جدول المحتويات

المجلة العراقية الوطنية للعلوم التمريضية

ISSN: 18122388
الجامعة: جامعة بغداد
الكلية: التمريض
اللغة: Arabic and English

This journal is Open Access

حول المجلة

مجلة علمية تهتم بالبحوث التمريضية

Loading...
معلومات الاتصال

wadad_2005m@yahoo.com

جدول المحتويات السنة: 2010 المجلد: العدد: 3

Article
Determination of Contributing Risk FactorstoAdult NephrolithiasisPatients

المؤلفون: Haleema Y.Kadhim --- Juma J. Reda
الصفحات: 1-12
Loading...
Loading...
الخلاصة

Abstract
Objectives:To determine the contributing risk factors to adult nephrolithiasis patients.

Methodology:A descriptive study was conducted to determine the contributing risk factors to Adults nephrolithiasis starting from December 2007 to September 2008. A purposive "non-probability"sample of (100) patients with nephrolithiasis was selected of those who were admitted to the hospitals, attending the Urology Consultation Clinic and Extracorporeal Shock Wave Lithotripsy Department. The study instrument consists of two parts. The first part is related to the patients' demographic variables and the second part is constructed to serve the purpose of the study. The total number of items in the questionnaire was (85) ones.
Content Validity of the instrument was determined through the use of a panel of (12) expert in the field of the study. Reliability of the instrument was estimated through the pilot study. Data were analyzed through descriptive data analysis and the inferential data analysis approaches.

Results:The majority of the study sample (70%) was males.Most of them was (38-47) years old (30%) and married. Most of them (64%) was employed, and secondary school graduated. The majority of the sample was living in Baghdad and had lack in fluid intake. Most of the sample had family history of nephrolithiasis, and exposed to hot climate.

Recommendations:
Increase fluid intake (especially water) and high fiber-lowprotein, salt and fat diet. Decrease beverage intake of soft drink, tea and coffee and increase of activity and exercise.

Keywords:Contributing Risk Factors; Adult Nephrolithiasis Patients

الكلمات الدلالية


Article
Lipid Profile and Insulin Resistance in Patientswith Type-ةة Diabetes Mellitus

المؤلفون: Majeed A. Atiyah --- Layla K. Ali --- Hadil Walid
الصفحات: 1-11
Loading...
Loading...
الخلاصة

Abstract:
Objective: To investigate the relation between dyslipidemia and insulin resistance where it is one of the metabolic disorders in patients with type-ةة diabetes mellitus and compare the results with the control group.

Methodology: Blood samples were collected from (35) patients with type-ةة diabetes mellitus, besides (35) healthy individuals as a control group were enrolled in this study. The age of all subjects range from (20-50). Serum was used in determination of glucose, insulin, lipid profile (cholesterol (Ch), triglyceride (TG), high-density lipoprotein (HDL-Ch), low-density lipoprotein (LDL-Ch) and very low-density lipoprotein (VLDL), for patients and control groups. Insulin resistance (IR) was calculated according to homeostatic model (HOMA-IR).

Results: The results revealed a statistically significant elevation levels (P<0.001) in each of glucose, insulin, insulin resistance, Ch, TG, LDL-Ch, and VLDL, except HDL-Ch which was decreased in all patients group comparing with control group.

Recommendations: To study the Inflammatory factors and leptin and their relation to insulin resistance in type-ةة DM.

Keywords: Glycoprotein; Insulin Resistance; Type-ةة Diabetes Mellitus

الكلمات الدلالية


Article
Effectiveness of Nursing Management Education Program upon the Nurse Managers' Knowledge about Planning in Baghdad City Hospitals

المؤلفون: Moahammed F. Khalifa --- Amean A. Yasir
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract
Objective: To determine the effectiveness of the Nursing Management Education Program upon the Nurse Managers' Knowledge about planning in Nursing Management at Baghdad City Hospitals.

