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فاعلية التمرينات التنفسية في التقليل من الم الولادة عند النساء البكريات في مستشفيات الحلة التعليمي == Effectiveness of Breathing Exercises on Reduction of Labour Pain among Primi Gravida Mothers at Hilla Teaching Hospitals

Author name: فوزية محمد نطاح الثويني
Supervisor name: وفاء عبد الكريم عباس
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: خلفية الدراسة/ تساعد الطرق العلاجية وغير العلاجية المتنوعة المراة في تحمل الم الولادة . واحد هذه الطرق المهمة لتخفيف الم الولادة الطبيعي هو تمارين التنفس. تمارين التنفس هي واحدة من اكثر الطرق الشائعة المستخدمة لتخفيف الالم الطبيعي خلال المرحلة الاولى من الولادة التي تستطيع تحفيز الاسترخاء البدني بواسطة تقليل الشد العضلي وتحفيز الاسترخاء العاطفي بواسطة تقليل الالم . الهدف/ لتحديد فاعلية التمارين التنفسية في التقليل من الم الولادة عند النساء البكرياتطريقة العمل /استخدمت الدراسة تصميم التجربة ، عشوائيا اختيرت مستشفى بابل التعليمي للنسائية والاطفال. تم جمع العينة من 2 كانون الاول 2014 الى الاول من اذار 2015. اختيرت (100) امراة بكرية شخصت في المرحلة الاولى من الولادة قسمت الى مجموعتين (50) كعينة تجريبية و(50) كعينة ضابطة .استخدم في هذه الدراسة مقياس التماثلية البصرية للالم وانواع مختلفة من تمارين التنفس .النتائج : اشارت نتائج الدراسة الى ان مستوى الالم كان اقل معنويا (p≤ 0.05) في نوع التنفس العميق البطيء مقارنة بالنوعين الاخرين .يزداد الالم في المجموعتين لكن اقل في مجموعة الدراسة من المجموعة الضابطة التي وصل الالم فيها تقريبا اعلى مستوى من مقياس الالم. اوضح تقييم مقياس الالم باستخدام مقياس التماثلية البصرية للالم (VAS ) كل 30 دقيقة ان النساء في مجموعة الدراسة كانت معنويا منخفضة القياس p≤ 0.05)) مقارنة بالمجموعة الضابطة. الاستنتاجات/ الالم كان اقل في مجموعة الدراسة باستخدام انواع مختلفة من تمارين التنفس في المرحلة الاولى من الولادة بين النساء البكريات. التوصيات/ استخدام تمارين التنفس ضمن التدريب العملي التمريضي خلال مرحلة ما قبل الولادة (مرحلة الحمل) والمرحلة الاولى من الولادة ومن خلال وسائل الاعلام . | Background : A variety of non - pharmacologic and pharmacologic methods that help the woman to cope with the pain of labour. One important method of natural labour pain relief is breathing exercises . Breathing exercises is one of the most common methods used for natural pain relief during first stage of labour that can promote physical relaxation by reducing muscle tension and promotes emotional relaxation by reducing pain . Objective : To determine the effectiveness of breathing exercises on reduction of labour pain among primi gravida mothers.Methodology : The study is a quasi - experimental design ,randomly selected Babylon Teaching Hospital for Maternity and Pediatric. Sample were collected on 2ed December /2014 to the 1st of March /2015. (100) primi mothers were selected in first stage of labour , divided into two groups (50) primi mother as study group , while (50)primi mother as control group. The pain scale (VAS) and different types of breathing exercises were used in this study.Results : The result of this study showed that the level of pain was significantly lower at (P≤0.05) in the Slow Deep Breathing type than other two types. The pain in both groups were increased, but less in the study group than the control group in which the pain reach approximately maximum level of pain score. Assessment of pain score by visual analogue scale every 30 minute, revealed that the mothers in study group have significantly lower score at (P≤0.05) than in control group. Conclusions : Pain were minimum for study group by using different types of breathing exercises in the first stage of labour among primi mothers . Recommendations : Uses Breathing exercises in the nursing practices of ante - natal care and first stage of labor and through mass media

