Show: 25 50 75 100 Results

Search results: 25 out of 389

تقييم الرعاية الذاتية لممارسات الامهات قبل الولادة في مدينة الحلة == Assessment of self - care Practices during Prenatal Period among Mothers In Hilla City

Author name: نور موسى كاظم البياتي
Supervisor name: سلمى كاظم جهاد
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: دراسة وصفيه تحليليه اجريت على عينه غير احتماليه, غرضيه, من اجل تحقيق الاهداف وتقييم ممارسات الرعاية الذاتية للامهات قبل الولادة في مدينة الحلة . ابتداء من 1 الفترة من ديسمبر 2014 الى 3 اغسطس 2015. , تم اختيارهم عشوائيا من مجتمع الدراسة والتي تتكون من (150) امراه حامل ومن خلال مراجعة شاملة من المؤلفات ذات الصلة والدراسات السابقة ، تم بناء الاستمارة استبيانيه لغرض الدراسة. تم تنفيذ عملية جمع البيانات من خلال استخدام اداة الدراسة والاستبيان من الفترة (2 يناير 2015 الى 31 مارس 2015) من اجل تحديد ما اذا تحققت اهداف الدراسة ام لا، واستخدمت نوعين من طرق تحليل بيانات الدراسة. اجريت دراسة تجريبية لتحديد ثبات اداة الدراسة لقياس المتغيرات, (15) ام حامل اختيرت بنفس معايير العينة بشكل عشوائي للمشاركة في جمع البيانات. وتم استبعادها من العينة الاصلية اجريت من الفترة الثالث من يناير ولغاية الحادي عشر منه لسنة 2015 , تم تحليل البيانات للوصول الى النتائج بواسطه استخدام التحليل الوصفي للعينه والتي تتضمن الوسائل الوصفية مثل (التكرارات , النسب المئوية , الوسط الحسابي , الوسيط والانحراف المعياري ) كوسائل تحليلية مثل مربع كاي تشير النتائج من خلال المصادر الى وجود علاقة معنوية عالية بين الخصائص الديموغرافية التقييم العام للممارسات خلال فترة الحمل مثل (العمر المستوى التعليمي نوع العائلة حجم العائلة والمستوى الاقتصادي ) عند قيمة معنوية اقل ,010 ونتائج ذات معنوية عالية فيما يخص (العمل , محل الاقامة) عند قيمة معنوية اقل من,05 0 وتشير النتائج الى وجود علاقة ذات معنوية عالية بين تاريخ الام الانجابي وتقييم ممارسات الرعاية الذاتية والذي يشمل (عمر الحمل الاسقاط ,عدد الولادات الميتة ,التعرض لوسائل الاعلام) عند مستوى معنوي اقل من 0,01وكانت ذات قيمة معنوية (عدد الولادات الميتة , الزيارات الروتينية) اقل من 05 0.وعلاوة على ذلك لا توجد علاقة ذات دلالة معنوية (عدد الولادات الحية, عدد مرات الحمل) تحت قيمة معنوية 0.05 استنتجت الدراسة ان العينة وصلت الى مستوى جيد من الممارسات فيما يخص ( التغذية , النشاط البدني ,النظافة الشخصية , الراحة والنوم والممارسات الاخرى) . اوصت الدراسة بتركيز الجهود على ممارسة النشاط البدني في هذي الفترة وتشجيع وسائل الاعلام النساء الحوامل لمتابعة البرامج الغذائية | A descriptive design study was carried - out in order to achieve the early stated objectives. And to assess the self - care practices during prenatal period among mothers in Hilla city starting from the period 1st of December 2014 to the 3rd of August 2015. A non - Probability was performed convenient sampling, which consists of (150) pregnant women . as randomly selected from the general population. Through an extensive review of relevant literature and previous studies, a questionnaire was constructed for the purpose of the study . The data collection was performed through use of the study instrument and the questionnaire for the period (January 2nd 2015 to March 31th of 2015). In order to determine whether the objectives of the study were met or not, two statistical approaches were used for analyzed the data of the study. A pilot study was conducted in order to determine the reliability of the study instrument which were used for measuring the variable of the study, (15) women who had the same criteria of the study sample were selected randomly to participate in the collection of the data. The sample of pilot study was excluded from the original sample of the study . The study was conducted (from the period January 3rd 2015 to January 11th 2015) . Data analysis approaches were used in order to analyze and assess the results of the study under application of the descriptive data analysis approach. The descriptive data analysis consisted tables such as : (Frequencies (F), Percentages (%), Arithmetic, Mean, Mean of Scores, Standard Deviation) & Inferential data analysis approach such as ( chi - square test) The findings of the study indicated that through result of the study there was a high significant association between the demographical data with their overall assessment of the self - care practices during prenatal period with their (age, educational level, type of the family, family size, economic status) at p - value less than 0.01, and there was a significant (occupational status, Residency) at P - value less than 0.05. The histories of the mother with their overall assessment of the self - care practices during prenatal period that there a high significant association between the histories of the mother with their overall assessment of the self - care practices during prenatal period with their (gestational age, abortion, number of dead, exposure to mass media) at P - value less than 0.01, there was a significant (number of dead, and routine visits) at p - value less than 0.05. Moreover no - significant association with their (Gravida , Para) at P - value more than 0.05. The study concluded that sample showed a good level of practices during this period in regard to (nutritional , physical activity , personal hygiene , rest and sleep & other practices). The study recommended that efforts must ensure the practices of exercises in this period, mass media must encourage pregnant for following the dietary guides.

تقييم الجوانب البدنية والنفسية الاجتماعية لاطفال عمر المدرسة المصابين بمرض فقر دم البحر الابيض المتوسط الشديد في النجف الاشرف == Assessment of Physical and Psychosocial Aspects of School Age Children with Thalassemia Major in Al Najaf Al Ashraf