Methodology: A Quasi-experimental study in which a purposive "non-probability" sample of (50) Nurse Managers was selected from Baghdad City Hospitals. These Managers were divided into two equal groups of (25) Nurse Managers for each (study and control ones). A questionnaire was developed as a tool for data collection. A pilot study was carried out to test the reliability of the questionnaire for the period from April 2nd to June 20th 2007. The pre-post test approach was applied to the study and control groups as mean for the quasi- experimental design when the education program was implemented in the period from October 1st 2007 to February 1st 2008. Data were analyzed through the application of the descriptive data analysis approach (frequency, percentage, mean) and inferential data analysis approach (T-test).

Results: The study results revealed that the study group participants made use of the implementation of nursing management program and a change had occurred to their knowledge about planning in nursing management. The study concludes that the nursing management education program can be considered an effective mean for the improvement of the nurse managers' knowledge about planning in nursing management.

Recommendations: The study recommends that the nursing management education program can be presented to all nurse managers with respect to planning in nursing management.

Keywords: Nursing Management; Nurse Managers' Knowledge; Nurse Managers' Planning

الكلمات الدلالية


Article
Assessment of Nurse–Midwives' Knowledge and Practices toward Second Stage of Labor

المؤلفون: Rabea'a M. Ali --- Ahrar M. Rasheid
الصفحات: 1-12
Loading...
Loading...
الخلاصة

Abstract
Objective: To assess the nurses-midwives' knowledge and practices regarding the management of second stage of labor and to find out the association between their knowledge and practices and socio-demographic characteristics and working years and experience.

Methodology: A descriptive study was carried out from March 22nd, 2008 through 30th June, 2008. A purposive sample of (75) Nurse-Midwives which was selected from (6) hospitals. A questionnaire was comprised of two parts: (socio-demographic characteristics and the assessment tool for Nurse-Midwives' knowledge and health practices performed by them). The questionnaire validity was determined by experts and its reliability was determined through a pilot study. The correlation coefficient was (0.90) for knowledge and (0.83) for practices. Data were collected through interview and observational tool and analyzed through the application of descriptive and inferential statistical approaches.

Results: The study findings indicated that there was a high mean of scores in Nurse-Midwives' knowledge and a low mean of scores for their practices in most of the items regarding second stage of labor. The study findings also indicated that there is a significant association between nurses-midwives' practices and their educational level, and birth number average.

Recommendations: The study recommends that; installing in-service educational program for Nurse-Midwives to upgrade the techniques necessary to assess, evaluate and improve the quality of care rendered to laboring women, and to put an emphasis on the Ministry of Health to conduct training course for the Nurse-Midwives in order to change their malpractices and updating their knowledge with regular supervision on their performance.

Keyword: Assessment; Nurse-Midwives' Knowledge; Practices; Second Stage of Labor

الكلمات الدلالية


Article
Patients' Knowledge about Chronic Diseasestowards Risk Factors and Warning Signs of Stroke

المؤلفون: Widad K. Mohammed --- Sadiq A. Hassan
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract
Objectives: to assess chronic diseases patients’ knowledge toward stroke risk factors and warning signs, besides determining the relationship between chronic diseases patients’ knowledge and their sociodemographical characteristics.

Methodology: A descriptive study was carried out at public medical clinics which has started from December 2nd, 2008 to August 8th, 2009. A purposive "non-probability" sample of (300) chronic diseases individuals who were clients of Public Medical Clinics who have one or more of the following chronic diseases (hypertension, diabetes mellitus, heart diseases, and previous stroke), in Baghdad city. The data were collected through the use of a constructed questionnaire which consists of three parts (1) Sociodemographic data form that consist 7-items (2) Medical data form that consists of 10-items and (3) Main domains of the studied phenomena form consists of 3-sections (domains) of definition, warning sings, and risk factors of 62 items, by means of direct interview technique with the chronic diseases patients. Descriptive statistical analysis procedures (frequency, percentage, mean of scores, standard deviation, and relative sufficiency) and inferential statistical analysis procedures (pearson correlation coefficient, contingency coefficient, Chi-square test, and Fisher exact probability test) were used.

Results: The findings of the study indicated that there is a knowledge deficit of chronic diseases patients mainly in stroke warning signs followed by stroke risk factors. No significant relationship was found between chronic diseases patients’ knowledge and their gender, employment, while significant relationship was found between chronic diseases patients’ knowledge and their age and level of education.

