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Evaluation of Improvement Project in Shortening the Time of Patients’ First Eating After Orthopedic Surgery
Hong Zhang,
Jiajie Yan,
Sujuan Lin,
Songwei Huan,
Junyuan Chen,
Cuiqing Liu
Issue:
Volume 8, Issue 4, August 2019
Pages:
129-134
Received:
12 April 2019
Accepted:
23 May 2019
Published:
30 May 2019
Abstract: To shorten the time of first eating of the patients after orthopedic surgery by carrying out improvement project, a project team was set up to identify improvement themes and set improvement goals. Before starting the project activities, 102 patients with orthopedic surgery in our department were selected as the control group and the anesthesia of these patients was spinal anesthesia. Another 161 with orthopedic surgery patients were selected as the intervention group. We compared the time between returning to the ward after surgery and the time of first eating after the surgery. After the implementation of the improvement project, the average time of first eating was 92 minutes. The time of intervention group was shorter than that of the control group (P < 0.05), and the rate of intervention group patients who started to drink within 2 hours after surgery was higher than that of the control group patients (P < 0.05); There was no significant difference in postoperative gastrointestinal side effects between the two groups. Patients who returned to the ward at the end of the N class (22:00-08:00) had their first drink after a long time. The data indicate that by carrying out the improvement of nursing projects, the traditional concept of medical staff can be changed, the diet management and nursing process of patients during the operation period can be regulated. Moreover, the time of first-time eating after surgery for patients with orthopedic spinal anesthesia can be shorten, and the safety of early postoperative diet can be improved, which is good for patients to recover quickly after surgery.
Abstract: To shorten the time of first eating of the patients after orthopedic surgery by carrying out improvement project, a project team was set up to identify improvement themes and set improvement goals. Before starting the project activities, 102 patients with orthopedic surgery in our department were selected as the control group and the anesthesia of ...
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Prevalence and Predictors of Postpartum Care Uptake Among Mothers Who Gave Birth in the Last Six Months in Mertule Mariam District Northwest Ethiopia
Solomon Demis Kebede,
Kedir Teji Roba,
Nega Assefa,
Tigabu Munye,
Wubet Alebachew
Issue:
Volume 8, Issue 4, August 2019
Pages:
135-141
Received:
19 March 2019
Accepted:
14 May 2019
Published:
31 May 2019
Abstract: Background: In the majority of home and hospital based births, postpartum care is not delivered adequately and are highly limited in Ethiopia in terms of coverage and frequency with which the service should be provided. Objective: The aim of the study was to assess the prevalence and predictors of postpartum care uptake among mothers who gave birth in the last six months in Mertule Mariam District, Northwest Ethiopia. Methods and Materials: A Community based descriptive cross sectional study design was carried out through a cluster sampling method with a total sample size of 565 from January 30 to February 8, 2018. Structured interviewer administered pre-tested questionnaire was used to collect data. The collected data was entered into Epi data version 4.2 and then exported into SPSS window version 24. Bivariate and multivariate analysis were undertaken and information was presented by using simple frequency tables, graphs and pie charts. Result: The prevalence of postpartum care uptake was found to be 19% (95% CI: 15.2, 21.9). Fifty one percent of mothers reported that the main reason for not using postpartum care was an absence of any complication. Knowledge about postpartum care (AOR=6.35, 95% CI: 3.41, 11.82), having four or more antenatal care checkups (AOR=8.59, 95% CI: 4.59, 14.58), experiencing complications in the last delivery (AOR=4.89, 95% CI: 2.52, 9.49) and receiving health information after delivery (AOR=3.57, 95% CI: 1.69, 7.53) were found to be statistically associated with postpartum care uptake. Conclusion: This study revealed that postpartum care rates in this community was very low. Hence, there is an urgent need to assess the quality of Postpartum care (PPC) provided and a need for knowledge and ANC raising program focusing on the schedule.
Abstract: Background: In the majority of home and hospital based births, postpartum care is not delivered adequately and are highly limited in Ethiopia in terms of coverage and frequency with which the service should be provided. Objective: The aim of the study was to assess the prevalence and predictors of postpartum care uptake among mothers who gave birth...