اثر البرنامج التعليمي لمخطط الولادة (البارتوغراف) على معرفة القابلات في صالة الولادة في مستشفيات كربلاء == Impact of the Partograph Teaching Program on Midwives, Knowledge in Delivery Rooms in Karbala Hospitals

Author name: منار مجيد حميد حسين
Supervisor name: وفاء عبد الكريم عباس | امين عجيل الياسري
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: البارتوغراف هو المخطط الاول لتقيم عملية الولادة صمم من قبل العالم فريدمان سنة 1954 وبعد ذلك عدل من قبل العالمين فليبوت وكاسل في 1972. ان الغرض من مخطط البارتوغراف مساعدة القابلات في تسجيل وتفسير وتحليل واستخدام البيانات لاتخاذ قرارات وتدابير سريرية بينما يكون المخاض في حالة التقدم.الاهداف : تقييم معرفة القابلات بخصوص استعمال البارتوغراف في الطور الاول من المخاض في صالة الولادة .المنهجية : اختبار شبه تجريبي وجد للتاثير على الدراسة الحالية. تتكون عينة الدراسة من جميع القابلات اللاتي يعملن في صالات الولادة في مستشفى النسائية والتوليد التعليمي ومستشفى الهندية العام في مدينة كربلاء المقدسة . الية اختيار العينة في هذه الدراسة هي عينة غير احتمالية ملائمة. تتكون من 50 قابلة يعملن في صالة الولادة في مستشفيات مدينة كربلاء. يتكون الاختبار من 25 فقرة تتعلق بمعرفة القابلات بمخطط البارتوغراف . النتائج : اظهرت نتائج الدراسة ان 88% من القابلات لا تمتلك معرفة بخصوص مخطط البارتوغراف في مجموعة الدراسة و92% في المجموعة الضابطة و12 % من القابلات تمتلك معرفة مناسبة حول المخطط في مجموعة الدراسة و8% في المجموعة الضابطة. بينما كانت 80% من القابلات تمتلك معرفة جيدة في مجموعة الدراسة بعد تنفيذ البرنامج التعليمي بخصوص المخطط الولادي . الخاتمة : ان معرفة القابلات بخصوص المخطط الولادي تزداد بعد التداخل ( البرنامج التعليمي) وهذه النتائج اوضحت ان التعليم الجماعي فعال جدا في تحسين وتطوير معرفة القابلاتالتوصيات : تحسين معرفة القابلات بالمخطط الولادي (البارتوغراف) بواسطة الاستعمال المستمر للبرامج التعليمية والتدريب وورشات العمل لجميع القابلات وخصوصا في صالات الولادة . | Background : Partograph was first graphic used to assess the progress of labour designed by Friedman in 1954 and further developed by Philpott and Castle in1972. The role of the partograph, is to aid midwives record, understand, analyze, and use information to make medical management judgments while labor is in progress. Objective : To assess midwives knowledge of the use of partograph in first stage of labor in delivery room. Methodology : Quasi experimental design was found to be effective for the present study. In this study, the target population consisted of all midwives working in delivery rooms in hospitals of Holy Karbala city. The sampling technique used in this study was non probability convenience method of sampling , the sample consisted of 50 midwives working in delivery rooms in Maternity Teaching Hospital and Al - Hindyia General Hospital in Karbala City. There were 25 items regarding knowledge of partograph. The data analyzed through the use of the descriptive and inferential statistical analysis procedures. Results : the results of the study reveal that (88%) of midwives have poor knowledge regarding partograph in study group and (92%) in control group,12%have fair knowledge in study group and 8% in control group, 80% of midwives have good knowledge in study group after implementation of teaching program regarding partograph. The result revealed that the knowledge of midwives regarding partograph is increased after the intervention. Conclusion : The finding revealed that the teaching program was very effective in increasing midwives knowledge regarding the use of partograph.Recommendation : Enhance the midwives knowledge regarding partograph by frequent application of teaching program, training course and workshop for all midwives, especially in the delivery room By Ministry of Health (MOH).

