iosr-JNHS   Volume-7 ~ Issue-1 ~ Jan-Feb 2018

Paper Type	:	Research Paper
Title	:	The effect of night light on delirium occurrence in post-operative cardiac patients
Country	:	Egypt
Authors	:	Ghada ShalabyKhalafMahran || Sayed K. Abd-Elshafy || Nadia Abd El-ghnyAbd El-hmeed || Ahmed Ibrahim Abdel-WahabIbrahim || Naglaa GamalEldeenAbd-ElHafez || Heba KadeesMarzouk
	:	10.9790/1959-0701060107

Abstract: The aim of this paper is to identify the effect of night light on delirium occurrence in post-operative cardiac patients. Design: A randomized prospective observational study.Method. 60 patients (25 in the experimental group, 35 in routine group) who underwent cardiac surgery from 1/ May 2016 to 30 / December 2016 and met inclusion criteria were enrolled. The patients were sorted randomly to sleep with or without eye masks during the first three nights. The Chinese version of Richards-Campbell Sleep Questionnaire (ROCK) was used to evaluate the subjective sleep quality. The NEECHAM Confusion Scale was used to assess delirium each morning for each patient. Result: Total Mean ± SD of the overall score of ROCK items in the three nights was 49.05 ± 5.65 in routine group versus 58.73 ± 5.06 in the experimental group (P value <0.001). Total Mean ± SD of the overall score of the NEECHAM.............

Keywords; delirium, sleeping quality, open heart surgery, nursing, Questionnaire, eye mask

[1]. Alway, A., Halm, M. A., Shilhanek, M., & Pierre, J. S. (2013). Do earplugs and eye masks affect sleep and delirium outcomes in the critically ill? American Journal of Critical Care, 22(4), 357-360.

[2]. Daneshmandi, M., Neiseh, F., SadeghiShermeh, M., &Ebadi, A. (2012). Effect of eye mask on sleep quality in patients with acute coronary syndrome. Journal of caring sciences, 1(3), 135.

[3]. Dave, K., Qureshi, A., &Gopichandran, L. (2015). Effects of Earplugs and Eye Masks on Perceived Quality of Sleep during Night among Patients in Intensive Care Units. Asian Journal of Nursing Education and Research, 5(3), 319.

[4]. Evans, A. S., Weiner, M. M., Arora, R. C., Chung, I., Deshpande, R., Varghese, R., . . . Ramakrishna, H. (2016). Current approach to diagnosis and treatment of delirium after cardiac surgery. Annals of cardiac anaesthesia, 19(2), 328.

[5]. Greve, H., & Pedersen, P. U. (2015). Improving sleep after open heart surgery–Effectiveness of nursing interventions. Journal of Nursing Education and Practice, 6(3), 15.

Paper Type	:	Research Paper
Title	:	Maternity Nurses' Performance Regarding Non-invasive Fetal Wellbeing Measures: Educational Intervention
Country	:	Egypt
Authors	:	Soad Abd Elsalam Ramadan || Aziza Ibrahim Mohamed || Amira Mohammed Salama
	:	10.9790/1959-0701060819

Abstract: Background: The primary golden aim of fetal monitoring is reducing the incidence of fetal death, perinatal morbidity and maternal distress, improving maternity nurse performance regarding fetal wellbeing is extremely important. The aim of the present study was to evaluate effect of educational intervention on maternity nurses' performance regarding non-invasive fetal wellbeing measures . Design: Aquasi-experimental design was utilized to fulfil the aim of the study. Sample: A convenient sample of a total 64 maternity nurses were included in the present study. Setting: The present study was conducted at fetal wellbeing assessment unit at obstetrics & gynaecological department affiliated in Benha university hospital. Data were collected through an interviewing questionnaire sheet, knowledge assessment sheet..........

Keywords; Maternity nurse, performance, Non-invasive, Fetal wellbeing measures, educational intervention

[1]. Mikamo, S., & Nakatsuka, M. (2015): Knowledge and Attitudes toward Non-invasive Prenatal Testing among Pregnant Japanese Women. Acta Med Okayama, 69, 155–163.
[2]. Lunghi, G. Magenes, L. Pedrinazzi, and M. G. Signorini, (2015): "Detection of fetal distress though a support vector machine based on fetal heart rate parameters," in Computers in Cardiology, pp. 247–250, 2015.
[3]. Cao, D. E. Lake, J. E. Ferguson, C. A. Chisholm, M. P. Griffin, and J. R. Moorman, (2016):"Toward quantitative fetal heart rate monitoring.," IEEE Trans. Biomed. Eng., vol. 53, no. 1, pp. 111– 8, Jan. 2016.
[4]. Murray, M. (2014) Maternal or Fetal Heart Rate? Avoiding Intrapartum Misidentification. Journal of Obstetric, Gynecologic & Neonatal Nursing, 33, 93-104. http://dx.doi.org/10.1177/0884217503261161
[5]. Lewis, C., Silcock, C., & Chitty, L. S. (2013). Non-invasive prenatal testing for Down's Syndrome: pregnant women's views and likely uptake. Public Health Genomics, 16, 223–232.