Recommendations: The study recommends that an intensive comprehensive, evidence-based obligatory wide population-based health education programs are needed to improve awareness of stroke, especially among the most vulnerable groups (chronic diseases patients), eldeely, and less educated persons as well as lay people.

Keywords: Knowledge; Chronic Diseases; Risk Factors; Warning Signs; Stroke

الكلمات الدلالية


Article
Lipid Profile and Insulin Resistance in Patientswith Type-ΙΙ Diabetes Mellitus

المؤلفون: Majeed A. Atiyah --- Layla K. Ali --- Hadil Walid
الصفحات: 1-11
Loading...
Loading...
الخلاصة

Abstract:
Objective:To investigate the relation between dyslipidemia and insulin resistance where it is one of the metabolic disorders in patients with type-ΙΙ diabetes mellitus and compare the results with the control group.

Methodology:Blood samples were collected from (35) patients with type-ΙΙ diabetes mellitus,besides(35) healthy individuals as a control group were enrolled in this study.The age of all subjects range from (20-50). Serum was used in determination of glucose,insulin,lipid profile (cholesterol (Ch), triglyceride (TG), high-density lipoprotein (HDL-Ch), low-density lipoprotein (LDL-Ch) and very low-density lipoprotein (VLDL), for patients and control groups. Insulin resistance (IR) was calculated according to homeostatic model (HOMA-IR).

Results:The results revealed a statistically significant elevation levels (P<0.001) in each of glucose, insulin, insulin resistance, Ch, TG, LDL-Ch, and VLDL, except HDL-Ch which was decreased in all patients group comparing with control group.

Recommendations:To study the Inflammatory factors and leptin and their relation to insulin resistance in type-ΙΙ DM.

Keywords: Glycoprotein; Insulin Resistance; Type-ΙΙ Diabetes Mellitus

الكلمات الدلالية


Article
Factors Affecting Birth Space Interval of Women Who Are Attending Primary Health Care Centers

المؤلفون: Suhair M. Hassoon
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract
Objective: The aim of this study is to determine the factors affecting birth space interval in a sample of women.

Methodology: A cross-sectional study conducted in primary health centers in Al-Tahade and Al- Shak Omar in Baghdad city. Data were collected by direct interview using questionnaire especially prepared for the study. Sample size was (415) women in age group (20-40) years who were chosen randomly.

Results: Analysis of data shows highest rate of women (31.8%) had a birth space interval of (8-12) months followed by (26.7%) had a birth space interval of (19-24) months, (20.2%) had a birth space interval of (>24) months and (16.1%) had a birth space interval of (13-18) months respectively, while lower rate of women (5.1%) had birth space interval of (7) months. The birth space interval was higher in age group (20) years. Also, this interval was prolonged by the use of contraceptives, breast feeding and women who had a high level of education.
Analysis of data shows that (age group, level of education, occupation, use of contraceptives, parity and number of abortion) were significant factors associated with birth space interval by using P-value of less than 0.01 was considered significant to test the result.

Recommendations: Concentrated effort should be made to emphasize the risk of close birth spacing for both of the mother and infant, in all our primary health centers as well as the family planning centers should be included in these efforts explaining the importance of breast feeding for adequate birth spacing.

Keywords: Birth Space Interval; Contraceptives; Abortion; Parity

الكلمات الدلالية


Article
The Impact of An Education Program upon Women's Knowledge in Managing Breast Self–Examination

المؤلفون: Rabea M. Ali --- Abla M. Abdullah
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract
Objective: To find out if there are any significant differences between these women's knowledge in the management of Breast Self-Examination in study and control group regarding some variables.

Methodology: A quasi-experimental design was used. A purposive "non-probability" sample of (260) women who are employee and students in both colleges (Nursing and Health and Medical Technologies) was selected. The sample consists of two groups, experimental group (130) includes those in (Nursing college), and control group (130) in (Health and Medical Technologies). A questionnaire was constructed which included demographic information, reproductive information, family history, previous medical history, and information about women's knowledge in managing breast-self examination (BSE). Data were collected through the use of the questionnaire, the application of the educational program. A post-test was done for the study only which uses the lectures, booklet, training practices of BSE, and video film. Data analysis was performed through the application of descriptive and inferential statistical approaches.