تقييم الحالة النفسية الاجتماعية عند الايتام في دور الرعاية في مدينة بغداد == Assessment of psychosocial status of orphans in orphanages in Baghdad city

Author name: علي احمد كاظم الحطاب
Supervisor name: سجاء هاشم محمد الربيعي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: دراسة وصفية تحليلية اجريت لتقييم الحالة النفسية الاجتماعية عند الايتام في دور الرعاية في مدينة بغداد للفترة من تشرين الاول 2014 ولغاية اغسطس 2015.اختيرت عينة غرضية (غير احتمالية) كان قوامها (50) يتيم لهذه الدراسة.بنيت الاستبيانية لتحقيق اهداف هذه الدراسة التي تتالف من جزئين ,الاول يتضمن المعلومات الشخصية,والثاني الحالة النفسية الاجتماعية.جمعت العينة باستعمال الاستبانة وبطريقة المقابلة الشخصية للاطفال الايتام . من 9 كانون الثاني2015 ولغاية 20 شباط 2015.تم تحليل البيانات من خلال تطبيق التحليل الاحصائي الوصفي (النسب المئوية، التكرارات، متوسط الانحراف المعياري والتحليل الاستنتاجي (اختبارات مربع كاي) مع نظام الحزمة الحصائية للعلوم الاجتماعية (الاصدار 20).اشارت نتائج الدراسة جميع الايتام كانوا متاثرين بالمشاكل النفسية الاجتماعية بمستويات مختلفة,عدم وجود دلالة احصائية بين الجنس والمشاكل النفسية الاجتماعية , اشارت اغلب نتائج الدراسة ان هناك علاقة قوية بين المعلومات الشخصية والحالة النفسية الاجتماعية, هناك علاقة قوية ذات دلالة احصائية بين المشاكل النفسية والمشاكل الاجتماعية.في ضوء الدراسة نتائج اوصى الباحث على توعية الايتام حول التاثير السلبي للمشاكل النفسية على حياتهم ومواجهة كل انواع الحالات الصعبة من فقدان الابوين في الحياة، برامج تثقيفية ضرورية للمسؤولين عن دار الايتام لزيادة معرفتهم نحو المشاكل النفسية , دليل خاص حول التثقيف الدين والاخلاق متخصص للحد من الصراع ما بين الايتام وتطور المشاكل النفسية الاجتماعية. | A descriptive analytical study was carried out to assess of psychosocial status of orphans in orphanages in Baghdad City from October 2014 to August 2015.A purposive (non - probability) sample of (50) orphans was selected for the present study.A questionnaire was constructed to achieve the objectives of this study, which consists of two parts the first is one sociodemographic data, the second psychosocial status.Data were collected through the use of the constructed questionnaire and the process of interviewing the orphans children and used as data collection from 9th January 2015 to 20th February 2015. Data were analyzed through the application of descriptive statistical analysis (percentage, frequency, mean of score and S.D) and inferential data analysis (Chi - square) with (SPSS, Version 20).The results of the present study indicated that all orphans are affected by the psychosocial problems in different levels, there are non - significant differences between females and males as variable gender group with psychosocial problems, the most findings of the study indicated that there were high significance between sociodemographic and psychosocial status, psychological problems had a high significant relationship with social problems.In the light of these findings, the researcher recommended that educate the orphans about the psychological effects and its negatively impacts on their lives to face all kinds of difficult conditions in which they live from the loss of their parents, an educational program is necessary to those who were responsible about the orphanage to increase their knowledge toward the psychological problems, guidance towards religious and moral education specialist to reduce the conflict between the orphans and development of psychosocial problems.