Paper Type	:	Research Paper
Title	:	The Effect of Using Incentive Spirometry on Postoperative Breathing Pattern among Abdominal Surgical Patients
Country	:	Saudi Arabia
Authors	:	Mrs .Walaa Jamaan Al-Harbi || Dr.Elham A. Nagshabandi || Prof.Aida E. ElGamil
	:	10.9790/1959-0701062034

Abstract: Background: Respiratory management including deep breathing with incentive spirometry is an integral part of the clinical management and health maintenance of abdominal surgical patients . Incentive spirometry known to prevent postoperative pulmonary complications ,enhancing patients recovery ,keep lungs healthy and improve quality of life after abdominal surgery. Breathing pattern can be changed causing serious postoperative pulmonary complications following abdominal surgery. Incentive spirometry improving impaired breathing pattern following abdominal surgery. Aim: To assess the effect of using incentive spirometry on postoperative breathing pattern among abdominal surgical patients. Setting: The study was carried out at inpatient surgical departments in the following hospitals(King Faisal Hospital, King Abdulaziz Hospital ,Hera General Hospital in Makkah).Design: A quantitative quasi experimental design was conducted. Sample : a convenience purposeful sampling of hundred patients was conducted..........

Keywords; incentive spirometer , incentive spirometry ,breathing pattern, abdominal surgery

[1]. Aqilah Leela Narayanan, Syed Rasul G Syed Hamid Eko Supriyanto. (2015). Evidence regarding patient complaince with incentive spirometry interventions after cardiac, thoracic and abdominal. Cardiology. 52 (1), 18-26.
[2]. Christie, Armstrong, C. O. (2017). Post-op incentive spirometry. Nursing, 47(6), 54–57. http://doi.org/10.1097/01.NURSE.0000516223.16649.02
[3]. Colucci, M.,Chiavegato, L. D., &Faresin, S. M. (2015). Cough Impairment and Risk of Postoperative Pulmonary Complications after Open Upper Abdominal Surgery. Respiratory Care, 60(5), 673–678. http://doi.org/10.4187/respcare.03600
[4]. Dias, C. M., Plácido, T. R., Ferreira, M. F. B., Guimarães, F. S., &Menezes, S. L. S. (2008). Incentive spirometry and breath stacking: Effects on the inspiratory capacity of individuals submitted to abdominal surgery. RevistaBrasileira de Fisioterapia, 12(2), 94–99. http://doi.org/http://dx.doi.org/10.1590/S1413-35552008000200004
[5]. Erick peper, Christopher D. Gillbert, Richard Harvey I-Mei Lin. (2015). A learned Disuse Risk Factor for Breathing Dysfunction. Applied psychology. 43 (4), 173-179..

Paper Type	:	Research Paper
Title	:	Prophylactic Legs Compression for Reducing Hypotension and Fetal Acidosis as Subsequent For Spinal Anesthesia in Cesarean Delivery
Country	:	Egypt
Authors	:	InaamAbdelati || Nor Elhodaelshabory || Hanan Elzeblawy Hassan || Samiagaballah || Hanaa Mohamed Nassar
	:	10.9790/1959-0701063542

Abstract: Spinal block givesadmirable and excellent anesthesia for cesarean delivery, but it is frequently accompanied by hypotension, which if untreated can pose serious risks to mother and baby.Strategies directed to increasing venous return, such as lifting or mechanically compressing the lower extremities, and aggressive intravascular volume loading are very effective in the treatment of arterial hypotension This study aims to examineleg compression for decreasingmaternal hypotension and fetal acidosis subsequent spinal anesthesia in cesarean delivery. A Quasi-experimental designused.Setting: The research was accomplished at cesarean delivery operating unit,Al AzharUniversity Hospital throughout the period from January 2017 to June2017.Sample:A total of 250 full-termsparturients with an uncomplicated pregnancy undergone plannedcesareandelivery using spinal.........

