Impact of nursing instructions on neurodevelopmental state of hypothyroid neonates

Congenital hypothyroidism [CH] is the most prevalent endocrine disorder in the neonate. Lack of thyroid hormone during early development is at risk of brain damage and mental retardation. So the aims of this study were to: 1. Evaluate the neuro developmental state of the neonate with [CH], 2. Determine the impact of nursing instructions on maternal knowledge and practice regarding [CH], 3. Determine the impact of nursing instructions on neonates' neuro developmental state. This study included 60 neonates, divided into two groups. The studied and control groups, who were collected from Endocrinology Department at Zagazig University Hospital and Shiba Baby Clinic at Zagazig city. Three tools were used to collect the necessary data; a structured interview sheet for both mothers and neonates, assessment sheet and Behavioral Assessment scale for neonates. The results of the present study revealed that the majority of the studied neonates had above normal range body weight and below normal range physiological measure. In addition improper reflexes and poor behavioral responses. More over lack of maternal knowledge and practice in caring for their neonates. On the other hand there were significant improvement in mothers' knowledge and practice after nursing instructions and as a squeal of maternal improvement, the neonates' physical, physiological, neurological and behavioral status also were statistically improved. The study recommended: [1] Educational program should be mandatory to nurses who are working at well baby clinics about hypothyroidism [2] Iodine supplementation during pregnancy should be recommended. [3] Cord blood spots should be mandatory collected at delivery room from each neonate for estimation of T3 and T4 values. [4] Mass media must have a role in educating people about [CH]

Immediate nursing intervention offered to preschool age children with poisoning

Poisoning of children is one of the most common and important subjects in the field of pediatric nursing. A poison is a substance which, when introduced into the body, injures or destroys the tissues and enzymes. The objective of this study was to determine the different types of poisoning occurring at Zagazig city to preschool children as well as to evaluate the immediate intervention offered by nurses to these cases. This study included 100 preschool age children attending at the Emergency Department at Zagazig University Hospital with poisoning. This study included also 15 nurses. The results of the present study showed that: 1-The majority of the studied children were five years or more. 2. The most common type of poisoning was due to corrosives. 3-Low socioeconomic standard and illiteracy of mothers were the leading cause of poisoning among preschool children. 4-There was a significant correlation between mothers' education and immediate care given at home. 5- The majority of nurses provided satisfactory nursing care. 6- Twenty percent only of nurses gave instructions about poisoning prevention. From the results of this study, the following can be recommended: 1- Continuous educational programs for nurses working at Emergency Department. 2- Poisoning prevention program to parents and children to prevent childhood poisoning which includes: Safe storage place for hazardous substances and medications, availability of ipecac at home avoidance of reused empty bottles in drinking, and the immediate care which should be given at home to different types of poisoning

Effect of nursing intervention on low-back pain among children and adolescents

Low back pain [LBP] in children and adolescents is a common problem that is frequently reported to the physician. Approximately 23% of elementary school children complain of backache and that percentage rises to 33% among the secondary school population. Little researches have been carried out to prevent LBP through health education. So, the aims of this study were to: 1] identify selected factors responsible for LBP; and 2] determine the effect of nursing intervention [health instructions] on LBP among children and adolescents. This study included 100 children and adolescents with mechanical LBP from the orthopedic clinic at Sporting Students' Hospital in Alexandria. Three tools were used to collect the necessary data: A structured interview sheet, anthropometric measurements sheet and Word Graphic Rating Scale for pain assessment. The results of the selected factors related to LBP revealed that the majority of the studied children were taking wrong position during study and in front of computer and carried the school bag on their back or shoulder. In addition, all children carried heavy school bag where its mean weight was 9.702 kg. Two thirds of the children were sitting for more than one hour in front of computer and had stress either at school or home. Winter was the season for LBP. It was found that nursing intervention had positive desirable effect on alleviating LBP. There are no statistical significant differences between the degree of pain and the selected factors responsible for LBP. Bases on these findings nursing instructions are recommended to be continuously recycled and considered in the plan of LBP care

Impact of cardiopulmonary resuscitation program on the retention of pediatric nurses knowledge and practice

The objective of this study was to determine the impact of Cardiopulmonary Resuscitation [CPR] program on the retention of pediatric nurses' knowledge and practice. Successful resuscitation depends on several factors including the causes for cardiac arrest and availability of CRP. Another key factor is the ability of the pediatric nurse to perform CPR. Knowledge and practice of CPR were tested on 56 pediatric nurses who were working at Zagazig University Hospital. Knowledge was tested by a questionnaire sheet while practice was tested by a practical test using an infant manikin. The Resuscitation Council 1997 Guidelines were used as a guide. The results of the present study showed that the knowledge and practice of nurses in the baseline study were unsatisfactory. The mean total score of knowledge and practice of nurses were significantly improved in the up-date and six weeks after The mean total scores of knowledge and practice of the majority of nurses who were working at the emergency and the ICU departments were significantly better than those who were working at the out-patient and the in-patient departments. It is to be recommended that: 1- Every one, regardless of their seniority requires resuscitation up-dating.2-Continuous CPR program is essential to all pediatric nurses' categories and at different departments at least every two years