تقيم معارف العناية الذاتية للمرضى المصابين بداء السكري النوع الثاني في مركز السكري في محافظة بابل == Assessment Of Self - Care Knowledge Among Type II Diabetes Mellitus Patients At Diabetic Center In Babylon Governorate

Author name: سالم كريم هجول الجبوري
Supervisor name: سلمى كاظم جهاد
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: اجريت دراسة وصفية (عرضيه مقطعيه) للفترة من 20/10/2015 ولغاية 25/6/2016 من اجل تقييم معارف الرعاية الذاتية لمرضى السكري النوع الثاني في مركز السكري في محافظة بابل. وقد اختيرت عينة هادفة من (120) مريضا باستخدام تقنية اخذ العينات غير الاحتمالية، التي تشمل ا | A descriptive design cross - sectional study has conducted throughout the period of October 20th 2015 to June 25th 2016 in order to assess the self - care knowledge of patients with type II diabetics mellitus at diabetic center in Babylon Governorate. A Purposive sample of (120) subjects were selected throughout the use of non - probability sampling approach, that include patients who were diagnosed with type II diabetes mellitus visiting diabetic center in Merjan medical city/ Babylon Governorate. A questionnaire was constructed to achieve the objectives of the present study, comprised of four domains including (50) items. Data was collected from patients attending for or treatment diabetic center in Hilla city through the use of interview technique, during the duty shift for the purpose of receiving health care, each patients' individually interviewed, helped by the researcher and taking a corresponded period of between ( 20 - 25) minutes. The questionnaire was clear and adequate for the measurement of the phenomenon except some adjustments are made on few items according to the experts' suggestions.Reliability of the questionnaire was determined through a pilot study and the validity was achieved through a panel of (16) experts. Data were analyzed through use of the Statistical Package of Social Sciences (SPSS, Version 20). Reliability was concerned with the consistency and dependability of the research instrument. Determination of internal consistency, reliability of the questionnaire is based on computation of Alpha Cronbach's Correlation Coefficient.The findings of the study indicated that Type II diabetes mellitus age group have old age. Sample less opportunity to read and write.Results of the diabetes mellitus patients demonstrated that sample acceptable level of socio - economic status. Regarding residency it was shown that most Diabetes mellitus type II patients existed in urban areas. study sample was found to score body mass index of overweight feature. Fortunately participants showed a good knowledge about the diabetes mellitus and its complications. In regard to knowledge of sample about self - care it was demonstrated that their achievements were fine. Self - care in diabetes has been defined as an evolutionary process of development of knowledge or awareness by learning to survive with the complex nature of the diabetes in a social context. The recent study summarized that some dietary behaviors need more attention from the patient to regulate and balance the condition, It is interesting to find out that sample study had reached good scores in regard to different issues of self - care except with some exercises and activities related to foot care. As well as current study concluded that Patients' age, levels of education, family history of diabetes and marital status affect their knowledge level as overall. The study recommended that. Patients with chronic diseases like the current one need to be educated in regard to some misconceptions such as treatment of the illness, Although majority of patients know the signs and symptoms of disease, health care facility can help in emphasizing the lack of information in some areas of the subject, Some self - care results show deficits concerning the diet, appropriate strategies such as give priorities to those very vital factors in controlling blood sugar when teaching patients can be used to correct the patients dietary habits. Educational materials or programs designed to assist Patients in practicing some activities to reduce burden of the condition.

العوامل المؤثرة على نوعية حياة المرضى المصابين بالجلطة الدماغية في مركز الفرات الاوسط للعلوم العصبية في مدينة النجف الاشرف == Factors Affecting Quality Of Life For Patients With Cerebrovascular Accident In Middle Euphrates Neuroscience Center In Al - Najaf Al - Ashraf City

