Effect of Nursing Measures on Orthostatic Hypotension and risk of falling for Patients after Total Hip Replacement Surgery

Research Abstract
Background
A notable medical issue in hospitalized individuals, orthostatichypotension is both widespread and clinically consequential after total hipreplacement, yet it remains commonly overlooked. Therefore, it is important forpatients to understand the nursing measures that can help prevent orthostatichypotension, as well as the risk of falling associated with total hip replacement.
Aim
Evaluate the effect of nursing measures on orthostatic hypotension and riskof falling for patients after total hip replacement surgery.
Research design
Aquasi-experimental research design.
Sample
A purposive sample of 60 patientswho undergoing Total Hip Replacement.
Setting
orthopedic department, traumaunit and its outpatient clinics at Assiut University hospital.
Tools
Tool I; Patientassessment sheet, Tool II; Morse Fall Scale, Tool III; Orthostatic vital signsAfterResults:toms grading scale.Tool IV; Orthostatic sympmeasurement …
Research Authors
Marwa Ali Almasry, Martha Melek Labieb, Heba Mohamed Fahmy, Kawther Badry Mobed Morsy
Research Date
Research Department
Department of medical-surgical
Research Journal
Tanta University; Faculty of Nursing
Research Member
Kawther Badry Mobed Morsy

Total Knee Replacement: Influence of Virtual Reality Exercises-Based Training on Kinesiophobia and Functional Status

Research Abstract
Background
 
 Virtual reality exercise therapy after knee replacement shows promise in enhancing pain relief, motivation, and adherence, potentially leading to better recovery outcomes than traditional methods.
Aim
 To evaluate the influence of virtual reality exercise-based training on kinesiophobia and functional status for patients undergoing total knee replacement. 
Research design
Quasi-experimental (study and control) research design was utilized.
Sample
 A convenience sample of 60 adult patients undergoing total knee replacement. 
Setting
 The study was conducted in the Orthopedic Department and Outpatient Orthopedic Clinics at Trauma Hospital, Assiut University.
Tools
Four tools were used: I- Structured Interview Patient Questionnaire, II- The Tampa Scale of Kinesiophobia, III- Lower Extremity Functional Scale, & IV- Flow State Scale. 
Results
The greatest number of the patients was females, and their age …
Research Authors
Fatma Gareh Ahmed, Marwa Abdelhamed Sayed, Mohamed Ahmed Abdelhamid, Kawther Badry Mobed
Research Date
Research Department
Department of medical-surgical
Research Journal
Ain Shams University, Faculty of Nursing
Research Member
Kawther Badry Mobed Morsy
Fatma Gareh Ahmed Megahed
marwa abd elhameed sayed

Effect of Implementing Suggested Nursing Teaching Protocol on Patients' Outcomes with Mandibular Fracture

Research Abstract

Mandibular fracture is the most common facial fractures and it is an important surgical condition in the world. Aims of the study; assess patients' knowledge about nutrition, oral care and jaw exercises, design, implement and evaluate the effect of suggested nursing teaching protocol on patients' outcomes with mandibular fracture. Research design; A quasi-experimental research design was utilized on a convenient sample of 60 adult patients divided into two equal groups (study and control) 30 patients for each. Tools; I) Patient with mandibular fracture an interview schedule. II) Patient assessment schedule. Results; There was statistically significant difference between study and control groups post implementing nursing teaching protocol as regard knowledge level of patients about nutrition, oral care, and jaw exercises. There was statistically significant difference between study and control group as regards late complications. Conclusion; Patients' knowledge regarding nutrition, oral hygiene and jaw exercises were inadequate. So a specialized nursing teaching protocol was designed, implemented and evaluated. Study group showed improvement in wound healing, maintain normal body weight and decreased incidence of complications while control group showed increase incidence of these complications. Recommendations; Simple illustration booklets should be available for patients to provide them with simple explanation about safely living.

