scholarly journals The impact of family-centered care and meeting the need to learn how much of global anxiety in parents of children with urinary tract infection: a randomized clinical trial

2019 ◽  
Vol 10 (1) ◽  
pp. 68-74
Author(s):  
Hajar Sadeghi ◽  
Fatemeh Mehrabi ◽  
Pouriya Darabiyan ◽  
Yazdan Shabani ◽  
Masoud Bahrami

 Backgrounds and Objectives: About 30% of children hospitalized at least once during childhood, and about 5 percent hospitalized several times. The family is the most important source for support child patients so the family centered care is necessary. One of the main sources of stress and anxiety for the family is the crisis by the hospitalization ill children. Attention to the needs of mothers and reducing the anxiety from hospitalization is so important.   The purpose of the study was to investigate the effects of family-centered care and meeting the need to learn how much of global anxiety in parents of hospitalized children. Materials and Methods: In the present Randomized clinical trial study, 70 parents of children suffering from UTI   randomly divided in two groups: control (35) and intervention groups (35). family-centered care done by researcher and participating mothers. Control group received normal care. The data gathering tool was a three-part questionnaire: personal characteristics, Krastinzdottir questionnaire and Spiel Berger’s questionnaire. Information were analyzed by using of SPSS software and chi-squared and t test. Results: The result of this study showed that the anxiety of the both group are the same and both of them are at the midrange. Range of meet information need in intervention and control group had statistically significant differences (p<0.435). Conclusions: The family-centered care is effective at range of meet information needs of hospitalized children parent’s and increase their satisfaction. Keywords: Parent, Family Centered Nursing, Hospitalized Children; anxiety, Urinary Tract Infection

Background and Aim: The family can play an important role in adapting patients with diabetes to lifestyle changes, so that the family, as the most essential pillar of society, is responsible for the proper care of the patient with diabetes; Therefore, the present study was conducted to determine the effect of family-centered care on the adherence to treatment of patients with type 2 diabetes. Materials and Methods: In this quasi-experimental study, 80 patients with type 2 diabetes and one member of their family were selected by convenience sampling method and randomly assigned to two of intervention and control groups. Adherence to treatment was assessed using a researcher-made questionnaire and laboratory values before and 3 months after the intervention. Data were analyzed using the Kolmogorov-Smirnov, Independent t-test, paired t-test, and Chi-square test. Results: After the implementation of the family-centered care program, increased mean scores for patient adherence to treatment in the intervention group compared to the control group, this increase was statistically significant (p=0.0001). The results showed a decrease in the mean score of fasting blood glucose, random blood glucose and glycosylated hemoglobin in the intervention group compared to the control group. This decrease was statistically significant (P = 0.0001). Conclusion: Family-centered care can increase adherence to treatment, and decrease fasting blood glucose, random blood glucose and hemoglobin glycosylated levels. Therefore, it is recommended that family pay more attention to diabetic members. Key Words: Adherence to Treatment; Blood glucose; Family-Centered Nursing; Type 2 Diabetes Mellitus


Background and Aim: The family can play an important role in adapting patients with diabetes to lifestyle changes, so that the family, as the most essential pillar of society, is responsible for the proper care of the patient with diabetes; Therefore, the present study was conducted to determine the effect of family-centered care on the adherence to treatment of patients with type 2 diabetes. Materials and Methods: In this quasi-experimental study, 80 patients with type 2 diabetes and one member of their family were selected by convenience sampling method and randomly assigned to two of intervention and control groups. Adherence to treatment was assessed using a researcher-made questionnaire and laboratory values before and 3 months after the intervention. Data were analyzed using the Kolmogorov-Smirnov, Independent t-test, paired t-test, and Chi-square test. Results: After the implementation of the family-centered care program, increased mean scores for patient adherence to treatment in the intervention group compared to the control group, this increase was statistically significant (p=0.0001). The results showed a decrease in the mean score of fasting blood glucose, random blood glucose and glycosylated hemoglobin in the intervention group compared to the control group. This decrease was statistically significant (P = 0.0001). Conclusion: Family-centered care can increase adherence to treatment, and decrease fasting blood glucose, random blood glucose and hemoglobin glycosylated levels. Therefore, it is recommended that family pay more attention to diabetic members. Key Words: Adherence to Treatment; Blood glucose; Family-Centered Nursing; Type 2 Diabetes Mellitus


2021 ◽  
Author(s):  
Behzad Mohsenpur ◽  
Hero Azizzadeh ◽  
Ebrahim Ghaderi ◽  
Amjad Ahmadi

Abstract Objective: Urinary tract infection is among the most prevalent infections in humans, and E. coli is the most frequent pathogen causing this disease. The production of Beta lactamase enzymes (ESBL) in this bacterium makes it resistant to many antibiotics. The aim of this study was to evaluate a novel method single daily dose of Amikacin at 48 h intervals in a clinical trial This was a double-blind clinical trial study.Material and Methods: The patients were divided into two groups of Intervention (Administration of single daily dose of Amikacin at 48 h intervals Intervals for 1 week 3 doses) and control (Prescription of Meropenem for 1 Week). Results: The mean age of the Intervention group was (46.64±3.89) and control group (46.03±2.38). The frequency of E. coli infection was 61(54%), and that of other infections was 52(46%).Conclusion: The results of our study show the therapeutic effect of single daily dose administration of Amikacin every 48 hours


Author(s):  
Chia-Hung Huang ◽  
Ying-Hsiang Chou ◽  
Han-Wei Yeh ◽  
Jing-Yang Huang ◽  
Shun-Fa Yang ◽  
...  