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Outcome of Intracavitary Electrocardiogram Guidance in PICC Tip Placement in Preterm Infants: A Single-center Experience of 327 Cases
Lilan He,
Weiju Chen,
Meng Zhang,
Na Lin,
Wenyan Yang
Issue:
Volume 8, Issue 4, August 2019
Pages:
142-144
Received:
5 April 2019
Accepted:
11 May 2019
Published:
4 June 2019
Abstract: A tertiary neonatal intensive care unit (NICU) in China has carried out a study investigating the safety and accuracy of intracavitary electrocardiogram (IC-ECG) guidance in PICC tip placement in preterm infants. From October 2015 to September 2018, IC-ECG-guidance was applied in 327 preterm infants in our NICU. The positioning of the PICC was performed under ECG-guidance and subsequently assessed by chest X-ray. The frequency of correct ECG-guided PICC-placement in one single attempt, premature infants gender, weight, weeks’ gestational age at PICC insertion was recorded. 327preterm infants（207 male and 120 female）were included in the study with a gestation of 31.3 weeks (25.3 to 36.8) and birth weight of 1498 g (600 to 2560). 327 PICCs tip placement was guided with IC-ECG, all concordant with chest X-ray. 313 (95.7%) were correctly positioned, 228 (72.3%) were correctly positioned on the first attempt, 5 were incorrectly identified to have a short line and 9 were malpositioned. The most commonly punctured vein was the basilic vein (n=228), followed by the superficial temporal vein (n = 31), the axillary vein (n = 25). For 3 years IC-ECG method has proved to be a simple, safe, quick method to assess the correct positioning of the PICC in preterm infants. This is a reliable technique, performing real-time manipulation without any complications.
Abstract: A tertiary neonatal intensive care unit (NICU) in China has carried out a study investigating the safety and accuracy of intracavitary electrocardiogram (IC-ECG) guidance in PICC tip placement in preterm infants. From October 2015 to September 2018, IC-ECG-guidance was applied in 327 preterm infants in our NICU. The positioning of the PICC was perf...
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Effect of Cold Application Versus Contrast Hydrotherapy on Patients Knee Osteoarthritis Outcomes
Manal Ibrahem Abd elFatah,
Soheir Mohammed Weheida,
Mimi Mohammed Mekkawy
Issue:
Volume 8, Issue 4, August 2019
Pages:
145-152
Received:
31 March 2019
Accepted:
20 May 2019
Published:
17 June 2019
Abstract: Background: Osteoarthritis (OA) is the most prevalent and far common debilitating form of arthritis which can be defined as a degenerative condition affecting synovial joint. Physical agents can fight the painful process such as cold or contrast hydrotherapy Aim. Evaluate the effect of cold application versus contrast hydrotherapy on pain control, functional abilities and quality of life. Setting: The study was conducted at Assuit University Hospital in out patients’ clinics. Subjects: 180 adult patients with knee osteoarthritis. Tools: were selected four tools Tool I: Bio-socio demographic characteristics Tool II: 0-10 Numeric pain rating scale. Tool II1: health assessment questionnaire. Tool IV: WHOQOL-BREF Results: decreased mean of pain score between contrast group than cold group (3.5 ± 2.1 vs 7.0 ± 1.9 respectively, improve mean HAQ disability index score intervention was 17.9 ± 6.3 &12.7 ± 5.9 between cold and contrast hydrotherapy respectively and increasing mean between contrast group than cold group regarding all domain of quality of life. Conclusion: greater pain relief and functional improvements found when subjects used contrast therapy. Recommendation: Superficial contrast therapy should be included in the early effort to manage patients with osteoarthritis.
Abstract: Background: Osteoarthritis (OA) is the most prevalent and far common debilitating form of arthritis which can be defined as a degenerative condition affecting synovial joint. Physical agents can fight the painful process such as cold or contrast hydrotherapy Aim. Evaluate the effect of cold application versus contrast hydrotherapy on pain control, ...
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Effect of In-service Training Program on Minimizing Nursing Intravenous Medication Process Errors by Syringe Through Intravenous Catheter
Ghada Hassan Ahmed,
Sahra Zaki Azer,
HananAbd El-Razik AbdEl-all
Issue:
Volume 8, Issue 4, August 2019
Pages:
153-162
Received:
12 May 2019
Accepted:
15 June 2019
Published:
26 June 2019
Abstract: The dangerous events caused by medication errors are one of the main challenges faced in the hospital. The current study aimed to evaluate the effect of in-service training program on minimizing nursing intravenous medication process errors by syringe through intravenous catheter. Design; Quasi-experimental study was used in this study. Setting: Surgical wards (A, B, and C) at Assuit University Hospital. Subjects: all available nurses were in the age group between 18-60 years, and both male and female. Tools: Nurses knowledge questionnaire sheet, Nurses' practice checklist for intravenous medication process, and in-service training program. Results: the majority of nurses were females, two thirds their age ranged from (20 >30 years), and their years of work experience were more than 10 years. The majority of them had not attainting training program related to intravenous medication process. Conclusion: there was statistically significant difference between pre and post implementation of in-service training program as regard total scores of knowledge and practice about nursing intravenous medication process errors. Recommendations: Development of standard guideline medication administration process should be available at all units in the hospitals.
