Background: Acute angle closure glaucoma (AACG) is a true medical emergency. Glaucoma is the second leading cause of blindness worldwide. Aim: To assess the effect of immediate implementing standardized nursing care on outcomes of patients' with AACG. Methods: Quasi-experimental research design was used to conduct this study. The sample size calculated about 40 cases for each group include in the study. Data was collected using two tools Tool (1):- Patient assessment sheet. Tool (II):- Manifestations Assessment sheet. Results: There was a statistically significant difference before and immediately after implementing a standardized nursing care on patients outcomes with AACG regarding intra ocular pressure (P-value10.806, 0.124, 0.147), visual acuity and pain score among the studied groups p-value (0.002, 0.023, and 0.001) respectively. 65.0% of the studied groups had satisfactory level of knowledge regarding visual acuity, intra ocular pressure (IOP), and pain score characteristics. Conclusion Implementing a standardized nursing care had a positive effect on outcomes of patients' with AACG. Recommendations: Screening all people aged 40 years or more for symptoms &signs of glaucoma. Health education programs about standardized nursing care rules for patients' with AACG.
Background: Emergency hypertension is elevation of blood pressure (Systolic over 180 or diastolic over 120) associated with acute end organ damage .The critical care nurse assumes important role for the care and clinical stabilization of the patient with emergency hypertension Aim this study was carried out to evaluate the effect of nursing guideline on patient's outcomes with hypertension emergency. Setting This study was conducted at coronary care unit. Subjects A convenient sample of (60) patients that divided in to two groups (control 30 and study 30) collected over threeteen months. Tools Two tools were utilized to collect data pertinent to study Tool I Socio demographic and clinical data assessment sheet. Tool II Sequential Organ Failure Assessment scale "SOFA" score. Nursing guideline for patient with emergency hypertension Methods emergency hypertensive nursing guideline implemented by researcher using Tools I, II from the first day of admission and until discharge then the data were recorded in the developed tools. Results As regards to the emergency hypertensive patients suffering neurological manifestations, results revealed that there were statistically significant difference between studied groups in first day (P=0.046). As regards to the emergency hypertensive patients suffering renal manifestations, results revealed that there were statistically significant difference between studied groups in third and fourth day (P=0.048 and P=0.019) respectively. Conclusion Applying nursing care guideline for patients with emergency hypertension showed statistically significance difference in reduction incidence of complication regarding kidney function in third and fourth day and length of hospital stay.
Background: Acupressure decreases muscular tension, enhancing blood circulation, makes deep relaxation and improving sleep quality. Aim: to investigate effect of acupressure on sleep quality among patients with acute coronary syndrome (ACS). Design: a quasi-experimental design. Setting: Coronary Care Unit at Assiut University Heart Hospital. Subjects: Convenience sample of 60 male and female adult patients were assigned randomly to two equal groups (30 each). Tools: two tools were utilized to collect study data, Tool I Acute Coronary Syndrome patient assessment Tool II: Modified ST Mary’s Hospital Sleep Questionnaire (SMHSQ). Methods: Researcher assessed homodynamic status of both groups every four hours as base line data and for 3 consecutive days. Then, acupressure was applied for study group between 7:10 PM. On morning, sleep quality was assessed for both groups by using modified (SMHSQ) between 7:8 AM. Results: Finding of this study supported stated research hypotheses with statistical significant difference between study and control groups regarding sleep quality on 1st, 2nd and 3rd nights of intervention (P=0.000**, P= 0.000** and P=0.000**) respectively. Conclusion Acupressure can significantly improve sleep quality of ACS patients. Therefore, Utilization of acupressure as a basic part of care provided to all ACS patients is highly recommended.
Fatigue is frequently reported symptom influencing up to 90% of hepatocellular carcinoma patient .Aim: Evaluate the effectiveness of educational and physical intervention to reduce fatigue for hepatocellular carcinoma patient. Design: Quasi-experimental design. Setting: Viral Hepatitis Treatment Unit at Assuit Health Directorate. Subjects A purposive sample of 60 patients diagnosed with HCC and infected by hepatitis C, B virus or both. Methods Patients in the study group encourage to perform physical exercises in sessions for 6 months follow up and give information about this disease. Tools: two tools were applied Tool I: Patient assessment sheet Tool II: Functional Assessment of Chronic Illness Therapy (Fatigue Scale). Results: There were significant statistical differences existed between study and control groups regarding to patients' fatigue and patients' knowledge of p-value (0.001).There is very high statistical difference between groups regarding practice exercise &relaxation technique of p-value (0.0001). Conclusion: The nursing intervention had statistically significant beneficial effects on improving patient’s outcomes. It recommends replication of nursing intervention of this study on a larger probability sample.
