Effect of self care guidelines on quality of life of women under treatment of genital malignancies

Genital Malignancy [GM] is one of the major causes of morbidity and mortality among women worldwide. GMs and its treatment can dramatically change a person's quality of life [QOL]; physical, social, and psychological domains. The study aimed at [1] Assessing the effect of GMs and treatment related symptoms on women's QOL, [2] Developing self-care Guidelines [SCG] for enhancing QOL of women with GMs under treatment, and [3] Evaluating the effect of SCG on the outcomes of QOL of women with GMs [based on Orem's nursing theory]. The study design was a quasi- experimental. A random sample of 150 women with different types of GMs and treatment modalities, mean age was 32.69 +/- 9.88 years, were recruited. Data were collected from different health settings namely [I] Outpatient Clinic, Gynecological Oncology Unit of Maternity Hospital, Radiotherapy Unit [Cobalt], at Am-Shams University Hospital, and [2] Out-patient Clinic of the Egyptian National Cancer Institute. Two tools were used for data collection: [1] A structured interview questionnaire form, and [2] the Functional Assessments of Cancer Therapy [FACT] scale, adopted from Carter, et.al. [1997]. A developed SCG was distributed and explained by the researchers to the study sample and followed up by home visiting and phone calls. Data analysis, using T-test elaborated that women with GMs under different treatment modalities had the lowest QOL outcome scores for the physical and psychological domains [P>0.05], but the social one had the average score before practicing SCG. After practicing SCG, findings showed a statistical significant improvement or better achievement in the outcome of the total QOL domains scores [P <0.05]. Findings would be helping for increasing the generalizability of practicing SCG for promoting and enhancing QOL domains of women's with GMs under treatment modalities

Effect of non-pharmacological nursing interventions for pain management on patients' outcome

This study was conducted to evaluate the effectiveness of nonpharmacological nursing interventions for pain management on patients' outcome. The study was conducted in the general surgical departments at El-Demerdash Hospital and outpatient pain clinic at Ain Shams Specialized Hospital. A purposive selected sample of 200 adult patients experiencing pain, of them 100 patients selected with acute pain [50 patients with moderate pain [G1] and other 50 patients with severe pain [G2]] and 100 patients selected with chronic pain [50 patients with moderate pain [G3] and other 50 with severe pain [G4]]. Patients in each group were randomly subdivided into two equal subgroups treated by different pain relief measures; they either received the pharmacological measures only [control groups] or subjected to both nonpharmacological nursing interventions and pharmacological measures [intervention groups]; 25 patients each. Data collection was carried out using the following tools: McGill questionnaire scale, Visual analogue scale, Anxiety scale, Satisfaction scale and Patients' medical records. These tools were taken before intervention as a baseline and then after intervention to monitor its efficacy. The results of this study supported the stated hypotheses. The patients experiencing acute or chronic pain who subjected to both nonpharmacological and pharmacological measures demonstrated lower mean total pain scores, pain intensity level, anxiety level, more satisfaction and less need for pain killers as compared to patients treated by pharmacological measures only regardless the severity of pain with highly statistically significant difference at p<0.01. In conclusion, nonpharmacological nursing interventions adjunct lo pharmacological measures for pain management have significantly positive effect on patients' outcome in term of reducing mean total pain scores, relieving pain regardless of its type or intensity, decreasing anxiety, the need for pain killers and improving patients' satisfaction

Comparative study between different lines of treatment of osteoporosis [diet, exercise and drugs]

This study aimed to evaluate the effectiveness of different lines of treatmentof osteoporosis and compare between them at the end of the study. The studyincluded 3 groups. The first group received diet [calcium rich food], thesecond group practices weight bearing exercise such as walking. Meanwhile,patients in the third group received drugs [calcitonin/ or estrogen] dependingupon their preference over a period of 12 months. The results revealed thatthere was a statistically significant difference between the 3 groups, whereparticipants practicing regular weight bearing exercise had more positiveeffect on maintenance of spinal bone density, self perceived health,functional fitness and psychological well being than participant on drugs ordiet