Masters theses:Nursing

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Isolation of Potential Pathogenic Bacteria From Delivery and Nursing Rooms at Certain Hospitals
(Aِl neelain universityِ, 2006-11) Amani Mohamed Ahmed Elagbash
Abstract Out of the seventy — nine randomly collected air samples from delivery rooms at four hospitals (Khartoum, Omdurman Maternity, Ahmed Fadul and EL Rhibat) 63.3% showed positive bacterial growth. On the other hand out of 60 air samples that were collected from nursing rooms of the same hospitals, 66.7% of them showed positive bacterial isolation. The isolated bacteria were identiﬁed as Staphylococcus aureus, E. coli, Klebsiella spp, Pseudomonas aeruginosa and Bacillus spp. The highest percentage of isolation was recorded in Khartoum Hospital as 50.6% and 42% in delivery and nursing rooms, respectively. Staphylococcus aureus and Pseudomonas aeruginosa were the most dominant organisms isolated from the delivery rooms at all examined hospitals. While Staphylococcus aureus also showed highest percentage of the bacterium that was isolated from nursing rooms at Omdurman Maternity Hospital and EL Rhibat Hospital, E. coli was dominant in Khartoum Hospital nursing rooms and Bacillus spp was the dominant organism isolated from nursing room at Ahmed Fadul Hospital. The isolated bacteria showed clear resistance toward the common Hospital used antiseptics.
Determinants of Human Immune Deﬁciency Virus among Adult HIV IAIDS Patients Attending to Bashair Teaching _Hospital- Khartoum State 1. September 2009 -1.December2009
(Al Neelain University, 2009) Zeinab ElRasheed AlGaily Almokashﬁ
AHDS is one of the widely prevailing global public health problems facing the world today and nobody is beyond its reach, so everyone should know the basic facts about it. HIV or AIDS has already killed millions of peoples, millions more continue to become infected with HIV, and there is no cure. So AIDS will be around for while yet. AIDS is a medical condition caused by HIV which belongs to the lentivirus group of the retrovirus family. There are at least two types of viruses, HIV-1 and HIV-2. The main purpose of this study, to study the determinants of HIV among adult HIV/AIDS patients attending to Bashair Teaching Hospital (Khartoum, Sudan) ,1. September 2009 — 1. December2009, in order to avail basic information for planning appropriate interventional control program. Methods This is descriptive cross-sectional hospital based study. Research instruments Data were collected by a standardized administered questionnaire aﬁer verbal consent from the pts and selected by total coverage from 1.9.2009 to 1.12.2009 included 60 patients (34male-26female) old and new patients, symptomatic and asymptomatic. Data analysis Data was analysed using SPSS package version 13 for quantitative data to ﬁnd out indicators aimed by this study such as knowledge and doing correlation analysis by cross tabulation with Chi square test, and p 5 0.05 was considered statistically signiﬁcant. The highest prevalence of HIV is found among the age group 30 to 39~years (45%); while the lower prevalence (10%) is found among the age group 50 — 59 years. Ninety percent of the study subjects were residing in Khartoum State. while just 31.7% were bome birthed at Khartoum State. For education, the higher prevalence was found to be related with the primary education (31%), while post graduated groups had lower percentage (1.7%) Regarding relation between previous knowledge about HIV and gender, males are more knowledgeable (60.8%) than females (39.2%). This study found that sexual intercourse is more frequent mode of transmission 40%. Sixty three percent of the subjects know about the condom while only 35% of the subjects used to use condom Forty percent of the respondents reported extra-marital relationship. The frequency of practicing sex (N=24) was as follows: 91.7% regularly and 8.3% intermittently For the relation of the population with the known HIV patient, 88.3% of the respondents live normally with their relevant. Recommendations Health education section to be encourage youth for marriage and multiple marriages, sterilization of surgical instruments and needles, condom usage and importance, important of volunteer test, aspects of HIV and STDs. Strategic behavioral communication (SBC) is to be established through an interactive process with individuals and communities to develop tailored communication strategies. Small- scale projects for poor families. Evidence —based Information, education and communication programs on I-IIV/AIDS/STIs control targeting the public are to be strengthened, monitored and evaluated regularly to ensure effectiveness and progress.
Nurses Knowledge and Performance Regarding Immediate Care Post Open Heart Surgery In Als h aab and Ahmed Gasim Teaching Hospitals (May – December 2014 )
(AL Neelain University, 2010) Salma Ahmed Salih Mohamed
iii Abstract B ack ground: Cardiovascular disease is the world’s leading killer, accounting for 16.7 million or 29.2% of total global death. Care of clients after cardiac surgery aim to reduces the operative risk and promo tes post operative recovery and to provide comprehensive care to the patients to recover fast and minimize hospitalization. Objectives: The overal l objec tives was to evaluate nurses knowledge and p erformance regarding immediate care post open heart surgery . Method s : descriptive cross - sectional ho spital - base d study conducted at Alshaab and Ahmed G asim teaching hospitals , data was collected by Standardized administer ed q uestionnaire to evaluate nurses knowledge and performance regarding immediate care post open heart surgery and Data was analyzed by using SPSS (Statistical package for social sciences) computer program version 20 . R esult s : The majority of study sample in this study were female (76.0%),their educational Qualification were BSc nursing ( 64.0%) and their years of experience of respondents 1 - 3 years ( 56.0%), where (26.0%) above 3 years. and majority of those nurses did not partic ipate in any special training programme on post -operative management of open heart surgery 94.0%. The study sample in this study their level of knowledge found to be ranging from fair to poor regarding care of patients in immediate period post cardiac su rgery .Majority of those nurses (78.5%) have good practice regarding care of such patients. There is gap between years of experience and educational qualification of res p ondents and their knowledge and practice regarding immediate care post open heart surgery. C onclusion : the study illustrated that majority of respondents' knowledge ranging from fair to poor regarding care o f patients in immediate period post cardiac surgery. most of them have good practice regarding care of such patients .
