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Register a new userEffect Of Nursing Care On meeting Cancer Patients' Needs At Homes
تأثير الرعاية التمريضية على تلبية احتياجات مريضات السرطان في المنازل
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مقدمة: يشكل تقديم رعاية صحية نوعية و مناسبة لمرضى السرطان أحد التحديات الهامة التي يجب على العاملين في القطاع الصحي مواجهتها خلال السنوات القادمة. الهدف: طبق البحث الحالي لتقييم تأثير الرعاية التمريضية على تلبية احتياجات مريضات سرطان الثدي في المنازل ضمن مدينة اللاذقية.الطرائق: باستخدام منهج شبه تجريبي تم اختيار 80 مريضة سرطان ثدي (40 تجريبية و 40 مقارنة) تخضع للمعالجة الكيماوية في مشفى تشرين الجامعي للأورام. قدمت لمريضات المجموعة التجريبية الرعاية التمريضية على شكل تداخلات تثقيفية - نفسية داعمة تضمنت التثقيف الصحي و الاسترخاء العضلي التدريجي بالإضافة إلى الدعم النفسي لمدة ثلاثة أشهر. بينما تلقت مريضات المجموعة المقارنة الرعاية التمريضية الروتينية من المشفى. تم تقييم النتائج بعد ثلاثة أشهر من تطبيق التداخلات باستخدام استبيان احتياجات الرعاية الداعمة و استمارة تقييم استجابة المريضات للتداخلات. كما تم مقارنة النتائج بين المجموعتين باستخدام اختبار T للعينات المستقلة و المتوسط مع الانحراف المعياري و الوسيط. النتائج: أظهرت النتائج وجود احتياجات رعاية داعمة غير محققة لدى أكثر من ثلثي مريضات العينة تمحور أولها حول الاحتياجات المعرفية و الاحتياجات النفسية و كانت الاحتياجات الجنسية أقلّها أهمية بالنسبة للمريضات. و قد نقصت نسبة الاحتياجات غير المحققة بعد تطبيق تداخلات الرعاية التمريضية الداعمة و تغير ترتيب أولوياتها لدى مريضات المجموعة التجريبية مقارنة مع مريضات مجموعة المقارنة التي ازدادت نسبة الاحتياجات غير المحققة لديها و قد أصبح الفرق في جميع فئات الاحتياجات ذو دلالة إحصائية. لكن التداخلات لم تساعد على تحقق الاحتياجات الجنسية. الاستنتاجات: تساعد تداخلات الرعاية التمريضية على تلبية احتياجات مرضى السرطان خلال مرحلة المعالجة الكيماوية. لذلك يوصى بتفعيل دور الرعاية الداعمة في المشفى و تقديمها خلال الزيارات المنزلية لمرضى السرطان الخارجيين.
Background :In spite of all the advances in health care and medical technology, provision of qualified health care to cancer patients remains one of the major challenges that health care professionals have to face in the next years. this study was conducted with the goal of assessing effect of nursing care on meeting cancer patient's needs at home Methods: by using quazi-experimental design, eighteen breast cancer patients receiving chemotherapy were selected (40 experimental, 40 compared). Experimental group patients received supportive psycho-educational interventions for three months, consisted of ( education, progressive muscle relaxation technique, and emotional support), while compared group patients received route nursing care in hospital. After three months the results were assessed by using supportive care needs survey (SCNS) and compared by using independent T test, mean, median. Results : the results show that more than tow third of study patients had unmet needs, first of it were about information needs and emotional needs. And after study interventions these needs were decreased for intervention group patients statistically significant compared with compared group and its priorities were changed after three months. But the interventions did not improve sexual needs meeting. Conclusion: supportive care needs can improve cancer patient needs meeting in home and hospital during chemotherapy. so we recommend ascertain supportive nursing care in hospital and homes.
References used
AMERCAN CANCER SOCIETY. What are the key statistics for breast cancer (2014b)From .http://www.cancer.org/docroot/CRI/content/CRI_2_4_1
CUZICK J: Breast cancer prevention in the developing world. Breast Cancer Research (2010),12(Suppl4):http://breast-cancer-research.com/ supplements
ELSAYED S, MALCOL A M, Al-LAWATI J AL-SAYYAD J ,BAWAZIR A. Cancer Epidemiology and Control in the Arab World Past ,Present and Future. Asian Pacific Journal of Cancer Prevention(2009), Vol 10, 2009
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In spite of all the advances in health care and medical technology,
provision of quality health care to cancer patients remains one of the
major challenges that health care professionals have to face in the
next years.
this study was conducted to
assess the effect of nursing care on
breast cancer patients quality of life at homes.
by using quazi-experimental design 80 breast cancer patients were
selected (40 experimental group ,40 control group) receiving
chemotherapy recently. Experimental group patients received
supportive psycho-educational interventions consisted of education,
progressive muscle relaxation technique with four supportive range
of motion exercises in addition to emotional support for three
months. While control group patients received routine nursing care
in hospital. The results were assessed for both groups by using
European organization for cancer research and treatment quality of
life questionnaire (EOCRT-QLQ C30) and breast cancer module.