Research Authors
Assiut Scientific Nursing Journal
Research Date
Research Journal
Assiut Scientific Nursing Journal
Research Member
Fatma Gareh Ahmed Megahed
Research Pages
51-62
Research Publisher
Assiut University, Faculty of Nursing
Research Vol
4
Research Website
https://journals.ekb.eg/article_60327.html
Research Year
2016

Effect of I-DECIDED Intervention on Occurrence of Visual Phlebitis for Patients with Peripheral Intravenous Catheter at Medical Department

Research Abstract
Background
Peripheral intravenous catheters (PIVCs) constitute a fundamental invasive tool in contemporary healthcare, with their application being one of the most prevalent clinical interventions, yet their use is frequently complicated by phlebitis, a preventable condition that increases patient discomfort, infection risk, and healthcare costs.
Aim
Evaluate the effect of I-DECIDED intervention on occurrence of Visual Phlebitis for patients with peripheral intravenous catheter at medical department.
Research design
Quasi-experimental research design )pre/post-test nurses, study/control group for the patients (.
Sample
The study enrolled 30 nurses from the Medical Department via convenience sampling and a purposive sample of 60 adult patients who needed for I.V catheter for long period of time.
Setting
Medical Department at Assiut University.
Tools
Tool I; Demographic data of nurses, Tool II; I-DECIDED tool 
Research Authors
Kawther Badry Mobed, Marwa Ali Almasry, Fatma Gareh Ahmed
Research Date
Research Department
Department of medical-surgical
Research Member
Kawther Badry Mobed Morsy
Fatma Gareh Ahmed Megahed
Marwa Ali al-Masri Abdel-Salam

Effect of Designing Dietary and Physical Activity Guidelines on Quality of Life among Rheumatoid Arthritis Patients

Research Abstract
Background
 
Dietary and physical activity guidelines help improve rheumatoid arthritis patients’ quality of life.
Aim
 
To evaluate the effect of dietary and physical activity guidelines on quality of life among rheumatoid arthritis patients.
Research design
 
A quasi experimental (pre-posttest) research design was utilized.
Sample
 
A purposeful sample of (60) patients of both sexes with rheumatoid arthritis with an age range from 20 to 65 years old.
Setting
 
The study was conducted in the Department of Rheumatology, Rehabilitation and Physical Medicine at Main Assiut University Hospital.
Tools
 
Tool (I) Patient's health needs assessment sheet. Tool (II) Disease Activity Scores. Tool (III) Rheumatoid Arthritis Quality of Life Questionnaire.
Results
 
There was a statistically significant difference between total scores of Disease Activity Scores & Rheumatoid Arthritis Quality of Life Questionnaire in pre and post (3 months) after implementing the dietary and physical activity guidelines as the following (P value = 0.023*, 0.008**) respectively.
Conclusion
 
Dietary and physical activity guidelines were effective in improving quality of life among rheumatoid arthritis patients.
Recommendation
 
Concise illustration booklet should be available for patients with rheumatoid arthritis about dietary and physical activity guidelines.
Research Authors
Abd El-mohsen, Sahar Ali, Fatma Gareh Ahmed, Abd El-rahman, Mervat Abd EL-Fatah Ismael, Zahraa Ibrahim Aboueleyoun
Research Date
Research Journal
Assiut Scientific Nursing Journal
Research Member
Fatma Gareh Ahmed Megahed
Research Pages
252-262
Research Publisher
Assiut University, Faculty of Nursing
Research Vol
11
Research Website
https://journals.ekb.eg/article_302276.html
Research Year
2023

Impact of designing nursing instructions on compliance to diuretic drugs among cirrhotic patients with ascites

