Effect of An Educational Program on Cognitive Functions Among Elderly People Attending Outpatient Clinics At Assiut University Hospital

Abstract Background: The importance of fall prevention rehabilitations has been well recognized. Recently, telerehabilitation was developed, however, there have been no reports on the use of telerehabilitation with direct support from specialists for fall prevention among the elderly. We herein reported telerehabilitation by carers educated by our novel educational program.Methods: Nine elderly people in two nursing homes were enrolled using our original criteria. Carers are educated with our educational program using telelecture system. Telerehabilitation was performed by carers following the instruction from rehabilitation specialists in Asahikawa Medical University using the telemedicine system every 2-4 weeks for three months. Carers were assessed with our original questionnaire before and after the telelecture. Berg Balance Scale (BBS), Timed Up & Go test (TUG test), Hand-held dynamometer (HHD) and Mini-Mental State Examination (MMSE) were assessed before and after telerehabilitation.Results: The average number of times to perform telerehabilitation in all institutes was 4.7. Levels of understanding of carers were significantly increased after the telelecture. No adverse event occurred during the study period. Median BBSs before and three months after telerehabilitation were 43 and 49, respectively. Those of TUG test, right and left HHD and MMSE were 17.89 and 18.53, 7.95 and 11.55, 9.85 and 13.20, and 16 and 19, respectively. All results were improved after telerehabilitation.Conclusions: Our telerehabilitation program exhibited significant effects in elderly people as well as levels of understanding rehabilitation of caregivers in the facilities for the elderly people safely.Trial registration: University Hospital Medical Information Network Clinical Trials Registry（UMIN-CTR）UMIN000041439, August 17th, 2020

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Reminiscence Therapy Improves Cognitive Functions and Reduces Depressive Symptoms in Elderly People With Dementia: A Meta-Analysis of Randomized Controlled Trials

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2015.07.010 ◽

2015 ◽

Vol 16 (12) ◽

pp. 1087-1094 ◽

Cited By ~ 54

Author(s):

Hui-Chuan Huang ◽

Yu-Ting Chen ◽

Pin-Yuan Chen ◽

Sophia Huey-Lan Hu ◽

Fang Liu ◽

...

Keyword(s):

Depressive Symptoms ◽

Randomized Controlled Trials ◽

Elderly People ◽

Cognitive Functions ◽

Meta Analysis ◽

Controlled Trials ◽

Reminiscence Therapy ◽

Randomized Controlled ◽

People With Dementia

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Effectiveness of Nursing Intervention Protocol on Nurses’ Performance and Patients’ Self-Care after Cataract Surgery

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v3i2.190 ◽

2021 ◽

Vol 3 (2) ◽

Author(s):

Amal S. Taha

Keyword(s):

Cataract Surgery ◽

Self Care ◽

Nursing Intervention ◽

Structured Interview ◽

University Hospital ◽

Outpatient Clinics ◽

P Value ◽

Protocol Implementation ◽

Intervention Protocol ◽

Inpatient Units

Context: Cataract is the leading cause of poor vision worldwide. Patients who knowledgeable and skillful nurses well prepare are better prepared to engage in appropriate self-care activities post-cataract surgery. Aim: This study aimed to assess the effectiveness of nursing intervention protocol on nurses' performance and patients’ self-care after cataract surgery. Methods: The study followed a quasi-experimental, pretest-posttest design. The study was conducted in ophthalmology surgical inpatient units and the outpatient clinics at Benha University Hospital. The sample consisted of all available nurses (35) working in the ophthalmology surgical inpatient units, and the outpatient clinics who are willing and agreed to participate in the study and a convenient sample consisted of 50 patients of both genders were also included in the current study before implementing nursing intervention protocol. Three tools were used to conduct the study: A structured interview questionnaire, nurses' practice checklist, and patients’ self-care activity checklist. Results: The results showed statistically significant improvements in nurses' performance (knowledge and practice) immediately post and one-month follow-up post-nursing intervention protocol compared with pre-nursing intervention protocol implementation (p<0.001). General improvement in patients’ self-care activities (41.6±11.042) increased significantly to (64.2±13.65) after nursing intervention protocol implementation at p=0.001. However, after one month of implementing the nursing intervention protocol, a slight decline occurred after one month (52.46±10.97) compared to pre intervention level. Highly statistically significant differences were observed at a p-value ≤0.001. Conclusion: Findings of this study conclude that the nursing intervention protocol was effective in improving nurses' performance, which was reflected in improving the practice of patients' self-care activities cared for by nurses exposed to nursing intervention protocol implementation. It is recommended that further studies are suggested to investigate the outcome of the implementing nursing intervention protocol on decreasing the occurrence of complications post-cataract surgery.