Keywords; Cesarean Delivery,Leg Compression,Hypotension, Spinal Hypotension, Nursing

[1]. Mercier FJ, Augè M, Hoffmann C, Fischer C, Le Gouez A. (2013): Maternal hypotension during spinal anesthesia for caesarean delivery. Minerva Anestesiol. 79 Suppl 1:62–73.
[2]. Butwick a. J, Columb MO, Carvalho B.(2015): Preventing spinal hypotension during Caesarean delivery: What is the latest? Br J Anaesth. 114(2): 183-6.
[3]. Mavridou I., Stewart A., & Fernando R., (2013): Maternal Hypotension during Spinal Anesthesia for Cesarean Delivery, Curr. Anesthesiol Rep., (3): 282–291.
[4]. Loubert C.( 2012): Fluid and vasopressor management for Cesarean delivery under spinal anesthesia: continuing professional development. Can J Anaesth. 59(Suppl 6):604–19.
[5]. FarrukM.,Aneela.P.&Vigar.A.(2008):Prevention of hypotension in cesarean delivery under spinal anesthesia; the combination of modified supine wedged position, crystalloid co-hydration and prophylactic atropine. Pakistan .Armed. Forces Medical Journal,58(4):2411..

Paper Type	:	Research Paper
Title	:	Health-Seeking Behaviour of Orthopedic Trauma Patients Attending Saint Joseph Hospital in Koforidua, Ghana
Country	:	Ghana
Authors	:	Dorothy Baffour-Awuah || Msn, Mph, Rn, Kwabena Acheampong || Mph, Yeboah Francis Bsn, Rgn
	:	10.9790/1959-0701064350

Abstract: Introduction: In Ghana, several options including orthodox medicine, traditional medicine, and self-medication are available to those who seek health, but the choice of any of these options is influenced by several factors, including the level of education and socio-economic background of the health-seeker. Limited healthcare availability, accessibility and socio-economic characteristics are also cited to be determinants of one's health seeking behaviour. Objectives: This study examined the health seeking behaviour of orthopedic patients, by examining their types of trauma and the relationship between their socioeconomic characteristics and health-seeking behaviour. Methodology: The study was a hospital........

Keywords; health-seeking, Orthopedic, Trauma, Fracture

[1]. Oberoi, S., Chaudhary, N., Patnaik, S., & Singh, A. (2016). Understanding health seeking behavior. Journal of Family Medicine and Primary Care, 5(2), 463–464. http://doi.org/10.4103/2249-4863.192376 and Medicine, 50(9): 1197-1208.
[2]. Omotosho, O. (2010).Health-seeking behavior among rural dwellers in Ekiti State Nigeria. International Multi-Disciplinary Journal 4(2), 125-138.
[3]. Witter, S, Adjei, S. & Graham, W.(2009). Providing Free Maternal Healthcare: Ten Lessons from an Evaluation of the National Delivery Exemption Policy in Ghana" Global Health Action, 2, 1-5
[4]. Badlani, N., Boden, S. & Philips, F. (2012) Orthopedic Specialty Hospitals: Centers of Excellence or Greed Machines? Orthopedic 35(3), 420-425.
[5]. Burkhart, S.S., Cole, B.J. and Savioe, F.H. III (2012) Bankhart Repair. Orthopedic 35(2) 136 137

Paper Type	:	Research Paper
Title	:	Perception about Premarital Screening and Genetic Counseling Among Males And Females Nursing Students
Country	:	Egypt
Authors	:	Maha Ali || Norelhouda Elshabory || Hanan Elzeblawy Hassan || Nehad Zahra || Hayam Alrefai
	:	10.9790/1959-0701065157

Abstract: Premarital screening is a unique one of the almost important plans and strategies for preventing genetic disorders and congenital anomalies. The Nurse has an integral role in providing genetic services that include assessing genetic risk, provides information, discussing available testing options and provides appropriate supportive counseling. Aim: To explore nursing student's perception toward premarital screening (PMS) and genetic counseling (GS). Methods: A cross-sectional design used at Faculty of Nursing Suez Canal University from September to December2016. A self-administered questionnaire was distributed to 203 third academic years both gender students. The self-administer questionnaire contained 3 core sections; the first involves socio-demographic data, the second includes the students' knowledge and information regarding the PMS and GC. Whilst the third portion........

