patients had poor self care practice. Hence, there is a need to improve diabetic self-care practice. Attention should be given by policy makers, Dessie referral hospital, health care professionals, diabetic associations and researchers.

Orem’s Self-Care Model With Trauma Patients: A Quasi-Experimental Study

2018 ◽  
Vol 31 (3) ◽  
pp. 272-278 ◽  
Author(s):  
Mahnaz Khatiban ◽  
Fatemeh Shirani ◽  
Khodayar Oshvandi ◽  
Ali Reza Soltanian ◽  
Ramin Ebrahimian
Keyword(s):  
Experimental Study ◽  
Self Care ◽  
Routine Care ◽  
Control Group ◽  
Trauma Patients ◽  
Care Model ◽  
Attitudes And Practices ◽  
Quasi Experimental ◽  
Respiratory Conditions ◽  
Experimental Group

To examine if the application of Orem’s self-care model could improve self-care knowledge, attitudes, practices, and respiratory conditions of trauma patients with chest tubes, a quasi-experimental study was conducted. The participants were assigned to two groups—namely, Orem’s model and routine care. Although the patients’ self-care knowledge, attitudes, and practices were improved in both groups over the course of 3 days since the initial assessments, there was a greater degree of improvement in the experimental group than that in the control group. However, there were no differences in the improvement of the chest parameters between the two groups. Orem’s model was effective in improving self-care in patients with chest tube.

scholarly journals Knowledge, Attitude and Self-Care Practice towards Control of Hypertension among Hypertensive Patients on Follow-up at St. Paul’s Hospital, Addis Ababa

1970 ◽  
Vol 29 (4) ◽  
Author(s):  
Dawit Bacha ◽  
Hailu Abera
Keyword(s):  
Risk Factor ◽  
Formal Education ◽  
Addis Ababa ◽  
Good Practice ◽  
Self Care ◽  
Basic Knowledge ◽  
Care Practice ◽  
Hypertensive Patients ◽  
Inadequate Knowledge

BACKGROUND: Hypertension is the number one cardiovascular risk factor and the leading cause of mortality worldwide. It’s the driver of the cardiovascular disease epidemic in Africa where it is a major, independent risk factor for heart failure, stroke and renal failure. There is no study to assess the level of knowledge of hypertension among hypertensive patients in our setup. The objective of this study was to assess knowledge, attitude and selfcare practice towards control of hypertension among hypertensive patients on follow up at our hospital.METHODS: A total of 385 hypertensive patients who were on follow up at our hospital were randomly selected for interview. The Sociodemographic and relevant clinical data were extracted using a structured questionnaire. Operational definitions and Likert scale was used to compare the variables.RESULTS: Only 48.6% of hypertensive patients participated in this study have good basic knowledge of hypertension, 47.8% of them have good attitude and only 39.5% of the study participants have good practice towards control of hypertension. Male sex, formal education and being urban resident are associated with better knowledge, attitude and self-care practice of hypertensive patients at our hospital.Conclusion:The result states that there is an inadequate knowledge about hypertension; as well attitude and self-care practice towards control of hypertension among our hypertensive patients is generally poor. Responsible bodies should focus on addressing such limitations of hypertensive patients. Attention should be given to hypertensive patients who are females, low educational level and those coming from rural.

School-Based Dental Education for Improving Oral Self-Care in Mexican Elementary School–Aged Children

2019 ◽  
Vol 20 (5) ◽  
pp. 684-696
Author(s):  
Benjamín López-Núñez ◽  
Jolanta Aleksejūnienė ◽  
María del Carmen Villanueva-Vilchis
Keyword(s):  
Elementary School ◽  
Dental Education ◽  
Self Care ◽  
Care Practice ◽  
Control Group ◽  
School Aged Children ◽  
School Based ◽  
Care Outcomes ◽  
Group 2

Aim. To test the efficiency and acceptance of school-based dental education for improving oral self-care in Mexican elementary school–aged children. Method. A total of 408 students from 4 schools were examined at the baseline, 3 months (follow-up rate was 94%) and 6 months observations (follow-up rate 91%). Group 1 served as a control, Group 2 received a lecture-based education, and Group 3 consisted of trained peer-leaders who educated their peers. Oral self-care practice and oral self-care skills were assessed at the baseline and both follow-ups. A number of sociodemographic and oral health behavior/knowledge characteristics were tested as predictors of oral self-care outcomes at different observation periods. Results. Oral self-care outcomes improved in Groups 2 and 3, but not in the control group. The selected child population, their caregivers and teachers perceived the school-based educational strategy as important and necessary. There was no consistent pattern of predictors explaining variations in oral self-care outcomes at any of the observation periods. Oral self-care improvement observed at the 6 months observation was mainly predicted by the baseline oral self-care levels, dental education, and age. Conclusions. The school-based dental education was easy to implement, and it was effective for improving children’s oral self-care practice and skills.

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