RESUMO
The aim of the present study was to identify the levels of self- care in school age children with nephritic syndrome. All school aged children [6-12 years] hospitalized at least once for nephritic syndrome, followed at the out patients clinic of nephrology department at Assiut pediatric university hospital during the period from the first of October. 2005 to the end of April, 2006 included in the study subjects, their number was 65 children. Data was collected through interviewing each child and his parents individually using the developed interview questionnaire included demographic characteristics of the child and his family, child's medical information and self care questions consisted of 35 items. An answers were in a Likert scale with three levels ranging from "never", "sometimes" and "always". The score ranged from 0%-100% divided into low [0%< 50%], moderate [50%< 75%] and high [75% and more]. Results of the present study indicated that more than two third of children [69.2%] of children engaged to moderate level of self care. Self care items children always concentrate on were stay in bed initially if there is edema responded by 52.376, take a period of rest when being feel tired during edema responded by 56.9%, and elevate head a pillow during sleep to reduce per orbital edema responded by 78.5% of children. Self care items children sometimes concentrate on were attend school and participate in physical activities as tolerated responded by 69.2%, eat no salt during edema responded by 58.5%, use the salt shaker during edema responded by 61.5%, irrigate eyes with warm saline solution to prevent collection of exudates responded by 53.8%, keep edematous area clean and dry responded by 63.1% and aware to side effect of medications responded by 56.9% of children. While self care items children never concentrate on where use lotion for dry skin responded by 78.5%, clean and dry opposing skin surfaces responding by 95.4% , support opposing skin surfaces with soft materials responded by 90.8%, change position frequently responded by 83.1% and do urine analysis responded by 84.6% the present study concluded that most school aged children with nephritic syndrome engaged moderate self care , as the child age and the duration of illness increased the levels of self care increased. The present study recommended that nurses and physicians must encourage and foster high levels of self care for children to prevent relapse and recurrence of the disease through educational and training programs
RESUMO
The aim of the present study was to record the effect of music and multimodal stimulations on the premature newborns with respiratory distress. It was conducted in the Neonatal Intensive Care Unit of Assiut University Hospital during the period from the first of January to the end of June 2003. Forty premature newborns with respiratory distress, with gestational age ranging from 32 to <37 weeks were included in the study. Twenty of them received an experimental combining music and adapted Auditory, Tactile, Vestibular and Visual stimulations [ATVV]. The other 20 newborns with respiratory distress were managed as a control group receiving the conventional lines of treatment of the respiratory distress without ATVV. Both groups were matching as regards their weight, gestational age and the severity of the respiratory distress Heart rate, respiratory rate and oxygen saturation levels as well as signs of respiratory distress were assessed before and after application of ATVV stimulations for the study group and once for the control group. ATVV stimulations were applied for each newborn individually for about 30-45 minutes. Results revealed immediate significant improvement observed after application of ATVV stimulations concerning heart rate, respiratory rate and oxygen saturation level among premature newborns with respiratory distress in the study group. The percentage of those with heart rate ranging from 100 to < 140 beats /minute increased from 5% before to 20% after application of ATVV stimulations. The percentage of those with respiratory rate less than 60 cycle / minute was 75% before and increased to 90% after application of ATVV stimulations. An oxygen saturation level from 85% to 97% was present in 35% of newborns before ATVV and in 40% after application of ATVV stimulations. Females had more response than males and premature newborns with respiratory distress only showed also more response than those having additional other medical problems. The present study recommends that ATVV stimulations should be integrated to the nursing practices and continued to assist in the therapeutic improvement of the premature newborns with respiratory distress. Further studies should be conducted to determine the therapeutic effect of ATVV stimulations on different subgroups of high risk newborns