Results: There are significant associations between women's knowledge regarding managing BSE and their marital status, infertility status, lactation and second degree consanguinity; also the study concluded that the educational program of BSE is necessary for all women in different age groups, with different medical histories, educational level, occupational status, and considered as an effective mean for the reinforcement of improvement of women's knowledge regarding managing BSE.

Recommendations: Implementation of proposed model of continuous medical education for women for BSE within the scope of their work.

الكلمات الدلالية


Article
Correlation between Thyroid-related Hormones and Preeclampsia

المؤلفون: AsmehanA.Al-Naqeeb
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract:
Objectives: In order to highlight the TSH and thyroid hormones levels in preeclamptic and healthy pregnant women.

Methodology: Ninety patients with preeclampsia were divided into two groups according to the severity of disease;those with mild disease(37patients) and those with asevere form (53 patients).Aseparate group of 30 normal women were included as a normal control group. Venus blood samples were collected from all groups and the serum was obtained for hormone analysis by ELISA test. Results are expressed using SPSS for window version 11.0.

Results:Mean serum TSH levels were significantly increased in both of mild and severe preeclampsia compared with normal pregnancy, and T3 serum level showed a significant increase in mild and severepreeclamptic women compared with healthy pregnant ones without concomitant change in T4 in each group of preeclamptic women compared to normal pregnancy.

Recommendations:Studying the relationship between preeclampsia and its effect on the secretion of pituitary gland to ADH, studying the role of adrenal gland,hypothalamus and their secretions in preeclampsia.

Keywords:Thyroid-related Hormones;Preeclampsia

الكلمات الدلالية


Article
Assessment of Primary School Science Teachers' Knowledge towards Health Promotion in Baghdad City

المؤلفون: Mohammed F. Khalifa --- Raad K. Faraj
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract:
Objective: Assessment of primary schools science teachers' knowledge towards health promotion in Baghdad City.

Methodology: A descriptive study was conducted at (100) primary school at Al-Rasafa, and Al-Karkh sectors in Baghdad City, from November 29th 2007 to January 20th 2009. A probability stratified random sample of (100) teachers who teach science subject was selected, and had at least one year of employment in the teaching field. A questionnaire format was used which was consisted of (2) parts. The overall number of the items included in the questionnaire were (205) items. The first part was related to the demographic data of the teachers, the second part (six sections) was concerned with teachers' knowledge about health promotion. Reliability and validity of questionnaire was estimated through a pilot study. Data were analyzed through the application of descriptive statistical analysis which included; frequency and percentage, and the application of inferential statistical analysis which included; mean of score, Pearson correlation coefficient and Chi-square test.

Results. The study revealed that teachers have acquired moderate level of knowledge about nutrition, communicable diseases, immunization and vaccination, injuries and accidents, obesity, acute illness problems, dental problems, social and psychological development, water and lead pollution, radiation, noise problems, waste disposal and plants problems. Concerning the relationship between teachers' knowledge and their demographic characteristics, data analysis has showed that there is no association between teachers' knowledge and their ages, gender, and sectors. While, there is a significant associations between teachers' knowledge and their educational level, years of employment and training sessions.

Recommendations: The study recommends that there is a need for health promotion-oriented education program which can be designed, constructed and presented to primary school teachers with great emphasis on all aspects of health promotion. Furthermore, teacher can be nominated and encouraged to actively participate in health promotion training sessions. Also, the importance of a collaborative work which can be initiated between the Ministry of Education and the Ministry of Health to create facilities for the implementation of health promotion oriented education program.

Keywords: Assessment; Knowledge; Primary School Science Teacher; Health Promotion

الكلمات الدلالية


Article
Determination of Quality Assurance for Maternal and Child Health Services in Baghdad City

المؤلفون: Mohammed F. Khalifa --- Naji Y. Sa'adoun
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract:
Objective: To determine the quality assurance for maternal and child health care services in Baghdad City.