تأثير برنامج تثقيفي على السلوكيات المرتبطة بالصحة لطلب المدارس الثانوية بالمملكة العربية السعودية
(جامعة النيلين, 2010) أحمد أدم بلل محمد
Abstract This is an intervention study which is carried out by the researcher to evaluate the knowledge and practice of the Saudi students in secondary schools after implementation of health education program. The area of the study was Alameer Sultan bin Abdul-Aziz secondary school, in northern Ola province. The target population was the secondary school students and the sample size was the students of the first year and the subject was consisted of 106 students who were chosen randomly. Their ages ranges between 14 and 17 years old and they were male. The researcher used tow tools to collect the data; structure interview questionnaire sheet. This sheet was developed after the review of the literature by the researcher to collect the demographic data such as (age and family health history) and Students knowledge, health beliefs and practices towards (smoking, obesity, infectious diseases, oral hygiene) definition, causes, risk factors, signs and symptoms, complications, investigations, prevention and control. It was as pre- and-post test. Physical assessment sheet, This tool is used for recording data obtained as baseline assessment, and follow-up. Every student was weighed using a standardized calibrated weighing scale. The student was weighed without shoes and their height was estimated. This was done before and after the program. The health education program was designed to improve student's knowledge and practices of students after the program implementation. It included the following topics:-
Effect of an educational program on health related behaviors for secondary school students in Saudi Arabia
(Neelain University, 2010) Ahmed Adam ballal Mohammed
Abstract This is an intervention study which is carried out by the researcher to evaluate the knowledge and practice of the Saudi students in secondary schools after implementation of health education program. The area of the study was Alameer Sultan bin Abdul-Aziz secondary school, in northern Ola province. The target population was the secondary school students and the sample size was the students of the ﬁrst year and the subject was consisted of 106 students who were chosen randomly. Their ages ranges between 14 and 17 years old and they were male. The researcher used tow tools to collect the data; structure interview questionnaire sheet. This sheet was developed after the review of the literature by the researcher to collect the demographic data suchas (age and family health history) and Students knowledge, health beliefs and practices towards (smoking, obesity, infectious diseases, oral hygiene) deﬁnition, causes, risk factors, signs and symptoms, complications, investigations, prevention and control. It was as pre- and-post test. Physical assessment sheet, This tool is used for recording data obtained as baseline assessment, and follow-up. Every student was weighed using a standardized calibrated weighing scale. The student was weighed without shoes and their height was estimated. This was done before and after the program. The health education program was designed to improve student's knowledge and practices of students after the program implementation. It included the following topics:- l/ Smoking deﬁnition, causes, complications and how to quit.2/ Obesity: deﬁnition, causes, complications and how to avoid obesity.3/ Infectious diseases: deﬁnition, causes, ways of transmission, complication and how to prevent it.4/ Oral and dental hygiene: beneﬁts of teeth brushing, decay its causes and how to prevent it. The study was conducted in four phases, which took a period of 4 months from January 2008 to April 2008. 1/Essessment phase: The researcher designed the two tools (questionnaire & physical assessment). Feasibility and legibility of the instruments are done. 2/ Planning phase: Health education program was planned and designed by the researcher based on the result of the assessment phases. Health education program was developed and scheduled.Asseetive materials are prepared (video tabes, pamphlets, and posters). 3/ Implementation phase: The health education program was implemented by the researcher through ten sessions were carried out in Elmer Sultan bin Abdul-Azia secondary school. Teaching session were given for one hour per day. 4/Evaluation phase: A post test was done for the students, immediately to evaluate effect of the program. The results showed that there was an increase in the students‘ knowledge regarding the four topics that has been discussed, speciﬁcally there was decrease in number of students who smoke by 20% , and decrease in those were obese by 3%, also there is decrease in the number of students with infectious diseases by 3% and number of students who began teeth brushing increased by 25% which mean positive behavior of the students (p > 0.05 ). The study recommend that there should be continuous health education among students usingihe modern media to convey the message of health education. Also the study recommended that schools should be facilitated with a nurse or professional health educator, Because of their preventive roles.