Author name: احمد صالح رضا القاضي
Supervisor name: سحر ادهم علي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: خلفية الدراسة : تعتبر الجلطة الدماغية سبب رئيسي مؤثر يقلل مستوى نوعية حياة المرضى. قياس نوعية الحياة للاشخاص الذين يعانون من امراض مزمنة يعطي رؤية واضحة لتحديد اثره على مقدمي الرعاية الصحية عندما تكون النتيجة غير ممكنه. العوامل المؤثرة على نوعية الحياة لم | Background : Cerebrovascular accident is a main leading cause affectedly decrease the level of quality of life of the patients. The measurement of quality of life for population with chronic diseases gives a clear view to determine the impact on health care providers when prognosis is not possible. Factors affecting the quality of life may be vary between different age categorize such as CVA young and old CVA patients, different factors have affected the quality of life, related to the following aspects : motor impairment, physical dysfunction or dependency in activity of daily living, the presence of depression ,cognitive impairment, and speech disturbances.The main aim of the study : To identify the factors affecting the quality of life for patients suffering from cerebrovascular accident.Design of the study : Descriptive cross - sectional study design was selected to achieve the objectives of this study the factors affecting quality of life for patients diagnosed with cerebrovascular accident in Middle Euphrates Neuroscience center in Al - Najaf Al - Ashraf City, for the period between 27 October 2015 and 30 August 2016.Setting : A unique center was selected to conduct the study, the outpatient department in Middle Euphrates Neuroscience center in Al Najaf Al Ashraf City are used to collect the data.Sample of the study : Non probability ( purposive sample ) from patients with CVA (N=80) were selected to find out the factors affecting quality of life for patients with cerebral vascular accident. Data was collected by using an assessment questionnaire which was adopted and developed by the researcher to assess the factors affecting the quality of life for patients with cerebrovascular accident. It is divided of three parts : demographical data as the first part, clinical information is the second part, while the specific CVA quality of life questionnaire which extended to 48 items distributed upon 12 main domains as (energy and activity, family relationship, speaking, movement, mood, personality, self - care, social role, thinking, in addition upper extremities functions, vision, and work / productive ) is the third part. Validity of the questionnaire obtain by (19) experts, who work in different fields to obtain the reability of the questionnaire alpha cronbach was used as a statistical method.The majority of the study sample were between (59 - 69) of age. The highest percentage of the study sample were males and were married. On the other hand the highest percentage of the sample were illiterate , housewives and urban area residents. The scores of the quality of life of the majority of the study sample were high effected regarding the following domains : (energy and activity), plus movement, moderate effect presented related to the family relationship, speaking, mood, self - management, social role, thinking, function of the upper extremities, vision, and job / productive, while low effect score recorded for personality.Conclusion : The overall quality of life level of the CVA patient who participate in the study was moderate. The QOL for patient with CVA were significantly effected related to their age, occupation, and educational level. Chronic diseases, type of CVA and it's duration play as highly effecting factors related to the patient's quality of life.Recommendation : Establishing structured program realizing the challenges that might face the post CVA patients because this long journey need special planned care to improve patient's quality of life by special rehabilitation unit, the unit services may be extended for the patient's family.

قياس تركيز الحديد والفرتين والارثروبويتين وفيتامين ب وحامض الفولك والبيروكسايديز الدرقي في مصل مرضى تضخم الغدة الدرقية حديثي التشخيص في محافظة بابل == Serum Iron,Ferritin,Thyroid Peroxidase ,B12,Erythropoietin And Folate Concentrations In Patients With Newly Diagnosed Hyperthyroidism In Babylon Province

Author name: سالينا عبد العباس ناصر الشمري
Supervisor name: محمد عبيد المحمدي | علاء صادق العواد
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: فرط نشاط الغده الدرقيه : هو مرض يصيب الغده الدرقيه وذلك نظرا لارتفاع هرمون تي ثلاثه وتي اربعه وهما هرمونات الدرقيه ولوحظ ان هذا المرض يصيب النساء بنسبه اعلى من الرجال بسبب التاثير الهرموني للاناث مما يجعلها الاكثر عرضه لهذا المرض,من علامات هذا المرض هي زيا | Background : Hyperthyroidism is endocrine disease that occur due to high levels of thyroid gland hormones and this disease affected female more than male due to hormonal effect, the female is more susceptible to this disease.Sign of disease including increase in metabolic rate of patient,sweating,increase pulse,enlargement of thyroid gland(goiter) which by this sign can diagnosis the patient.Objective : Evaluate serum erythropoietin and its relation with increase metabolic rate as well as hemopoiesis,evaluate serum folic acid and vitamin B12 and its role in hyperthyroidism ,evaluate the correlation of thyroid peroxidase with thyroid hormones and evaluate serum iron and ferritin.Materials and methods : This study was done from October/2015 till July/2016.The total number of patients group in this study was seventy man and women.their age ranged 26 - 65 years,58 women and 12 men who was in patients group and 35 female and 5 male in control group.Patients data in this study was history of hypertension ,parity ,age and sex. The difficulty in my research was in collection of spa icemen from patients.Result : The result which obtained from this study found that high significant increase in ferritin,thyroid peroxidase,folate and erythropoietin (p?0.01) in patients as compare to control group.High significant decrease in iron and B12(p?0.01) in patients group compare to control group. in case of the age found the 30 - 39 years more effected age among patients group and the female more effected with disease than male.Conclusion : From this study we conclude that thehyperthyroidism in female more than male due to hormonal effect. Reduce in iron due to high metabolic rate lead to decrease absorption of iron and B12 which lead to anemia.increase thyroid peroxidase which play a role in T3 and T4 synthesis.

