Iraqi National Journal of Nursing Specialties

Effectiveness of an Instructional Program Concerning premarital screening of sexual transmitted disease on Student's Knowledge at Baghdad University

Aqdas Salman — 2019-08-07

Objectives: To identify the effectiveness of instructional program concerning premarital screening of sexual transmitted disease on student's knowledge at Baghdad University and examine the relationship between students' knowledge and certain studied variables. And hypothesis for this study; There is a difference in university student’s knowledge toward premarital screening between pre and posttests of instructional program. Methodology: A quasi-experimental design (pretest-posttest approach) was conducted at six colleges and its college of education ibn rushd, college of political science, college of law, college of literature, college of media and college of language. This study was conducted during the period of 1st April 2017 to 5th May 2018. Multistage stratified random sample of (40) students for both group control and study group at Baghdad University colleges. A questionnaire, was used as a tool of data collection. The questionnaire and content validity was carried out through the seven experts. Descriptive and inferential statistical analyses were used to analyze the data. Results: in general the results show a statistical significant improvement of university student's knowledge concerning premarital screening of sexual transmitted diseases Recommendations: Conducting frequent health education programs about PMS among students in high schools and universities to improve their knowledge toward sexual transmitted diseases

Assessment of the health behaviors patterns among women during pregnancy

Hanaa omar — 2019-08-07

Objective:- Women's behavior during pregnancy which can affect the health of their infant , may be influenced by their attitude toward the pregnancy. The study was carried out to assess the pattern of health behaviors for pregnant women. Methodology: A descriptive study was carried out to select randomized (100) pregnant women attending Baghdad Teaching hospital. The data were collected through personal interview by using questionnaire form constructed for the purpose of the study. Results:- The result of the study revealed that the highest percentage of study sample were in age group (21-25) years, primary graduated and house wife . The results showed that the highest percentage( 64%) of them were primigravida, (72%) of them have (1-2) children and( 64% )of them had no previous history to abortion . Regarding the pattern of pregnantwomen's health behaviors about healthy food was good, while their health behaviors about the sleep ,relaxation ,exercise ,using medication herbs and health care during pregnancy were poor . Recommendation:-The study recommended establishment educational program for pregnant women's to promote their health behaviors during pregnancy in order to prevent the pregnancy and labor complications through. MCHC and mass media.

Quality of Life for Adult Clients with Hypermobility Syndrome Attending Private Clinics in Baghdad City: A Cross-Sectional Study

aqeel hasan — 2019-08-07

Objective)s): To evaluate the quality of life for adult clients with hypermobility syndrome at private clinics in Baghdad City. Methodology: A cross-sectional study used a purposive ‘’non-probability’’ sample of (75) adult clients with Hypermobility Syndrome (HMS) male and female who age (25-64) years. The data were collected through the utilization of standard developed questionnaire of the world health organization (WHO). Data collected by interview with each client who is involved in the study. Each interview takes approximately (20) minutes. Results: The study revealed that there is an effect of hypermobility syndrome on the quality of life, which recorded fair level in general. The study also reported that there is an effect of the condition on their physical, social and psychological domains. Recommendation: The study recommends that early diagnosis of hypermobility syndrome is essential to recognize and increase knowledge about condition for clients and their families, and that consultation and health education programs can help to prevent and minimize symptoms and raise the level of quality of life.