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EFFECT OF EDUCATIONAL PROGRAM ON NURSES’ PERFORMANCE FOR CHILDREN WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

The Malaysian Journal of Nursing ◽

10.31674/mjn.2021.v13i02.008 ◽

2021 ◽

Vol 13 (2) ◽

Author(s):

Sahar Wasfy ◽

Rahma Soliman ◽

Ebtisam El-Sayed ◽

Basma Mahmoud

Keyword(s):

Idiopathic Thrombocytopenic Purpura ◽

Educational Program ◽

Clinical Skills ◽

Structured Interview ◽

University Hospital ◽

Basic Knowledge ◽

Thrombocytopenic Purpura ◽

Pediatric Hematology ◽

Blood Disorder ◽

Knowledge And Practice

Introduction: Idiopathic Thrombocytopenic Purpura is an autoimmune blood disorder associated with decrease platelets level less than normal, which may result in bleeding occurrence. The actual cause is unknown. It may be progressive if untreated, but may remit spontaneously for several years. The aim of this study was to evaluate the effect of health educational program on nurses’ performance for children with Idiopathic-Thrombocytopenic-Purpura. Methods: The study was Quasi- experimental research design used for 50 nurses working at Pediatric Hematology Unit of Tanta University Hospital and Pediatric Hematology Unit of Al- Mabra Tanta Hospital. Two Tools were used to collect required data: structured interview schedule to collect biosocial data of nurses and observational check list regarding nursing practice. Results: The present study-represented that, three quarter of nurses had poor-knowledge and all of them had unsatisfactory level of practice before the-educational-program-implementation. While immediately and after one month from the implementation of the program the total-scores-of-nurses' knowledge and practice improved. Conclusion: There was a-significant improvement in nursing knowledge and practice in relation to nursing care for children with Idiopathic-Thrombocytopenic-Purpura. Recommendations: In-service-training program should be conducted periodically for nurses' teaching the basic knowledge and clinical skills.

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Association of apolipoprotein E gene polymorphism with cognitive abilities variability of elderly people

Nauchno-prakticheskii zhurnal «Medicinskaia genetika» ◽

10.25557/2073-7998.2018.01.20-26 ◽

2018 ◽

pp. 20-26

Author(s):

А.В. Марусин ◽

О.А. Макеева ◽

К.В. Вагайцева ◽

А.В. Бочарова ◽

М.Г. Сваровская ◽

...

Keyword(s):

Elderly People ◽

Cognitive Functions ◽

Cognitive Abilities ◽

Natural Aging ◽

The Elderly ◽

Protein Isoforms ◽

Apolipoprotein E Gene ◽

Median Test ◽

The Relationship ◽

The Brain

Physiological changes in the brain with natural aging and the development of dementia have a common genetic basis, which makes it important to search for genetic variants that delineate the natural decline in cognitive abilities with age and dementia of the Alzheimer’s type. Objective: the search for the relationship between two polymorphic variants (rs429358 and rs7412) APOE gene and their protein isoforms (apoE) with the variability of cognitive functions in the elderly, determined by Montreal Cognitive Assessmnet (MoCA) total score. The study was performed on a group of 695 elderly people (177 men and 518 women) tested by a battery of MoCA tests. Genotyping was carried out by real-time PCR using TaqMan probes. The analysis of genotypic variability associations with the nominal trait was performed by the Kruskel-Wallis and the median test nonparametric methods.It was shown that the rs429358*C allele carriers and protein isoforms e4/e4+e2/e4+e3/e4 carriers in comparison with the e3/e3 homozygous have the greatest risk of decreased cognitive abilities in old age (OR (95% CI) was 1.51 (1.09 - 2.10), c = 6.66, p = 0.01 and OR = 1.64, 95% CI (1.11 - 2.44), c = 6.76, p = 0.009, respectively). Probably, the revealed associations indicate to the presence of common genes and mechanisms for dementia and intellect with normal variability of cognitive functions inheritance.

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The satisfaction of the people about Family Medicine who admitted to outpatient clinics of Erciyes University Hospital

Türkiye Aile Hekimliği Dergisi ◽

10.15511/tahd.18.00102 ◽

2018 ◽

Vol 22 (1) ◽

pp. 2-11 ◽

Cited By ~ 1

Author(s):

Hasan Durmuş ◽

Ahmet Timur ◽

Serkan Yıldız ◽

Fevziye Çetinkaya

Keyword(s):

Family Medicine ◽

University Hospital ◽

Outpatient Clinics ◽

The People

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Psychological and Physical Problems in Elderly People with Problems of Falls

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1112 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S659-S660

Author(s):

M. Mentis ◽

M. Gouva ◽

E. Antoniadou ◽

K. Mpourdoulis ◽

I. Kesoudidou ◽

...