Author name: عمار عبد الاله عبد الكاظم
Supervisor name: قحطان هادي حسين | سلمى كاظم جهاد
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: اجريت دراسة وصفية في النجف الاشرف للفترة في الثاني من ايلول 2014 ولغاية الثالث من اب 2015, لتقييم الجوانب البدنية والنفسية الاجتماعية لاطفال عمر المدرسة المصابين بمرض فقردم البحر الابيض المتوسط الشديد, ولتحديد العلاقة بين الجوانب البدنية والنفسية الاجتماعية مع المتغيرات الشخصية والصفات السريرية لهم. عينة غير احتمالية (غرضية) شملت (100) مريض لكلا الجنسين مع ابائهم من اطفال عمر المدرسة المصابين بالمرض في النجف الاشرف كانوا مشخصين طبيا ومراجعين الى مركز الثلاسيميا في مستشفى الزهراء التعليمي للولادة والاطفال . تم جمع البيانات من خلال تنظيم استمارة الاستبيان المطورة (النسخة العربية) وكذلك بواسطة المقابلة الشخصية مع كل طفل ووالده او والدته الذي تم شمولهم في الدراسة الحالية. النسخة النهائية لاستمارة الاستبيان تكونت من ثلاثة اجزاء : الجزء الاول تكون من استمارة البيانات الشخصية, الجزء الثاني تكون من استمارة الصفات السريريه.,والجزء الثالث تكون من اربع جوانب : الجانب البدني,الجانب النفسي, الجانب الاجتماعي,والجانب المدرسي.عن طريق تقنية المقابلة المباشرة مع اطفال الثلاسيميا وابائهم. تم تحقيق ثبات استمارة الاستبانة من خلال اجراء الدراسة المصغرة وحددت مصداقيتها من خلال مجموعة مكونة من (17) خبير. وتم وصف وتحليل البيانات باستخدام اساليب الاحصاء الوصفي والاستنباطي. اظهرت نتائج الدراسة الحالية ان التقييم النهائي لعينة البحث, الجوانب البدنية والنفسية والاجتماعية والمدرسية كانت متاثرة بسبب الثلاسيميا الكبرى وان الجانب العاطفي كان اكثر جانب متاثر متبوع بالجانب الاجتماعي والبدني والجانب المدرسي. اوجدت الدراسة ان هنالك تاثير من حيث الجنس وعدد مرات نقل الدم في الشهر على الجانب البدني كما ان العمر والجنس ومستوى الطفل في المدارس الابتدائية والوضع الاجتماعي الاقتصادي ومدة حدوث المرض يؤثر على الجوانب النفسية الاجتماعية للاطفال المصابين بالثلاسيميا الكبرى. اوصت الدراسة بوجود طبيب نفساني واجتماعي في مركز الثلاسيميا للمساعدة في تحسين الصلة بين الاطفال، والمدارس، والاسر، والاطباء. وسائل الاعلام الجماهيري الموجه للصحة في توفير المعلومات للسكان حول الثلاسميا وغيرها من الامراض الموروثة | A descriptive design was carried out in Al Najaf Al Ashraf from September 2nd, 2014 to August 3rd 2015, in order to assess physical and psychosocial (emotional, social, and school) aspects of school age children with thalassemia major, and find out the relationship between physical and psychosocial aspects for those children with socio - demographic characteristics and clinical data. A Non Probability "purposive" sample of (100) school age children with thalassemia major, who were medically diagnosis and attended the thalassemia center of Al - Zahra Maternal and child Teaching Hospital.Data was collected through the utilization of a developed questionnaire (Arabic version) and by means of interview method with each child and their parents who is included in the present study. The final copy of the questionnaire consists of three parts, the 1st part consists of socio demographic data; 2nd part consists of clinical characteristics, and the 3rd part consists of four domains : physical, emotional, social, and school domain, by means of direct interview technique with thalassemia children and their parents.Reliability of the questionnaire is determined through a pilot study and the validity through (17) experts. The data analyzed through the use of the descriptive and inferential statistical analysis procedures.The findings of the present study indicated that the overall assessment for the study sample physical, emotional, social, and school aspects were affected due to thalassemia major and the emotional domain had highly affected domain, followed by the social, and the physical and school domain.The study concludes that the gender and number of blood transfusion per month were affecting the physical aspect of the study sample due to thalassemia major. The age, gender, child primary school levels, Socio - economic status and their duration of disease occurrence were affect the psychosocial aspects of the study sample due to thalassemia major. The study recommends that a psychologist and sociologist in the hematological units is a necessary present to help in promotion a relationship between children, school representatives, the families, and the doctors. Mass media should have awareness in providing information to population about thalassemia and other inherited diseases.

تقييم رضا النساء الحوامل نحو خدمات الرعاية الصحية الاولية المقدمة فـــي مراكـــــز الرعاية الصحية الاولية في مدينة الحلة == Assessment of Pregnant Women Satisfaction with Primary Health Care Services Provided at Primary Health Care Centers in Al - Hilla City

Author name: علي فارس عبد الحسين السعدي
Supervisor name: امين عجيل ياسر الياسري
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: اجريت دراسة وصفية تحليلية في مراكز الرعاية الصحية الاولية للفترة ما بين 1 كانون الاول 2014 الــى10 ايار 2015 من اجل تقييم رضا النساء الحوامل نحو خدمات الرعاية قبل الولادة المقدمة في مراكز الرعاية الصحية الاولية في مدينة الحلة. اختيرت عينة غير احتمالية (عينة غرضية) كان قوامها (220) امراة حامل. جمعت البيانات من خلال استخدام استبانة لتقييم الخدمات الرعاية قبل الولادة والرضا عنها. تكونت اداة الدراسة من اربعة اجزاء والتي تتكون من اولا : المعلومات الشخصية تشمل السكن، العمر، المستوى التعليمي، المهنة والدخل الشهري. ثانيا : معلومات التاريخ الصحي للحامل تشمل عدد مرات الحمل السابقة، مدة الحمل الحالي, عدد الاجهاضات, مضاعفات الحمل, التوعية الصحية وزيارات خلال فترة الحمل, ثالثا : معايير الخدمات قبل الولادة يتكون من (35) فقرة, رابعا : معاير رضا النساء الحوامل ازاء الخدمات قبل الولادة لهم في وحدة رعاية الام والطفل يتكون من (30) فقرة. حدد الثبات والمصداقية من خلال اختبار الثبات والمصداقية التي تحققت من خلال لجنة مكونة من (13) خبير. تم اجراء تحليل البيانات باستخدام برنامج SPSS)) وانجزت عملية تحليل البيانات من خلال استخدام طرائق اسلوب التحليل الاحصائي الوصفي (النسب المئوية، التكرارات، شريط الرسم البياني, الوسط الحسابي ومقياس التكافؤ النسبي (Relative Sufficiency) واختبارات مربع كاي ((Chi - Square tests. النتائج والاستنتاجات من هذه الدراسة تشير الى ان هناك تقييم شامل لخدمات الرعاية قبل الولادة لوحدة صحة الام والطفل كان متوسط المستوى وان رضا النساء الحوامل من خدمات الرعاية السابقة للولادة جيدة المستوى في مراكز الرعاية الصحية الاولية في مدينة الحلة. اوصت الدراسة بضرورة انشاء مراكز صحية جديدة لتقليل الزخم الحاصل على المراكز الصحية وفقا لاعداد النساء الحوامل خلال الموقع الجغرافي للمنطقة. والتركيز على وجود مساحة كافية في بقية مراكز الرعاية الصحية الاولية. وقد تبنت منظمة الصحة العالمية نموذج جديد للرعاية السابقة للولادة في خدمات رعاية الامومة لدينا للقضاء على الحواجز التي تعيق الحوامل من الحضور المنتظم لزيارة الرعاية السابقة للولادة ، ومع القيام بالكشف المبكر عن مضاعفات الحمل بالاضافة الى تعزيز الرعاية الصحية لهم في مجتمعنا | A descriptive design and analytical study was conducted in primary health centers for the period between 1th December 2014 to 10th May 2015 in order to assess pregnant women satisfaction with primary health care services provided at primary health care centers in Al - Hilla City. A Non - Probability (purposive) sample of 220 cases selected from pregnant women in two primary health care sectors including (22) primary health care centers that provide daily antenatal care services. Data were collected through the use of a questionnaire for assessing antenatal care services and pregnant women satisfaction. The questionnaire is comprised of four parts which include : Part - I is concerned with demographic data including age group, residence, occupation, level of education, monthly income, part - II - maternal health history, including gravida, duration of pregnancy, abortion, complications, services provider and type of visits, part - III antenatal care services domain which consists of (35) items, and part - IV pregnant women's satisfaction domain which consists of (30) items. Reliability of the questionnaire is determined through a pilot study and validity is achieved through a panel of (13) experts. Data are analyzed through using the Statistical Package of Social Sciences (SPSS, Version 20) performed through the use of descriptive statistical data analysis approach.The findings and conclusion of the study indicate that there is overall evaluation of the ANC services for MCH unit is fair, the ANC services including family planning, health education and postnatal services need improvement. The ANC services provided in PHC centers were curative for all pregnant women with different of their demographic characteristics and overall pregnant women satisfactions is good in respect to antenatal care services at the primary health care centers in Al - Hillah City.The study recommends the establishment of buildings for primary health care centers according to the numbers of pregnant women within their geographical areas and emphasis on having enough space in the rest of primary health care centers. Adoptions of the new WHO antenatal care model in maternal care services to eradicate women’s barrier to attending regularly for antenatal care visits, and reveal early detection of pregnant women complications and promoting help in maternal health care in our society.