Keywords; Premarital, genetic, screening, counselling,

[1]. Ahmad S Teebi and Talaat I.(2010): Genetic Disorders among Arab Populations. 2 ed. Springer.
[2]. Old JM. (2007):Screening and genetic diagnosis of hemoglobinopathies. Scand J Clin Lab Invest; 67(1):71-86.
[3]. Hereditary anemia's(1982): genetic basis, clinical features, diagnosis, and treatment. WHO working group. Bull World Health Organ 1982; 60(5):643-660.
[4]. Deif, I. (2015): Egypt doctors call for premarital screening to detect thalassemia. Available at: http//WWW. Ahramonline.com
[5]. Mininstry of Health and Population, (2009): The reference manual for premarital services, developed by the Regional Center.
[6]. Petro, M. (2013): Prevention of Thalathemias and other Hemoglobin Disorders: volum1: principles [Internet]. 2nded available at http: //WWW. ncbi. nih. gov/books/NBK190461.

Paper Type	:	Research Paper
Title	:	Effectiveness of planned teaching programme on knowledge regarding topical insulin in healing of diabetic foot ulcer among staff nurses in selected hospitals at Udaipur, Rajasthan
Country	:	India
Authors	:	Pawan Kumar Tiwari || Mr. Aakash Chavda
	:	10.9790/1959-0701065862

Abstract: A quasi experimental One group pre-test post-test study to assess the effectiveness of planned teaching programme on knowledge regarding topical insulin in healing of diabetic foot ulcer among staff nurses in selected hospitals at Udaipur, Rajasthan The sample consisting of 140 Staff nurses in selected hospitals at Udaipur by using simple random sampling technique method. The tool comprised of by using structured knowledge questionnaire. The pretest was conducted and the planned teaching programme was administered. The post test was conducted after one week. The data obtained were analyzed by using differential and inferential statistics. The mean score of post-test knowledge 22.06 (73.53%) was apparently higher than the mean score of pre-test knowledge..........

Keywords; One group pre – test post – test quasi experimental study, staff nurses, and topical insulin in healing of diabetic foot ulcer

[1]. M.J. Black, Medical Surgical Nursing. 7th ed. (Missouri: Sounder's publishers 2005)1243-88.
[2]. Brunner and Siddhartha's, Text book of medical surgical nursing (New Delhi: published by welters kluwer India Pvt. Ltd; 2011) (2) 1236
[3]. R. Swaminathan, Effectiveness of topical insulin in management of chronic diabetic foot ulcers. Indian Journal of Basic and Applied Medical Research, 3, June 2014, 455-59
[4]. H. Lewis, Medical surgical nursing assessment and management of clinical problems (Elsevier publication 2011) 1250-55.

[5]. S. Sarabahi, New Delhi, India. Recent advances in topical wound care, Indian J Plast Surg, 45 2012, 379-87.

Paper Type	:	Research Paper
Title	:	Acute Phase Reactant Correlates and Erythrocyte Sedimentation Rate Among Type 2 Diabetes Mellitus Patients in Yenagoa, Nigeria
Country	:	Nigeria
Authors	:	Teddy Charles Adias || Evelyn M. Eze || Diweni Pere Dick
	:	10.9790/1959-0701066370

Abstract: The South-South Region of Nigeria had the highest pooled prevalence of 8.5% of type 2 diabetes mellitus (T2DM) in Nigeria between 1985 and 2016. This signals the need for the use of additional markers, as tools for the diagnosis of the disease in order to monitor and manage therapy. This study was aimed at evaluating the acute phase reactant correlates among T2DM patients in Yenagoa, a city in the region. 123 subjects (80 T2DM and 43 control) were enrolled in the study based on a cross-sectional design. Venous blood samples were collected from all subjects and tested for fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), C-reactive protein (CRP), albumin.......

Keywords; type 2 diabetes mellitus, acute phase reactants, C-reactive protein, albumin, erythrocyte sedimentation rate, HbA1c

[1]. V. C. Rao, Immunology (Narosa Publishing House Pvt. Ltd.: New Delhi, 2006).
[2]. A. Azenabor, A. O. Ogbera, N. E. Adejumo, and A. O. Adejare, Acute phase reactant dynamics and incidence of microvascular dysfunctions in type 2 diabetes mellitus, Journal of Research in Medical Sciences, 16(10), 2011, 1298–1305.
[3]. G. R. Upchurch Jr, B. A. Keagy, and G. Johnson Jr, An acute phase reaction in diabetic patients with foot ulcers, Cardiovascular Surgery, 5(1), 1997, 32 – 36.
[4]. S. Jain, V. Gautam, and S. Naseem, Acute-phase proteins: As diagnostic tool, Journal of Pharmacy and Bioallied Science, 3(1), 2011, 118.
[5]. M. D. Vestra, M. Mussap, P. Gallina, M. Bruseghin, A. M. Cernigoi, A. Saller, M. Plebani, and P. Fioretto, Acute-Phase Markers of Inflammation and Glomerular Structure in Patients with Type 2 Diabetes, Journal of the American Society of Nephrology, 16(3 Suppl 1), S78–S82.

