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NILES Journal for Geriatric and Gerontology
Number of Followers: 20  Open Access journalISSN (Print) 2636-3224 - ISSN (Online) 2636-3232 Published by Beni-Suef University  [3 journals]
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- Effect of High-velocity Low-amplitude Manipulation on Ventilatory
Functions among Male Smoking Quitters
Abstract: Background: Recent smoking quitters are still affected by their previous smoking years in the form of breathing limitations and alterations. Thoracic spinal manipulation is capable of resolving ventilation inefficiency. Aim: Our aim is to ascertain the impact of thoracic spine high-velocity, low-amplitude manipulation (HVLAM) on ventilatory functions among male smoking quitters. Design: This is a randomized, two-group pre–post-test, controlled study. Setting: Health Units in the 6th of October City, Egypt. Subjects: This study enrolled 54 males aged 35–50 years who were smoking quitters of less than one year and were equally allocated at random into groups A and B. Group A received HVLAM intervention for the thoracic spine along with a conventional physical therapy (CPT) program for the chest in the form of diaphragmatic and pursed-lip breathing exercises, mobility exercises for thoracic spine in the form of foam roll hyper-extension exercise, chest expansion exercise (Open book) and thoracic hyper-extension from kneeling. Group B only received the CPT program. Both groups received sessions twice weekly for 8 weeks. Tools: Participants were evaluated by a computed spirometer to assess ventilatory functions and a 12-item Short Form Health Survey (SF-12) to assess quality of life. Outcome measures were forced vital capacity (FVC), maximum voluntary ventilation (MVV), forced expiratory volume in 1 s (FEV1), physical component summary (PCS), and mental component summary (MCS). Results: Ventilatory functions and the SF-12 survey both improved significantly within both groups. Moreover, groups A and B had significantly increased (P<0.05) FVC, MVV, FEV1, PCS, and MCS post-treatment compared to pre-treatment, with nonsignificant differences between both groups. Moreover, group A showed more improvement in FVC (68.63% vs. 62.69%), MVV (9.46% vs. 8.91%), FEV1 (46.10% vs. 36.21%), PCS (30.39% vs. 29.79%), and MCS (13.67% vs. 12.26%) than Group B. This indicates that both groups showed improvement in ventilatory functions and the SF-12 survey, with group A displaying more percentage of improvement. Conclusion: Thoracic HVLAM did not significantly impact ventilatory functions in male smokers, but it resulted in a higher percentage of improvement. Recommendations: Male smoking quitters should consider incorporating thoracic spine HVLAM with the CPT into their rehabilitation program to improve their ventilatory functions effectively.
- Effect of High-intensity Interval Training on Functional Capacity in
Anemic Patients with Splenomegaly
Abstract: Background: Anemia in patients with splenomegaly reduces functional ability/capacity and impairs activities of daily living (ADL), which lowers the patient's quality of life and raises their mortality risks. Aim of study: Assessing the impact of high-intensity interval training (HIIT) on functional ability/capacity in splenomegaly anemic patients. Setting: Hematology Unit, Department of Internal Medicine, Cairo University Hospitals (Al-Kasr Al Aini). Design: This randomized controlled HIIT trial was conducted on 50 anemic men with splenomegaly. Subjects: Fifty men suffering from splenomegaly-induced anemia, with ages ranging from 30 to 45 years old, were included. Patients were randomly and equally assigned into 2 groups: a control group and a study group, n = 25 patients for each group. The control group received their medications for 14 weeks in addition to a well-balanced diet, while the study group received the same treatment protocol as the control group in addition to HIIT on a bicycle ergometer three times per week with a total duration of 30-40 minutes per session. Tools: Before and after 14 weeks, a six-minute walk test (6MWT; as a measure for patients' functional capacity), red blood cells (RBCs), hemoglobin (Hb), and Katz Index of Independence in ADL were assessed. Results: Within-group comparison of outcomes showed a significant improvement in the RBCs, Hb, 6MWT, and Katz Index of Independence in both groups but the improvements within the study group were higher than the control group. Between-group comparison of post-values of outcomes showed a significant improvement in the assessed outcomes in the direction of the study group. Conclusion: It could be concluded from this trial that HIIT safely improves functional capacity, RBCS, Hb, and performance of ADL in anemic patients with splenomegaly. Recommendations: It is recommended to incorporate HIIT on a bicycle ergometer three times weekly for 30-40 minutes per session in the treatment protocol for anemic patients with splenomegaly.