Assessment of nurses’ knowledge about patient care during peritoneal dialysis in military-hospital (2010 to 2011
(Neelain University, 2011) Ahmed Abdalla Ahmed Jaralnabi
Abstract: Introduction: Patient in peritoneal dialysis unit need especial care about dialysis procedure Peritoneal dialysis is more complication such as peritonitis, infection bleeding...etc .Peritoneal dialysis should be apply under aseptic technique, Patient in peritoneal dialysis require knowledgeable nurses. Objectives: The purpose of this study is to assessment of Nurses knowledge regarding Patient in peritoneal dialysis during procedure . Methods: It is cross sectional hospital based study, the sample size was total coverage of 50 nurses in dialysis unit who were interviewed. The data was collected by using closed questionnaire, and analyzed by using statistical packages for social sciences (SPSS) computer program. Results: Resulting from this study explained most of nurse’s worker in peritoneal dialysis unit was knowledgeable about the complication of peritoneal dialysis 98%, but unfortunately 66% of them did not attend courses about peritoneal dialysis. Conclusions: Aﬁer analyzing the result it is possible to conclude the following: v Most of nurses qualiﬁed. Q Most of nurses have knowledgeable about goal of peritoneal dialysis. ' The number of nurses is the 34% attend training about peritoneal dialysis. I Most of nurses are the knowledge of the complication of peritoneal dialysis. 0 Most of the nurses are knowledgeable about the positioning of dyspneic patient during peritoneal dialysis . Recommendation: Recommendations based on result ﬁndings: All nurses’ work in peritoneal dialysis unit should have adequate training in patient care and how prevent complication. 1 Continuous medical education and good qualiﬁcation and supervision are important for all nurses in the unit. I Training courses to improve their skills in dressing techniques, peritoneal catheter care. v Continuous refreshing courses. I Important for monitoring and follow-up observation. 0 Important of dietary education is also important dietitian can assist the patient in making appropriate choices for adequate calories, protein, and potassium intake. 0 - The important step regarding psychological support side because some patient fair from this procedure
Assessment of Nurses Knowledge about proper Urethral Catheterization in Khartoum Teaching Hospital - 2011
(Neelain University, 2011) Somia Ibrahim Abdul-Aziz
Backgr0und:- Urinary tract infections arc most common infections acquired in hospital and long term care facilities. The incidence of healthcare associated urinary tract infections at around 2-3 patient per100%admission. That between 75and 80% of all healthcare associated urinary tract infections follow the insertion of urethral catheter. Patient in the hospital are at risk of nesocomal infection during insertion of urinary catheter to ensure that microorganisms are not introduced into bladder .Sterile equipment should be used, to ensure the highest standards of nursing care and nursing practice must be based on a strong body of scientiﬁc knowledge. Objective: - The objective of this study is to evaluate the knowledge of nurses about insertion of urethral catheterization in Khartoum Teaching Hospital. Method Design: - This descriptive cross sectional hospital based study carried out to assess knowledge of qualiﬁed nurses about insertion ofurethral catheterization. Setting .The study was conducted among 171 nurses working in Khartoum Teaching Hospital. The data collect by questionnaire to assess the knowledge. Then the data analyzed by statistical Package for social science soft ware programs version l4 Results: - Among 171 participant in the study it was found that the female l28(74.9%) and male 43(25.l%).ll8(69.0%) less than 4yreas experience. 96(56.1%) of the nurses are not aware about the purpose of urethral catheterization only75 (43.9%) are knowledgeable all purpose of urinary catheterization. Regarding lubricant of urethral catheterization 80(46.7%) use faizzlin which is contraindicated because is contain petroletun substance. l29(75.4%) of nurses aware of the right position for male patient (supine).But74 (43.3%) of nurses not aware about suitable position for female patient (dorsal recumbent).95(55.6%) of nurses identify the right catheterization tray contented. The research also explains that nurses in Khartoum Teaching Hospital give patient’s privacy
Knowledge attitude and practice of women in antenatal Clinic about breast lumps and breast self examination In Omdurman Maternity Hospital 2010-2011
(AL-Neelain University, 2011) THORIA IBN OWAF MOHAMED
Abstract From 1999 to 2006, breast cancer incidence rates in the U.S. decreased by about 2% per year. One theory is that this decrease was partially due to the reduced use of hormone replacement therapy (HRT) by women after the results of a large study called the Women’s Health Initiative were published in 2002. These results suggested a connection between HRT and increased breast cancer risk. About 39,840 women in the U.S. were expected to die in 2010 from breast cancer, though death rates have been decreasing since 1990. These decreases are thought to be the result of treatment advances, earlier detection through screening, and increased awareness. For women in the U.S., breast cancer death rates are higher than those for any other cancer, besides lung cancer. Besides skin cancer, breast cancer is the most commonly diagnosed cancer among U.S. women. More than 1 in 4 cancers in women (about 28%) are breast cancer. Compared to African American women, white women are slightly more likely to develop breast cancer, but less likely to die of it. One possible reason is that African American women tend to have more aggressive tumors, although why this is the case is not known. Women of other ethnic backgrounds — Asian, Hispanic, and Native American — have a lower risk of developing and dying from breast cancer than white women and African American women. In 2010, there were more than 2.5 million breast cancer survivors in the U.S. A woman’s risk of breast cancer approximately doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. About 20-30% of women diagnosed with breast cancer have a family history of breast cancer. About 5-10% of breast cancers can be linked to gene mutations (abnormal changes) inherited from one’s mother or father. Mutations of the BRCA1 and BRCA2 genes are the most common. Women with these mutations have up to an 80% risk of developing breast cancer during their lifetime, and they are more likely to be diagnosed at a younger age (before menopause). An increased ovarian cancer risk is also associated with these genetic mutations. In men, about 1 in 10 breast cancers are believed to be due to BRCA2 mutations and even fewer cases to BRCA1 mutations. About 70-80% of breast cancers occur in women who have no family history of breast cancer. These occur due to genetic abnormalities that happen as a result of the aging process and life in general, rather than inherited mutations. The most significant risk factors for breast cancer are gender (being a woman) and age.
