Background: Subarachnoid Hemorrhage (SAH) , is hemorrhage into the subarachnoid space the space between the arachnoid membrane and pia membrane around the brain symptoms may include a severe headache vomiting, decreased level of consciousness, fever, and seizures. Aim: This study aimed to test the effect of an educational program on nurses` performance regarding care for patients with subarachnoid hemorrhage. Design: A quasiexperimental design was utilized to conduct this study. Setting: This study was conducted in the neurology unit at Benha University hospitals. Subject: A convenience sample (60) nurses working in neurology unit at Benha University hospitals. Tools: two tools were used in this study; structured interview questionnaire sheet, and observational checklist sheet to evaluate nurses' practice regarding care for patients with subarachnoid hemorrhage. Results: 50% of the nurses under the study were aged 20-30 years old, 66.7% of them were female, 66% of the studied nurses had satisfactory level of knowledge preprogram compared 95% of them had satisfactory level of knowledge post program and 91.6% in follow up, 26.6% of them had good level of practice preprogram compared with 73.3% of them had good level of practice post program and descend to 51.6% of them had good level of practice in follow up. Conclusion: There is positive correlation between nurses` information and skills regarding care for patients with subarachnoid hemorrhage post program. Implementation of educational program has a positive effect on improvement of the nurses` knowledge and practice regarding care for patients with subarachnoid hemorrhage post program than preprogram. Recommendation: Continuous evaluation of nurses' knowledge and practice is essential to identify nurses' needs for implementing educational program regarding care for patient with subarachnoid hemorrhage.
Background: Neck stretching exercises improves flexibility and neuromuscular coordination, reduces pain and muscle weakness, improves physical activity and encourages proper posture. Aim: This study aimed to evaluate the effectiveness of neck stretching exercises on neck pain and disability for patients with total thyroidectomy. Design: Quasi-experimental design was utilized to fulfill the aim of this study. Setting: This study was conducted in the surgical departments at Benha University Hospital and outpatient clinics. Subjects: Purposive sample of patients with total thyroidectomy (60 patients) divided into two groups (intervention group n=30) and (control group n=30) during the time of data collection (12months). Data collection tools: 1) Patients Structured Interviewing Questionnaire to evaluate patients total knowledge, 2) Neck disability index to evaluate neck disability level after total thyroidectomy and 3) Visual analogue scale for pain to evaluate neck pain level after total thyroidectomy. Results: The mean age of both studied groups (intervention& control) was 39.20±7.45 &40.51±7.70, respectively. There were no significant statistical differences between them regarding total knowledge level during pre-operative period. However, it was significantly different during (postoperative 1 st week & 4 th week).There was highly statistically significant difference between both studied groups regarding neck pain and disability level in 1 st week postoperative period, while there were statistically significant differences between both studied groups regarding neck pain and disability level in 4 th week postoperative period. Conclusion: There were high significant improvement in the intervention group total knowledge level 1 st week and 4 th week post -operative following the exercises program implementation more than the control group, moreover the study group had a lower level of neck pain and disability than the control group 1 st week and 4 th week post-operative following the exercises program implementation. Recommendations: Replication of the study using a larger probability sample from different geographical areas to attain more generalizable results.
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