التزام مرضى احتشاء العضلة القلبية باتجاه العناية الذاتية في مستشفيات الحلة التعليمية == Adherence Of Patients With Myocardial Infarction Toward Self - Care Management In Hillah Teaching Hospitals

Author name: هادي جواد كاظم
Supervisor name: سحر ادهم علي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: يمكن وصف العناية الذاتية كبرنامج متعدد الابعاد للمرضى الذين يعانون من احتشاء عضلة القلب والتي تشمل الامور المتعلقة بحالتهم وتعزيز استراتيجيات الرعاية الذاتية مثل المراقبة الذاتية والتصرفات الذاتية تحسين معرقة المريض الايجابية واستهلاك نظام غذائي صحي، الاد | Self - management can be described as multidimensional program for patients with myocardial infarctions which include improvement of the patient s knowledge related to their condition and enhance self - care management strategies such as self - monitoring, positive self - behaviors, and consumption of healthy diet, medication and following the health team advices. This strategies decrease hospital readmissions and improve quality of life. The aim of the study is assessing the adherence of self - care management among patients with myocardial infarction. To identify the demographical characteristics of the study sample such as (age, gender, marital status, educational status, and addressing, economic status). To find out the relationship between patient adherence of self - management and demographic data (age, gender, marital status, educational status, addressing, economic status) and clinical characteristics.Across - sectional descriptive design is used to carry out the study of assessing the adherence of the self - care management for patients with myocardial infarction in Hillah teaching hospitals from 27 - 10 - 2015 to 20 - 8 - 2016.Coronary care units and medical wards in two teaching hospitals in Hillah city were selected to conduct the study. A Non - Probability (purposive sample) of (100) patients, (64) male, (36) female have been selected after obtaining their agreements to participate in this study, these patients have been admitted to the medical wards or coronary care units. Data were collected by using structured questionnaire which prepared to assess the adherence of self - care management for patients with myocardial infarctions after a comprehensive review of related literatures. The questionnaire contains three parts, the first part consist data related to the socio - demographical characteristics of the sample, the second part includes clinical information such as (duration of disease, health history, body mass index...etc.), while the third part extends to collect the data related to the patients adherence toward self - care management which distributed up on (4) domains consisting nutritional domain (27) items, healthy behaviors (7) items, medications (8) items, medical follow up which has been extended to (9) items. Data have been collected by using face to face interview.To test the content validity the questionnaire distributed among (25) experts who have not less than 10 years of experience , the reliability was calculated through applying coefficient of correlation and inter rater reliability, descriptive and inferential statistics methods used to determine the results of the current study.The majority of the study sample have been (64%) male between (60 years and more) age group, (64) married, (22%) have been illiterate, (66%)of the sample urban area residency. housewives Most of them (25%) suffer from hypertension as a chronic disease. Overall adherences of the self - care management of the participant poor related to diet, healthy behaviors, follow up while they recorded moderate adherence related to consumption of medication.The majority of the patients who participate in the study were with moderate adherence relation to self - care management.Establishment of well - equipped rehabilitation center specialized to improve patient's knowledge and practices related to their conditions, and help them to live with their condition, the services of this center may be extended to serve patient's family.