تقييم الاكتئاب والقلق بين مرضى السرطان في مدينة بابل == Assessing Depression and Anxiety among Cancer Patients in Babylon City

Author name: برهان هادي درب السلطاني
Supervisor name: انتصار عبد الغني الخضري
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: دراسة وصفية تحليلية اجريت للفترة ما بين 5 تشرين الثاني 2014 الى 9 نيسان 2015 من اجل تقييم الاكتئاب والقلق بين مرضى السرطان في مدينة بابل. عينة غير احتمالية (غرضية) ل (100) مريض اختيروا من مركز بابل لمعالجة السرطان / مدينة مرجان الطبية، مركز بابل لمعالجة السرطان يجهز تدابير علاجية يومية لمختلف انواع السرطان. قد جمعت المعلومات من خلال استخدام استبانة لتقييم القلق والاكتئاب. تكونت اداة الدراسة من ثلاثة اجزاء احتوت على (71) فقرة. والتي الجزء الاول : احتوت على المعلومات الشخصية وتشملت العمر، الجنس، الحالة الزوجية، المستوى التعليمي، السكن، العمل ونوع العمل والصفات السريرية تشملت نوع السرطان، مراحل السرطان ونوع العلاج. الجزء الثاني تكون من مقياس القلق الذي احتوى على (50) عبارة. الجزء الثالث تكون من مقياس الاكتئاب الذي احتوى على (21) عبارة. الثبات حدد من خلال اختبار معامل الارتباط الفا كرون باخ وحددت المصداقية من خلال عرض الاستبانة على مجموعه من الخبراء (16) خبير. تم تحليل البيانات باستخدام برنامج الاحصائي SPSS)) من خلال استخدام طريقة التحليل الوصفي (النسب المئوية، التكرارات، متوسط القيم، والانحراف المعياري والاحصاء الاستدلالي بطريقة اختبارات مربع كاي. اشارت نتائج الدراسة بان اغلب مرضى السرطان يعانون من مستوى عالي من القلق والاكتئاب. اغلب عينة مرضى السرطان من فئة عمرية (46 - 60) سنة، اناث، متزوجين، غير متعلمين، يسكنون المناطق الحضرية وربات البيوت، مصابين بسرطان الثدي، خلال المرحلة الثانية من السرطان (المرحلة العضوية) واعلى نسبة للعلاج هو العلاج الكيمياوي والجراحي من حيث النوع. اظهرت نتائج الدراسة ان هناك علاقة بين المرضى الاميين، ربات البيوت، المرضى من الموظفين الحكوميين والمرضى الذين خاضعين العلاج الجراحي والكيمياوي مع مستوى القلق الحاد وكذلك مع الاكتئاب الحاد. اوصى الباحث الى تحسين الرعاية وتوفير الدعم النفسي والعاطفي لمرضى السرطان وخصوصا بواسطة الكادر التمريضي، التنسيق بين مركز معالجة الاورام وقسم طب الصحة النفسية لغرض اعطاء العلاج لتقليل القلق والاكتئاب، تثقيف المؤسسات الحكومية لغرض لكشف المبكر عن السرطان وكذلك اجراء دراسات مماثلة على الصعيد الوطني لتقييم القلق والاكتئاب بين مرضى السرطان. | A descriptive analytical study is conducted from 5th November 2014 to 9th April 2015 to assess depression and anxiety among cancer patients in Babylon city. A non - probability (purposive) sample of 100 patient selected from cancer patients in Merjan Medical City, Babylon Oncology Center that provides daily management for different types of cancer. Data was collected through the use of a questionnaire for assessing depression and anxiety. The questionnaire is comprised of three parts, and containing (71) items. part one is consisted Sociodemographic factors include age, gender, marital status, level of education, residence, occupation ,occupation type and clinical characteristics include cancer type, treatment type and cancer stages, part two is the anxiety scale consists of 50 items, and part three is the depression scale consists of 21 items. Reliability is determined using Alfa correlation (Cronbach's Alfa) and the validity is achieved through a panel of (16) experts. Data is analyzed through using the Statistical Package of Social Sciences (SPSS, Version 20) performed through the use of descriptive statistical data analysis approach, such as frequencies, percentages, mean of scores and inferential statistical approach which is presented as analysis of variance chi - square test. The findings of the study indicate that most cancer patients have severe level of anxiety and depression. Most of the sample cancer patients were (46 - 60) age group, females, married, illiterate, lived in urban areas, housewives, diagnosed with breast cancer. Most of them in organic stage and treated with surgical and chemotherapy treatment .It was found that illiterate patients, housewives, government employees, and surgical and chemotherapy treated patients have significantly severe anxiety level. Cancer patients complaining from severe depression level, especially illiterate patients, patients live in rural areas, housewives, government employee and surgical and chemotherapy treatment. The study recommend improving psychological and emotional status for cancer patients of all types, especially by nursing staff after taking chemotherapy treatment. Coordination between oncology center and the Department of Psychiatry in the hospital for giving treatment to reduce anxiety and depression levels. Educate all government institutions to conduct periodic tests for early detection of cancer, especially breast cancer to reduce spread. Conducting similar studies at the national level to assess anxiety and depression among cancer patients.