- Effectiveness of Nursing Intervention Program on Prevention of Acquired
Pressure Ulcers among Hospitalized Elderly Patients
Abstract: Background: One of the most prevalent issues among elderly patients in hospitals is pressure ulcers (PU), which place a great strain on the elderly as well as the society. Aim: Evaluate the effectiveness of nursing intervention program on prevention of acquired pressure ulcers among hospitalized elderly patients. Method: A quasi-experimental (study and control groups) design was used on a purposive sample of 84 elderly patients (42 for each group) selected from the medical and orthopedic departments at Mansoura University hospital (MUH), Egypt. Data were collected using; demographic & medical data structured interview schedule, Braden risk assessment scale, European pressure ulcer advisory panel classification, and elderly patients' knowledge towards pressure ulcers prevention instrument. Results: The mean age of the study and control groups was 64.26 ± 4.26 and 65.64 ± 4.65 years respectively. For all the demographic data, there was no statistically significant difference between both groups. The study group shows overall improvement (decrease risk for developing pressure ulcers) throughout the implementation phases of the nursing intervention program, while the control group shows overall worsening. There was a statistically significant improvement in the study group compared to control group regarding knowledge and grades of developed pressure ulcers (P=0.001). While, the independent predictors of developing pressure ulcers among the study group were still higher in elderly who aged from 70 year and more, had hospital stay more than two weeks, being obesity, smoking, and those with diabetes and stroke. Conclusion: The nursing intervention program is successful in raising awareness and preventing older patients' pressure ulcers from developing in hospitals. Recommendation: Application of a nursing intervention program as a highly recommended approach to prevent pressure ulcers in immobilized and hospitalized elderly patients.
- Effect of Resisted Exercise on Vitamin D Levels in Obese Insulin Resistant
Patients
Abstract: Background: Vitamin D is crucial in regulating calcium and phosphorus absorption, skeletal metabolism, and immune system function. This study aimed to investigate the impact of resisted muscle exercise on vitamin D levels in obese insulin-resistant patients, assessed through blood level vitamin D tests and HOMA-IR.Patients and Methods: Fifty-two female patients aged between 30 and 40 years, with a BMI between 30 and 39.9 kg/m2, participated in the study. They were randomly assigned to two groups: Group A received vitamin D supplements, resisted exercise, and a balanced diet, while Group B received vitamin D supplements and followed a balanced diet. Both groups were evaluated using the same methods.Results: Both groups demonstrated significant improvements in all outcome measures compared to baseline (p < 0.05). However, Group A showed greater improvements in insulin resistance (mean difference -0.96; p = 0.001) and vitamin D levels (mean difference 7.79 ng/ml, p = 0.001) compared to Group B after the intervention.Conclusion: Resisted exercise effectively improves insulin resistance and vitamin D levels in middle-aged women with vitamin D deficiency. The combination of exercise and vitamin D supplementation may offer greater benefits than either intervention alone.
- Effect of Atypical Anti-psychotics on Cognition in Schizophrenia
Abstract: Background: Schizophrenia is a chronic psychiatric disorder that affects mainly cognition and runs in chronic deteriorating course. Objective: The study aimed to assess the cognitive function of schizophrenic patients compared to healthy control and verify the effect of atypical anti-psychotics on cognition in schizophrenia.Patients & Methods: This case-control study included 3 groups, group 1: 20 newly diagnosed patients with schizophrenia, group 2: 20 schizophrenic patients receiving atypical antipsychotics and group 3: 20 control healthy persons. The participants of the three groups were subjected to clinical assessment, that included detailed psychiatric interview, neurological and general examination. Cognitive evaluation of both schizophrenic and control groups by, Wechsler Adult Intelligence Scale (WAIS), Wisconsin Card Sorting Test (WCST), stroop test (computerized version), the Trail Making test, continuous performance test and Wechsler Memory scale (WMS).Results: The schizophrenic patients had worse results than healthy control group in all neuropsychological tests: The Wechsler Adult Intelligence Scale (WAIS), The Wisconsin Card Sorting Test (WCST), Stroop Test, The Trail Making Test (TM), Continuous performance test (CPT) and The Wechsler memory scale (WMS).The impairment was more in the newly diagnosed patients without treatment.Conclusions and clinical implications: Patients with schizophrenia suffered from cognitive impairment which mostly involved the different cognitive domains in different combinations, manifested least way in patients who received atypical antipsychotics.