estimate nurses knowledg regating post conorany bypass graft rahabilitation program
(AL Neelain University, 2011) Mohamed idriss yahia mosa
ملخص الدراسة الهدف:- تقويم المستوي المعرفي لممرضين بالعناية المكثفة لجراحة القلب بمدي معرفتهم ببرامج مرحلة التاهيل بعد العملية الجراحية للشريان التاجي. طريقة البحث :- .شملت الدراسة تقويم 56 ممرض جامعي من العاملين بالعناية المكثفة لجراحة القلب باستثناء اللذين لم يكملوا عامين والطلبة والممرضين ليسي لديهم شهادات جامعية. تم جمع المعلومات والبحث بطريقة الستبيان التي صممت لليفاء بأهداف البحث تم تحليل البيانات بواسطة الحاسب اللي نظم الحزام الحصائية للعلوم , الجتماعية وكانت النتائج كالتي :- النتيجالنهائية:- الغالبية العظمي ملمة بالبرامج العدادي لمرحلة االتاهيل 70 %كانوا جيدون المعرفه بمرحلت التاهيل وفوائدها وكيفية انجازها .اما 16 %وسط في المعرفة و 14%ضعفيين الخاتمة :-تعتبر مستوي المعرفه ببرامج التاهيل لمرضاء الشريان التاجي للفلب في مستشفي مركزالسودان للقلب ومستشفي الشعب في الممرضيين جيده جدا. التوصيات :-أهم توصيات الدراسة تتمثل في إقامة برامج ودورات تدريبية عن البرامج العدادي التاهيلي بعد عملية جراحة القلب للشريان التاجي لتأكيد المعرفة والممارسة العلمية للبرامج التاهيلي. استخدام لوحات إرشادية محتوية علي كيفية البرامج التاهيلي وفوائدها في أقسام العناية المكثفة لجراحة القلب لدعم الداء الصحيح. Abstract T the cardiac rehabilitation program is important for post surgical patients to resume normal daily activities a nd reduce recurrent hospitalization . The purpose of this study was to estimate the knowledge of nurses working in open heart surgery intensive care u nit regarding post coronary bypass graft in Sudan cardiac center and ALshaab teaching in 2010-2012 . This is descriptive cross sectional study hospital based study was conducted in Sudan cardiac center and el shabbb teaching hospital in September 2010 -- may 2011 the .the sample use was total coverage sample about 56 nurses who working in intensive care unit (ICU) of open heart surgery (excluding those who work less than two years par time nurses un certified nurses who work in ICU . The data was collected by one tools standardized closed ended questionnaire which were design to achieve the objectives of study . The study done among 56 participant , it was found that all of them had bachelor degree, experience years less than 5 years (36.0% ( . The main findings of this study show: that: ( 14 .0%) was poor (16%) fair, (70%) was good knowledge’s of participants’ regarding post cardiac rehabilitation program There is strong relation between years working in ICU and knowledge of nurses There is strong relation between level of training and knowledge of nurses for post cardiac rehabilitation program Th e knowledge of ICU nurses in Alshaab teaching Hospital and Sudan cardiac center concern is good . The study recommended application research program for CABG , continuous education in service programme course about post CABG program to reinforce ,nurses knowledge periodically . Poster guide line for post CABG rehabilitation program to facilitate the knowledge
Nurses’ Knowledge and Attitude RegardingOxygen Therapy at Gadarif Hospitals’ In 2017
(AL-Neelain University, 2011) Khalid Mubarak Ali Mohammed
Abstract Background –Oxygen prescribed to prevent or treat hypoxemia. The concentration of oxygen prescribed aims to bring oxygen saturation (SpO2) to normal or near normal. Objective - To assess nurses knowledge, attitude regarding oxygen therapy Methodology–A descriptive cross-sectional hospital based study design was conducted. The target population was 64 nurses working at emergency department/units of selected hospitals at gadarif city. Structure self-administered questionnaire was developed, and observational check list, Data were coded and entered into a data base using statistical package for social science version fifteen, Data presented in tables and figures. Results - Among 64 nurses included the study revealed82.8%ofnurses has a good knowledge regards the reason of administration of oxygen. 59.4% of respondent have poor knowledge regards the normal oxygen saturation in adults of less than 70 years. Only half 51.6% of study group knew the ventilation process consider poor. The study point out insignificant association between the qualifications and the normal oxygen saturation at rest for adult of less than 70yearsp – value 0,221. Also insignificant association between experience in nursing and method of reducing side effects associated with dry gas administration p – value 0,623. P value = 0.05,Regards association between qualification and oxygen administration showed that theirs highly significant association (P- value = 0.01), They have a negatives attitude Conclusion :the study revealed Knowledge attitude and practice of nurses regarding oxygen therapy in gadarif teaching hospital, military hospital and police hospital is relatively poor. مستخلص البحث الخلفية: يوصف الاكسجين للوقاية او لعلاج نقصه في الدم. يوصف الاكسجين كعلاج للوصول الي مرحلة التشبع او الاقتراب منها. اهداف البحث الغرض من البحث تقييم المعرفة والاتجاهات و الممارسة التمريضية فيما يتعلق باعطاء الاكسجين منهجية البجث دراسة وصفية عرضية تم اجراءها بثلاث مستشفيات بمدينة القضارف العينة عبارة عن 64 ممرض وممرضة يعملون في الاقسام التي يستخدم فيها الاكسجين.تم تصميم استبيان قياسي لجمع البيانات يعبئ بواسطة المشاركين في الدراسة . تم تحليل البيانات بواسة الحاسوب واستخدام برنامج الحزمة الاحصائية للعلوم الاجتماعية النسخة 15 وتم عرض النتائج في شكل جداول ورسومات بيانية. النتائج اوضحت دراسة 64 من الممرضين والممرضات ان 82.8% لديهم معرفة جيدة باغراض اعطاء الاكسجين . ايضا59.4% منهم يعرفون المعدل الطبيعي لتشبع الدم بالاكسجين عند البالغين. حوالي50% نصف عينة الدراسة يعرفون عملية التنفس.اوضحت الدراسة عدم وجود علاقة احصائية واضحة بين المؤهل العلمي ومدي المعرفة عند عينة الدراسه0.221P value.ايضا لاتوجد علاقة واضحة بين سنوات الخبرة لعينة الدراسة والطرق المستخدمة لتقليل الجفاف الناتج عن استخدام الاكسجين 0,623P value = الخلاصة كشفت الدراسة ان عينة البحث لديها قصور معرفي ومهاري وسلوكي فيما يتعلق بطرق باعطاء الاكسجين
