Background: gestational diabetic women are reported to be high risk for infections of the genital tract. Controlling vaginal infections rested on the nurse through educating women self-care practices. Aim: To assess the effect of educational program about self-care practices on prevention occurrence of vaginal infection among gestational diabetic women. Methods: Quasi experimental research design was used in this study. It was conducted at antenatal outpatient clinic of South Valley University's Hospital. Sample included 60 pregnant women with diabetes mellitus. Structured interview and self-care model was used and involved three parts. An educational program about care of genital system was carried out on pregnant women with gestational diabetes. Results: There is statistical significant difference between control and study groups regarding total self-care practices and occurrence of genital infection Pvalues are 0.001. Conclusion: There was a vital role to the educational program about self-care practices on preventing occurrence of vaginal infection among pregnant women. Recommendations: Planning and implementing educational program as a routine hospital care with providing a brochure about genital hygienic practices are important to reduce rate of vaginal infection among gestational diabetes women.
Background: perioperative morbidity and mortality are significant public health concerns due to their influence on patients' short-and long-term survival as well as the use of healthcare resources. The aim of this study research was to evaluate the effect of Enhanced Recovery Pathway application on perioperative outcomes among women undergoing gynecological oncology operations. Methods: A comparative quasi-experimental research design was used on a convenient sample of 112 women diagnosed with gynecological malignancy. The study group (56) got perioperative routine hospital care along with the implementation of an enhanced recovery pathway, and the control group (56) received perioperative routine hospital care only at the gynecology/ obstetrics and operating room of gynecological departments in Suez Canal University and Oncology Institute hospitals in Ismailia city. Tools: (T1) a structured interview questionnaire, (T2) assessment record for women undergoing gynecological oncology operations, (T3) Visual Analogue Scale. Results: There was a statistically significant difference between the studied groups; women who underwent gynecological oncology operation in the study group were significantly likely to experience less pain score, decrease in length of hospital stay, early postoperative bowel mobility with p-value (0.001,0.004,0.010 respectively) and decrease incidence of postoperative complications. Conclusion: As a result of the study's findings, women undergoing gynecological oncology surgery experienced fewer postoperative complications and better postoperative outcomes. Recommendation: Apply enhanced recovery pathway applications, which were successful for women following gynecological oncology surgery, to speed up recovery at the study sites and other healthcare facilities.
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