تعزيز ممارسات العناية الذاتية لمرضى الصرع ببرنامج تعليمي في مركز الفرات الاوسط للعلوم العصبية في مدينة النجف == Enhancing Self - care Practices for Epileptic Patients by Educational Program at Middle Euphrates Neuroscience Center in AL - Najaf City

Author name: حيـــــــدر ابراهيــــــــم علـــــــي
Supervisor name: سحر ادهم علي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: لمعرفة تاثير البرنامج التعليمي في تعزيز ممارسات العناية الذاتيه للمرضى المصابين بالصرع من المرضى المراجعين للعيادة الاستشارية في مركز الفرات الاوسط للعلوم العصبيه في مدينة النجف من الفترة ما بين 3 كانون الاول 2014 ولغاية 26 ايار2015. اعتمد مركزا واحدا كمحيط لجمع بيانات الدراسة، العينة قسمت الى مجموعتين وتم تعريضهم الى اختبار قبلي وبعدي، وتطبيق اسلوب البحوث شبه التجريبية. اختيرت عينة من (57) مريض مصاب بالصرع تتراوح اعمارهم ما بين (18 - 47) سنة، مقسمين الى مجموعة ضابطة وعددهم (30) مريض لم يتعرضوا الى اي برنامج تعليمي لتعزيز الممارسات الذاتية حيال المرض، حيث كانوا قد حصلوا على الاستشارة والعناية الروتينية المقدمة في الاستشارية خلال الزيارة. ومجموعة للدراسة وعددهم (27) مريض حضروا ثلاثة جلسات من البرنامج التعليمي الخاص لتعزيز ممارسات العناية الذاتية. صممت استمارة الاستبانة لتقييم ممارسات العناية الذاتية للمرضى المصابين بالصرع وتتكون من جزئين : الجزء الاول، البيانات الديموغرافيا، والجزء الثاني مقسم الى ثلاثة جوانب : الاول، ممارسات العناية الذاتية في (البيت، المطبخ، الحمام، وفي مكان العمل او الدراسة، واثناء النوم)، ثانيا، تعزيز ممارسات العناية الذاتية فيما يتعلق باستخدام الادوية، والجزء الثالث يتضمن ممارسات العناية الذاتية فيما يتعلق بالعوامل النفسية الاجتماعية التي تثير نوبة الصرع.فيما يتعلق بمصداقية الاستمارة تم تقيم وتحديد المحتوى خلال الدراسة الارشادية التي اجريت في الفترة من 3 الى 31 كانون الاول 2014، اما مصداقية محتوى الاستمارة فقد حدد بعد توزيع الاستمارة على (16) خبير حيث اخذ بنظر الاعتبار كل مقترحاتهم، تم جمع البيانات بمقابلة المرضى.النتائج في الاختبار البعدي اظهر اختلاف كبير في ممارسات العناية الذاتية بين اعضاء المجموعة الضابطة عند مقارنتهم بالاختبار البعدي لمجموعة الدراسة.التوصيات : بناء برنامج تعليمي لتزويد مرضى الصرع بمعلومات خاصة وتثقيفهم حول ممارسات العناية الذاتية للسيطرة او تقليل نوبات الصرع. بالاضافة الى وضع خطة لتزويد المرضى بهوية تعريفية للمحافظة وجدولة المتابعة لحالة المريض الصحية بهدف تغطية احتياجات وحل المشاكل التي تواجه المرضى. | In order to determine the effectiveness of the educational program to enhance self - care practices for epileptic patients who visit the clinic in the Middle Euphrates Neuroscience in AL - Najaf City , from the period 21 December 2014 to 26 March 2015. Single center was used as a setting for collecting data, two groups, pre - test and post - test quasi - experimental study design conducted A convenience purposive sample of (57) patients who diagnosed with epilepsy aged from (18 - 70) years was divided into : (n=30) act as control group who did not receive self - care practices educational program and who received a routine care in the clinic during visit. The study group (n=27) who attended three sessions of self - care practices educational program. Questionnaire which was constructed to assess self - care practices for epileptic patients, contained of two parts : First ,demographical data, and second part divided for three aspects : First, self - care practices at (home, kitchen, , bathroom, and work or study place and sleeping ), second : self - care practices related to medication consumption, and the third aspect includes self - care practices related to psychosocial factors that trigger the seizure.To test the content validity of the pre - test form distributed among (16) experts, and according to their notes and suggestion the final form was constructed. In addition to that the reliability was (0.76) investigated through a pilot study by applying coefficient of correlation and interrate reliability. Mean and stander deviation were used to determine the findings, t - test was used in statistical analysis methods in results of current study. The results in post - test show highly significant differences in self - care practice among study group members when compared with the post - test of the control group.The researcher recommended that the epileptic patients should provide with specific information and education about self - care practices to control or decrease seizure attacks. Identification cards policy should be planed to maintain scheduled follow - up to ensure the patients progress in order to cover the needs and solve problems.

تقييم رضا المرضى من حيث العناية التمريضية المقدمة لهم في المستشفيات العامة في مدينة النجف الاشرف == Assessment of Patients' Satisfaction Regarding Nursing Care Provided at General Hospitals in Al - Najaf Al - Ashraf City

Author name: رياض عواد عبد الحسين الزيادي
Supervisor name: منى عبد الوهاب خليل
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: Patients are considered to be the best source of information about a hospital system’s communication, education, and pain - management processes. Patients' satisfaction has become an important indicator in measuring the quality of care rendered to the patients while in hospitals. A descriptive Cross - Sectional study design is carried throughout the present study from November 11th, 2014 to July 2nd 2015, to assess of patients' satisfaction with nursing care provided at medical and surgical wards, and to determine the relationship between the satisfaction levels of patients with their demographic variables. A Non Probability "purposive" sample of (150) patients were included in the present study. The data was collected through the utilization of a developed questionnaire (Arabic version) and by means of interview with each patient included in the present study. The final copy of the questionnaire consists of the following parts : the first part is composed of patient's demographic data sheet. Second part includes the Patient's Satisfaction form. Validity of the study instrument was determined through the panel of (14) experts, and the reliability of the study questionnaire through the pilot study. Descriptive and inferential statistical analyses procedures were used for data analyses. The study demonstrated that there was an accepted satisfaction among the nurses - patient's communication, also with nursing care domain. In addition, the study subjects were satisfied with the skills and competency of the nurses in performing nursing care procedures. There was a non - significant relationship between the patient’s satisfaction with nursing care domain and all of the demographic variables, except with the study subject’s gender, levels of education, occupation, and monthly income. The study concluded that majority of the study sample were satisfied with nursing care provided in medical and surgical wards at studied hospitals. Except the patients' gender, levels of education, occupation, and monthly income had effect on. The study recommended to nursing administrators and nurses that they can utilize the findings of the present study to recognize the strengths and weaknesses of nursing care services and adopt necessary measures in enhancing quality of nursing care to increase patient satisfaction. More emphasis to be put on importance of patients satisfaction especially with nursing care in the curriculum of medical and nursing colleges as well as health institutes and nursing schools.