Epidemiological Pattern of Hypertension in Rural Community – Karary District -Nyala City- South Darfur State- 2017
(AL-Neelain University, 2011) Asawir Mohammed Ibrahim Ali
Abstract Background: Hypertension is a major health problem worldwide and constitutes a public health epidemic, with an increasing global prevalence, In Sudan, the situation is not different, as the burden of hypertension is also rising. Due to its silent nature and serious complications, active screening is essential in order to prevent complications. Objectives: The overall objective was to study the distribution of hypertension and its determinants (causes and risk factors) among the study population to avail program at the community level. Methodology: It was community base cross-sectional study conducted in karary district at Nyala city –South Darfur State. The study subjects were in the age of more than 18 years olds. Multistage cluster technique was used to draw the study sample and the total sample size mounted to 400 subjects, the study was carried out within January to May 2017, the data were collected and analyzed using SPSS (statistical Package for Social Science) version 16.0. Descriptive cross-tabulations, bivariate analyses were used. The statistical significance was tested using chi-square test and P-value ≤ 0.05.multivariate analysis were used as predictor factors to hypertension were tested by logistic regression and ANOVA . Results: Prevalence of hypertension among participants was 35.5%. The prevalence rate of hypertension was higher among age group more than 58 years 42.6%, male was higher than female 37%, 33% respectively. Overweight and obesity were detected in more than half of the study population. 53.1%, 66.2% respectively. Factors found to be associated with hypertension were; age, salt intake, family history of hypertension, Coffee intake, smoking, physical activity, and high socio-economic status, contraceptive uses were statistically in significant association (P-value >0.05).Significant association was found between prevalence of hypertension with level of education Conclusion: Prevalence of hypertension among participants was high 35.5%.and predictor Factors to be associated with hypertension were statistically in significant in our study. Recommendations: The study recommended, public health measures are necessary to increase awareness, treatment and control of hypertension, health education should be stresses to improve population knowledge about hypertension and its sequels, Community outreach campaigns should be conducted regularly in the future for early detection of hypertension cases and proper health education about hypertension and its dangerous consequences . مستخلص البحث الخلفية: ارتفاع ضغط الدم مشكلة صحية رئيسية في جميع أنحاء العالم ويشكل حدوث وباء الصحة العامة، مع زيادة في معدل الانتشار عالماً، فأن الوضع لا يختلف عن السودان ونظراً لطبيعة صامتة ومضاعفاته الخطيرة الفحص النشط ضروري لمنع المضاعفات. الأهداف: الهدف العام هو دراسة توزيع ارتفاع ضغط الدم ومحدداته (الأسباب وعوامل الخطر) وسط مجتمع الدراسة للاستفادة من البرنامج على مستوى المجتمع المحلي. المنهجية: كان المجتمع قاعدة دراسة مقطعية أجريت في منطقة كرري في مدينة نيالا-ولاية جنوب دارفور. الأفراد المستهدفين للدراسة في سن ال 18 فأكثر استخدمت تقنية العنقودية متعددة المراحل لرسم عينة الدراسة وحجم العينة الإجمالية 400 شخصاً والدراسة أجريت في يناير إلى مايو عام 2017، تم جمع البيانات وتحليلها باستخدام SPSS( الحزمة الإحصائية للعلوم الاجتماعية ) الإصدار 16.0. وقد استخدمت وصفية الصليب- تبويبات لتحليل المتغيرين. تم اختبار الدلالة الإحصائية باستخدام اختبار chi-square واستخدمت قيمة P ≤ 0.05 كما تم اختبار العوامل مؤشرا لارتفاع ضغط الدم بالانحدار اللوجستي و ANOVA النتائج: كان معدل انتشار ارتفاع ضغط الدم بين المشاركين 35.5%. وكان معدل ارتفاع ضغط الدم أعلى في صفوف الفئة العمرية أكثر من 58 عاماً 42.6 في المائة، الذكور أعلى من الإناث 37%، 33% على التوالي. وتم الكشف عن فرط الوزن والسمنة في أكثر من نصف السكان الدراسة. 53.1 في المائة، 66.2 في المائة على التوالي. وجدت عوامل مرتبطة بارتفاع ضغط الدم كانت؛ العمر، وتناول الملح، تاريخ عائلي من ارتفاع ضغط الدم، وتناول القهوة، والتدخين وقلة النشاط البدني والوضع الاجتماعي-الاقتصادي عالية، استخدم وسائل منع الحمل كانت في إحصائيا في رابطة كبيرة (قيمة P > 0.05). تم العثور على رابطة هامة بين انتشار ارتفاع ضغط الدم مع مستوى التعليم. الخاتمة: معدل انتشار ارتفاع ضغط الدم بين المشاركين عالياً جداً 35.5% توقع عوامل مرتبطة بارتفاع ضغط الدم كانت إحصائيا في مهمه في دراستنا توصيات: أوصت الدراسة بتدابير الصحة العامة ضرورية لزيادة الوعي، والعلاج والسيطرة على ارتفاع ضغط الدم وينبغي أن يكون التثقيف في مجال الصحة تشدد على تحسين معارف السكان حول ارتفاع ضغط الدم وما لهو من عواقب وحملات التوعية المجتمعية ينبغي أن تجري بانتظام في المستقبل من أجل الاكتشاف المبكر لحالات ارتفاع ضغط الدم، والتثقيف الصحي السليم حول ارتفاع ضغط الدم وعواقبه الخطيرة.