Effect of Non-Pharmacological Pain Management Methods on Reduction the Duration of Labor Stages in Primigravida Women at AL-Elwyia Maternity Teaching Hospital

Sarab Fadhil — 2019-08-07

Objectives: To evaluate the effect of non-pharmacological pain relief methods on duration of labor stage.
Methodology: A quasi-experimental study design was conducted during the period of (4th July 2018 through 24th October 2018) on non-probability of (60) women (30) of them were a control group and (30) were the study group whom admitted to Al-Elwyia Maternity Teaching Hospital suffering from labor pain. A questionnaire was used as a tool of data collection Descriptive& Inferential statistical analyses were used to analyze the data.
Result: The highest percentages of study and control groups were in age group (< 20) years old, primary schools graduates, housewife, from "urban area", within low category of socioeconomic scale, at gestational age between (39 weeks – 40 weeks +6day), and have intact membrane status .Also there are highly significant differences concerning durations of the (1st, 2nd, and 3rd) stages of labor among study and controlled groups at (P=0.001),(P=0.002),&( at (P=0.000) respectively.
Recommendation: The study recommended to conduct structured training programmed for all midwives in maternity hospitals and primary health care centers to enable them to implement the non-pharmacological pain relief methods, in addition a simplified guideline for midwife should be disrupted and contains information about the proper use of non-pharmacological pain management methods and its advantages

Body satisfaction and Depression Symptoms among Children with Precocious Puberty in Baghdad City

adraa hussein — 2019-08-07

Objective: to evaluate body image and depression symptoms of children with precocious puberty, and find out association between children`s sociodemographic characteristics and their body image and depression signs. Methodology: A cross sectional study, sample of (80) child from both gender, > 7 years were included due to their ability to express their own feeling, diagnosed with precocious puberty, attending out-patient endocrine clinics at pediatric hospitals in Baghdad city. Data collected, during the period from May to November 2018. Consent form has taken from children and their guardians to participate in study. Child body image scale (CBIS) was used to evaluate children body satisfaction (1) and Mood and feeling questionnaire (M&FQ) to evaluate children degree of depression symptoms (2), the approved has taken from the ownership directly. SPSS version 23 was used to analyze data by applying descriptive analysis (percentages, frequencies and mean) as well as inferential analysis (T-test). Results: the finding shows that most children with precocious puberty experience body dissatisfaction, more than half of children experience depression signs, school achievement shows significant association with their depression signs. Recommendation: the study recommend to emphasis on psychosocial assessment during routine physical examination, in addition to provide psychological support for those children especially girls

Evaluation of Nursing Performance Concerning Nasogastric Tube in Neonatal Intensive Care Unit at al-Batool Teaching Hospital in Baqubah City

aqeel Nayef — 2019-08-07

Objectives: The study aim to evaluate nursing performance during nasogastric tube feeding in neonatal intensive care unit. Methodology: A descriptive study was carried out in Neonatal Intensive Care Unit at al–Batool Teaching Hospital, for the purpose of evaluate of quality of nursing performance for premature baby during nasogastric tube feeding in neonatal intensive care unit. The study consumed the period from 4th of December 2017 to the 24nd of April 2018, Non-probability purposive sample of (25) nurses working in the neonatal intensive care unit. The data were collected through the use of Observational instrument which consist of socio-demographic characteristics, quality of nursing care. Results: The study shows that the majority of participants was female with age (20-29) years with diploma and more half was married with somewhat sufficient of monthly income, years of experience in nursing and neonatal intensive care unit were, quality of care before, during, and after at fair level Recommendations: Advanced video programs, specific meetings, programs, workshops, training activities and seminars, and Booklet are should be provided for nurses on how to use global standards to placement of the nasogastric feeding tube in NICU. And it's recommended to provide the necessary advanced supplies and equipment for nasogastric feeding tube procedure.

Article Effectiveness of Instruction Program on Caregiver Knowledge concerning Emergency Care for Geriatrics at Geriatric Home in Baghdad City.