Methodology: A descriptive study is conducted throughout the period of November 28th 2008 to October 10th 2009. A simple random sample of (349) is selected through the use of probability sampling approach. The study sample was divided into four groups which include (220) consumers, (35) medical staff, (72) nursing staff and (22) organization structure (primary health care centers). Data were collected through the use of assessment tools. It was comprised of four questionnaires and overall items included in these questionnaires are (116) items. The study included assessment of organization structure. Data were collected through the utilization of constructed questionnaire and the interview technique as a mean of data collection. Data analysis was performed through the use of descriptive statistical data analysis approach graphical presentation by bar-chart, frequencies, percentages and mean of scores and inferential statistical data analysis approach which is presented as chi-square procedure.

Result: The findings and conclusion of the study indicate that there is overload of target population on primary health care centers, poor designed building, statistical program and data reporting system was poor, decrease core financial support and inadequacy of funding for primary health care centers, there is increased demand and decreased supply of primary health care workforce and poor health education for consumers in primary health- care centers.
Recommendations: The study recommends the establishment of buildings for primary health care centers according to the numbers of consumers within geographical. A primary health care center must be having systems which accurately collect, analyze and organize data for program reporting use to project the supply of workforce and support of strategies of health education for consumers.
Keywords: Quality assurance; Maternal and Child; Health Services

الكلمات الدلالية


Article
Assessment of Factors Contributing to Abdominal Post-Operative Wound Infections in Sulaimani Teaching Hospital

المؤلفون: Samir Y. Lafi --- Kwestan M. Rahim
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract
Objectives: The study aims to assess some of the contributing factors to abdominal postoperative wound infection and to find out the relationship between postoperative wound infections and some socio-demographic characteristics such as age, gender, level of education, occupation and residential area.

Methodology: A descriptive study was carried out in Sulaimani Teaching Hospital (Kurdistan Region). The study has started from January 15th up to October 31th, 2009. To achieve the study objectives, a purposive "non probability" sample of (100) patients who have abdominal postoperative wound infection, Adult female and male patients who were admitted to Sulaimani Teaching Hospital was selected.
The data were collected through the utilization of a constructed questionnaire. It contained (25) items, which consisted of three parts: the first one consists of (8) items which included the demographic characteristics, the second part consists of (8) items which included preoperative factors to surgical site infection (SSI) and the third part consist of (9) items that included postoperative factors to (SSI). The content validity of the instrument was established through a panel of (23) expert. Reliability of the instrument was determined through the split-half approach (r=0.92).
Data were gathered through interview technique by using the questionnaire format and they were analyzed by the application of the descriptive and inferential statistical methods.

Results: The results of the study indicated that there is a significant relationship between some socio-demographic characteristics and preoperative factors (age with Hb, and chronic disease) (gender, cigarette smoking, obesity, occupation with Hb) (cigarette smoking, with obesity). Also, the results indicated that there is no significant relationship between socio-demographic characteristics and postoperative factors.

Recommendations: Based on the study results, the researchers recommend that a further study could be carried out to assess factors that contribute to wound infection during the operation to decrease rate of SSI, and guidance about hygiene to decrease risk of infection.

Keywords: Assessment; Contributing Factors; Postoperative; Abdominal Wound Infection

الكلمات الدلالية


Article
Assessment of Nurses' Knowledge toward Children with Guillain-Barre Syndrome at Pediatric Hospitals in Baghdad City

المؤلفون: Eqbal G. Mua’ala --- Wea’am N. Kudhaer
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract:
Objectives: The study aimed to assess the level of pediatric nurses' knowledge toward children with Guillain-Barre syndrome (GBS) and to find out the relationships between nurses' knowledge and their demographic data.

