Background: Stroke is one of the major healthcare challenges, being one of the leading causes of death, disability, and dependency in the activity of daily living worldwide Homecare of stroke patients is having a great role in the patient recovery. Patient family caregivers and relatives can play an important role in the care of patients. But how to continue proper care of the patient at home after discharge, they don't know what to do and don't have practice as well. In this view, the researcher believes that it might be a great help for caregivers and the patients to teach theirs about stroke and home care of stroke patients. Objective: The study aims to evaluate the effectiveness of a planned health teaching on the caregiver's knowledge and competence of home care of stroke patients. Therefore, improve the patients' functional ability. Methods: The two group pre and post-test, quasi-experimental design was conducted among 50 caregivers of stroke patients, assigned to 25 caregivers as a control group and 25 caregivers as an experimental group. The study was done in the university hospital at El Fayoum city from 1st March 2019 to 31st August 2019. Four tools were used for data collection after reviewing relevant data as the following; a structured interviewing questionnaire, caregiver's knowledge questionnaire regarding stroke, caregiver's practices regarding bed position, Position Change and Transfer, and Range of Motion Exercises, and patient function ability assessment according to Barthel index. Results: revealed that there was a poor score level of knowledge and competence of home care practices before the intervention. However, there was an improvement of score level in the control and experimental group post-intervention, but the higher score was observed in the experimental group. The mean score level of patient functional ability in the experimental group improved than the control group through follow up. Highly statistical significance was found between control and experimental group post-intervention related to knowledge and practices. A positive significant correlation between caregiver's practices and patients function ability in the experimental group was found. Conclusion: planned health teaching is important after patients discharge to increase the caregiver's knowledge and competence of home care practices of post-stroke patients; resulting in improved patient functional ability.

Background: ZIKА infection may have long-term effects on reproductive health in addition to the neurological consequence in newborns. So, Awareness regarding ZIKА virus among pregnant women is important to take preventive measures. Aim: Evaluate the effect of integrated intervention guidelines on knowledge, self-reported practice of pregnant women toward ZIKА virus infection. Design: А quantitative quasi-experimental (pretest-posttest). Settings: The study was conducted at Obstetrics and gynecologic outpatient clinics at Fayoum University Hospital. Subjects: А convenient conducted among 240 pregnant women, assigned to 120 women in the control group, and 120 women in the study group. Two tools were used for data collection after reviewing relevant data; Tool I was а self-administered questionnaire to assess personal and obstetric characteristics of pregnant women, and their knowledge related ZIKА virus. Tool II was а self-reported practice questionnaire concerning self-protective measures regarding the prevention of ZIKА virus. Results: The results of this study showed that the majority of pregnant women wаs poor score level of knowledge and practice pre-intervention in both control and study group, however, there was an improvement of score level of knowledge and practice in the study group than control group post-intervention. Highly statistical significance was founded between control and study groups related to knowledge and practice. Positive significance correlation between pregnant women knowledge and practice score level post intervention in study group. Conclusion: The integrated intervention guideline improved pregnant women knowledge and practices. Recommendations: Continued efforts to close knowledge gaps, raise awareness and promote favorable attitudes toward ZIKА virus. Awareness about ZIKА virus infection should be ensured and maintained among all members of community, increased the prevention campaigns to improve community awareness of the seriousness of the disease, especially in rural areas.

No abstract