ali Ibrahim — 2019-08-07

Objectives: The aim of the study is to evaluate the information of caregivers concerned emergency care for the elderly and to identify the relationship between caregiver information and their educational level, years of service and training courses. Methodology: A quasi-experimental study was conducted in the Geriatric Care Home in Baghdad City (the governmental and private geriatric care home ) for the period from October, 14th , 2018 to March, 20th , 2019 to find the effectiveness of the instructional program on caregivers knowledge about emergency care for the elderly.. A purposive sample (non-probability) was consisting of (30) males and females caregivers, the sample was selected from geriatric care home in Baghdad city .To implement the program an instrument was used to collect caregiver’ data which consist of two parts: The first part concerns demographic information for caregivers. and the second part involves two domains involving (48) items concerning caregiver knowledge about physiological changes and health problems and their knowledge about emergency care for older persons .The instrument was authenticated by through a panel of ten expert. The researcher used SPSS version 20 to analyze the data, and applying the descriptive and inferential statistical analysis. Results: The results of the pre-test for caregivers in a government and private geriatric care home revealed that caregivers 'knowledge about physiological changes and health problems as well as emergency care was moderate , while post-test results showed that caregivers' knowledge about physiological changes and health problems as well as emergency care had improved to high level because of the positive impact of the instruction program. The study founded that there was correlation between the effectiveness of the instruction program on caregiver knowledge, and the demographic information including gender , age, social status, monthly income and race . The result of study retreaded that there were a significant relationship between the effectiveness of the instruction program and the caregiver years of experience, the educational level, the training courses and the occurrence of emergencies at P≤0.05. Recommendation: The study recommends to increase the training courses inside and outside Iraq for caregiver and encouraged them to use safety measures to avoid the injury of elderly persons.

Impact of Factors upon Children’ Weight Status of age one to Five years old at Primary Health Care Centers in AL Samawah City

abrar talib — 2019-08-07

Objective: The study aim is to identify factors that may contribute to children’s weight status variations. Methodology: A descriptive cross sectional study is carried out has been conducted at the AL- Samawah city in Primary Health Care Centers for the purpose of the screening children’s weight status of Age One to five Years Old. This study is started from December 16th 2018 to February 14th 2019. A(non propriety) purposive sample comprised of (20) primary health centers (10 main and 10 sub) are selected of 500 children who visit the primary health care center during the period for the purpose of the study; Data was collected through using a questionnaire designed and developed for the purpose of the study . It consists of two main parts: Part I. Mother Demographic Characteristics, Medical and Surgical History during Pregnancy, Obstetric History and Mothers Nutrition during Pregnancy and Lactation. . Part II: Childes Demographic Characteristics, Medical and Surgical History, Immunization, and Child Nutrition. Data collected by the researcher from children’s families through interview and filling a questionnaire format, while the section of anthropometric measurements carried out by the researcher after measuring weight and height doing Body Mass Index calculation Validity of the study instrument was determined through a panel of experts and reliability of the instrument was determined. The analysis of the data used was descriptive statistics and statistical inferential. Recommendations: The ministry of health can develop and implement effective strategies for the detection and treatment of malnutrition among children.

Determination of the Cardiac Patients Knowledge toward Using Anticoagulant Medications at Missan Governorate Hospitals

Mohannd khafel — 2019-08-07

Objective- the study aim to determine the cardiac patient knowledge about anticoagulant medications using and its relationship with demographic data(age. gender. level of education. occupational). Methodology- A descriptive study(quasi-experimental)design was carried out to determine cardiac patient knowledge consider to using anticoagulant medications . Starting from(1th Jun 2017 to5th October 2018).To achieve the objectives of the study, a non-probability sample (a purposive sample) consisted of random sample comprised of (30) patients were taken anticoagulant medications ..The measurement of patient knowledge were collected through the use of questionnaire which is related to patient knowledge toward using the anticoagulant medications. The questionnaire was interview with cardiac patients who were attended coronary care unit at Al-Sadder Teaching Hospital, and Missan Center of Cardiac Disease and in the Medical Consulting after obtaining agreement from the patients throughout using arabic version of questionnaire. The researcher conducted private meeting with each patient who spends about 25-30 minute to respond to the interview which were developed for the purpose of the study. Instrument validity was determined through content validity, by a panel of experts. Reliability of the instrument was determined through the use of Cronbach Alfa which was (0.85) which are strong acceptable for acute myocardial infarction patients'. Analysis of data was performed through the application of descriptive statistics (frequency, percentage) and inferential statistics (t-test and one way analysis of variance) . Result. when we using mean of score the study showed that low level of knowledge for some items and moderate level of knowledge to other items when ( Low 0.0-0.33) (Moderate 0.34-0.76) (0.67-1.0High).and the result study showed no significant differences between cardiac patient knowledge and demographic data (age, gender ,level of education, occupational) . Recommendation-The researchers recommend the implementation of continuous education programs for cardiac patient about using anticoagulant drugs