تقييم مطاوعة المرضى للنظام العلاجي عند الاصابة بامراض القلب التاجية في مدينة النجف == Assessment of Patients Compliance Regarding Therapeutic Regime with Coronary Heart Disease in Al - Najaf City

Author name: احمد كاظم خشالة الزرفي
Supervisor name: فخرية جبر محيبس الزبيدي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: امراض القلب التاجية, ايضا تعرف بامراض الشرايين التاجية وسببها ترسب او تراكم اللويحات على جدران الشرايين وتعرقل سريان الدم الغني بالاوكسجين للوصول لعضلة القلب وتكون هذة اللويحات خليط من الدهون والاملاح. هذة الامراض تعتبر مشكلة صحية في جميع دول العالم، وتؤثر على اغلب السكان وخاصة في دول العالم النامية وتصيب البالغين وليست كبار السن فقط.المنهجية : - اجريت دراسة وصفية في محافظة النجف /مركز النجف لجراحة القلب والتداخل القسطاري, للفترة من الرابع من كانون الاول, 2014 ولغاية السابع والعشرون من ايار, 2015, لتقييم مطاوعة المرضى للنظام العلاجي المصابين بامراض القلب التاجية. وتحديد العلاقة بين الصفات السكانية المتعلقة بالمرضى, ونوع المرض, والعوامل الاجتماعية والاقتصادية, ومدى مطاوعة المرضى للنظام العلاجي واتباعه. اخذت عينة "غرضيه" متكونة من (150) مريضا يعاني من امراض القلب التاجية, من اللذين زاروا مركز النجف لجراحة القلب والتداخل القسطاري, جمعت المعلومات من خلال استخدام الاستبانة التي تم تطويرها بعد تحديد صدقها وثباتها وباستخدام تقنية المحاورة مع المرضى. حددت ثبات استمارة الاستبانة من خلال اجراء الدراسة المصغرة وحددت مصداقيتها من خلال مجموعة مكونة من (19) خبير. وتم وصف وتحليل البيانات باستخدام اساليب الاحصاء الوصفي والاستنباطي.النتائج : - اظهرت نتائج الدراسة ان التقييم النهائي لالتزام المرضى بالنظام العلاجي كان مناسب. بالاضافة الى ان التقييم النهائي للعوامل الاجتماعية والاقتصادية وتاثيرها على التزام المرضى بالنظام العلاجي كان مناسب ايضا.الاستنتاج : - اوجدت الدراسة ان هنالك تاثير للعوامل المتعلقة بالمرضى, والعوامل المتعلقة بالمعالجة والمرض, والعوامل الاجتماعية والاقتصادية على مطاوعة المرضى المتعلق بالنظام العلاجي عند الاصابة بامراض القب التاجية. التوصيات : - اوصت الدراسة بان الارشاد والمتابعة يجب ان يستمر، على سبيل المثال في الزيارات المنزلية عن طريق الزائر الصحي، العيادات الاستشارية او البطاقة الصحية يمكن ان تساعد المرضى على التاقلم مع النظام العلاجي. يجب ان تكون هنالك خطة تثقيفية صحية لتوعية المرضى لكي يكون استجابتهم بشكل افضل وبتحسن مستمر. بالاضافة, الاعلام والبرامج الصحية ووحدات تتعزيز الصحة يجب ان يكون لها دور بارز في زيادة المعرفة والادراك والوعي لدى الناس حول امراض القلب التاجية مثل (الذبحة الصدرية, واحتشاء العضلة القلبية) ومخاطر هذة الامراض واهمية مطاوعة المرضى للنظام العلاجي. علاوة على ذلك بناء نظام واساليب خاصة تتقالم وتنسجم مع المتابعة ووضع حلول لهذة المشاكل المتعلقة بمطاوعة المرضى للنظام العلاجي. | Coronary heart disease (CHD) also referred to as coronary artery illness, is caused by the buildup of plaque within the arteries that source oxygen - rich blood for the heart. Plaque, a number of fat, cholesterol, and calcium deposits, can develop in the arteries over a long time. They are the leading causes of death in both developed and developing countries, accounting for approximately one third of all deaths worldwide. All age groups may die from a heart attack. But older people are more inclined to die than younger people.Methodology : - Descriptive study is carried out in Al - Najaf City at Al - Najaf Center for Cardiac Surgery and Trans Catheter Therapy, from December, 4th, 2014 to May, 27th, 2015, in order to assess patients compliance regarding therapeutic regime with coronary heart disease in Al - Najaf City, and to find out the association between the demographic data, clinical data, social and economic statuses, and the patients' compliance to the therapeutic regime. A Non - Probability (Purposive Sample) of (150) coronary heart disease patients, those who visit Al - Najaf Center for Cardiac Surgery and Trans Catheter Therapy, the data were collected through the utilization of the developed questionnaire after the validity and reliability are estimated, and by means of interview technique. Reliability of the questionnaire is determined through a pilot study and the validity through (19) experts. The data analyzed through the use of the descriptive and inferential statistical analysis procedures.Result : - The findings of the present study indicated that the overall assessment for the patient’s compliance therapeutic regime is fair, also the social and economic factors and the patients' compliance therapeutic regime with coronary heart disease is fair.Conclusion : - The study concluded that there is a strong effect of the patient's centered of the disease and therapy, and the social and economic factors, on the patient's compliance therapeutic regime with coronary heart disease.Recommendations : - The study recommended that reinforcement should be employed (e.g., home visits, visits outpatient’s of the medical center) may help patients to cope with their therapeutic program. Should be the recommendations must participate in the educational insurance policy for patients so as to improve their compliance. In addition health oriented mass media approach should be employed to increase population knowledge and awareness of coronary heart disease (e.g. angina, myocardial infarction) and the importance of the patient’s compliance therapeutic regime. Moreover establishment of special policies which deal with the monitoring and managing the problems associated with the patients' compliance to the therapeutic regime.

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.

فاعلية البرنامج التثقيفي على معارف وممارسات العاملين الصحيين تجاه السيطرة على العدوى في مراكز الرعاية الصحية الاولية في مدينة كربلاء المقدسة == Effectiveness of an Education Program on Health Care Workers' Knowledge and Practices toward Infection Control at Primary Health Care Centers in Holy Karbala City

