effect of pregnancy life style on the reliabilityof developing postpartum blues amongprimigravida women

Postpartum blues is a common major psychological problem that the women face during postpartum period. The study aim was to assess the effect of pregnancy life style on the reliability of developing postpartum blues among primigravida. A prospective cohort design was used and a purposive sample of 188 primigravida women from Ain Shams University maternity Hospital was* included in the study. The total sample reached 158 as 30 cases were dropped out in the follow up process. Two tools were used for data collection; Structured-interviewing questionnaire sheet, and modified Edinburgh postnatal depression attitude scale. The study revealed that about one third of the studied sample developed postpartum blues during follow up. All almost studied sample were suffering from psychological stressors, majority of them suffered from physical problems during pregnancy, there were certain life style actions that put the primigravida women on risk of developing post partum blues, these actions included methods of spending spare time, eating habits, caffeine consumption and type of occupational effort. The study recommended that early identification of postpartum blues leading factors by nurses and medical team, put effective management strategies for preventing and dealing with these predisposing factors by administrative department, increase awareness of both mothers and nurses about life style modification through posters, educational programs and mass media, more and further research needs to be done on the connection between postpartum blues and diet, Particularly the junk food

Problem based learning in comparison with traditional learning on nursing students achievements at postpartum units

Aim: To compare between problem based learning and traditional learning on nursing students achievements at postpartum units

Study Question: Which is the best for nursing student achievements in postpartum units problem based learning or traditional learning 7

Justification: Nursing is a practice-based profession. There is a consensus that new educational models are required for nurses to develop their knowledge, skills, and abilities to be critical thinkers, independent decision makers, lifelong learners, effective team members and competent users of new information technologies. Therefore, researchers suggested the present study aiming for discovering the most effective learning modle for adequately preparing nursing students to face real hospital challenges, put their knowledge into action to enable their patients to move to health and enable the profession to grow and mature. A comparative, quasi-experimental study had been done at faculty of Nursing, Ain Shams University and postpartum units of Ain Shams University Maternity Hospital. After obtaining the official approval of both departmental and faculty counsel, A Convenient sampling technique was used as all third year nursing students [240] during year 2004-2005 were included in the study. Students were equally divided into two groups to be enrolled in obstetrics and gynecological nursing course then pediatrics nursing course exchangeable. The group enrolled in the obstetrics and gynecological nursing course first was subjected to traditional learning [control group], while the second group was subjected to problem based learning [study group]. Variables that might affect results of any of the used methods were controlled through unifying teaching staff for both groups and unifying time allowed for teach theoretical and practical aspects of the unit also by random selection of one theoretical assessment tool out of three developed and evaluated by external evaluator for being equally objective in assessing student's knowledge. The following tools were used for data collection: Structured Interviewing Questionnaire sheet, written exams to assess student theoretical achievements, unified observation check list to assess students practical achievements, opinionnaire sheet and three level Likert scale. Tools and data collection plan were modified based on pilot study findings Students included in the pilot study were included in the sample. Results indicated that both methods were effective in teaching post partum unit, however problem-based learning led to statistically significant improvement in students' achievements than traditional method In contrast students were more satisfied with traditional method than problem based learning this was so clear in their classifications to the method. Students recommendations was different in the two groups as students subjected to traditional learning recommended balance distribution of content and time with more clinical training to improve their practical achievements. While, students subjected to problem based learning recommended more smaller student number in group activity and more extra time for analyses of the given teaching scenario. Limitations of the study included inability to exclude students included in the pilot study that led to some contamination of the sample, as well limited places for small group activity and the available places were not designed to fit exchange of student ideas a case required more staff number for better guidance and control over the process

Counseling validity on women compliance to self screening

Aim: To evaluate validity of counseling on women compliance to self screening

Study Question: Is counseling positively affect women compliance to self screening?

Justification: Many women did not seek care, but only when they have a disabling problem, they were unaware about symptoms of breast or genital disorders and its consequences. Early detection is the key in reducing mortality resulting from reproductive morbidity. Women who are health conscious are more likely to use screening measures. Many methods were used to increase women awareness and compliance to self screening measure, but local studies evaluating the effect of these method still largely required. So researchers planned to evaluate the validity of counseling on women compliance to self screening. A quasi-experimental study had been done at the out patient clinics of Ain Shams Maternity University Hospital. Four hundred and fifty four women fulfilling the study criteria were conveniently, included in the study. Inclusion criteria included, different age groups, can read and write, with a history of being sexually active, free from hand problems or infectious hand skin diseases Women affected with any condition that interfered with self screening abilities and those lost their dairies or dropped from follow up were excluded from the study. Women's knowledge and compliance to self screening tests were assessed after three and six months of an individual counseling session about self screening and its related procedures. Anatomical models were used to teach each woman screening tests as well as in three and six months assessment of accuracy of practicing tests. Five tools were used for data collection, structured interviewing questionnaire, Observation checklists to assess accuracy of practicing self-screening tests, three levels attitude scale [Likert], woman diary and written and pictured self screening instructions. A Pilot study had been done on 35 clients, accordingly tools and data collection plane were modified, those women were excluded from the sample. Results revealed that good knowledge scores were limited to 5.7%, while breast and vulval self screening were not done by 94.3% and 96.2% of women, meanwhile the correct practice of each tests were limited to 3.8% and 1.8% in the initial women's assessment. Women referred their non compliance to self screening to being busy 87%, do not know how to do it 87% and for being afraid to discover dangerous health problem 94.3%. Results indicated that counseling had positively changed women's knowledge, accuracy of practices, attitude and compliance to self screening. As highly statistical significant difference was proved between initial and 3 months scores, exactly the same was proved between initial and 6 months scores, but no statistical significant difference found between 3and 6 months scores. The insignificant decreased percent noticed in both self screening knowledge and compliance scores after six months than after the three months directed the researchers to recommend the development of follow up strategy to keep positive achievements gained through counseling other vise gains will be lost as time passes. and also to recommend more researches on the effect of more frequent follow up strategy up on women compliance to self screening. Limitations of the study included unavailability of suitable counseling places and too interruption during counseling session. Decreased sample size than the initially started one [454] to [408] due to inaccurate registration to women phone numbers, loosing their dairies, ignoring out patient clinic follow up visits as well as affection by conditions interfered with self screening abilities during the study period [46 women]