Impact of different nursing interventions on nocturnal enuresis of school age children

The aim of this study was to investigate the impact of different nursing interventions on nocturnal enuresis of school age children. A convenient sample of 100 school age children suffering from mono-symptomatic nocturnal enuresis and their parents who attended the outpatient clinics of pediatric and Urology departments at Assiut University Hospital included in the study. The subjects were randomly assigned into four groups: group [I] received motivational interventions, group [II] received motivational and bladder-training interventions, group [III] received motivational interventions and used enuresis alarm and group [IV] received drug therapy. Data was collected through interview using a structured questionnaire sheet and a calendar where the parents sign in front of the wet nights. Instructional handouts about the different interventions were developed and given to children and their parents. Children were followed for three times. The study revealed that children who received motivational and bladder training interventions had significantly the highest prevalence of cure followed by those received motivational intervention and used enuretic alarm, then those who received motivational intervention only. Children who were on drug therapy had the lowest cure percent throughout the study period and the highest relapse rate at six months. The present study concluded that the combination of motivational and bladder training interventions were superior to enuresis alarm and the drug therapy. Combined nursing interventions should be encouraged in the management of children with nocturnal enuresis

Post birth infants-mothers separation and breast feeding outcome at the neonatal period

The aim of this study was to investigate the relation between post birth infants-mothers separation and breast feeding outcome among mothers and their newborn infants at the neonatal period. This study was conducted in the Special Care Baby and Obstetric Emergency Units at Assiut University Hospital subjects of the present study included 143 living full term newborn infants who were delivered normally .Fifty newborn infants were separated from their mothers immediately after birth and admitted to the Special Care Baby Unit up to 15 days because health problems that not interfering with breast feeding and 93 newborn infants who didn't separated from their mothers. Data was collected through interviewing mothers individually and observing their breast feeding practices in the first day of the post-partum period using a structure interviewing sheet and breastfeeding observation form [Adopted by H C Armstrong Training Guide in lactation management. New York [BFAN and UNICEF 1992]. Follow up of mothers was conducted weekly during the first 4 weeks of the post-partum period using telephone calling to reassure that breast feeding is going well and each mother asked for coming to the hospital at the end of the 4th week, at this time re-observation of their breast feeding practices was done using breast feeding observation form. Data related to newborns infant was collected using infant's sheet included infants' sex, number of separation days, and type of feeding before and after separation. Weight of the newborns also was recorded at birth and at the end of the 4th week. Results of this study indicated that, at the end of the 4th week, breast-feeding was going well and the basic breast feeding practices was more prevalent among mothers of the non separated newborns than those of the separated newborns [60.2% and 34% respectively]. Offering predominant breast feeding to the newborns during the first 4 weeks was less prevalent among mothers of the non separated than those of the separated newborns [14.8% and 52% respectively]. Weight gain of newborn infants in both groups constituted within the normal range while the average weight gain during the first 4 weeks was lower among the non separated newborns than the separated ones [520 gm versus 590 gm respectively]. These studies encouraged rooming in to support and promote breast-feeding during the first 4 weeks of life

Attitude variations among health professionals regarding rights of sick children in Assiut and Alexandria

The present study was conducted to identify attitude variations among health professionals regarding rights of sick children in Assiut and Alexandria. The sample consisted of 141 staff nurses, 35 nursing supervisors, and 28 physicians working in the prediatric departments in Assiut University Hospital and in the medical and outpatient departments affiliated to El-Shatby Children's Hospital in Alexandria. A questionnaire sheet including rights of sick children was used to identify attitudes of the participants. It involved 22 items divided into 4 parts, mainly rights for information disclosure, right for consideration, acceptance and respectful care, rights for privacy and confidentiality, and rights for decision making. Likert scale consisting of strongly agree, agree, undecided, disagree, strongly disagree, was used to analyze these items. Data were collected over a period of 6 months starting from the first of July to the end of December 2003. The results of the present study indicated that 74.3% of nursing supervisors followed by 57.1% of physicians and 43.3% of staff nurses had positive attitudes towards rights of the sick child. The total mean score was 91.321 +/- 10.144 and 82.619 +/- 7.801 among staff nurses, 95.200 +/- 8.265 and 93.600 +/- 10.625 among nursing supervisors, and 94.500 +/- 8.959 and 85.250 +/- 10.763 among physicians working in Assiut and Alexandria respectively. Attitudes of nurses and physicians working in Assiut were more positive than attitudes of those working in Alexandria. The opposite was observed among nursing supervisors working in Alexandria. Therefore, it is recommended that sick children's rights should be emphasized in the curriculum of all nursing and medical schools/faculties. Sick children's bill of rights should be available in all health agencies serving children to be referred to whenever needed

Child maltreatment behaviors among parents in the light of socioeconomic background in Assiut university

The aim of the present work was to study child maltreatment behaviors among parents in the light of socioeconomic background in Assiut. It was conducted in several faculties at Assiut university and Assiut university hospital. Males and females who are working in the previous settings, having at least one child at the age of 1-18 years constituting the target population, their number was 322 participants [163males and 159 females]. Data was collected through interviewing each participant individually using the developed questionnaire sheet included participants perceptions concerning definition and factors of child maltreatment, as well as their behaviors concerning child maltreatment. A family socioeconomic scale by Abdel Twab [2000] was used to assess socioeconomic conditions of participants. Results of the present study revealed that children were subjected to one or more forms of maltreatment in 91.6% of families. The most frequently behaviors constituted all forms of child maltreatment were reported by participants with the low followed by those in the middle and the high socioeconomic conditions [100%, 93.9% and 87.5%] respectively. The most frequently reported maltreatment behavior was that constituted emotional abuse 87.3%, followed by physical abuse 80.8%, neglect of safety 37.2%, neglect of medical care 36.5% of participants. A significant high frequently maltreatment behaviors were reported by female participants than male [96.2% and 87.7%] and participants who exposed to maltreatment during their childhood than those who didn't [93.4% and 83.5%] respectively. The present study recommended public education about child rearing and improve parents relationship through mass media including discourage corporal punishment and other forms of violence and suggests ways of treating children

Impact of an educational training program for nurses in wound careon quantitative and qualitative microbiological evaluation of sepsis among burned children

The aim of the present study was to identify the differences in burn wound sepsis both qualitatively and quantitatively before and after an educational training program for the nursing staff. 90 burned children admitted to the burn unit of Assiut General Hospital [El-Shamla] and nurses working in this Unit [13 nurses] were included in the study. Nurses Knowledge and performance were assessed before and after the educational training program. The program was conducted for one month. Biopsy specimens were obtained from areas of wounds that appeared most involved in infection on 5[th] to 7[th] days after admission of the child for bacteriological study. Findings of the study revealed that highly significant differences in burn wound bacterial counts were found between the pre and the post training program. Significant improvements in nurses knowledge and practices were also found. The present study supported the benefits of educational training program for nurses. Recommendation were given including that in-service regular and periodic training programs for nurses in the burn units to reduce the degree of burn wound sepsis and enhance smooth, fast and non complicated healing