Research Abstract
Background and objectives: Compliance to medication is one of the critical determinants of successful management of ascites. The aim was to evaluate the impact of designing nursing instructions on compliance to diuretic drugs among cirrhotic patients with ascites.
Methods: Research design: Quasi experimental (Pre/post-test). Setting: Tropical Medicine and Gastroenterology Department of Al-Rajhi Liver Hospital. Sample: A purposive sample of sixty male and female adult patients diagnosed with ascites due to liver cirrhosis. Tools: a) Patient assessment sheet. b) Drug compliance scale. Results: a statistically significant difference between pre, post 3 months and 6 months of implementing the designing nursing instruction regarding drug compliance and grade of ascites with p-value< 0.01. Conclusion: designing nursing instructions had statistical significant effects on compliance to diuretic drugs and on minimizing of ascites.
Recommendation: Replication of the study on a larger probability sample to discover causes of poor drug compliance.
Research Authors
Kawther Badry Mobed, Mimi Mohamed Mekkawy, Nahed Ahmed Makhlouf, Asmaa Sayed abd Almageed
Research Date
Research Department
Department of medical-surgical
Research Journal
doi: https://doi. org/10.33545/26649187.20
Research Member
Kawther Badry Mobed Morsy

Effect of Nursing Discharge Instructions on Outcomes for Patients Undergoing Primary Percutaneous Coronary Intervention

Research Abstract

Background: Primary Percutaneous coronary intervention is a non-surgical, invasive procedure used to treat blockage or narrowing of the coronary artery and improve blood supply to the ischemic tissue. Aim: to investigate the effect of nursing discharge instructions on outcomes for patients undergoing primary percutaneous coronary intervention. Subjects and Methods: Research design: A quasi-experimental design. Sample: 200 adult patients who were admitted for percutaneous coronary intervention. Patients divided equally into two groups study and control (100 for each). Setting: the cardiac catheterization unit and Cardiovascular Medicine Department at Assiut University Heart Hospital. Tools: Patients assessment sheet, readmission risk assessment, complications assessment sheet, and re-admission rate assessment sheet. Results: a statistically significant difference between study and control group post application of nursing discharge instructions regarding knowledge, and complications was (<0.001**). LACE index was moderate for both study and control group. The main cause of re-admission for both study and control group was myocardial infarction (50%, and 46.2( respectively. Conclusion: Nursing discharge instructions significantly improve patients' knowledge and reduce complications and readmission rate among patients undergoing percutaneous coronary intervention. Recommendation: Nursing discharge instructions (brochure) should be used in hospitals for patients with primary percutaneous coronary intervention.

Research Authors
Asmaa Sayed Abd-Almageed, NourEleman Hassan Ali, Kawther Badry Mobed
Research Date
Research Department
Department of medical-surgical
Research Journal
Assiut University, Faculty of Nursing
Research Member
Kawther Badry Mobed Morsy

Effect of nursing psychological support and Teaching Physiotherapy Guideline on improving Pain Level for patients with Temporomandibular Joint disorders

Research Abstract
Stress and temporomandibular joint (TMJ) are often linked to each other. The symptoms of stress manifest in physical ways, often leading to a TMJ disorders and can cause jaw tension or pain. Physiotherapy treatment is very effective in relieving and managing temporomandibular joint disorders (TMJDs), even when the symptoms are long-standing and severe.
Aim
 
To evaluate the effect of nursing psychological support and teaching physiotherapy guideline on improving pain level for patients with TMJDs.
Research design
 
Pre/post-test research design was utilized on 50 adult patients with TMJDs.
Setting
 
The study was conducted in the maxillofacial surgery outpatient clinic at Assiut University Hospital.
Tools
 
Three tools were used, I) Structured questionnaire, II) psychological state assessment and III) universal pain assessment.
Results
 
About half of the study group their age range between 18-29 years old, with mean of (29.12±9.82) and about three quarter were females. There were statistically significant differences for the study group as regard psychological state and universal pain assessment.
Conclusion
 
It was concluded that nursing psychological support and teaching physiotherapy are an important factors in the treatment of temporomandibular joint disorders.
Recommendations
 