اعباء رعاية الابوين للاطفال المصابين بالتخلف العقلي في محافظات الفرات الاوسط == Parents Burden Of Care For Children With Mental Retardation In The Middle Euphrates Governorates

Author name: علوان حسن رزن الجبوري
Supervisor name: سجاء هاشم محمد الربيعي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: يمكن ان تسهم مسؤولية رعاية الاطفال المتخلفين عقليا في عبا على الوالدين, الدراسة تشير الى ان اباء الاطفال الذين يعانون من التخلف العقلي لديهم مستوى عال من العبء.دراسة تحليلية وصفيه لتقييم عبء رعاية الاباء للاطفال ذوي التخلف العقلي في محافظات الفرات الاوسط | The responsibility of caring for mentally retarded child can contribute to parents burden. The study shows that parents of children with mental retardation experience high level of burden.The present study aims to assess the level of burden of care among parents who have children with mental retardation.and to identify the relationship between parents burden of care for children with mental retardation and their sociodemographic data such as age, gender etc. A descriptive - analytical study design is conducted to assess the Parents Burden of Care For Children With Mental Retardation in The Middle Euphrates Governorates and its relation to children and parent's sociodemographic characteristics and clinical characteristic of mental retardation child.1st October 2015 to 1st October 2016. A purposive (non - probability) sample of (90) parents (mother or father) of child with mental retardation are selected attending mental disability care institute. Data was collected through the use of The questionnaire which are constructed by the researcher for the purpose of present study. In order to test the validity of the questionnaires, the instrument is presented to panel of experts in different fields to make it more valid. A preliminary copy of the questionnaire is displayed to (15) experts. Data have been analyzed by using descriptive and inferential statistics.The results of the study indicated that parents exhibit high level of burden due to the handicap caring among their children. There is a significant relationship between the levels of parents' burdens and their child handicap degree and the monthly income. As for the psychological status there are significant differences between the psychological burden and the parents level of education and residency. But there is non - significant statistical points between the parents burden and other parents demographical data.The study concludes that there is a high level of parents burden due to the presence of mental retardation child in the family and that effect on the family. The degree of mental retardation is very important indication about the level of the burden.It is recommended that future study researches should be directed towards exploring psychological intervention factors which help to minimize the burden of care on parents of children with mental retardation.

المشكلات النفسية الاجتماعية لدى كبار السن في دور رعاية المسنين في محافظات الفرات الاوسط == Psychosocial Problems Among Elderly People At Geriatric Homes In The Middle Euphrates Governorates

Author name: وسيم عبد الامير شاكر البصام
Supervisor name: سجاء هاشم محمد الربيعي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: اجريت دراسة وصفية تحليلية خلال المدة من الاول من تشرين الاول من عام 2015 الى تشرين الاول 2016 من اجل تقييم المشكلات النفسية الاجتماعية لدى كبار السن في دور رعاية المسنين في محافظات الفرات الاوسط.عينة غرضية (غير احتمالية) تتالف من (82) شخص مسن قد تم اختيا | Analytical descriptive study was conducted during the period of 1 October 2015 to October 2016 in order to assess the psychosocial problems among elderly people at geriatric homes in the Middle Euphrates Governorates. A purposive sample (non - probability) for (82) elderly people was selected from geriatric homes in the Middle Euphrates Governorates, information was gathered through the use of a questionnaire for assessing psychosocial problems, study tool consist of three parts which contain (53) items. Part one : The first part consists personal information and include age (year) , age at admission, residence years in geriatric homes, gender, previous professions, educational level, social status, economic status, financial support by family, the financial resources.Part two : The second part consists psychological problems (anxiety, depression and suicide ideation) which contains (35) item. Part three : The third part consists social problems (social isolation) which contains (12) item. Reliability is determined by using alpha correlation (Cronbach's Alpha) and the validity is achieved through a panel of (21) expert. Data analyzed through using the Statistical Package of Social Sciences SPSS (Version 20) performed through the use of descriptive statistical data analysis approach, of frequencies, percentages and inferential statistical approach which is presented as an analysis of variable chi - square.The findings of the study indicated that most of elderly people were suffering from psychosocial problems in moderate levels. The majority of the sample of elderly were in the age group (75 - 84) years and most of the elderly who spent in geriatric homes (1 - 4) years, males, divorced and uneducated. Results of the study showed the existence of a high significant relationship among the elderly who were uneducated and divorced which suffered from psychosocial problems.The study concluded that the psychosocial problems for elderly were in the age group (75 - 84) years and in moderate levels.The study recommended to improve care for elderly people and provide psycho educational programs for them to increase their knowledge toward the psychological problems and provide psychological support to improve their psychological status