Author name: سلمان حسين فارس الكريطي
Supervisor name: اركان بهلول ناجي
General topic: Medicine
Specific topic: Nursing
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: دراسة شبه تجريبية اجريت في مراكز الرعاية الصحية الاولية في مدينة كربلاء المقدسة للفترة من اذار 2102 . لغاية نهاية شهر نيسان 2102 لقد هدفت الدراسة الى تقييم فاعلية البرنامج التثقيفي على معارف وممارسات العاملين الصحيين تجاه السيطرة على العدوى في مراكز الرعاية الصحية الاولية في مدينة كربلاء المقدسة. تم تقييم الاحتياج للبرنامج التثقيفي، واظهرت نتيجة التقييم وجود ضعف في معارف وممارسات العاملين الصحيين تجاه السيطرة على العدوى في مراكز الرعاية الصحية الاولية.) شملت عينة الدراسة ) 22 عاملا صحيا اختيروا بشكل غير عشوائي )عمدي( ، وقد قسمت العينة الى مجموعتين مجموعة الدراسة ) 22 ( عاملا صحيا، والمجموعة الضابطة ) 22 ( عاملا صحيا . تم بناء برنامج تثقيفي حسب احتياج العاملين الصحيين واعدت ثلاث استمارات واحدة للمعلومات الخاصة بالعينة لتحديد صفاتها، واستمارتين لتقييم معارف وممارسات العاملين الصحيين ، استعملت للاختبار القبلي والبعدي. تم تحقيق مصداقية الاداة بعرضها على مجموعة خبراء لمراجعتها وتحديد درجة مصداقيتها، وتم تحديد ثبات اداة القياس من خلال الدراسة التجريبية.تم الاختبار القبلي لافراد المجموعتين ومن ثم تطبيق البرنامج التثقيفي لمجموعة الدراسة فقط للفترة من التاسع عشر لغاية الثالث والعشرين من حزيران 2102 ، تم الاختبار البعدي الاول مباشرة بعد تنفيذ البرنامج، ثم الاختبار البعدي الثاني بعد اربعة اسابيع من الاختبار البعدي الاول.تم تحليل النتائج باستخدام الاحصاء الوصفي والاحصاء الاستدلالي. اظهرت النتائج استفادة العاملين الصحيين بعد تطبيق البرنامج التثقيفي حيث الزيادة في مستوى المعرفة والممارسة للعاملين الصحيين وان البرنامج التثقيفي الخاص بالسيطرة على العدوى كان فعالا في تحسين معارف وممارسات العاملين الصحيين المشاركين فيه وعدم وجود اختلافات هامة بين مستوى تحسين معارف وممارسات العاملين الصحيين نتيجة لتطبيق البرنامج طبقا للعمر، المستوى التعليمي، سنوات الخبرة والمشاركة في الدورات التدريبية في الاختبار البعدي لمجموعتي الدراسة والضابطة باستثناء سنوات الخبرة في مجموعة الدراسة فقد اظهرت النتائج وجود اختلافات هامة بين مستوى تحسين معارف العاملين الصحيين في الاختبار البعدي لمجموعة الدراسة .واوصت الدراسة بتوفير الادلة الارشادية والتاكيد على اهمية التعليم المستمر للعاملين الصحيين باستعمال الممارسات المعتمدة على الادلة لتطبيق الاحتياطات القياسية للسيطرة على العدوى. وان هنالك حاجة لاكثر من برنامج تثقيفي حول السيطرة على العدوى في كل مراكز الرعاية الصحية الاولية ولعينة اكبر لتستفيد من النتائج . | A quasi experimental study was carried out at the primary health care centers in holy Karbala city from March 2016 to the end of April 2017.The study aims to assess the effectiveness of an educational program on the knowledge and practices of healthcare workers in Karbala city. Assessment of needs was done to evaluate the needs for the educational program. The result of the assessment revealed that the healthcare workers had deficit knowledge and practice regarding infection control in primary health care centers. A Non - Probability sample of (52) healthcare workers was selected randomly and divided into two groups : (26) considered as a study group and the other (26) considered as control group. An educational program was constructed, and three formats were developed one for assessing demographic characteristics of sample, the other two for assessing healthcare workers knowledge and practice. Validity of the instrument was determined through content validity by a panel of experts, and reliability of the tool was determined through a pilot study.A pre - test was done for both groups; educational programs were applied only for the study group from June 19th to June 23rd 2016. Then the first post - test was applied after the implementation of the program and the follow up after four weeks from 1st post test.Analysis of data was performed through the application of descriptive and inferential statistics.The findings revealed that the healthcare workers of the study group had benefited from the implementation of the educational program; their knowledge and practice were significantly improved comparing with the control group, the infection control education program was found to be effective in knowledge and practices improvement to the participant HCWsand non - significant association between HCWs knowledge and practice improvement effect result by application of the education program and their age, education, years of experience and training session in post - test I for study and control group. Except for years of experience in study group it shows a significant association with knowledge improvement.The study recommends the availability of written guidelines and focus on the importance of continuing education for HCWs using the evidence - based practices for application of standard precautions of infection control; and more educational programs of infection control are needed in all PHC centers and on a larger sample to benefit from the results.

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.

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

اثر عوامل البيئة الاجتماعية على سلوك سيطرة وزن المراهقين في المدارس الثانوية في مدينة بغداد == Impact of Socio - Environmental Factors Upon Adolescents' Weight Control Behaviors In Secondary Schools At Baghdad City

Author name: بثينة بشير صالح
Supervisor name: اقبال غانم علي معلة
General topic: Medicine
Specific topic: Nursing
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: دراسة وصفية(مقطعية) اجريت في جانبي الكرخ والرصافة لمعرفة اثر عوامل البيئة الاجتماعية على سلوك سيطرة وزن المراهقين في المدارس الثانوية في مدينة بغداد للفترة من 20 من شهر نيسان لعام 2013 الى نهاية تشرين الاول لعام 2014.تهدف هذه الدراسة للتعرف على عوامل ال | Overweight and obesity are one of the biggest threats for public health, both in children and adolescents. Fair enough, a lot of attention is paid towards this threat. However, hardly any attention is paid to weight loss behavior in normal weight children and adolescents. Teenagers who consider themselves as too fat who were negative body image a high risk for unnecessary weight loss behavior. A Cross - Sectional Descriptive study was conducted on impact of socio - environmental factors upon adolescents' weight control behaviors in secondary schools at both sides Al - Karkh and Al - Risafa sectors of Baghdad city. The study period started from 20th of April 2013 to the end of October 2014. The study aimed to find out the relationship between weight control, and socio - environmental factors and adolescents' demographic data (age, gender, Body Mass Index, and socio - economic status), and find out the impact of socio - environmental factors upon adolescents' weight control behaviors. A non - probability (purposive sample) of secondary adolescent schools , while 1254 adolescents' students were chosen randomly from that schools. The study instruments consist of four parts. The first part concerned with adolescents' students and their parents? socio - demographic data; the second part is about adolescents' students eating patterns and their meals list at home. The second part is divided into six sections. The 1 section consists of 28 items : the adolescents' students eating patterns and meals list at home, section 2 and 3 contains 16 items : for eating the snacks and fast food, section 4 is composed of 12 items : which are about adolescents' students eating time in schools with peers, section 5 has 12 items : related to the reasons of skipping meals, and section 6 consists of 6 items : about adolescents' lifestyle. The third part is about the physical activities and dieting programs, it consists of 7 items. The fourth part 10 items are related to the adolescents' weight control behaviors. Test - retest determined the reliability of the study instrument which was r = 0.90. A descriptive statistical analysis (frequencies and percentages) and inferential statistical analysis, and (chi - square) were used. The result of the study sample indicated that more than two fourth of the Body Mass Index was almost equal in under or normal weight while the another half were overweight and obese, and the sample's family socio - economic status was in high or low level status. The study indicated most of the adolescents' took breakfast at home, eating snacks, reasons of skipping breakfast meal, and their lifestyle had a highly significant association with their gender and that indicate no differentiate between their gender eat what they want at any time. The results of the study reflected the adolescents' students eating lunch and dinner at home, and reasons of skipping breakfast meal had no significant association with their ages. The adolescents' students favorite to eat snacks and fast food at home and it's had a highly significant association with their Body Mass Index. Also there is a highly significant associated for the study sample socio - environmental factors with their socio - economic status. The results of the study reflect that is a highly significant association between eating habits and their total weight control behavior methods. The study recommended the Ministry of Health need to activate the nutritional program strategies for weight management within school health services, and need to increase establishment other especial centers for managing adolescents from risk for overweight and obesity like as Obesity Research and Therapy Unit in AL - Kindy College of Medicine and Nutrition Research Institute. I suggest a schedule as a guideline for healthy nutritious for weight control and achieve daily physical activity Finally Ministry of Education need to involved teachers in that strategies and training them in relation to these programs.

