Determining health related quality of life, post-traumatic anxiety and depression among orthopaedic patients with traffic injury

The aims of this study were to investigate and follow up the patient condition after accident, estimate the incidence of delayed recovery; identify predictors of non recovery 6 months after accident and examine the relationships between stress, anxiety and quality of life after traffic accident. The design of this study was descriptive correlarional research. This study was conducted at Emergency Unit and Orthopedic Departments at Menoufiya University Hospital and Shebine El-Kome Teaching Hospital. A convenient sample of 100 patients with traffic injury was recruited for the study. Inclusion criteria included all the patients aged 18-70 and living in Menoufiya city, mentally unimpaired and eligible to participate in this study. Six tools were used to collect data. The tools included: structured questionnaire used to assess the socio-demo graphic and medical history; New Injury Severity scores [NISS] used to assess the severity of physical injury; the State Anxiety Inventory [SAI] used to measure and evaluate current feeling of anxiety; Beck Depression Inventory [BDI] asks about feelings and behaviour; The Short form 36 of the Medical Outcomes Questionnaire [SF-36] used to measure quality of life; and Medical Records. Results yielded by this study indicated that a large proportion of orthopaedic patients experienced depression, anxiety, physical and psychological disabilities at week one, which correlated with decreased quality of life. About 31 and 34% of the patients reported still suffering from physical and psychological impairments and disabilities that affected their daily life. Risk factors found to correlate with poor health related quality of life were: Depression, anxiety, physical disability and psychological disability that should be taken into consideration for active intervention. Recommendations include: the return of orthopaedic patients trauma survivors to pre-injury quality of life will depend on commitment to long range trauma care, quality of life, awareness of psychiatric abnormality and rehabilitative and support services; The orthopaedic trauma patients need adequate information during care, sufficient pain management and that at discharge the need frequent follow up; Nurses working in emergency and orthopaedic departments needs to include assessment of depression, anxiety, physical disability, psychological disability, quality of life in patient assessment because early identification of these disorders may decrease the likelihood of these conditions affecting long term quality of life negatively. Also the known risk factors can assist nurses in identifying patients that are in need of additional help and support during care and after discharge from acute care hospitals; Additional studies are needed to increase the follow up time to include 9 months and one year assessment after injury

Determining prevalence of injury, Injury outcomes and first aid among patients in Menoufyia Hospitals

The aim of the current study was to determine the prevalence of injury, injury outcomes, first aid given and to examine the relationship between the injury outcome and first aid given, and hospital stays. The study was conducted in emergency units and inpatient departments at Menoufyia University Hospital and Shebine El-Kome Teaching Hospital. A convenient sample of 1000 patients who met the study criteria were selected. The data were collected by questionnaire and reviewing patient medical record. The results yielded by this study indicated a high prevalence of injury. The main causes of theses injuries were vehicle crash, fall down, and burn. Most injuries occurred at home and road and injury resulted in disabled people [11.8%], and died people [12.8] This study also revealed that a significant relationship between injury outcomes, hospital stay and first aid. We recommend that developing and disseminating educational material about first aid to the patients to rise and upgrade the awareness of first aid and home and road injury. First aid training must become a compulsory, rather than an optional, component of the school and university curriculum. It is important to educate the employee in their work place during the working hours. Conducting mass media campaigns to motivate general public to recognize and seek first aid information. Further studies are needed to determine the effectiveness of training strategy and any resultant change in community behavior

Impact of nurse counseling on non-pharmacological treatment on the control of hypertension in Menoufyia Hospitals

The present study was designed with the aim to assess whether a non-pharmacological treatment [also termed "lifestyle modification"] program implemented by nurse in the hospital setting would improve blood pressure control in treated hypertensive patients. This study was conducted at Menoufyia University Hospital and Shebin El-Kome Teaching Hospital. Sixty hypertensive patients who met the study criteria were selected. Patients were randomly assigned to two equal groups, an experimental and a control group of 30 patients each. The experimental group was provided with verbal and written instructions about lifestyle modification through face to face counseling and monthly telephone call to remind them about the main instruction, while the control group was provided with only lifestyle modification written instruction. Data were collected by developed questionnaire, blood pressure [BP] measurements were obtained by the authors who used zero sphygmomanometer, weight was measured using a calibrated scale, and height was measured using a wall-mounted stadiometer. Each of these measurements was obtained 3 times, one baseline measure before intervention, and two times, at 3 and 6 months after intervention. Results Showed significant improvement in the lifestyle modification as well as in BP reduction among experimental group. It is recommended that all hypertensive patients should be encouraged to adhere to the non-pharmacological treatments since they are safe, inexpensive, and when combined with drug therapy may result in better BP reduction. Further study is needed to assess and train nurses about non-pharmacological treatment

Impact of assessment guide and oral care on incidence of stomatitis and life style in adult and child receiving chemotherapy

The objectives of this study were to assess the oral cavity by using WCCNR, apply routine daily oral care American Dental Association Guidelines, determine the effect of using the WCCNR assessment and the routine daily care on the incidence of stomatitis and evaluate the impact of stomatitis on the quality of life. The study was conducted on 30 cancer patients treated with chemotherapy. The findings revealed significant differences between the oral status in the assessment before and after first intervention as well as between after the first and second intervention. It was found that stomatitis has an effect on the lifestyle