Leukemia is the most common childhood malignancy that starts in early blood forming cells found in the bone marrow. Aim: The aim of this study was to evaluate the effect of health education program on care provided by mothers to their children with leukemia. Study Design: A quasi-experimental design was used to conduct this study. Setting: This study was conducted at the Outpatient Clinic of 57357 Hospital. Subjects: A purposeful sample of 60 children and their mothers were selected. Tools: Three tools: 1) An Interviewing questionnaire to assess demographic characteristics for children with leukemia and their mothers, children health needs and problems, mothers' knowledge about leukemia. 2) An Observational checklist to assess mothers' practices. 3) Medical records for children's health status. Results: 73.3% of mothers had unsatisfactory knowledge about leukemia and its treatment, and 65% of them, their total practice about the care provided for their children with leukemia not done pre program while post program, it showed highly statistically significant improvement (X2 = 14.7368 at P < 0.0001). Also, for around half of children with leukemia their physical, psychological, personal, and social health needs were not achieved and they had severe health problems related to side effects of chemotherapy pre program. Conclusion: The study concluded that there were statistically significant efficacy of the educational program on improving the mothers' knowledge and practices about the care provided to their children with leukemia. As well, a highly statistically significant achievement of total children's health needs post educational program but insignificantly related to reducing their health problems. Recommendations: The study recommended that periodic health education and training program for all mothers of children with leukemia to improve their knowledge and practices about the care provided to their children at outpatient clinic or after chemotherapeutic session.
Juvenile delinquency is a critical problem that is becoming rampant in Egypt. Juvenile delinquency, also known as "juvenile offending", is participation in illegal behavior by minors who are younger than the statutory age of majority; any person between the ages of 7 to 18, and violates the law. Aim: This study aims to propose a protocol for health management of Institutionalized Juvenile Delinquents Design: a descriptive analytic study was used to conduct this study. Sample: A purposive sample of 318 juvenile delinquents (248 males, and 70 females) their ages ranged from 15 to 18 years admitted since not less than 3 months and carrying out legal punishing period. Setting: five Egyptian social care institutions El Marg ,El Agoza, Ain Shams, Kobry El Kobba, and Dar El Aman Social Care Institution. Tools: three tools were used for data collection. First tool: Self-administered Questionnaire form , Second tool: Physical examination sheet from head to toe, Third tool: An observational checklist. Results: results of this study indicated that, the majority of juvenile delinquents (78%) were males and 79.6% of them left their schools before admission; 83.3% of them were smokers and 54%out of them were drug users, they suffered many common health problems especially injuries and signs of somatic abuse like 51.3% wounds, 34.9% burns, and 50.6% fractures.; 42.8% had high antisocial behaviors. The majority of the institutions environment (80%) was insufficient security, also 80% had incomplete medical services Conclusion: the study concluded that the major factors related to those institutionalized juvenile delinquents were socio-economic factors and they suffered many physical, psychological and social health problems inside unsuitable rehabilitated institutions. Recommendations: the study recommended that ,the proposed protocol for health management of Institutionalized Juvenile Delinquents that's evidencebased should be implemented and evaluated in relation to prevent health problems of Juvenile Delinquents.
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