Effect of walking and breathing exercises on controlling hypertension

This study was carried out to examine the effect of walking and breathing exercises on controlling hypertension. Methods: A convenience sample of 90 adults patients with a diagnosis of first stage hypertension were randomly and alternatively divided into three equal groups: [30] for each group: Study group [I] performed walking exercise for 30 minutes/five times weekly plus 15 minutes breathing exercise, while study group [2] walking exercise was done for 45 minutes/ three times weekly plus 15 minutes breathing exercise. Control group [3] comprised of 30 patients and exposed to routine hospital care. The study has been conducted at outpatient clinic of Shebin El- kom Menoufiya University and Shebin El- kom Teaching Hospitals in Menoufiya governorate. Quasi Experimental design was used in this study. Data was collected using five developed tools. 1. Socio demographic and clinical data structured interview schedule. 2. Knowledge assessment, structured interview schedule. 3. Physiological measurement. 4. Nutritional assessment. 5. Evaluation of compliance. Results: findings revealed that the blood pressure declined progressively over time for both studied groups compared to control group, but it was significantly reduced for group II who were followed walking exercise for 45 minutes / 3 days weekly for a period of 8 weeks followed by breathing exercise 15 minutes. At the same time it revealed a statistical significance differences between both studied groups compared to control group regarding the laboratory results such as cholesterol, triglyceride, high density lipoprotein, and low density lipoprotein levels. Also as expected, group II showed a major improvement of their laboratory results than group I. and control group. The current study concluded in general, walking and breathing exercise are beneficial in reducing blood pressure measurement and improving laboratory results. But it strongly recommended walk for 45 minutes / 3 days weekly plus breathing exercise 15 minutes for patients with first stage hypertension

Self care and life style of hemiplegic patients: a test of Orem's theory

The objective of the study was to test the fesibility of application of Orem's self-care theory on hemiplegic patients. the sample comprised 100 patients with recent hemiplegia. Data were collected from the physical. Therapy Department of Gamal Abdel Naser Health Insurance Hospital, Alexandria, Egypt, through interview. The Health Promoting Life Style Profile Scale was used to assess the individual patterns of healthful life style behavior. The exercise of self-Care Agency Scale also was used to measure the four subconstructs that contributed to person's exercise of self-care agency. The result showed that for males aged 60 years and more, those with high school education and more had a mean score of 82.18 for the exercise of self-care agency and 71.41 for healthful life style. The corresponding means for those with less than high school education were 52.67 and 56.38 respectively. For females those with less than high school education, the mean scores were 79 for exercise of self-care agency and 63 for healthful life style

Nurse's perception on stressic at the Hadara orthopedic and traumatology University Hospital

In this study 94 nurses were interviewed to identify stress factors in relation to years of employment in an orthopaedic hospital. The study reveals that nurses regardless of their position perceived working in orthopaedic hospital as stressful. Moreover a significant difference was found between the three studied groups in relation to specific items. Stress is generally addressed in terms of the individuals but it can be identified as a [group responses] on a nursing unit. Many situations nurses face are stressful. These may arise from the discrepancy existing between their ideal and their ability to give nurturing supportive care to patients, ability to perform technical skill proficiently and ability to feel personally and professionally satisfied with the nursing care given. Given these strong demands generalized stress responses to these tasks can be expected [Scully 1980]. Identification of stress factors can help in ameliorating the working conditions and improving performance. Researches on the stress factors affecting ICU/CCU nurses have contributed to improve work conditions [Grout Bailey and Steffen 1981]. Although nurses working orthopaedic patients face different stressors due to patient's long term hospitalization and dealing with patient's fatigue, pain and maintaining uncomfortable positions in traction for long periods, yet it seems that nothing has been done to examine the stress factors of nurses working in these hospitals. This research study builds upon the earlier theoretical work of Selye, 1974. Also, it has applied the research on stress in ICU/CCU to the orthopaedic setting with the anticipation that the finding may be useful in improving the work environment of orthopaedic nurses and ultimately the care of orthopaedic patients. The aim of the study is to : 1 Identify stress factors as perceived by nurses in an Orthopaedic Hospital. 2 Identify stressors in relation to years of employment

Patient-satisfaction in an orthopedic hospital

A survey of 300 adult orthopaedic patients was conducted on three different wards: Gratis, Emergency and Private. A 31-item questionnaire assessed patient's satisfaction with nursing physician and environmental factors. The results suggest no difference between male and female satisfaction. Patients on the Gratis and Emergency Wards tended to be consistently more dissatisfied than patients on the Private Ward. The major conclusion of the survey was that both nurses and physicians needed additional training in patient communication and patient teaching. Several specific environmental recommendations were made : to install a water tank for the private section, to offer dietary services to the Emergency Section, and to install call bells at the bedside

Persons participating in the social support of patients with chronic osteomyelitis

Forty-five patients with chronic osteomyelitis were studied as regards their perception of the social support they received. The predominant supporters were the spouse, family members and relatives. 61.1% of the married patients listed their spouse as source of love; next in frequency were relatives and friends

Job expectations of senior nursing students: an input for nurse-recruitment strategies

The job expectations of all senior nursing students from both the Higher Inst. of Nursing, Alexandria Univ. And the Inst. Of Health Technology, Alexandria present at the time of the study were surveyed in relation to their preferences and expectations as regards the characteristics of the future employing institution and the factors that would influence their decision to accept a new nursing job. The results of the study revealed that the majority of both groups would not consider working in a large hospital. It also showed that the most favorable health institutions for both groups to work in were: a private hospital in Egypt, and army hospital and a hospital in an Arab country. Also the majority of both groups would not consider working in a psychiatric hospital. The highest preference for HIN students was for working in an intensive care unit in a general hospital as compared to an MCH center and obstetric unit for IHT students. Both groups preferred to work in a hospital located in a city. The majority of the two groups accept to work the day shift and more HIN than IHT students would accept the evening shift, while more IHT than HIN students would accept the night shift. As regards the factors that might influence their decision to accept a nursing job, the HIN students identified the following as the first three factors: opportunity to work in desired specialty, job security and opportunity to work in desired city. The first three factors identified by IHT students were: pleasant working conditions and human relations, shift preferences and job security