No abstract

Palliative care is an approach to improve the quality of life for patients and their families through the prevention and relief of suffering Purpose: to determine the effect of an educational palliative nursing interventions on selected outcomes among patients having advanced cancer. Design: A quasi-experimental design was utilized (pre and posttest). Setting: The study was carried out at the oncology department of Menoufia University Hospital at Menoufia governorate. Sample: A purposive sample of 107 adults advanced cancer patients were selected for this study. Instruments: Three instruments were used. Instrument (1) was a structured interview questionnaire about social characteristics. Instrument (2) was a likert scale for functional assessment of cancer. Instrument (3) was center for epidemiological studies depression scale. Results: there was a highly statistically significant decrease in the total mean score of depression symptoms and an improvement in the overall quality of life domains mean score 48.64±11.52 Vs. 54.38±12.79 and 62.14±17.51. Conclusion: Patients who had advanced cancer had improved quality of life and reduced level of depression after they received the educational palliative nursing intervention on posttest and follow up. Recommendation: palliative nursing interventions should be included routinely in the management of patients with advanced cancer besides conventional therapy.

No abstract

Background: Dialysis is imperative for patients with end-stage renal disease; however, compliance ensures its efficacy. Nursing intervention has been considered to improve compliance. Purpose to examine the effect of designed educational nursing intervention on knowledge and compliance to therapeutic regimen among patients with hemodialysis. Setting: The study was carried out at the hemodialysis unit in Menoufia University and Shebin El-Kom Teaching Hospitals. Sampling: A consecutive sample of 100 adult patients on hemodialysis were selected and divided alternatively into two equal groups: 50 patients for each group (study -control). Instruments: Two instruments were used for data collection: Structured interview questionnaire, and compliance assessment data sheet. Results: It is revealed that pre intervention, mean total knowledge scores were 8.04±3.746 and 8.00±3.714 among study and control groups respectively. While 3 months post intervention, the mean total knowledge scores show higher statistically significant difference in improvement among study group than control group recording 37.32±6.195 and 8.96±4.035 respectively. The minority of study group and control group (14%) comply to therapeutic regimen preintervention that was increased three months post intervention to (86%) among study group compared to control group. Conclusion: Educational nursing intervention was effective in improving compliance and knowledge among patients with hemodialysis. Recommendation:Monthly compliance progress report should be initiated in the hospital by the dialysis nurse to discuss patient's non-adherence behaviors also continuous counseling sessions and motivation should be provided to help patients in complying with therapeutic regimen.

Background: Chronic kidney disease has become a major chronic health problem worldwide and the need for development of educational interventions which help patients to better manage their conditions is evident internationally. It has been recognized that poor adherence can be a serious risk to the health and wellbeing of patients. Adherence to fluid restrictions, dietary and medication guidelines as well as attendance at prescribed hemodialysis sessions are essential for adequate management of chronic kidney disease. Purpose to examine the effect of nursing intervention on controlling interdialytic weight and vascular access complications among patients undergoing hemodialysis. Setting: Hemodialysis unit in Menoufia University and Shebin El-Kom Teaching Hospitals. Sampling: A consecutive sample of 100 adult patients on hemodialysis were selected and divided alternatively into two equal groups: 50 patients for each group (study -control). Instruments: two instruments were used for data collection: Structured interview questionnaire, and biophysiological measurement instrument. Results: There was significant improvement among study group than control group one month and three months post intervention regarding total knowledge score, interdialytic weight and vascular access complications. Conclusions: Nursing intervention is proven to be effective in controlling interdialytic weight and vascular access complications. Recommendations: Supervised nursing intervention should be carried out for all hemodialysis patients and colored booklet should be available and distributed for all patients.