An-Najah National University.

Pain management is an important aspect of patient care and nurses play a significant role in providing pain assessment and management. Non-pharmacological pain management refers to interventions that do not involve the use of medications to treat pain. They found to be effective with less side effects and complications.This study aimed to determine the effect of in-service training program on nurses' performance towards Non-Pharmacological Pain Management among orthopedic patients in El-Hadra hospital. A quasi-experimental design was conducted on fifty orthopedic nurses that were divided into two equal groups as study and control. Three tools were used data collection: Tool I: demographic data assessment sheet, Tool II: Nurses' knowledge regarding non-pharmacological pain relieves methods questionnaire, and Tool III: Nurses' Performance towards Non-Pharmacological Pain Management assessment sheet. Results of the present study revealed that: The difference was highly statistically significant as regard the nurses' knowledge and their level of performance toward non-pharmacological pain management either within the study group nurses or between the control and study groups nurses post the in surface training program. Conclusion and recommendation, the use of non -pharmacological methods is the most effective way for relieving orthopedic procedural pain. Therefore, it is important to conduct this study.

Background: Diabetic Peripheral Neuropathy (DPN) is a common complication of diabetes, which could lead to foot ulcers, amputations, and mortality among patients. Aim: to determine the effect of the coaching program on prevention of peripheral neuropathy deterioration among patients with diabetes mellitus. Design: a quasi-experimental design (pre/post-test) with experimental and control groups. Setting: The study was conducted at Diabetic Outpatient Clinic at Port-Said University Hospital. Subjects: A Purposive sample consisted of 100 patients will be divided into experimental and control groups (50 patients in each) from the above-mentioned setting they will be recruited and assigned randomly. Tools: Three tools were used for data collection: Tool I: Patient assessment; questionnaire. Tool II: Clinical neurological examination scale; Tool III: patients with 'peripheral neuropathy deterioration needs questionnaire. Results: The study finding revealed that 58% of the experimental group and 67% of the control group of studied patients have severe diabetic peripheral neuropathy on their right side. Pre coaching program there were no statistically significant differences between patients in both group related to their level of knowledge about the prevention of diabetic peripheral neuropathy deterioration (p > 0.05). While there were significant differences post-implementation of the coaching program regarding knowledge scores between the control group and the experimental group regarding the educational needs that related to prevention of diabetic peripheral neuropathy deterioration. The Knowledge values were significantly higher among the experimental group than among the control group after the coaching program intervention with (p< 0.001). Conclusion: A coaching program regarding the prevention of peripheral neuropathy deterioration had a positive effect on knowledge among patients with diabetes mellitus. Recommendations: Continuous application of the coaching program for patients to improve their knowledge regarding prevention needs of DPN deterioration stages.

No abstract

No abstract