A written teaching guideline should be available for patients in simplified term and containing simple pictures.
Research Authors
Fatma Gareh Ahmed, Salah El-Dein Gaber Shaltout, Magda Ahmed Mohammed, Sahra Zaki Azer
Research Date
Research Journal
Assiut Scientific Nursing Journal
Research Member
Fatma Gareh Ahmed Megahed
Research Pages
37-47
Research Publisher
Assiut University, Faculty of Nursing
Research Vol
7
Research Website
https://journals.ekb.eg/article_69571.html
Research Year
2019

Effect of a Nursing Rehabilitation Protocol on Patients’ Adherence to Therapeutic Regimen Following Acute Coronary Syndrome

Research Abstract
Background
 
Acute Coronary Syndrome represents a spectrum of life-threatening cardiovascular conditions and nursing rehabilitation protocols have become a cornerstone in improving patient outcomes after acute coronary syndrome by addressing these adherence challenges.
Aim
evaluate effect of a nursing rehabilitation protocol on patients’ adherence to therapeutic regimen following acute coronary syndrome.
Research design
quasi-experimental research design (study/ control) was utilized.
Sample
A purposive sample of sixty adult patients diagnosed with coronary artery disease from both sexes, randomly assigned into two equal groups.
Setting
Cardiology Department at Assiut University Heart Hospital.
Tools
A structured interview and Coronary Artery Disease Treatment Adherence Scale were assessed and analyzed before rehabilitation protocol and after one month.
Results
Study’ findings revealed that there was no statistically significant difference between pre-study and pre-control groups regarding treatment adherence of patients (31.07 ± 3.58 & 29.07 ± 5.32 respectively) with p-value 0.093, while there was highly statistically significant difference after the rehabilitation protocol (93.17 ± 4.68 & 37.8 ± 8.64 respectively) with p-value 0.000*. There was a positive significant correlation between patients’ knowledge and their adherence to treatment regimen before and after one month of the rehabilitation protocol in both groups.
Conclusion
rehabilitation protocol played a significant role in improving level of adherence to therapeutic regimen in patients following acute coronary syndrome.
Recommendations
Nurses should provide …
Research Authors
Maha Nafady Abd Elhafez, kawther Badry Mobed, Olfat Farouk Thabet, Ahmed Abdel-Galeel, Attyiat Hassan Hussein
Research Date
Research Department
Department of medical-surgical
Research Journal
Faculty of Nursing, Assiut University
Research Member
Kawther Badry Mobed Morsy

Effect of skin integrity care bundle on hospital acquired pressure ulcer among patient with traction

Research Abstract

Background: Hospital acquired pressure ulcers represent a significant burden to both patients and healthcare providers. Skin integrity care bundle is a set of nursing interventions, each part of which has been proven in clinical practice to prevent hospital acquired pressure ulcer among patient with traction. Aim: Explore the effect of skin integrity care bundle on hospital acquired pressure ulcer among patient with traction. Setting: Trauma and emergency ddepartment at Assiut university Hospital. Sample: A Sixty (33 male and 27 female) adult patients with traction were included in the study; patients were divided equally into two groups (study and control). Tools: (I) A structured interview-based questionnaire, (II) Skin assessment observation check list and Braden scale for predicting pressure ulcer risk. Results: Skin integrity care bundle had a positive effect in preventing the development of pressure ulcer among studied patients in the study group where the majority (90%) of the patients showed no pressure ulcers or no sign of pressure ulcer after application of the nursing intervention while pressure ulcers were observed among more than two thirds of the patients in the control group. Conclusion: The program succeeded in preventing the development of pressure ulcers. Recommendations: Hospitals' policy should enforce the application of nursing intervention measures to prevent the occurrence of pressure ulcer

Research Authors
Kawther Badry Mobed, Shaymaa Sayed Khalil, Ghada Hassan Ahmed
Research Date
Research Department
Department of medical-surgical
Research Journal
Assiut University, Faculty of Nursing
Research Member
Kawther Badry Mobed Morsy
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