تقويم التعلم الموجة الذاتي للممارسات المختبرية المتعلقة باعطاء الدواء لطلبة كليات التمريض في جنوب العراق == Evaluation of Students' Self - Directed Learning Laboratory Practices Related To Administration of Medication In Southern of Iraq Nursing Colleges

Author name: حيدر علي حسين الوحيلي
Supervisor name: نرمين بدري توفيق البارودي
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: المقدمة : الصعوبات التي تواجه تعليم التمريض تكمن في انتاج القوى العاملة التمريضية وهذا يتطلب رعاية الطلاب بالكفاءات اللازمة التي من شانها تسهيل انتقالهم من طلبة التمريض الى ممرضين كفوئين مؤهلين في وظيفتهم. حيث ان للتعلم الموجه الذاتي اهمية كبرى في تطوير ق | Background : The challenge in nursing education lies in the production of a nursing workforce. This requires nurturing the students with the necessary competencies that will facilitate their transition from nursing students to qualified staff nurses. Self - directed learning is of great importance to the professional development of nursing students. It enables them to expand the knowledge and enhance the quality of their practice. Nursing students must keep abreast of new information, current and emerging trends, medical technology and related scientific and professional publications to be able to function effectively in a constantly changing workplace. Self - directed learning helps nursing students remain flexible, open to change, current in practice skills, and at the same time it helps in the growth of the students’ confidence and professionalism. Objectives : The aim of the study is to evaluate the students' self - directed learning laboratory practices related to administration of medications procedures (Intramuscular injection, Intravenous injection and oral medication ). Methodology : Across sectional design was has been carried out at three colleges of nursing in the south of Iraq and used in the present study from 23th February 2015 to 15th May , 2015. To evaluate nursing students' self - directed learning in applying laboratory practices related to administration of medication in southern of Iraq. The present study was conducted in southern Iraq at three nursing colleges which included (Missan, Thi - Qar and Basra nursing college ). Purposive sample was selected which consist of (90) first year of nursing students( 45) male and (45) female and the sample contained (30) students from each college after the consent of the participants. The check - list consists of two parts, the first part is general information about the study sample of nursing students (4 items) and the second part is an ideal observation check list which includes (73) items including three procedure technique which consists of the intramuscular injection ( 25 )items, intravenous injection (28) items and oral medications (20) items that concerned with students self - directed learning laboratory practices technique. Each procedure has three steps of strategy technique (preparation , equipments and procedure ) which are considered important steps that must be performed by students. The items concerning students self - directed learning laboratory practices are rated on three levels likert scale; (satisfy , need more practice and unsatisfied ). Reliability of the evaluation check - list competency is determined through the use of check - list is based on Cronbach's practices. The instrument validity is determined through a panel of (15) experts.The present study are analyzed through the application of two statistical approaches. A descriptive statistical approach includes (frequency, percentage, Mean of score (M.S.) and standard deviation (SD) and an Inferential statistical approach includes (Chi - Square,t - test, ANOVA). Results : The result of the study indicate that the majority of the first nursing students' satisfaction in general have high level of the self - directed learning in laboratory practices. During application the result show that s (96.7%) intravenous , (93.3%) intramuscular and (88.9%) oral medications administration and also the study declared non significant relationship between self - directed - learning (students lab practice) and their demographic data. Recommendations : This study recommended that : . 1 - Introduce a policy and supportive plans to assist and encourage personnel of every nursing students to the colleges.2 - Extensively apply self - directed learning as a method of learning for their professional and self - development and develop visual aids for learning and set up comprehensive.3 - Update the sources of learning for example public library , the internet service, communications room and/or educational technology room. 4 - Facilitate suitable environment for nursing students in searching for information they need for learning and self - development. 5 - Every these recommendation addressed to ministry of higher education/ colleges of nursing.

تقييم رضا المسنين باتجاه الرعاية الصحية في دار المسنين في مدينة بغداد == Assessment of Elderly'S Satisfaction Toward Health Care At Geriatric Home In Baghdad City

Author name: عادل عبد الزهرة عطية
Supervisor name: محمد فاضل خليفة
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: اجريت دراسة وصفية لتقييم رضا المسنين باتجاه الرعاية الصحية في دار المسنين في مدينة بغداد للفترة من 26 تشرين الثاني 2013 الى3 ايلول 2014، تهدف الدراسة الى تقييم رضا المسنين باتجاه الرعاية الصحية من خلال مجالات الرعاية مثل (طلب الرعاية الصحية، تناول الع | A descriptive study concerning the assessment of elderly's satisfaction toward health care at geriatric home in Baghdad city. From November 26th, 2013 to September 3rd, 2014. is to assess the elderly's satisfaction toward health care through the use of the domains of health care seeking, nutrient intake, physical activity, drug use, psychological aspect, social aspect, and to find out the relationship between elderly's satisfaction and their demographic characteristics of age, gender, marital status, level of education, health state, and economic status. The selection of the sample through a non - probability 'purposive sample' is (N=86) from elderly aged 65 years and over who reside in geriatric home. Data are collected through interview using questionnaire tool and analyzed through the application of descriptive and inferential statistical analysis which reveal, the reliability of the questionnaire which is determined through a pilot study and the validity is achieved through a panel of (18) experts. The study results showed demographic characteristics analysis of the sample concerned, the large number of the sample that was with age (65 - 69) years (34.9%) and also showed that majority of study sample (59.3%) are men and the remaining are women, and with regard to marital status it was found that many of them are widows and their percentage (38.4%) Regarding subject level of education, the greater number of them are illiterate and they are accounted for (48.8%) In addition, the majority of the elderly who suffer from chronic disease are (73.3) while the majority of them have no previous surgery and their percentage (58.1%) Regarding housing ownership (74.4%) they are absent or (do not have a house), and most of the elderly's monthly income is (53.5%) insufficient. The present study concluds : the vast majority of the elderly population are illiterate who do not have opportunity for better education. In addition, the elderly were generally satisfied with health care, and it was the best domain of elderly satisfaction is the nutrient intake and the less domain of health care seeking. While the study showed that, the demographic characteristics of elderly had no impact upon their overall satisfaction toward health care except the level of education. Therefore, that gender affects the satisfaction of the elderly in seeking of health care. In addition, the monthly income effects on elderly satisfaction with nutrient intake. As well as the age and suffering from chronic diseases affecting the physical activity domain and with level of elderly satisfaction in this aspect there is an impact of each gender, level of education and monthly income of the elderly on their satisfaction towards the social domain, the age affects the elderly satisfaction with psychological domain. The study recommended Promotion of health care provided to the elderly especially with regard to access to health care and the practice of physical activity. The Ministry of Labor and Social Affairs, in cooperation with the Ministry of Health can establish a special health center for the elderly to help them to get health care. As well as the establishment of a sports hall equipped to encourage the elderly to exercise of daily activities sports. Work of collective entertainment trips continuously to improve elderly mental and social state. Study should be conduct to assess satisfaction among the elderly residents in geriatric homes and others in their own about health care services (comparative study).

