Effect of pulmonary rehabilitation program on patient with chronic obstructive pulmonary diseases

Chronic obstructive pulmonary disease [COPD] is a long-term lung disease that reduces airflow in and out of the lungs making it difficult to breathe, it is a leading cause of disability and death in the world. The aim of this study was to assess the effect of rehabilitation program on patient with COPD. This study was conducted at chest dispensaries within Cairo governorate which comprised 11 chest dispensaries, six of them were chosen for the implementation of rehabilitation program according to high attendance rate. A purposive sample of 60 patients with COPD were included 33 patients as experimental group and 27 patients for control group. For data collection four tools were used:l] an interviewing Questionnaire, 2] Observation checklists to assess the patient's performance, 3] Patients' Medical Record, and 4] Physical Examination Sheet. Results of this study elaborated that the majority of patients with COPD who attending rehabilitation program session more knowledgeable about self care measures, the study also showed remarkable improvement in patient's performance regarding use of inhaler, deep breathing, pursed lips breathing, coughing techniques and use of spirometer. The study recommended that, pulmonary rehabilitation should be made available to all appropriate patients with COPD, raising awareness of COPD among the general public and health professionals and Concentrate on primary prevention of COPD as reduce the prevalence of tobacco smoking in the general population and more specifically in young people

Empowering school health services: inservice training for school health supervisors dressing management and leadership skills and newly issuing health problems

School health [SH] services deal with a large sector of the population which mounted to about 14.2 million pupils [Census, 1997]. School health supervisors [SHS] are front-line managers who supervise and direct the work of school nurses and health visitors. They report directly to the high level managers of school health in the different Health Insurance Organization sectors and branches. Today's rapidly changing health care delivery systems require that those frohene managers have more sophisticated knowledge and skills to support their roles. The aim of this study was to evaluate the effect of an in-service training program directed to school health supervisors in improving their cognitive and practical management skills, influencing leadership style and increasing awareness of new issuing school health problem. A pre-post tests were used to assess the effect of training program on 154 school health supervisors. The results of this study revealed that the in-service program succeeded to enrich school health supervisors knowledge in relation to leadership and management process. It introduced them to the quality management concept and the practical skills utilized in the process of quality improvement as well, updated their knowledge concerning some of the newly issuing school health problem

effect of sexual counseling on marital relationship of pregnant women

The aim of this study was to evaluate the effect of sexual counseling on marital relationships of pregnant women. The study was conducted in the Outpatient Clinic of Maternity Hospital, Ain-Shams University on a sample consisting of 200 women in their 1st, 2nd, 3rd trimesters. Two tools for data collection were used, the 1st was a records analysis of pregnant women, and the 2nd was a structured interviewing questionnaire. It was found that multiple factors influenced couple's sexual behavior during pregnancy and counseling had a significant effect on improving the marital relationships