Keyword(s):

Mental Health ◽

Physical Health ◽

Elderly People ◽

The Elderly ◽

Poor Mental Health ◽

University Hospital ◽

Psychological State ◽

Physical Damage ◽

The Difference ◽

Competing Interest

IntroductionFalls of the elderly to a degree been associated with poor mental health, poor social support and poor physical health.ObjectivesTo investigate the falls of elderly people in relation to their mental and physical healthy.AimsTo compare the effects of falls in the elderly in the areas of mental and physical health.MethodsThe current study used purposive sampling compromised from 48 people that visited the emergency department at the Patras University Hospital in 2016. The inclusion criterion for participation was age (> 65 years). Data was collected using WHO's questionnaire, the WHOQUOL-BREF. Finally, data was analyzed using the test t test for independent samples.ResultsThe sample constituted by 39.6% of male and 61.4% of female. The average age of the sample was M = 75.89 years. In relation to mental health, the average of the elderly with a history of falls found M = 57.26 (SD = ± 22.87), while the other was found M = 74.45 (SD = ± 15.81). The difference between the two groups was statistically significant (P < 0.05), while physical health although again the first group found to have a smaller average (M = 56.65, SD = ± 22.13) relative to the second group (M = 63.78, SD = ± 12.59) no statistical difference was observed.DiscussionsThese results demonstrates that falls beyond the physical damage that are immediately visible can as well create significant issues in the psychological state of the elderly exacerbating anxiety, fear and social isolation, which has been associated with depression event.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Role of the nurse in preventing or reducing increase intracrani-al pressure following craniotomy

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v6i2.8293 ◽

2017 ◽

Vol 6 (2) ◽

pp. 92

Author(s):

Rasha Abdelmowla ◽

Abdelhakeem Essa ◽

Esmat Abdelmaged

Keyword(s):

Intracranial Pressure ◽

Educational Program ◽

Demographic Data ◽

Quality Care ◽

Adult Patients ◽

University Hospital ◽

Control Group ◽

Significant Difference ◽

Before And After ◽

Nurses Knowledge

Background: Increase intracranial pressure following craniotomy is common and different measures should be taken to prevent or treat it promptly. Aim: Preventing or reducing increase intracranial pressure following craniotomy. Research design: Quasi-experimental.Subjects and methods: All nurses (26) in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital, in addition to a sample of 124 patients after craniotomy. Control group (62 adult patients before implementing the nursing educational program) and study group (62 adult patients after implementing the nursing educational program). Nurses’ knowledge and practice were assessed before and after implementation of the nursing educational program. Tools: Structured questionnaire to assess nurses` demographic data and knowledge about intracranial pressure, observation checklist for nurses` practice, patients’ assessment sheet, and teaching booklet for nurses about postoperative increase intracranial pressure. Results: Highly significant differences were found as regarding nurses` knowledge and nurses` practice pre and post implementing the nursing educational program. Significant difference was found between study and control groups as regarding increase intracranial pressure following craniotomy. Conclusion: Nursing educational program had a significant effect on preventing or reducing postoperative increase intracranial pressure.Recommendation: Nurses should have continuous education through programs, workshops, seminars and/or training courses to maintain high quality care.

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Educational intervention together with an on-line quality control program achieve recommended analytical goals for bedside blood glucose monitoring in a 1200-bed university hospital

Clinical Chemistry and Laboratory Medicine (CCLM) ◽

10.1515/cclm.2005.147 ◽

2005 ◽

Vol 43 (8) ◽

Cited By ~ 4

Author(s):

Víctor Sánchez-Margalet ◽

Manuel Rodriguez-Oliva ◽

Cristina Sánchez-Pozo ◽

María Francisca Fernández-Gallardo ◽

Raimundo Goberna

Keyword(s):

Blood Glucose ◽

Glucose Control ◽

Educational Program ◽

Total Error ◽

Control Program ◽

University Hospital ◽

Low Level ◽

Analytical Goals ◽

On Line

AbstractPortable meters for blood glucose concentrations are used at the patients bedside, as well as by patients for self-monitoring of blood glucose. Even though most devices have important technological advances that decrease operator error, the analytical goals proposed for the performance of glucose meters have been recently changed by the American Diabetes Association (ADA) to reach <5% analytical error and <7.9% total error. We studied 80meters throughout the Virgen Macarena Hospital and we found most devices with performance error higher than 10%. The aim of the present study was to establish a new system to control portable glucose meters together with an educational program for nurses in a 1200-bed University Hospital to achieve recommended analytical goals, so that we could improve the quality of diabetes care. We used portable glucose meters connected on-line to the laboratory after an educational program for nurses with responsibilities in point-of-care testing. We evaluated the system by assessing total error of the glucometers using high- and low-level glucose control solutions. In a period of 6months, we collected data from 5642 control samples obtained by 14 devices (Precision PCx) directly from the control program (QC manager). The average total error for the low-level glucose control (2.77mmol/l) was 6.3% (range 5.5–7.6%), and even lower for the high-level glucose control (16.66mmol/l), at 4.8% (range 4.1–6.5%). In conclusion, the performance of glucose meters used in our University Hospital with more than 1000 beds not only improved after the intervention, but the meters achieved the analytical goals of the suggested ADA/National Academy of Clinical Biochemistry criteria for total error (<7.9% in the range 2.77–16.66mmol/l glucose) and optimal total error for high glucose concentrations of <5%, which will improve the quality of care of our patients.

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