Nurses' Knowledge toward Care of Unconscious Adult Patients at Teaching Hospitals in Al-Hilla City

nael kheder — 2019-08-07

Objective: The study aims to evaluate nurses' knowledge toward care of unconscious adult patients and identify the relationship between nurses’ knowledge toward care of unconscious adult patient and their demographic characteristics of age, gender, Marital Status, level of qualification and years of experience. Methodology: A descriptive study (quantitative design) was carried out by using quasi experimental design to study nurses' knowledge, attitudes and practices toward care of unconscious adult patients at teaching hospitals in Al-Hilla City from September 2018 up to June 2019. A purposively sample has been chosen in which included 60 nurses who work in ICUs within two hospitals (Imam Al-Sadiq teaching hospital and Al-Hilla general teaching hospital). The sample has been collected by using the tool that involves four parts. The first part is demographical data for a study sample which consists of 10 items, the second part is multiple choice questions related to nurses' knowledge which consists of 32 items, The tool has been validated by 11 experts, all of them have experience more than 10 years, a reliability is determined by Crohn Bach correlation where r= 0.92 . The analyzed data have been stated during using of descriptive statistics (frequencies, percentages, mean of scores, Standard deviation) and inferential statistics (Coefficient alpha correlation and ANOVA). Results: The study showed that the majority of the participants in the study were males aged between 20-29 years of bachelor's degree in nursing. More than half of them were single and had years of experience in hospital and in intensive care unit (1-5) years, and half of the participants were doing their work in the morning and evening, within 24 hours, and the majority did not participate in training sessions on the intensive care unit. The study also showed that nurses' knowledge toward care of unconscious adult patients was enough. Recommendations: Advanced video programs, specific meetings, programs, workshops, training activities and seminars, and Booklet are should be provided for nurses on how to care of unconscious adult patients to increase their knowledge, it's recommended to the Ministry of Health to provide the necessary advanced supplies and equipment for use in intensive care units (ICUs) and It is recommended for future studies conduction.

Effectiveness of Post-Abortion Family Planning Counseling Program on Nurses and Midwives' Practices in Middle Euphrates Maternity Hospitals

Hadeel Seger — 2019-08-07

Objectives: To determine the effectiveness of post-abortion family planning counseling program on nurses and midwives' practices and to predict the variables which may effect on their practices Methodology: A quasi experimental study was conducted from 23th April 2017 to 14th March 2018 in three governorates in Middle Euphrates of Iraq: (Holy Karbala, Al - Najef Al Ashraf and Babylon) on nurses and midwives who work at maternity hospitals. Systematic random sampling was used to select 122 nurses and midwives, (60) of them for study group and (62) for control group. A checklist is an instrument that evaluate the practices which included 50 items. Validity of content was determined through reviewing it by (16) experts and reliability of tool was determined through a pilot study. descriptive and inferential statistics were used to analyze the data. Results: The results of study revealed that there were high statistical differences in nurses and midwives' practices between study and control groups at posttest, while there were no differences between both groups at pretest. Variables: (age, educational level, social status and years of experiences) were not effect on their practices. Recommendations: Establishing teaching and training courses concerning post abortion family planning counseling for all nurses and midwives who work at maternity hospitals in middle Euphrates