Risk factor of cardiac arrest among ill patient has as a risk factors for sudden death, through cardiac arrhythmias, tension pneumothorax ,shock, hypoglycemia ,Myocardial infarction (MI), pulmonary embolism, or edema ,hypothermia and drug toxins, At Assuit University Hospital major risk factor of cardiac arrest as diabetic ketoacidosis Subjects and Method: Study was executed in the following: Coronary, Trauma, post, Elraghy ,and General intensive care units. The study sample consisted of all patients predisposing to cardiac arrest admitted to intensive care units within 6 months period. Three tools were utilized for data collection: tool (one):"Patient's characteristics and clinical data ”, tool (two): "cardiac arrest patient tool (three ) Risk factor of cardiac arrest . Results: Major risk factor for cardiac arrest patients among critically ill in the above mentioned setting at Assuit Hospital was 130 patients who predisposing for cardiac arrest. About (18.5%) with diabetic keto acidosis, and (17.7%) with chronic obstructive pulmonary disease .were expose to cardiac arrest Conclusion: Risk factors of cardiac arrest have been identified as(diabetic keto acidosis ,is most common certified in tables to help predict the cardiac arrest by alerting a clinical response Recommendations: Monitoring risk factors for cardiac arrest should be required to allow for the early detection and management.
Background: Patients with head and neck cancer are in danger of creating carotid artery rupture that may cause lifethreatening problems and death Aim: to assess the nursing performance regarding immediate management of carotid artery rupture. Study design: A descriptive research design was utilized in this study. Setting: The study was conducted in the critical care unit at south Egypt cancer institute at Assiut University hospital. Sample: A convenience sample of all available nurses (forty nurses) Tools: two tools were used for data collection, Nurses' knowledge assessment and observational checklist. Results: The majority of studied nurses (80%) were having an unsatisfactory level of knowledge regarding carotid artery rupture. Conclusion: Nurses` knowledge regarding carotid artery rupture and practice regarding immediate care of carotid artery rupture in critical care unit at south Egypt cancer institute at Assiut University hospital is unsatisfactory and have an inadequate level of knowledge and practice. Recommendation: Nurses need for in-service training programs to improve their knowledge and practice regarding the management of carotid artery rupture.
Background: Drug overdose poisoning is a common cause admission at medical emergency unite. With chief complaint resulting many complications as central nervous system, hypothermia, respiratory depression, hypotension. Aim of the study: This study was carried out to evaluate the effect of Implementing Nursing guidelines regarding drug overdose poisoning among critically ill patients at Medical Emergency Unite at Assiut University Hospitals. Subjects and Methods: Research design: a quasi-experimental design. Setting: Medical emergency unite at Assiut University Hospitals and the study started from July 2016 till July 2018. Subjects: A convenience sample of 60 adults' critically ill patients diagnosed with drug overdose poisoning. The patients were assigned into two equal groups (control and study group).Tools: two tools were utilized to collect data, Tool I: Patient's assessment questioner that consists of three parts: part one: assessment of the Patients profile, part two: drug overdose data questioner, part three: biomedical data and level of conscious. Tool II: patients outcomes questioner that consist of part one: Laboratory tests findings, part two: hospital stay and progress part three: complications of poisoning) Methods: The research done from first day of admission for twenty four hours and every shift during this phase the patients received the nursing guidelines, this was done by comparing the results of outcomes for the both groups by using tool two. Results: (34%-26.7%) from age groups (30-40) years in the both groups. The highest percentage of the two groups ( 36.7% and 50%) were males. There was hypotension in control group with means of (95±11.37- 59.2±6.47) respectively. But in study group, normal with mean (99.9±10.28- 65.63±5.86 ) respectively. There were highly statistical significant differences between both groups with p value = (0.005**). ( 36.3 -30%) in the both groups had experienced metabolic acidosis Conclusion: The study group who implemented nursing guidelines was found to experience lesser complications than control group. Recommendations: Developing management and apply clinical practice guidelines for optimal patient care with drug overdose poisoning.