Assessment of triage system and availability of resuscitation equipments in emergency departments in pediatric hospitals in Khartoum state 2011
(ALNEELAIN UNIVERSITY, 2011) Howaida Mohammed Gassmalla Hassan
Abstract Background: - it is important to attend patients who arrived at emergency department for triaging. Triage is the most important aspect in the prevention of death and disability in the patients. The staffin emergency department has got a big role in immediate intervention for resuscitation. Methods:- The study included four pediatric emergency departments, Gafaribnout‘ pediatric hospital, Ahmmed Gasiin pediatric hospital, Omdurman pediatric hospital and Albuluk pediatric hospital, this study aimed to assess triage system and availability of resuscitation equipments in pediatric emergency departments in Khartoum state during 201 l. the data required to meet the speciﬁed objectives were gained using structured questionnaire by interviewing subjccts(32) and (4) observational check list . Results: - All nurses did not receive training in triaging patients and less than quarter (12.5%) received training in pediatric emergency and (15.6%) received advanced life support. > (100%) oftriage nurses did not assess patients properly and no action was taken even checking ofvital signs §> For practical reasons patients were categorized as hot or cold cases; based on the urgency and severity of their condition > Regarding equipments the crash cart and speciﬁc resuscitation room were not available (lOO%). > Regarding equipments the crash cart and speciﬁc resuscitation room were not available ( 100‘?/0).
The Nuba People of Kordofan Prvince Assessment of nurses Knowledge and practice regarding safety precaution and preparation in gastro intestinal endoscopy in Khartoum State . In period from March 2010 -2011
(AL Neelain University, 2012) Safaa Mohamed Aldouma Adam
Abstract Rational of the study : Endoscopes typically become having contaminated with blood, Fluid and microorganisms during use and because each endoscope may be used for different patient. Nurses can protect them selves from contact with infectious materials or exposure to communicable disease by having knowledge of infection process and appropriate barrier protection . Objectives: To assess knowledge and practice of nurses regarding safety precaution and preparation of gastro intestinal endoscopy . Methods: Crosse – sectional study was performed in 50 nurses in endescopy unit in federal hospital in Khartoum State. Inclusion criteria were all nurse in endoscopy units and were taken in the sample . Administer questionnaire , and observation check lest was used as method of collecting information
Nurse’s Knowledge and Practice Regarding Emergency Care of Asthmatic Patients in Khartoum and AL Shaab Teaching Hospitals 2014
(AL Neelain University, 2014) Fatima Saleh Zene Abbas
Abstract Background: Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness and coughing (1 .( Globally, it is now estimated that as many as 300 million people of all ages, and all ethnic backgrounds, suffer from asthma (3 ( . Objectives: This study aimed to study nurse’s knowledge and practice regarding emergency care of asthmatic patient . Research methodology: This was descriptive cross sectional hospital based study carried in AlShaab and Khartoum Teaching Hospital, the study population all nurses who worked in emergency room (80) nurses by selected with different education levels, the sample was total coverage were successfully surveyed using both a close end questionnaire and check list and using liker type scale (Very good-Very poor) were analysis using Statistical program for social science (SPSS .( Results: Half of study participants (50.0%) fair level of knowledge about the causes of asthma, more than half of the participant (55.0%) good level of knowledge about the clinical classification, There for it was only significant with yrs of experience (P.value= 0.006), in addition most of the participants (58.8%) in this study showed the nurses practice regarding emergency care for asthmatic patients to be fair, and there was association between years of experience and the nurses practice for patient with asthma attack (P-value= 0.000 ( . Conclusion: Generally all the nurses who worked in the ER in both AlShaab and Khartoum teaching hospital have a good knowledge regarding emergency care of asthmatic patients. But their practice was fair
Nurses’ Competency Regarding Prevention of Central Line Associated Infection of ICU Patients In Omdurman Teaching, A hmed Gasim And Alshaab Hospita l 2014
(AL Neelain University, 2014) Ayat Hassan Ibrahim
ABSTRACT Background /aim; Intensive care patients with central venous catheters (CVCs) are at risk of catheter - related infection, which increases morbidity, mortality and health care costs. Adequate knowledge and infection control practices of nurses in taking care of central venou s line plays vital role to minimize complications and to accurately recognize catheter - related problems. The aim of the study is to assess the competency of nursing regarding prevention of central line associated bloodstream infection among ICU patients. M ethods: a descriptive cross - sectional was conducted, where observation and direct questionnaire were used to identify the knowledge, behavior, and performance of nurses to prevention of CLABSI in ICU. A sample of 50 nurses in 3 public hospitals in Khartoum state were selected and interviewed from both male and female. Results: revealed that out of the total sample of participants, 44%male and 56% female had average knowledge by score (58%), because 26% knew the SC is the recommended site, 98% knew the insertion of CVC is sterile procedure, 50% knew stated the need for hand hygiene and 40% do that, 100% knew the important of maximal sterile procedure and 44% do that, 86% knew chlorhexidine is appropri ate anti septic and 54% do that, 56% knew the dressing replacement at least weakly or when indicated, 50% daily assess the need of catheter.62% agree with the documentation after insertion, 66% agree with the need for continuous training in the field of i nfection control. Conclusion: Based on the results of the study can concluded in the optimize nurses’ competency regarding prevention of central line associated bloodstream infection. Recommended including central line associated infection guidelines in all critical care situations.
