Effect of an educational protocol for patients' with ulcerative colitis on their related knowledge and self-care practices

Ulcerative colitis [UC] refers to a disease in which the lining of the colon becomes inflamed. In patients with ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases are treated at home, which points to the importance of self-care in its management. This study aim was to determine the effect of an educational program on ulcerative colitis patients' knowledge and self-care practices. To conduct this study a sample of sixty in patients with ulcerative colitis was selected from the tropical medicine department in Assiut University Hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre-post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control groups, p<0.001. The study concluded that although ulcerative colitis is a chronic condition with no cure, it could be well controlled through proper patient education. Therefore, it is important for nurses to teach patients about the condition to enable them to take an active role in own health-care decisions and treatment. The study recommends implementation of the developed educational program for all patients with ulcerative colitis

Discontinuation of contraceptive use

This chapter presents a summary of the most important findings of this study, as well as the recommendations of the study based on these findings upon which some policy implications are suggested for Planners and policy makers. The study found that side effects are the main reasons for discontinuing use of pills, IUDs and Injectable. The showed that about 48% of pill users discontinued the use. About 25% stopped using due to side effects. 11% stopped using because of the desire to get pregnant and 8% stopped using due to method failure, and this attitude is assured by those who got pregnant while using condom. For condom, there were more than half of condom users who discontinued the use. 16% of them discontinued use because of method failure and 9% discontinued use in order to get pregnant. For injectable, half of injectable users stopped using; about 39% of them stopped using due to side effects and 5% stopped using due to the desire to be pregnant. For period abstinence method, about 36% of women reported that they stopped using this method because they had already got pregnant while using this method followed by those who stopped using because they wanted to be pregnant and because of the desire for more effective method than period abstinence

effect of patients positioning on oxygen satration in the acute phase of ischemic stroke

Body position is known to influence respiratory function in normal subjects and those with respiratory pathology. Its effect on respiratory function after stroke has received little attention. It's generally thought that stroke morbidity is increased by inappropriate position during early recovery phase. So the present study was designed to identify changes in arterial oxygen saturation [SaO[2]] associated with different four positions of the patient in order to detect proper position which maintain the optimum level of SaO[2]. Quasiexperiment research design was applied in this study .This study was conducted in stroke intensive care unit of Neurological Department of Assuit University Hospitals. The subjects of this study consist of 60 patients with acute ischemic stroke within 48 hours following mild to moderate and sever stroke. Three tools were included in the study, tool of sociodemographic data, tool of the positions and tool of the Scandinavian stroke scale. The result of the present study revealed that there was statistical significant difference between SaO[2] and blood pressure of the patients before and after the positions. It was found also that total mean of SaO[2] during right side, supine and semi-setting position was nearly equal and there was statistical significant difference between left position and 3 other positions. So the study recommended the importance of changing patient's positions which improve ventilation and blood pressure. The importance of the use of positions tested [Rt.side, supine and semi-setting position] in the clinical practice to maintain SaO[2] in patients of ischemic stroke

Impact of nursing intervention on urostomy patients outcome regarding practicing self-care

Urinary diversion operations [urostomy] patients require a great deal of emotional and physical adjustment. They usually face many problems such as loss of body function and relationship with others, and change in lifestyle. They need to adapt to the external appliance, stoma alteration in toileting habits, skin irritation problems, infection, and odor problems. Self- care for these patients is considered the most important factor that can minimize the complaints and complications. The aim of this study was to evaluate the impact of nursing intervention among urostomy patients regarding practicing self-care. The sample comprised 100 urostomy patients, divided into two groups: 50 study, and 50 control. For both groups, patients' knowledge about urostomy and related self-care performance were assessed before intervention, immediately after, and after six-months follow-up at outpatient clinic. Data were analyzed using Epi-info 6.04 computer software package. Findings revealed statistically significant improvements in knowledge and performance among patients in the study group, compared to the control group. The study group became more knowledgeable about the definition, function, anatomy, and physiology of urostomy, and in self-care performance. The rates of complaints and complications were found to be lower in the study group than in the control one. The study suggests that urostomy patients should receive their self-care training regarding urostomy during hospitalization. Follow-up at outpatient clinic is highly recommended as well