Abstract: The dangerous events caused by medication errors are one of the main challenges faced in the hospital. The current study aimed to evaluate the effect of in-service training program on minimizing nursing intravenous medication process errors by syringe through intravenous catheter. Design; Quasi-experimental study was used in this study. Setting: Su...
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Awareness and Uptake of Cervical Cancer Screening Among Female Students in School of Basic Medical Sciences, University of Benin, Nigeria
Christie Edoghogho Omorogbe,
Eremwanarue Juliet Ehizemwogie
Issue:
Volume 8, Issue 4, August 2019
Pages:
163-168
Received:
27 February 2019
Accepted:
5 June 2019
Published:
27 June 2019
Abstract: Cervical cancer screening is an important screening test commonly used to detect abnormal cervical cells, including precancerous cervical lesions, as well as early cervical cancer. Cervical cancer is a deadly disease which can be prevented through screening. Not much has been documented on awareness and uptake of cervical cancer screening among female undergraduate students in the University of Benin. This study investigated the awareness and uptake of cervical cancer screening among female students in School of Basic Medical Sciences, University of Benin. A cross-sectional descriptive survey was conducted among two hundred (200) female undergraduates selected using simple random sampling technique. A pretested structured questionnaire was used to elicit information on respondent knowledge awareness and uptake of cervical cancer screening and was analyzed using the Statistical Package for Social Sciences (SPSS) version 17. Results showed that 86.7% of the respondents had knowledge of cervical cancer. Eighteen percent have had a screening for cervical cancer. Findings also revealed that the level of uptake of cervical cancer screening is low compared to the level of knowledge about cervical screening. Intensifying the need for nurses to engage in health education and awareness programs that will increase general awareness of the people on the advantages of uptake of cervical cancer screening is essential.
Abstract: Cervical cancer screening is an important screening test commonly used to detect abnormal cervical cells, including precancerous cervical lesions, as well as early cervical cancer. Cervical cancer is a deadly disease which can be prevented through screening. Not much has been documented on awareness and uptake of cervical cancer screening among fem...
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An Analysis of Risk Factors for Deep Vein Thrombosis in the Lower Limbs and Nursing Strategies
Wang Yuhua,
Wang Dongmei,
Gu Weidong
Issue:
Volume 8, Issue 4, August 2019
Pages:
169-173
Received:
4 December 2018
Accepted:
28 February 2019
Published:
4 July 2019
Abstract: This study aimed to analyze risk factors for deep vein thrombosis (DVT) in the lower limbs among inpatients and to discuss appropriate nursing measures. Clinical data from 32 DVT patients were analyzed retrospectively to identify the potential risk factors. Except for one case who was transferred to another hospital for surgical treatment, all 31 cases received conservative therapy via medication. With the Autar DVT scale applied, 10 cases scored below 10; 11 cases 11-14, and 11 cases 15 or above 15. The preliminary risk factors for DVT included advanced age, concurrent high-risk illnesses, lying in bed, obesity, trauma and surgical intervention. Among these 32 cases, the commonly noted concurrent illnesses were hypertension, coronary heart disease, diabetes, atrial fibrillation, infection and cerebral infarction. Twenty-five cases were combined with three or more concurrent illnesses (78.1%). Considering the risk factor scores for DVT and increasing the level of knowledge about DVT among nursing staff are crucial points in improving the quality of nursing practices. Extended nursing is a significant factor in reducing the risk of DVT among those lying in bed for long periods.
Abstract: This study aimed to analyze risk factors for deep vein thrombosis (DVT) in the lower limbs among inpatients and to discuss appropriate nursing measures. Clinical data from 32 DVT patients were analyzed retrospectively to identify the potential risk factors. Except for one case who was transferred to another hospital for surgical treatment, all 31 c...
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Systematization of Nursing Assistance: Perspectives of the Applicability in the Care of the Person with Diabetes and Hypertension
Desirée Costa Bezerra,
Cecilia Rafaela Salles Ferreira,
Francineide Pereira da Silva Pena,
Crislayne Simões Pereira,
Diurieny Ribeiro Itaparica Vieitas,
José Luís da Cunha Pena,
Ananda Larisse Bezerra da Silva
Issue:
Volume 8, Issue 4, August 2019
Pages:
174-180
Received:
2 May 2019
Accepted:
18 June 2019
Published:
8 July 2019
Abstract: The systematization of nursing care, is a action private of nurses, ensuring better planning of nursing actions and processes. Thus, the study has the objective indetify nurses’ perspectives and updates on the application of systematization of nursing care for people with diabetes mellitus and systemic arterial hypertension. It’s a qualitative study, of the type practical case of action, carried out at the Basic Health Unit of the Federal University of Amapá, in 2018, with participation of six nurses. The data collection for the interview and a focus group, analysis of results in light of the theory of studies related to the subject. Three themes were identified: Potentials and perspectives in the application of the Systematization of Nursing Assistance in Primary Care; Expected difficulties and difficulties encountered; The use of the Systematization of Nursing Assistance in Primary Care: before and after a practical experience. The implementation of the systematization of care still presents difficulties, however, in the medium term, it will bring more benefits than any burden identified for the assistance and management of human resources and materials of the health unit, promoting interventions more resoluteness and a planning of actions based in scientific knowledge, bringing legal and technical support for the professionals nurses and all team involved.