Nurse's knowledge Regarding Preoperative Preparation ot' Patient Undergoing Coronary Artery Bypass Graft in Governmental Hospitals at Khartoum State 20l4
(AL-Neelain University, 2014) Shima Mohammcd Musa Mohammed
Background: Preoperative preparation for coronary artery bypass graft surgery assists with recovery and decrease postoperative complications so that the preoperative condition of the patient should be considered in preoperative care. lt is essential for the nurse to anticipate the possible complications, so as to provide appropriate preoperative preparation in order to ensure positive outcome for the patient W Objective: This study aimed to assess nurses‘ knowledge regarding preoperative preparation of patient undergoing CABG in Ahmed (Jasim and Alshaab teaching hospitals. Methodology: This is a descriptive cross sectional hospital- based study, it involved (50) nurses (total coverage). Data were collected by using structured interviewing open ended questionnaire and analyzed by Statistical Package of Social Sciences (SPSS) program vcrsion( I9), data were presented in form of ﬁgures, tables and cross tabulation which correlate between level ofqualilications and nurses‘ knowledge regarding preoperative medications, investigations and preoperative teaching. ard correlation between workshops and training courses and nurses knowledge regarding preoperative medications, investigations and teaching and used chi squire to test if the relation is signiﬁcant and the P. value was accepted if less than 0.05 that mean strong association between variables. if more than 0,05 indicate no association between variables. Results: They have poor knowledge regarding patient who need special preparation, (32%) for elderly, (46%) for diabetic patient, regarding indications for coronary artery bypass graft surgery, (26%) for unstable angina, (56%) for main coronary artery blockage more than 60% regarding preoperative investigations (54%) for blood investigation regarding postoperative complications(l8%) stroke, (52%) bleeding, (14%) infection, regarding preoperative medications, (26%) warfarin, (24%) aspirin. They have excellent knowledge regarding immediatey preoperative preparation (84%), and (96%) regarding essential preoperative physical preparation and (90%) regarding medication that needs to be adjusted before surgery. They have good knowledge regarding sign informed consent(64%) and regarding preoperative teaching(74%) Recommendation: Nurses should be encouraged to improve their knowledge in some essential aspects such as preoperative investigations, medications and preoperative preparations so as to provide proper preoperative preparation for coronary artery bypass graft surgery .
Awareness of Married Women in the Reproductive age about the Antenatal Care and it is Importance in Al Thawra Al Hara 62 (Shaican) Omdurman, Khartoum State May-October 2014
(AL Neelain University, 2014) Gamila Abdalrhman Abdella
Abstract Introduction: Antenatal care is the care given to the mother and her fetus during pregnancy. Antenatal care provides advice, reassurance, education, and support for the woman on screening 7 programs and detects the problems that make the pregnancy high risk one. Objectives: to study the awareness of the married women in reproductive age about antenatal care and its importance in al thawra al Hara 62 (shaican). Material and Method: A descriptive community-based study was conducted from may-October 2014.the data was collected from 150 married women in the reproductive age by using the questionnaire in Al thawra AlHara 62 (shaican) and the data was entering and analysis by using SPSS soft ware version (16) descriptive statistics cross tabulation chi square test for statistical associations was done. And the result is presented in form of frequency tables, figures. Results: All the respondent (100%) were heard about ANC and (46.7%) were not aware about the correct time of the first ANC visit and there is no statistical association between the awareness about the time of first antenatal care visit and level of education this approved by table (22). only (26,7%) showed good awareness about the services provided in the clinic during pregnancy. Only (4.0%) of the respondent showed good awareness about dangerous signs during pregnancy Conclusion: This study demonstrated poor awareness about antenatal care. There is significant association between the levels of education and awareness about antenatal care. The respondent with high level of education more aware about ANC and its importance than respondent with low level of education. 8 Recommendation : From the result of this study there is a great need for increasing the awareness of the women in the reproductive age about ANC and its importance by using wide rang health education programs.
Knowledge and Practice of Midwife's Regarding Immediate Care of Newborn at Khartoum and Jabal Awlia locality November_February 2014
(AL Neelain University, 2014) Somia Mohammed DafaEllah Elreah
Care of all newborns includes immediate and thorough drying, skin to skin contact of the newborn with the mother, cord clamping and cutting at the first minutes after birth, early initiation of breastfeeding, and exclusive breastfeeding(2). Objective of the study is to assess knowledge and practice of midwives regarding immediate care of the newborn in the delivery room Material methods:- Descriptive cross sectional study was conducted in Jabal Awlia and Khartoum locality. The study enrolled (50) midwifes Data collocated by the structure questionnaire and check list and analyzed by SPSS and result presented in simple frequency, cross table and figure Results : Regarding identification 82% of midwives did not apply the wrist band to the newborn which it lead to mixing the infants and only 18%of them apply wrist band because no protocol written in labor room about caring of newborn. . Regarding the knowledge of the study sample; the results revealed that the knowledge of midwives ranging between very good and good 52% and 48% respectively about the concept of immediate care of newborn ,this is refer to the most78% respondent had diploma in nursing table(2) this is agree with study done in New York City showed that 99% of midwives who were conducted examination and issued diplomas they were knowing the concept of immediate care of newborn(27). All had good practice about tying and cutting the umbilical cord table (17) the separation of the baby and the placenta is achieved by cutting the umbilical cord which should be approximately 8to10cm from the umbilical this is agree with study in Nepal showed 98% of midwives had a good practice of tying and cutting the umbilical cord(25) Conclusion The study revealed that general knowledge of participant is good but the practice is poor so there is discrepancy between the knowledge and practice.