تقييم مضاعفات ما بعد العملية للمرضى الخاضعين لجراحة العظام في مستشفى الحلة التعليمي == Assessment Of Postoperative Complications For Patients Undergoing Orthopedics Surgery At Al - Hilla Teaching Hospital

Author name: احمد رامز هلال
Supervisor name: فخرية جبر محيبس الزبيدي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: الخلفية : مضاعفات ما بعد العملية تتعلق بنقص في العناية ما بعد العملية تقود الى عدة مضاعفات ربما تتطور في عدة مرضى نتيجة تاثير التخدير العام ومخاطر اخرى مثل طول فترة الرقود في المستشفى، عدم الحركة بعد العملية، التدخين, 000 الخ. كل عوامل الخطورة ربما تؤدي ال | Background : Postoperative complication is a source of concern as insufficient postoperative care leads to many complications which may develop in many patients due to the effect of general anesthesia and other risk factors such as prolonged hospitalization, immobilization after surgery, smoking, …etc. All risk factors may lead to postoperative complications, thus they impose additional economic burdens on the society and the patient.Objectives : The purpose of this study was to assess the postoperative complications in patients undergoing orthopedic surgery and to find out relationship between socio - demographic characteristics, medical information and postoperative complications such as (age, gender, smoking, medication, …etc.). Methodology : The study was carried out from 25 January 2016 to the 30 November 2016, the sample was Non probability sample which consists of (100) adults patients (male and female) who were undergoing orthopedic surgery with lower and upper extremities' under general anesthesia, without chronic disease and age of patients 18 years older at Al - Hilla Teaching Hospital.To achieve the objectives of the study, the researcher established the questionnaire format which was composed of three - part, part one : socio - demographic characteristic (5) items, while part two : consisted of medical information of patients which comprised of (7) items and part three : consisted of (34) items of postoperative complications may happen postoperatively.Results : The results of this study indicated that a high percent of postoperative complications occurred in ages between (18 - 27)years. The study also revealed the highest percentage (38%) of patients were smokers who had high complications. In addition the current study founded that smoking appears to decrease postoperative vomiting rate in smoker (16.2 %) less than non - smoker (36.7 %). The rate of vomiting in female (60%) is more than male (22.3 %). in addition the rate of infection in Smoker (11.6 %) more than non - smoker (1.7%). Total score of complications indicated the significant relationship between socio - demographic characteristics, medical information and postoperative complications like (age, smoking, occupation, education level, and medications used) as it is proved by chi - square tests. Recommendations : According to the current study, the researcher recommends to Increase knowledge of nursing staff regarding postoperative complications by continuing education , so the nurses can identify and prevent postoperative complication.Increase knowledge of patients regarding postoperative complications through provide them by advices or list in which is containing information or pictures that occur in patients with orthopedics surgery such as deep vein thrombosis, wound infection, and how to prevent them.

تقييم الحالة التغذوية للاطفال دون سن الخامسة من العمر في مدينة الحلة == Assessment Of Nutritional Status Among Children Less Than 5 Years Old In Al - Hilla City

Author name: اسماعيل حسن جواد الموسوي
Supervisor name: قحطان هادي حسين الجبوري | حسن علوان بيعي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: اجريت دراسة مقطعية وصفية خلال الفترة من 1 تشرين الاول 2015 الى 27 اب 2016 لاجل تقييم الحالة التغذوية للاطفال دون الخامسة من العمر في مدينة الحله من خلال قياس (الوزن للطول والعمر) من خلال المقاييس الجسمانية, وكذلك لايجاد العلاقة ما بين الخصائص الديموغرافية
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