Abstract: The systematization of nursing care, is a action private of nurses, ensuring better planning of nursing actions and processes. Thus, the study has the objective indetify nurses’ perspectives and updates on the application of systematization of nursing care for people with diabetes mellitus and systemic arterial hypertension. It’s a qualitative stud...
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Educational Intervention on Knowledge and Attitude Regarding Breast Cancer Self Examination
Issue:
Volume 8, Issue 4, August 2019
Pages:
181-190
Received:
20 May 2019
Accepted:
25 June 2019
Published:
9 July 2019
Abstract: The aim of the study is to assess the effect of the educational intervention regarding breast cancer among high school students. A quasi-experimental pre and posttest design were utilized to fulfill the aim of this study. This study was conducted in the classrooms of the selected female high private and governmental schools. Riyadh, Kingdome of Saudi Arabia. The school was selected by simple random sampling technique and sampling units were selected consecutively. The study was conducted on 400 high school female students in in Riyadh, Saudi Arabia. A questionnaire to assess student' knowledge and attitude regarding breast cancer was developed to elicit student's information which include Data were collected from November to December 2017. Students total knowledge level of breast cancer was increased after posttest. They had a remarkable improvement in understanding of the disease which was verified with statistical significance difference than in the pretest. The educational intervention was good enough to improve student’s knowledge, understanding and attitude regarding breast cancer. Educational programs are required to be implemented that utilize social and cultural factors are crucial for social awareness including such critical topics in the high school curriculum.
Abstract: The aim of the study is to assess the effect of the educational intervention regarding breast cancer among high school students. A quasi-experimental pre and posttest design were utilized to fulfill the aim of this study. This study was conducted in the classrooms of the selected female high private and governmental schools. Riyadh, Kingdome of Sau...
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Early Recognition of Endometriosis Depending on Severity of Dysmenorrhea among Adolescent Girls
Youssria Elsayed Yousef,
Salwa Ali Marzouk,
Hameida Alam Eldien,
Howieda Fouly,
Neama Mohamed El Magrab,
Safaa Rashad Mahmoud
Issue:
Volume 8, Issue 4, August 2019
Pages:
191-199
Received:
15 April 2019
Accepted:
17 June 2019
Published:
16 July 2019
Abstract: Background: Endometriosis is recognized as the ‘disease of young girls’ because it seems to be more common in young girls. Early diagnosis is greatly essential to receive appropriate treatment and avoid complications. Aim of the study: to evaluate severe dysmenorrhea for early recognition of endometriosis among adolescent girls. Subject and Methods: Cross-sectional descriptive design was used in this study. The study included 571 adolescent girls from 4 representative elementary schools in Assiut city. A structured Questionnaire was developed by the investigators and included four parts: Part I: demographic data; Part II: menstrual pattern: Part III. Pain history including: a. pain characteristics. b. Menstrual pain associating symptoms: c. Pain level: using of Horizontal Visual Analog Scale (VAS) 0-10 points. Part IV: finding of Trans-abdominal ultrasound (AUS) for those with severe dysmenorrhea. Field work: The study passed through three phases including assessment, implementation, and follow up phases with a period of 7 months. Results: the majority of the girls were between the age of 13 - 14 years. According to VAS, severe dysmenorrhea was reported in 68 girls (15%). Positive ultrasonography findings suggestive of endometriosis were reported among 57.4% of girls who had severe dysmenorrhea. The majority (71.2%) of those girls with severe dysmenorrhea responded to hormonal treatment while 28.2% not responded. There was a positive correlation between number of symptoms associating dysmenorrhea and the pain level. Conclusions and recommendations: Moderate and severe dysmenorrhea are common among adolescent. Those girls who had severe dysmenorrhea and more than five symptoms associating dysmenorrhea might be suspected to have endometriosis. Further large scale study is essential with the use of more informative investigations as MRI and laparoscopy to gain accurate estimate of the prevalence of the disease and its types.
Abstract: Background: Endometriosis is recognized as the ‘disease of young girls’ because it seems to be more common in young girls. Early diagnosis is greatly essential to receive appropriate treatment and avoid complications. Aim of the study: to evaluate severe dysmenorrhea for early recognition of endometriosis among adolescent girls. Subject and Methods...
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