Dysphagia considers the most important and common in neurological system patient
on critical care units. Objective: The aim of this study was to study the effect of nursing
care policy on dysphagia in neurological system patients in critical care u
nits. Material
and method: the study was conducted on 40 patients divided on four groups (Shaker
Exercise, Mendelsohn maneuver, [Shaker Exercise, and Mendelsohn maneuver] and
control group) in critical care units in the Assad university hospital and the National
Hospital whom have dysphagia. The data was collected by using the personal information
form, and the dysphagia severity scale. Results: This study showed that Shaker Exercise,
and Mendelsohn maneuver together were the most effective in reduce dysphagia levels and
recommended about importance of Shaker Exercise, and Mendelsohn maneuver for
patients with dysphagia.
Nursing staff exposed to musculoskeletal problems associated with work while
providing nursing care because of the erroneous practice of mechanical body, This study
aimed to assess the level of nursing staff information about the use of mechanical
body and
the extent of their use of mechanical body within the nursing activities ,This study was
conducted on the author of a sample of 65 nurse in surgery and internal and intensive care
at University Hospital Assad where he was interviewed every nurse on the end were
evaluated their knowledge by assessing information form was then assess how their use of
body mechanics within specific activities in nursing care using the observational checklist ,
the study concluded that the level of information and practices of nursing staff about
mechanical body ranged between poor and average, the study recommended the need to
raise the level of information and practices of nursing staff about good mechanical body
through training and educational programs and lectures.
Although complications of arteriovenous fistula infrequent, but they occur, the most important and common complications are: thrombosis, infection, stenosis vascular, bleeding, aneurysm, ischemia.
It was observed that preparation and good care of
AVF have an important role in reducing complications in addition to accelerate the maturation of arteriovenous fistula. Implementing A protocol of Postoperative Arteriovenous Fistula Care Contributes in preventing complications and improve the maturation of arterial venous connection. Objective: This study was conducted to determine the effect of the application of the policy of nursing care on the clinical outcomes of the arterial venous connection postoperatively in patients with end stage renal disease. Goal: the aim of the present study was to determine the effect of Implementing A Protocol Of Postoperative Arteriovenous Fistula Careon clinical outcomes in patients with end stage renal disease. Materials and Methods: the study was conducted at AL-Assad University Hospital (Lattakia), a convent sample of 20 patientsin the renal dialysis department and the Department of Surgery. Clinical results for AVF were evaluated and the results of application policy of nursing care to of AVF in the control and experimental groups after 40 days of follow-up by using tow development tools: Sociodemographic Data and Arteriovenous Fistula Assessment Sheet. Results: our results demonstrated important of application of A Protocol Of Postoperative Arteriovenous Fistula Care. It decreased the complications in the experimental group and improve maturation of AVF mostly in the twentieth day of the study, while there was complications higher and delay in the maturation of AVF to the fortieth day of the study and after in the control group, which left for routine hospital. Conclusions and recommendations: our present study results advice to apply a protocol of Postoperative Arteriovenous Fistula Care because its affect in decrease and preventing complication in addition to improve maturation of AVF on ESRD patients
Each health care organisation has certain characteristics in terms of activities and
work methods, that differentiate areorganisation from the other. These characteristics
represent the work environment that nurses work within. Nursing work environ
ment
received an international attention recentlyspecial emphasis on the importance of
improvinghospitals environment for its influence on organizational and individuals
outcomes such as absence of nurses, job dissatisfaction, nursing turnover , Burnout
,intention to leave the profession workplace, nursing represents an important part of an
essential element in the system of health care, work in the pressing environment can affect
the psychological health and arrival at Burnout .This study aim to study the impact of
nursing work environment on nurse’ burnout in critical care units in government hospital
settings in Lattakia. The study showed that the environment of nursing work environment
is unfavorable, from the point of view of more than half of the nursing staff participating in
the study 2,where the highest scoring of subscale was:/nurse physician communications
skills/ and lowest scoring of subscale was/nurse foundations for quality of care/ ,well as
the study showed the existence of a direct relationship between the work environment
unfavorable and burnout , and the work environment in all its dimensions affect the
burnout, where after /nurse manager's ability, leadership, and support of nurses/ where the
most influential dimensions in the nurse’ burnout, while /nurse-physician communications
skills/ the less influential dimensions in the development of nurse’ burnout, on , study
showed that there is a link between each of the dimensions of the an environment nursing
work and dimensions of the burnout, where that the / nurse foundations for quality of care/
importance of its role more than the impact in raising the rate of emotional exhaustion,
while after /nurse participation in organization affairs/ of the importance of its role more
than the dimensions of the work environment impact in raising the rate of
depersonalization, as it was after the / adequacy of resources and nurses/ more than the
dimensions of the work environment impact in reducing the proportion of personal
achievement.
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