To investigate the association among lower urinary tract infection (UTI), the type and timing of antibiotic usage, and the subsequent risk of developing cancers, especially genitourinary cancers (GUC), in Taiwan. This retrospective population-based cohort study was conducted using 2009–2013 data from the Longitudinal Health Insurance Database. This study enrolled patients who were diagnosed with a UTI between 2010 and 2012. A 1:2 propensity score-matched control population without UTI served as the control group. Multivariate analysis with a multiple Cox regression model was applied to analyze the data. A total of 38,084 patients with UTI were included in the study group, and 76,168 participants without UTI were included in the control group. The result showed a higher hazard ratio of any cancer in both sexes with UTI (for males, adjusted hazard ratio (aHR) = 1.32; 95% confidence interval (CI) = 1.12–1.54; for females, aHR = 1.21; 95% CI = 1.08–1.35). Patients with UTI had a higher probability of developing new GUC than those without UTI. Moreover, the genital organs, kidney, and urinary bladder of men were significantly more affected than those of women with prior UTI. Furthermore, antibiotic treatment for more than 7 days associated the incidence of bladder cancer in men (7–13 days, aHR = 1.23, 95% CI = 0.50–3.02; >14 days, aHR = 2.73, CI = 1.32–5.64). In conclusion, UTI is significantly related to GUC and may serve as an early sign of GUC, especially in the male genital organs, prostate, kidney, and urinary bladder. During UTI treatment, physicians should cautiously prescribe antibiotics to patients.


Author(s):  
Falah Hasan Obayes AL-Khikani

Around the world, there is no population clear from urinary tract infection (UTI), particularly among women. UTI is considered the most predominant bacterial infection. This study aimed to detect the incidence of the most common major uropathogens in patients severe from urinary tract infection with antibiotic sensitivity tests that assist urologist doctors for appropriate antimicrobial empirical therapy.Methods: This study was carried in a private laboratory in Babil city, Iraq from May 2019 to May 2020. Totally 70 individuals suffering from clear symptoms of UTI, as well as, 20 healthy persons participated in this study as a control group. Then, the standard microbiological methods carried out to isolate and identify bacterial species. Antimicrobial susceptibility tests were performed using different antimicrobial discs by applying the Kirby&ndash;Bauer disc diffusion method.Results: Totally, 90 specimens were obtained from them 20 control group, 19 with no growth, and 51 patients with bacterial growth distributed as 43 (83%) females and 8 (17%) males. E. coli were the most common predominant organisms. All isolates were showed a high rate of resistance to evaluated cephalosporins 100% and 82% to cefotaxime and ceftriaxone respectively, while very low resistance recorded in Aminoglycosides 20% and 13% to Gentamicin and amikacin respectively. Most age group infected with UTI was 21-40 years old.Conclusion: The current study showed an increasing burden of urinary tract infection caused by various bacteria implicated in UTI that causes changeable sensitivity to various antimicrobial agents. Therefore, in clinical use appropriate medications should be selected based on the data obtained from antimicrobial susceptibility tests.


2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Anafrin Yugistyowati

Kelahiran bayi prematur di Indonesia masih tergolong tinggi dengan permasalahan kesehatan yang menyertai selama perawatan.Penelitian ini bertujuan untuk mengidentifikasi tingkat pengetahuan, sikap dan keterampilan orang tua dalam merawat bayi prematur sebelum dan setelah intervensi pada kelompok kontrol dan perlakuan.Penelitian ini dilakukan di ruang Perinatologi RSUD Saras Husada Purworejo. Metode penelitian yang dipakai menggunakan penelitian pre test and post test nonequivalent control group design. Analisis data dilakukan dengananalisa univariat dan bivariat dengan rumus Kai Kuadrat dan Wilcoxon Signed Ranks Test. Tingkat pengetahuan dan sikap terdapat perbedaan yang signifikan; sedangkanketerampilan tidak terdapat perbedaan yang signifikan (pengetahuan: a= 0,05,p= 0,0001; sikap: a= 0,05, p= 0,003; dan keterampilan: a= 0,05, p= 0,67). Pendidikan kesehatan pada orang tua bayi prematur dengan perawatan berfokus pada keluarga (FCC) sebaiknya dilakukan secara berkelanjutan sehingga merubah perilaku orang tua dalam merawat bayi prematur.


2018 ◽  
Vol 59 (4) ◽  
pp. 1-5
Author(s):  
Alexandra Castaño González ◽  
Juan Gabriel Ruiz Peláez

Introduction: Urinary tract infection is a major cause of child morbidity. The diagnosis of acute pyelonephritis is important to decide the treatment. Methods: Retrospective observational study. We collected information of urinalysis, urine Gram and urine culture of hospitalized children between 3 months and 5 years old, with suspected urinary tract infection between January 2008 and December 2010. In patients with positive urine culture, the results of renal scintigraphy (Gamma scan) were evaluated to estimate the incidence of acute pyelonephritis. Results: We identified 1,463 medical records. Urinary culture was obtained in 237 patients, of whom 54.4% were positive. Renal scintigraphy was obtained in 93 of these patients and 59.1% were positive. Conclusions: The incidence of acute pyelonephritis in patients with confirmed urinary tract infection was 59.1%.


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