فاعليه تطبيق الممرضين للممارسات القياسية على العناية بالاطفال حديثي الولادة المصابين بمتلازمة كرب التنفس في وحده العناية بالاطفال حديثي الولادة في مستشفيات بغداد للاطفال التعليمية == Effectiveness of Nurses Application of Standard Practices On Care of Newborn With Respiratory Distress Syndrome In Neonatal Care Unit At Children And Maternity Teaching Hospitals

Author name: محمد عزيز حسن
Supervisor name: اقبال غانم علي معلة
General topic: Medicine
Specific topic: Nursing
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: اجريت دراسة شبه تجريبية في مستشفيات بغداد للاطفال التعليمية للفترة من 28 من كانون الثاني الى الاول من ايلول لسنة 2014 لتقييم فاعلية تطبيق الممارسات القياسية للممرضين والذين يتعاملون مع الاطفال حديثي الولادة المصابين بمتلازمة كرب التنفستم تقييم الحاجة من | A quasi experimental(interventional) study was carried out at Baghdad pediatric teaching hospitals in Baghdad from the 28th of January to the 1st of September 2014 to assess the effectiveness of the application of standardized practices to nurses dealing with neonate with respiratory distress syndrome. Assessment of needs was done to evaluate the nurses practices towards neonates with respiratory distress syndrome in neonatal care unit(NCU) by using a special format which includes multiples questions related to nurses knowledge and practices for 10 nurses works at the private Nursing home.The result of the assessment revealed that the nurses have poor knowledge and practices towards neonates with RDS. A pretest test was performed before the application of the program for 35 nurses, three of them was out of the study sample.Observation their practices based on the standardized items which was prepared by the researcher and extensive review of the literature. A non - probability (purposive) sample of 32 nurses who work in the neonate intensive wards was chosen to be involved in study sample, and an educational program was designed based on the results and basic nursing guidelines related to care for neonate with respiratory distress syndrome, it consists of two parts : the first part consists of demographic data, and the second part consists of an observational checklist format related to the nurses practices in care of neonate with respiratory distress syndrome. The questionnaire was used to observe the nurses practices in the pre - test applied before the program started , post - test 1 immediately after the application of the program, post test 2 after 1 month from the post test 1,and a post 3 after 2 months from the second post test. The reliability of the questionnaire was conducted through a pilot study and validity through a panel of experts. The data were analyzed through the application of a descriptive statistics frequencies ,percentages ,and application of inferential statistical procedures which include Pearson correlation coefficient and paired test. The finding of the study revealed that the nurses practices towards neonates with respiratory distress syndrome were improved after the implementation of the program in most of the items of the post test 1 ,2,and 3 of the program, and there is a significant association between nurses' practices and their level of education in most of the program items, There was also a significant association between nurses practices and years of their experiences. The study recommended increasing knowledge and practices of the nurses working in the neonatal care unit through regular training courses, in addition to increasing the number of graduated nurses from the College of Nursing in this critical unit.

تاثير البرنامج التثقيفي التمريضي على معارف وممارسات الملاك التمريضي ازاء التاهيل القلبي لمرضى النوبة القلبية == The Effectiveness of Nursing Educational Program On Nurses Knowledge And Practices Toward Cardiac Rehabilitation For Patients With Heart Attack

Author name: احمد عجلان علاوي ناصر
Supervisor name: حكيمة شاكر حسن
General topic: Medicine
Specific topic: Nursing
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: اجريت دراسة شبه تجريبية في مستشفى الشيخ زايد ومستشفى الصدر العام ومستشفى الكرخ العام ومستشفى الكرامة ومدينة الامامين الكاظمين الطبية ومستشفى بغداد التعليمي للفترة من الاول من ايلول2013 الى الاول من ايلول2014 تهدف الدراسة الى تقويم فاعلية البرنامج ال | A quasi - experimental design study was carried out at the AL - Sheikh Zayed hospital; AL - Sader; Al - Karkh ;AL - Karama ;Imameinkadhimein medical city and Baghdad Teaching hospital during the period from 1st September 2013 to 1st September 2014. The objective of the present study is to evaluate the effectiveness of nursing education program on the nurses knowledge and practice toward cardiac rehabilitation phase one for patients with heart attackThe program and instrument were constructed and developed by the researcher for the purpose of the study A random sample composed of (80) nurses was divided into two groups , the experimental group consisted of (40) nurses exposed to the nursing educational program and control group consisted of (40) nurses were not exposed to the program.Reliability of instrument was determined through the use of test and retest for the knowledge test and inter - observation for practice and the instrument validity was determined through a panel of experts. The instrument to measure the effectiveness of nursing educational program on nurses knowledge and practice included (30) items concerning the nurses knowledge and 58 items included nurses practice nurses practices toward cardiac rehabilitation phase one for patients with heart attack.The analysis of data was performed through the application of description statistic(Frequencies, Percents, and Cumulative Percentages , Mean of Score , Standard Deviation , Relative Sufficiency ) and Inferential statistical (Contingency Coefficients , Chi - Square test , Fisher to present the differences between the experimental and control groups. The results of the study shows that the nursing educational program regarding nurses knowledge toward cardiac rehabilitation program phase one is effective. They also shows that there is a good improvement with highly statistically significant differences between pre - post tests of experimental group in overall domains related to nurses practice in items of health assessment heart, assessment chest pain, cardiogenic shock, daily activity living and health education. The study concluded that the nurses working in coronary care unit have deficient knowledge and practices toward cardiac rehabilitation phase one for patient with heart attack. The study also confirms that the instruction oriented program on nurses in the experimental group is successful. The study recommended that the nurses staff can be encouraged and having motivation for being participated in the special training programs and conference to fulfill the nurses needs concerning defects and limitations ed in their practice toward cardiac rehabilitation phase one for patient with heart attack.

اثر عنف وسائل الاعلام المتلفزة على الحالة النفسية والاجتماعية لاطفال المدارس الابتدائية في مدينة الناصرية == Impact Of Televised Media Violence Upon Children'S Psychosocial Status At Primary Schools In Al - Nasiriyah City

Author name: اسامة صباح شهيد الموسوي
Supervisor name: اقبال غانم علي معلة
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Baghdad
First pages:

فاعلية البرنامج التثقيفي على المعارف التمريضية ازاء التاثيرات الجانبية للعلاج الاشعاعي في مستشفى الامل الوطني لعلاج السرطان في مدينة بغداد == Effectiveness Of An Educational Program On Nurses’ Knowledge Concerning Side Effect Of Radiotherapy At Al - Amal National Hospital For Cancer Management In Baghdad City

Author name: حسام جبار مجيد
Supervisor name: وفاء محمد عطوف العطار
General topic: Medicine
Specific topic: Nursing
Degree: Master
Language: English
University location: Baghdad
First pages:
1 ... 11 12 13 14 15 16