Evaluation of Nurses Knowledge and Practice Regarding Nursing Care of Patient with Myocardial infarction In Cardiac Centre Unit at Shaab Teaching Hospital 22-01-2021 to 22-04-2023.
(Al-Neelain University, 2014) Abdoulhakim Abdou Hadji Mchagama
Conclusion From the above results, the researcher found that the nurses have practically, the skills and initiative of working normally and in general with acceptable knowledge in the care of patients suffering from myocardial infarction. So finally, the nurses working in the CCU, intermediary CCU, and in the emergency department have good knowledge and practice regarding patient with myocardial infarction as illustrated by our finding results that 78.4% of nurses have good practice during their nursing care but 21.6% haven’t and 54.3% of nurses are knowledgeable about the care of MI, 42% of them are not and 3.7% of the results are missed. ملخص: من الدراسات السابقة وجد الباحث أن الممرضين لهم معرفة ومهارات الممارسة التمريضية لعناية ورعاية مرضى الذبحة الصدرية. توصل الباحث بعد تحليل البيانات إلى الآتي: 78% من الممرضين لهم مهارات الممارسة التمريضية جيّدة عند عناية مرضى لذبحة الصدرية ولكن 21.6% منهم ليس لديهم و54.3% لديهم معلومات ومعرفة كافية لتمريض وعناية مرضى الذبحة الصدرية ولكن 42% منهم ليس لهم معرفة و3.7% من النتائج تمّ فقدانها.
Competence of Nurses Regarding Nursing Care of Diabetic Pregnant Women in Antenatal Ward in Omdurman Maternity Teaching HospitalS
(AL-Neelain University, 2014) Yesmeen Ahmed Alamin Omer
Abstract Background: Management of diabetes generally, and among pregnant women specifically is a partnership job requires collaboration between health providers and patients. Direct contact of diabetic patients with nurses who should target maternal and fetal care. Objective: To assess study group knowledge and Practice regarding nursing care of diabetic pregnant women. Methodology: This is a descriptive, cross-sectional Hospital-based study conducted among 43 B.Sc nurses working in Omdurman Maternal Hospital and New Saudi Hospital. Data collected through questionnaire, analyzed by using Statistical Package for Social Science (SPSS), then results presented in tables and figures. Results: Working area distribution showed that,(42 ) nurses work in Omdurman Maternity Hospital and New Saudi hospital. (86%) showed Good knowledge about management of hypoglycemia Time of checking blood glucose after management of hypoglycemia known by (23.3%), knowledge about nutrition found in (74.4%), good knowledge of diabetic complications found in (90.7%), (20.9%) showed poor knowledge regarding time of onset gestational diabetes mellitus (GDM). and advice provided to diabetic pregnant mothers found in (69.8%). The study group showed excellent practice regarding measuring blood pressure 100%, mother weight 97.7%, assessing fetal movement (93%) and technique of insulin injection 67.4%.. But they showed poor practice regarding obstetrics abdominal examination and fetal heart sound (0% in both). Conclusion: the study concluded that, knowledge of study group of nurses showed variation in their knowledge about criteria of diabetic care for pregnant women ranged between very good to very poor, suggesting that they lack training in some aspects. مستخلص البحث الخلفية: إن علاج مرض السكري بصورة عامة ووسط النساء الحوامل بصورة خاصة يعتبر عملية مشاركة وتضامن بين مقدمي الرعاية الصحية والمرضى. الأهداف: هدفت هذه الدراسة إلى تقويم مدى معرفة وممارسة الممرضات حملة بكالوريوس التمريض للنساء الحوامل المصابات بمرض السكر. المنهجية: هذه دراسة وصفية مقطعية لعينة البحث 43 من الممرضات اللائي يعملن في كل من مستشفى الولادة أم درمان ومستشفى السعودي . تم جمع البيانات عن طريق استبانة معدة مسبقاً، حللت البيانات عن طريق استخدام الحزمة الإحصائية للدراسات الاجتماعية ومن ثم عرضت النتائج في جداول وأشكال. النتائج: أظهرت النتائج أن 60.5% من مجموعة الدراسة اللائي يعملن بمستشفى الولادة أم درمان التعليمي بينما 39.5% يعملن في مستشفى السعودي. أظهرت 86% مجموعة الدراسة معرفة بعلاج انخفاض السكر في الدم، و3.3% أظهرن معرفتهن بتوقيت قياس مستوى السكر بعد تلقي العلاج، المعرفة بنظام التغذية وسط مرضى السكر وجد لدى 74.4%، أظهرت 90.7% معرفتهن بمضاعفات السكر، المعرفة بوقت ظهور سكر الحمل وجد لدى 20.9%. والنصح المقدم للأم الحامل 69.8%. أظهرت مجموعة الدراسة مستوى ممارسة ممتازة فيما يخص قياس وزن الأم 97.7%، قياس ضغط الدم 100%، فحص حركة الجنين 93% وتقنية طعن حقنة الأنسولين 67.4%. وأظهرت الدراسة عدم ممارستهم للكشف عن حالة ووضع ونبض الجنين. الخلاصة: خلصت الدراسة إلى أن هناك تباين فيما يخص عينة البحث من حملة البكالوريوس تراوحت بين جيدة وممارسة غير جيدة. الشيء الذي يشير إلى عدم وجود تدريب في بعض الجوانب.