Paper Type	:	Research Paper
Title	:	Knowledge and perception of vasectomy among male staffs of Novena University Ogume Delta State Nigeria
Country	:	Nigeria
Authors	:	Agofure Otovwe || Okandeji-Barry R. O.
	:	10.9790/1959-0701067176

Abstract: Background: Vasectomy is a simple effective and safe surgical procedure for permanent male fertility control. However, high acceptance rates of vasectomy have been reported in developed countries, while low acceptance rates have been reported in developing countries like Nigeria. Objective: This study was designed to investigate the knowledge and perception of vasectomy among male staffs of Novena University Ogume, Delta State Nigeria. Methods: A cross-sectional study was conducted among 151 purposively selected male staffs of Novena University, Ogume. A semi-structured questionnaire was self-administered to obtain information on respondents' socio-demographic characteristics, level of knowledge of vasectomy, perception and attitude towards vasectomy. Descriptive statistics, Chi-square test were used to analyse the data with level of significance set at 0.05...........

Keywords; Knowledge, Perception, Attitude, Vasectomy

[1]. Wright AK, Best K, Sokal D. Recent Development in Vasectomy, British Med. J. 2005; 330(7486): 296-299.
[2]. World Health Organization. Vasectomy: What health workers need to know. 1994. Retrieved from: http://apps.who.int/iris/bitstream/10665/58239/1/WHO_FHE_FPP_94.
[3]. 3_Rev1.pdf?ua=1.
[4]. Dassow P, Bennett JM. Vasectomy: an update. Am Fam Physician. 2006; 74(12):2069-74.
[5]. Family Planning Worldwide Data Sheet. Data and estimates of contraceptive use and related reproductive health indicators for the countries and regions of the world. A Population Reference Bureau 2002 Washington, DC, USA.

Paper Type	:	Research Paper
Title	:	Role of the Nurse Managers during Nursing Personnel Strikes
Country	:	Egypt
Authors	:	Islam Mohamed Abd El-Fatah || Wafaa Fathi Sleem || Azza Abdeldayem Ata
	:	10.9790/1959-0701067786

Abstract: Salaries remains one of the most important factors that lead to strike, nursing personnel usually strike because they want higher wages and this demand increases because of the rise of the cost of living. So they have gone on strike to improve their economic and non-economic conditions. The present study aimed to assess role of the nurse managers during nursing personnel strikes at Mit Ghamr hospitals. This study was conducted at Mit Ghamr hospitals using descriptive design. A simple random sample of 249 of staff nurses and all nurse managers(48) was used. Data were collected using two tools; staff nurses' questionnaire and nurse managers' questionnaire. Study results illustrates that the first cause of nursing personnel strike was salaries followed by unsuitable working condition. As well, the first measure that was used by nurse managers to prevent strike was rapid intervention...........

Keywords; Nurse Managers, Nursing personnel, Strike.

[1]. Gonathan, G. and Kleiner, S. (2012): Do strikes kill? Evidence from New York State. American economic journal, A EA. 4(1):pp. 126-157
[2]. Everhart, D. Neff, D. Al-Amin, M. Nogle, J.&Weech-Maldonado, R. (2013): The effect of nurse stuffing on hospital financial performance: competitive versus less competitive markets. Volume 38(2) PP. 146-155 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4543286/
[3]. Olalekan, A. W., Adeniran, O. O. & Adebukola, A. M. (2012): Health worker's perception of the use of strikes as a tool for dispute resolution in Lagos state Nigeria, Journal of Social Sciences and Public Policy. volume( 2) PP.19-23
[4]. Waas, B., (2012): Strike as a fundamental right of the workers and its risks of conflicting with other fundamental rights of the citizens, Goethe University Frankfurt, Germany. P.2
[5]. Marriner, A. & Tomey, (2009): Guide to nursing management and leadership, 8th edition. P. 141.