Methodology: A purposive “non probability” sample of (30) nurses was selected from medical neurological wards and Respiratory Care Units of Children Welfare Pediatric Teaching Hospital, Child’s Center Pediatric Teaching Hospital, AL-Kadhemia Teaching Hospital, Baghdad Teaching Hospital, and Neurological Science Hospital which has started from March 5th 2009 to April 30th 2009. The study instrument consists of two parts. The first part is concerned with nurses' demographical characteristic and the second one is concerned with nurses’ knowledge which is divided into two sections. Section one consists of (20) items which are related to nurses’ knowledge about general information of Guillain-Barre Syndrome, and section two (12) items concerning nurses’ knowledge in relation to nursing care of GBS. Data were collected through a special constructed questionnaire format which includes multiple choice questions. A self- administration method was used. Data were analyzed by using SPSS packed version (10.0), a descriptive statistical analysis (frequencies, percentage, quartile, and mean of scores), and inferential statistical analysis (chi-square) were used.

Results: The study results revealed that (80%) of nurses had poor knowledge in relation to general information (only answer 5 items correctly out of 20 items) and nursing care (only answer 3 items correctly out of 12 items) of children with Guillain-Barre Syndrome. The results of the study revealed that there was no significant association between nurses’ knowledge related to the general information and nursing care and gender, years of experiences in neurological ward and respiratory care units (RCUs), and training session.

Keywords: Assessment; Nurses’ Knowledge; Children; Guillain-Barre Syndrome

الكلمات الدلالية


Article
Determination of Contributing Risk FactorstoAdult NephrolithiasisPatients

المؤلفون: Haleema Y.Kadhim --- Juma J. Reda
الصفحات: 1-12
Loading...
Loading...
الخلاصة

Abstract
Objectives:To determine the contributing risk factors to adult nephrolithiasis patients.

Methodology:A descriptive study was conducted to determine the contributing risk factors to Adults nephrolithiasis starting from December 2007 to September 2008. A purposive "non-probability"sample of (100) patients with nephrolithiasis was selected of those who were admitted to the hospitals, attending the Urology Consultation Clinic and Extracorporeal Shock Wave Lithotripsy Department. The study instrument consists of two parts. The first part is related to the patients' demographic variables and the second part is constructed to serve the purpose of the study. The total number of items in the questionnaire was (85) ones.
Content Validity of the instrument was determined through the use of a panel of (12) expert in the field of the study. Reliability of the instrument was estimated through the pilot study. Data were analyzed through descriptive data analysis and the inferential data analysis approaches.

Results:The majority of the study sample (70%) was males.Most of them was (38-47) years old (30%) and married. Most of them (64%) was employed, and secondary school graduated. The majority of the sample was living in Baghdad and had lack in fluid intake. Most of the sample had family history of nephrolithiasis, and exposed to hot climate.

Recommendations:
Increase fluid intake (especially water) and high fiber-lowprotein, salt and fat diet. Decrease beverage intake of soft drink, tea and coffee and increase of activity and exercise.

Keywords:Contributing Risk Factors; Adult Nephrolithiasis Patients

الكلمات الدلالية


Article
Correlation between Thyroid-related Hormones and Preeclampsia

المؤلفون: AsmehanA.Al-Naqeeb
الصفحات: 1-10
Loading...
Loading...
الخلاصة

Abstract:
Objectives: In order to highlight the TSH and thyroid hormones levels in preeclamptic and healthy pregnant women.

Methodology: Ninety patients with preeclampsia were divided into two groups according to the severity of disease;those with mild disease(37patients) and those with asevere form (53 patients).Aseparate group of 30 normal women were included as a normal control group. Venus blood samples were collected from all groups and the serum was obtained for hormone analysis by ELISA test. Results are expressed using SPSS for window version 11.0.

Results:Mean serum TSH levels were significantly increased in both of mild and severe preeclampsia compared with normal pregnancy, and T3 serum level showed a significant increase in mild and severepreeclamptic women compared with healthy pregnant ones without concomitant change in T4 in each group of preeclamptic women compared to normal pregnancy.

Recommendations:Studying the relationship between preeclampsia and its effect on the secretion of pituitary gland to ADH, studying the role of adrenal gland,hypothalamus and their secretions in preeclampsia.

Keywords:Thyroid-related Hormones;Preeclampsia

الكلمات الدلالية

جدول المحتويات السنة: المجلد: العدد: