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Article
Assessment of the fear of Delivery among Women at Labor

Author: Rabea, M. Ali
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2007 Volume: 20 Issue: 1,2 Pages: 1-20
Publisher: Baghdad University جامعة بغداد

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AbstractObjective: To assess the fear of laboring women regarding the delivery on themselves and their newborns.Methodology : A descriptive study was conducted on (100) pregnant women who where admitted to labor room in Al- Yarmock Teaching Hospital/Maternity Units, Fatima Al- Zahra and Ibn-Al Baladi Maternity and Pediatric Hospital. The questionnaire was consisted of pregnant women socio-demographic data, reproductive data and fear items of labor. Data were collected by using a questionnaire format, through interview technique and reviewing pregnant records, descriptive and inferential statistical procedure were used to analyze the data.Results: The main results of the study revealed a high mean of scores with moderate (RS) in women's fear regarding labor on her self ( labor difficulties ,dying during labor, labor pain related to uterine contractions, prolonged labor, fear of being left alone, fear of episiotomy, and exposure to infection ) And on their newborn in (delivery of unhealthy or abnormal newborn ,newborn death during or after delivery, head dystocia, fetal asphyxia, and exposure to cold and infection ). The findings also presented significant differences between women's fear regarding labor on themselves and socio demographic and reproductive variables in (age, education, residency, socioeconomic status, history of abortion, pregnancy &delivery complications ), and on their newborn in (age, education, type of family .gravidity, parity, history of abortion, &pregnancy complications).Recommendation: Educational program can be designed to orient the pregnant women toward physiological and psychological changes during pregnancy, labor & delivery process and Initiation of prenatal education classes in primary health care centers. Key wards : Fear of labor, fear of delivery, psychology of labor and activity.


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

Authors: Rabea M. Ali --- Abla M. Abdullah
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2010 Issue: 3 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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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.

Keywords


Article
Effectiveness of Instruction-oriented Intervention for Primipara Women upon Episiotomy and Self-perineal Care at Ibn Al-Baladi Hospital

Authors: Rabea M. Ali --- Sajidah S. Oleiwi
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2010 Issue: 2 Pages: 1-12
Publisher: Baghdad University جامعة بغداد

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Abstract

Abstract
Objective: To identify the effectiveness of instruction oriented intervention for primipara women upon episiotomy and self perineal care.

Methodology: A quasi-experimental study was carried out to determine the effectiveness of instruction-oriented intervention for primipara women upon episiotomy and self-perineal care. A purposive "non-probability" sample of (60) primipara mothers was selected from Ibn AL-Balady Pediatric and Maternity Hospital, Al-russafa, Baghdad. The sample has been divided into two groups; (30) primipara women who were considered as a study group, and another (30) primipara women who were considered as a control one. The study group was exposed to an instruction-oriented intervention. While, the control group was not exposed to the intervention. A questionnaire was developed as a tool of data collection for the purpose of the study. A pilot study was carried out to test the reliability of the questionnaire for the period from March 13th to March 25th, 2009. Data were analyzed through the application of descriptive and inferential statistical data analysis approach.

Results: The results have revealed that the study group participants had benefit from the implementation of instructional intervention and dramatic change had occurred in their episiotomy and self-perineal care knowledge. The study concluded that the majority of mothers had adequately met their needs of perineal care, cleanliness of the perineum, using ice pack, taking a soothing bath tube, dry heat, refrain from the marital relationship (coitus), mothers nutrition to prevent constipation, used bath room, pelvic muscle exercise, follow-up were adequately met.

Recommendations: The study recommended that the oriented instructional intervention can be presented to all pregnant mothers who are attending the primary health care centers. Moreover, an instructional intervention might be useful if it is constructed and implemented in the hospital for women with episiotomy.

Keywords: Primpara, Episiotomy, Self-perineal Care

Keywords


Article
Effectiveness of Instruction-oriented Intervention for Primipara Women upon Episiotomy and Self-perineal Care at Ibn Al-Baladi Hospital

Authors: Rabea M. Ali --- Sajidah S. Oleiwi
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2010 Issue: 2 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract

Abstract
Objective: To identify the effectiveness of instruction oriented intervention for primipara women upon episiotomy and self perineal care.

Methodology: A quasi-experimental study was carried out to determine the effectiveness of instruction-oriented intervention for primipara women upon episiotomy and self-perineal care. A purposive "non-probability" sample of (60) primipara mothers was selected from Ibn AL-Balady Pediatric and Maternity Hospital, Al-russafa, Baghdad. The sample has been divided into two groups; (30) primipara women who were considered as a study group, and another (30) primipara women who were considered as a control one. The study group was exposed to an instruction-oriented intervention. While, the control group was not exposed to the intervention. A questionnaire was developed as a tool of data collection for the purpose of the study. A pilot study was carried out to test the reliability of the questionnaire for the period from March 13th to March 25th, 2009. Data were analyzed through the application of descriptive and inferential statistical data analysis approach.

Results: The results have revealed that the study group participants had benefit from the implementation of instructional intervention and dramatic change had occurred in their episiotomy and self-perineal care knowledge. The study concluded that the majority of mothers had adequately met their needs of perineal care, cleanliness of the perineum, using ice pack, taking a soothing bath tube, dry heat, refrain from the marital relationship (coitus), mothers nutrition to prevent constipation, used bath room, pelvic muscle exercise, follow-up were adequately met.

Recommendations: The study recommended that the oriented instructional intervention can be presented to all pregnant mothers who are attending the primary health care centers. Moreover, an instructional intervention might be useful if it is constructed and implemented in the hospital for women with episiotomy.

Keywords: Primpara, Episiotomy, Self-perineal Care

Keywords


Article
Effectiveness of Instruction-oriented Intervention for Primipara Women upon Episiotomy and Self-perineal Care at Ibn Al-Baladi Hospital

Authors: Rabea M. Ali --- Sajidah S. Oleiwi
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2010 Issue: 2 Pages: 1-10
Publisher: Baghdad University جامعة بغداد

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Abstract

Abstract
Objective: To identify the effectiveness of instruction oriented intervention for primipara women upon episiotomy and self perineal care.

Methodology: A quasi-experimental study was carried out to determine the effectiveness of instruction-oriented intervention for primipara women upon episiotomy and self-perineal care. A purposive "non-probability" sample of (60) primipara mothers was selected from Ibn AL-Balady Pediatric and Maternity Hospital, Al-russafa, Baghdad. The sample has been divided into two groups; (30) primipara women who were considered as a study group, and another (30) primipara women who were considered as a control one. The study group was exposed to an instruction-oriented intervention. While, the control group was not exposed to the intervention. A questionnaire was developed as a tool of data collection for the purpose of the study. A pilot study was carried out to test the reliability of the questionnaire for the period from March 13th to March 25th, 2009. Data were analyzed through the application of descriptive and inferential statistical data analysis approach.

Results: The results have revealed that the study group participants had benefit from the implementation of instructional intervention and dramatic change had occurred in their episiotomy and self-perineal care knowledge. The study concluded that the majority of mothers had adequately met their needs of perineal care, cleanliness of the perineum, using ice pack, taking a soothing bath tube, dry heat, refrain from the marital relationship (coitus), mothers nutrition to prevent constipation, used bath room, pelvic muscle exercise, follow-up were adequately met.

Recommendations: The study recommended that the oriented instructional intervention can be presented to all pregnant mothers who are attending the primary health care centers. Moreover, an instructional intervention might be useful if it is constructed and implemented in the hospital for women with episiotomy.

Keywords: Primpara, Episiotomy, Self-perineal Care

Keywords


Article
Impact of an Education Training program upon Nurse-Midwives Practices Concerning First Stage of Labor.

Authors: Eman Abdel-Razak Jaber --- Rabea M. Ali
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2012 Volume: 2 Issue: 3 Pages: 49-55
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: Delivery by a skilled birth attendant (nurse -midwives) as an indicator of progress towards reducingmaternal mortality worldwide ( the fifth Millennium Development Goal) Aim: The aim of this study is to identifythe impact of training education program applied on nurse-midwife practice concerning care during first stage oflabor in labor room. Method: A quasi-experimental design conducted on non-probability (purposive) sample of fiftytwo nurse- midwives selected during period from 3th August to 10th November 2011. The study is conducted at thefour hospital of Ministry of Health (Baghdad health directorate in Al-Karhk and Al-Risafa) sector. Thequestionnaire form is consisted of three parts which included demographic data, knowledge concerning practiceduring First stage of labor, practice checklist. Content validity and reliability of the questionnaire determinedthrough a pilot study, descriptive and inferential statistics are used to analyze the data. Results: Results of the studyshowed that the highest percentage (44.2%) were in age group of 30-39 years, midwifery school graduateand(42.3% )of them had 1-10 years of work experience in midwifery. There were low and moderate means in mostitems related to the practices of nurse-midwives regarding first stage of labor in pre-test and assessed as (partial)while there were high mean scores in all items, and assessed Pass in posttest after the implementation of the trainingeducation program with high statistical significant. Conclusion: The study found there were low and moderatemeans in most items related to the practices of nurse-midwives regarding the care during first stage of labor in pretestand while there were high mean scores in all items, and assessed Pass in posttest after the implementation of thetraining education program with high statistical significant. Recommendation: establishment of clinical practicestandards according to the WHO, development of continuing education programs, establishes a baccalaureate degreeprogram in midwifery.

الولاده بواسطة مولده ماھره (ممرضھ- قابلھ) تعتبر كمؤشر باتجاه التقدم في تقلیل نسبة وفیات الامھات عالمیا(الھدف الخامس من الالفیھ الانمائیھ).الھدف: تھدف الدراسة التعرف على إثر برنامج تعلیمي تدریبي یطبق على الممرضات القابلات فیما یتعلق بالعنایھ خلال الدور الاول من الولادهالمنھجیة : دراسة شبھ تجریبیھ، تم اختیار عینة غیر احتمالیة (عمدیة) لاثنان وخمسین قابلھ- ممرضھ خلال الفترة من 3 اب إلى 10 تشرین الاول( 2011 . وتم إجراء الدراسة في وزارة الصحة ( دائرة صحة بغداد الكرخ والرصافة ) في اربع مستشفیات . تكونت الاستمارة الاستبیانیة من ( 3 /أجزاء تشمل الخصائص الدیموغرافیة و معارف الممرضات القابلات فیما یتعلق بالعنایھ خلال الدور الاول من اللولاده وقائمة الممارسات، و تم تحدیدصدق المحتوى وثبات الاستمارة الاستبیانیة من خلال دراسة استطلاعیة واستخدام تحلیل الإحصاء الوصفي والاستنتاجي في تحلیل البیانات. النتائج:39 سنة) ومتخرجات من اعدادیة القبالھ وان( - تشیر نتائج الدراسة إن أعلى نسبة( 44.2 %) من أفراد عینة الدراسة تتراوح أعمارھن بین ( 3010 )سنھ خبره في مھنة القبالھ و متوسطات ضعیفھ ومتوسطھ في معلوماتھن وممارستاھن فیما یتعلق بالعنایھ خلال الدور الاول - %42.3 ) لدیھن ( 1في الاختبار القبلي بینما ھناك ارتفاع في متوسط وممارساتھن بعد تطبیق البرنامج وبدلالھ اجصائیھ عالیھ 0ھناك علاقة ذات دلالة إحصائیة بین معارفالقابلات –الممرضات في العنایھ خلال الدور الاول وعنوانھن الوظیفي .وسنوات العمل والدورات التدریبیة التوصیات: توصي الدراسة باستحداثمقیاس عملي وفق معاییر منظمة الصحھ العالمیھ ،تطویر برنامج التعلیم المستمر ، استحداث برنامج لدرجة البكلوریوس في القبالھ


Article
Effectiveness of instructional intervention upon multipara women’s practices to control stress incontinence

Authors: Wafaa A. Hussain --- Rabea M. Ali
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2012 Volume: 25 Issue: 3 Pages: 11-19
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective(s): to determine the effectiveness of instruction intervention upon multipara women's practices to control stress incontinence.Methodology: A quasi-experimental study was carried out from (2nd) April, 2010 to 15th June, 2010. Non-probability (purposive sample) of (60) multiparous women was selected from Baghdad Teaching Hospital and Al-Elwia Maternity Teaching Hospital in Baghdad city, the sample was divided into two groups (30) women were considered as a study group, and another (30) were considered as the control group. An instructional intervention was applied on the study group, while the intervention was not applied on control group. A questionnaire was resolve as a tool of data collection to suit the purpose of the study. A pilot study was carried out to test the reliability and validity of the questionnaire for the period from 10th of March. - 30 March. 2010. Data were analyzed through the application of descriptive statistical data analysis approach (frequency, percentage, mean of scores) and inferential statistical data analysis approach (correlation coefficient, and chi- square).Result: The results of the study revealed that the study group participants had benefited from the implementation of instructional intervention and dramatic change had occurred in their practices to control stress urinary incontinence. The study concluded that the majority of mothers had adequately met their needs control stress urinary incontinence-pelvic floor and perineum muscles exercise, and lifestyle change. Recommendation: The study recommended that the instructional intervention can be presented to all multipara pregnant mothers who are attending to the primary health care centers; moreover, an instructional intervention might be implemented in the hospital for multipara women to increase their knowledge about stress urinary incontinence. The study also recommended that the nurse must take the role for teaching multiparous women the principles of control SUI while they perform such procedure for them during postpartum period.

الهدف: التعرّف على فاعلية تداخل إرشادي على ممارسات النساء متعددات الولادة للسيطرة على سلس البول الضغطي.المنهجية: أجريت دراسة شبه تجريبية للمُدّة من (2) نيسان 2010 ولغاية (15) حزيران 2010. شملت العينة الغرضية (غير الاحتمالية) (60) امرأة متعددات الولادة اختيرن من مستشفى بغداد التعليمي ومستشفى العلوية التعليمي للولادة في مدينة بغداد. قسمت العينة إلى مجموعتين (30) امرأة اعتبرت كمجموعة تجريبية و(30) أخرى اعتبرت كمجموعة ضابطة. تمّ تطبيق التداخل الإرشادي على عينة الدراسة بينما لم يطبق التداخل الإرشادي على المجموعة الضابطة. صممت استمارة استبيان كأداة لجمع البيانات تناسب الغرض من الدراسة كما أجريت دراسة استطلاعية لاختبار ثبات ومصداقية الاستمارة للمُدّة من10 آذار ولغاية 30 آذار 2010. تمّ تحليل البيانات من خلال استعمال أسلوب تحليل البيانات الإحصائية الوصفية (التوزيع التكراري, النسبة المئوية, الوسط الحسابي للقيم) وأسلوب تحليل البيانات الإحصائي ألاستنتاجي (اختبار R ، ومربع كاي). النتائج: أشارت نتائج الدراسة إلى أن المشاركات لمجموعة الدراسة استفدن من تنفيذ التداخل الإرشادي مع حدوث تغيير جوهري في ممارستهن في السيطرة على سلس البول الضغطي. استنتجت الدراسة إن أغلبية الأمهات قد تمّ تلبية احتياجاتهنَّ على نحوٍ كافٍ للسيطرة على سلس البول الضغطي– تمارين عضلات الحوض والعجان (تمرينات الكيجل), تغير نمط الحياة. التوصيات: أوصت الدراسة بإمكانية تقديم التداخل الإرشادي للسيطرة على سلس البول الضغطي لجميع الأمهات الحوامل متعددات الولادة اللواتي يراجعن مراكز الرعاية الصحية الأولية, فضلا عن ذلك تطبيق التداخل الإرشادي للأمهات متعددات الولادة في المستشفى لزيادة معلوماتهن عن سلس البول الضغطي. وكما أوصت الدراسة بدور الممرضة لتعليم الأمهات متعددات الولادة مبادئ السيطرة على سلس البول الضغطي, بينما تقوم ببعض الإجراءات لهن خلال مُدّة النفاس.


Article
Effect of Contributing Physical Stressors on Breast Cancer in women: A Retrospective Study in Babylon Governorate.
تأثير الضغوطات الجسمية المساهمة في سرطان الثدي عند النساء:دراسة رجعية في محافظة بابل

Authors: Najaat Hamza Hassan --- Rabea M. Ali
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 1 Pages: 251-263
Publisher: University of Kufa جامعة الكوفة

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Objective: To determine the effect of physical stressors on breast cancer occurrence, and to find out the relationship between breast cancer occurrence and the physical stressors.Methodology:- A retrospective study, a purposive sample of (400) women; (200) women diagnosed with breast cancer were visited the Merjan Teaching Hospital Oncology Cancer Center in Babylon Governorate as a study group and (200) women free of breast cancer were collected from different districts within Babylon Governorate as a control group. An assessment tool was constructed for the purpose of the study , it was comprised of Socio-demographic data, Reproductive data, Information related to woman healthy life style (exercise & nutrition), Information related to breast cancer and Physical life stressors consist of (12) item of 10 years previous breast cancer occurrence divided to two periods (previous 1-5 years) and (previous 6-10 years). Physical measurements for measuring obesity and overweight (BMI) as well as the medical records to explain in which stage of breast cancer and other details may be assisting this study. Data were collected from 5 Feb. 2012 to 10 Apr. 2012. Analysis of data was performed through the application of descriptive and inferential statistical data analysis approach.Results: The study demonstrates that the highest percentage (39.5%) of study sample was in age (50-54) years in comparison with the other age groups for both of study and control groups. There are a highly significant difference at P<0.01 between the physical stressors and breast cancer. Conclusions: The physical stressor's items distributed in the two periods (1-5) years and (6-10) years , the study group's individuals were reported low assessment grade (65.92%) than control group's individuals. There are too highly significant different at P<0.001 between life aspects and breast cancer in women and no relationship with their demographical and reproductive characteristics variables with an overall assessments at the study group except with (age, parity, and other diseases) variables.Recommendations:- Activation of media and Ministry of Health role for increasing the awareness of women and their families about the importance of reducing the risk factors which contributing on breast cancer occurrence& importance of early detection of breast cancer

الهدف :. لتحديـــــد تأثير ضغوطات الحياة البدنية على حدوث سرطان الثدي, ولإيجاد العلاقة بين حدوث سرطان الثدي والضغوطات البدنية.المنهجية : دراسة ذات أثر رجعي،اختيرت عينة (غرضيه) شملت (400) امرأة (200) امرأة مصابة بسرطان الثدي قمن بزيارة مركز الأورام السرطانية في مستشفى مرجان التعليمي في محافظة بابل كمجموعة للدراسة و(200) امرأة غير مصابة بسرطان الثدي جمعت من مناطق مختلفة من محافظة بابل كمجموعة ضابطة وقد نظمت استمارة استبيانيه لتحقيق الغرض من الدراسة شملت الخصائص الديموغرافية، المعلومات الإنجابية، نمط الحياة الصحية بما يخص الرياضة والتغذية، معلومات متعلقة بطبيعة المرض كالمرحلة وجهة الإصابة وفترة الإصابة والتاريخ العائلي للإصابة بسرطان الثدي، ومعلومات عن ضغوطات الحياة البدنية التي تعرضت لها المرأة المصابة بسرطان الثدي مكونة من (12) فقرة لعشرة سنين سابقة قسمت إلى فترتين (1-5) سنين و(6-10) سنين. وتم جمع البيانات من العينة من الفترة (5) شباط 2012 ولغاية 10 نيسان 2012 واجري عليها التحليل الإحصائي من خلال تطبيق الإحصاء الوصفي و الإحصاء الاستدلالي.النتائج :- أشارت نتائج الدراسة إلى أن النسبة المئويةُ الأعلى (39.5% ) من عينة الدراسة كانت من الفئة العمرية (50-54) لكلا المجموعتين مقارنة بالفئات العمرية الأخرى وأن هنالك علاقة ذات دلالة معنوية عالية (P<0.01)بين ضغوطات الحياة البدنية وحدوث سرطان الثدي .الاستنتاجات:- فقرات الضغوطات البدنية التي وزعت إلى فترتين زمنية (1-5) سنوات و(6-10) سنوات ، سجل أفراد مجموعة الدراسة مستوى تقييم (65.92%) أقل من أفراد مجموعة السيطرة . وأن هنالك علاقة ذات دلالة معنوية عالية جدا عند <0.001) (Pبين أنماط الحياة (الرياضة والتغذية) وسرطان الثدي عند النساء ولاتوجد علاقة بين متغيرات الخصائص الديموغرافية والإنجابية ماعدا متغيرات (العمر، عدد مرات الولادة، والأمراض الأخرى) .التوصيات : أوصت الدراسة بتفعيل دور وزارة الصحةَ وأجهزة الإعلام لزيادة وعي النساءِ وعائلاتهن حول تقليل عوامل الخطورة التي تسهم بحدوث سرطان الثدي إضافة إلى ضرورة الكشف المبكر لسرطان الثدي.


Article
Effects of Psycho-Social Stressors on Occurrence of Breast Cancer in Women: A Retrospective Study in Babylon Governorate

Authors: Najaat Hamza Hassan --- Rabea M. Ali
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2013 Volume: 10 Issue: 2 Pages: 421-436
Publisher: Babylon University جامعة بابل

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Abstract

Background: The rapid increase in the cancer burden as breast cancer represents a real crisis for public health and health systems worldwide. Stressful life events are related to the risk of infected women developing an illness (cancer). One of the risks psycho- social life stressors which effects directly or indirectly on breast cancer occurrence in women. Aims of the study: 1.To determine the effects of psychological &social stressors on occurrence of breast cancer in women.2. To find out the relationship between breast cancer occurrence and the psychological & social stressors.Methodology:- A Retrospective Study, a purposive sample of (400) women; (200) women diagnosed with breast cancer were visited the Merjan Teaching Hospital Oncology Cancer Center in Babylon Governorate as a study group and (200) women free of breast cancer as a control group. An assessment tool was constructed for the purpose of the study , it was comprised of Socio-Demographic Data, reproductive Data, Information related to woman healthy life style (exercise & nutrition), Information related to breast cancer (stage, side, period, family history) and psychosocial life stressors consist of (19 psychological item) and (11 social items) of 10 years previous breast cancer occurrence divided to two periods (previous 1-5 years) and (previous 6-10 years). Physical measurements for measuring obesity and overweight of body mass index as well as the medical records to explain in which stage of breast cancer and other details may be assisting this study. Data were collected from 5 February 2012 to 10 April. 2012. Analysis of data was performed through the application of descriptive and inferential statistical data analysis approach.Results: The study demonstrates that the highest percentage (39.5%) of study sample was in age (50-54) years in comparison with the other age groups for both of study and control groups. There are a highly significant different at P<0.01 between the psychological stressors and breast cancer. While a non significant at P>0.05 was reported with the social stressors.

الهدف :1. لتحديـــــد تأثيرات ضغوطات الحياة النفسية والاجتماعية في حدوث سرطان الثدي عند النساء.2. لإيجاد العلاقة بين حدوث سرطان الثدي والضغوطات النفسية والاجتماعية.الخلفية العلمية: الزيادة السريعة في عبء السرطان كسرطان الثدي يمثل أزمة حقيقية للصحة العامة والنظم الصحية في جميع أنحاء العالم. ترتبط الأحداث المجهدة في الحياة بخطر إصابة النساء بالأمراض كالسرطان. ضغوطات الحياة النفسية والاجتماعية هي أحد مخاطر لتي يؤثر بشكل مباشر أو غير مباشر على حدوث سرطان الثدي لدى النساء.المنهجية : دراسة ذات أثر رجعي،اختيرت عينة (غرضيه) شملت (400) امرأة (200) امرأة مصابة بسرطان الثدي قمن بزيارة مركز الأورام السرطانية في مستشفى مرجان التعليمي في محافظة بابل كمجموعة للدراسة و(200) امرأة غير مصابة بسرطان الثدي كمجموعة ضابطة وقد نظمت استمارة استبيانيه لتحقيق الغرض من الدراسة شملت الخصائص الديموغرافية، المعلومات الإنجابية، نمط الحياة الصحية بما يخص الرياضة والتغذية، معلومات متعلقة بطبيعة المرض كالمرحلة وجهة الإصابة وفترة الإصابة والتاريخ العائلي للإصابة بسرطان الثدي، ومعلومات عن ضغوطات الحياة النفسية (19) فقرة و والاجتماعية (11) فقرة التي تعرضت لها المرأة المصابة بسرطان الثدي لعشرة سنين سابقة قسمت إلى فترتين (1-5) سنين و(6-10) سنين. وتم جمع البيانات من العينة من الفترة (5) شباط 2012 ولغاية 10 نيسان 2012 واجري عليها التحليل الإحصائي من خلال تطبيق الإحصاء الوصفي و الإحصاء الاستدلالي.النتائج :- أشارت نتائج الدراسة إلى أن النسبة المئويةُ الأعلى (39.5% ) من عينة الدراسة كانت من الفئة العمرية (50-54) لكلا المجموعتين مقارنة بالفئات العمرية الأخرى وأن هنالك علاقة ذات دلالة معنوية عالية (P<0.01)بين ضغوطات الحياة النفسية- الاجتماعية وحدوث سرطان الثدي بينما لاتوجد علاقة بين سرطان الثدي وضغوطات الحياة الاجتماعية عند ((P>0.05


Article
Impact of Training Program Upon Nurse-Midwives’ Practices Concerning Third Stage of Labor

Authors: Rabea M. Ali --- Eman A. Jaber
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2013 Volume: 26 Issue: 3 Pages: 30-39
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective: The aim of this study is to identify the impact of training education program applied on nurse-midwife practice concerning care during third stage of labor in labor room. Examine the relationship between their knowledge regarding practices and some Demographic information’s.Methodology: A quasi-experimental design conducted on non-probability (purposive) sample of fifty two nurse-midwives selected during period from3th August to 10thNovember 2011. The study is conducted at the Ministry of Health (Baghdad health directorate in Al-Karhk and Al-Risafa sector) in four hospitals. The questionnaire form is consisted of three parts which included demographic data, knowledge concerning practice during third stage of labor, practice checklist. Content validity and reliability of the questionnaire determined through a pilot study, descriptive and inferential statistics are used to analyze the data. Results: Results of the study showed that the highest percentage (44.2%) were in age group of 30-39 years, midwifery school graduate and) 42.3 %( of them had 1-10 years of work experience in midwifery. There were low and moderate means in most items related to the knowledge and practices of nurse-midwives regarding third stage of labor in pre-test and assessed as (partial) while there were high mean scores in all items, and assessed Pass in posttest after the implementation of the training education program with high statistical significant .Recommendation: The study recommended that establishment of clinical practice standards according to the WHO, development of continuing education programs; establish a baccalaureate degree program in midwifery.

المستخلـص:الهدف :تهدف الدراسة إلى معرفة ااثر برنامج تدريبي يطبق على ممارسات الممرضات القابلات فيما يتعلق بالعنايه خلال الدور الثالث من الولاده واختبار العلاقه بين معلوماتهن فيما يتعلق بالممارسات وبعض المعلومات الديموغرافيه.المنهجية : دراسة شبه تجريبيه, تم اختيار عينة غير احتمالية (عمدية) لاثنان وخمسين قابله-ممرضهخلال الفترة من3ابإلى10تشرين الاول /2011.وتم إجراء الدراسة في وزارة الصحة ( دائرة صحة بغداد الكرخ والرصافة) في اربع مستشفيات. تكونت الاستمارة الاستبيانية من (3) أجزاء تشمل الخصائص الديموغرافية و معارف الممرضات القابلات فيما يتعلقبالعنايه خلال الدور الثالث من الولادهوقائمة الممارسات, و تم تحديد صدق المحتوى وثبات الاستمارة الاستبيانية من خلال دراسة استطلاعية واستخدام تحليل الإحصاء الوصفي والاستنتاجي في تحليل البيانات .النتائج: تشير نتائج الدراسة إنأعلى نسبة (4402%) من أفراد عينة الدراسة تتراوح أعمارهن بين (30-39 سنة) ومتخرجات من اعدادية القباله وان(4203%) لديهن (1-10)سنه خبره في مهنة القباله ،كانت معلوماتهن وممارستهن ذات متوسطات ضعيفه ومتوسطه فيما يتعلق بالعنايه خلال الدور الثالث في الاختبار القبلي بينما هناك ارتفاع في متوسط معلوماتهن وممارساتهن بعد تطبيق البرنامج وبدلاله اجصائيه عاليه0التوصيات: توصي الدراسة باستحداث مقياس عملي وفق معايير منظمة الصحه العالميه , ,تطوير برنامج التعليم المستمر , استحداث برنامج لدرجة البكلوريوس0

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