Background: Psoriasis is a chronic, immune-multisystem, inflammatory disease that affects the skin and joints and there is a necessity for monitoring and educating patients about benefits as well as risks that may be correlated. Aim: Evaluate the effect of individualized guidance on knowledge and self-care practices of psoriasis patients. Subjects and methods:Design: A quasiexperimental design was utilized. Setting: The study was conducted at the Dermatology outpatient clinic at El-Mansoura University Hospitals. Sample: Purposive sample of 100 adult patients diagnosed with psoriasis from both sexes and they equally divided into study & control groups, (50) patients for each one. Tools: Two tools were used for data collection; the first tool was a structured interviewing questionnaire, and the second tool was the psoriasis disability index. Results: Mean age of the studied psoriasis patients in the study and control group were 44±8.6 and 42± 7.9 respectively. There was a highly statistically significant difference between the study and the control group in all items of psoriasis knowledge (p-value > 0.001). As well there were highly statistically significant differences between both groups post individualized guidance implementation regarding reported skincare and psoriasis affected areas in all items with (p-value > 0.001). There was a significant difference between the study and control group in the total level of disability post individualized guidance (P > 0.001). Conclusion: Implementation of individualized guidance had a positive effect on patients' knowledge and overall reported self-care practices including skincare and self-esteem with a decrease of the level of psoriasis disability, additionally a positive correlation between total scores of knowledge and total scores of reported practices were found. Recommendations: Individualized guidance should be recommended as a nursing intervention protocol during the care of every patient with psoriasis.
Background: The corona virus pandemic is causing large magnitude loss of life and severe human distress worldwide. It is the biggest public health emergency in living memory. Aim: The study aims to evaluate the effect of implementing online health-protective guidelines to qualify adult people to return after the pandemic curfew of Covid-19. Design: A quasi-experimental design was utilized. Setting: The data collected through an electronic questionnaire using google forms to design then using google drive link to distribute it through using social media. Subjects: A convenient sample includes available adult members within 6 months. Tools: An electronic selfadministered questionnaire was designed by the researchers, it included three parts: Part I. Adult member's socio-demographic characteristics. Part II. Knowledge involves study member's knowledge about Covid-19. Part III. Reported practices. Results: illuminates that there were noticeable changes of means ± SD in all tested items of knowledge before and after implementing online health-protective guidelines, with highly statistically significant differences were observed (P >0.000). Also, there was a radical satisfactory improvement among the majority of studied members' total score of reported practices as well there were highly statistically significant improvements were observed in the studied members' mean scores in most of all tested items of reported practice (P >0.000). There was a statistically significant strong relation between total scores of pre-and post-knowledge & reported practices of online health-protective guidelines with their sociodemographic characteristics (p > 0.001). Conclusion: Online health-protective guidelines achieved their aim as well as a significant improvement of the studied members' means scores of COVID-19 knowledge and protective reported practices after implementation of online healthprotective guidelines about pandemic COVID-19. Recommendations: Development of online health-protective guidelines targeting vulnerable population as pregnant, elderly people and schoolage students. As well delivering regular and accurate information updates on the COVID-19 healthy protective guidelines is needed.
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