- The Effects of Health Promotion Program on Healthy Aging, Wellbeing and
Health Promoting Behaviour among Community Dwelling Older Adults
Abstract: Background: One of the most essential needs of all people is providing, enhancing the health level, and adopting a lifestyle that promotes health. It is the most significant and practical way to keep older persons' wellbeing and promote healthy aging. Aim: To investigate the effects of health promotion program on healthy aging, wellbeing and health promoting behaviour among community dwelling older adults. Methods: Four randomly selected health centers out of a total of 38 were used for the study, which was carried out in the Mansoura District within the Dakahlia governorate. Based on inclusion and exclusion criteria, a purposive sample of 94 older adults from 110 older persons enrolled in the above-mentioned setting was selected, 75 older adults were included in the final analysis. Tools: Four tools were used; Structured Interview Questionnaire, Healthy Aging Instrument (HAI), Modified Wellbeing Assessment Tool, and Health Promoting Lifestyle Profile-II Questionnaire (HPLP-II). Results: All healthy aging factors, wellbeing domains, and health promoting behaviour dimensions of the study group showed significant improvement after the program implementation (p <0.0001). This improvement appears in young old married female, with university education, who still working, had enough income, living with family, and with good health status. Also, highly statistically significant positive correlations (p<0.001) were found between wellbeing, healthy aging, and health promoting behaviour in the study group. Conclusion: Health promotion program has a positive effect on older adults' healthy aging, wellbeing, and health promoting behaviour. Recommendations: To promote older adults' health and decrease the prevalence of chronic illnesses and multiple complications due to lack of healthy lifestyle, it is recommended to implement health promotion lifestyle programs.
- Effect of Reflexology versus Aerobic Training on Insomnia Severity Index
and Quality of Life in Hypertensive Patients
Abstract: Introduction: Egypt lacks awareness regarding the positive influence of reflexology along with aerobic training (AT) on the quality of life (QoL) of patients with hypertension (HTN).Objective: We aim to determine reflexology and AT effects on the insomnia severity index (ISI) and QoL of HTN patients. Methods: This study enrolled 40 HTN female patients aged 35–45 years who were equally divided into groups A and B. Groups A and B participants were provided with medications and peddling training, while Group B participants also received reflexology. The treatment protocol consisted of an eight-week program with three sessions per week. After the four-week treatment protocol, a post-evaluation (post-1) was conducted and was repeated after another four-week treatment (post-2). The participants underwent assessment for systolic and diastolic blood pressure, ISI, and a 36-item short-form survey (SF-36), a general QoL measure, pre- and post-treatment. Results: The results revealed significant discrepancies in the assessed variable between both groups pre- and post-treatment (post-1/2). When comparing the post-treatment values (post-1/2) of the evaluated variable between groups A and B, incorporating reflexology and AT, such as peddling training, into the physical treatment program is recommended.Conclusion: The study highlights the positive impact of reflexology and AT on the QoL and ISI of female HTN patients, recommending their incorporation into treatment programs.
- Effect of Cognitive Stimulation Therapy versus Reminiscence Therapy on
Cognitive and Psychological Outcomes in Older Adults with Mild Cognitive
Impairment: A Quasi-Experimental Study
Abstract: Background: The aging population is the most significant demographic phenomena that the world has seen in recent decades, which in turn resulted in a sharp rise in the number of older people. Consequently, these data anticipate a reduction in expected years of active and healthy life and a rise in age associated with gradual deterioration of physical and mental health. Cognitive frailty is recognized as a precursor to major health conditions. Early identification and cognitive intervention programs can potentially preventing or reversing this decline in cognitive function. Aim: This study aimed to evaluate the effectiveness of cognitive stimulation therapy versus reminiscence therapy on cognitive and psychological outcomes in older adults with mild cognitive impairment. Design: A Quasi-experimental study was followed to conduct this study. Setting: The study was conducted in two elderly clubs namely El- Saada and El- Amal elderly club in Mansoura city. Subjects: A total of 60 older adults with mild cognitive impairment were included in the study and randomly assigned to three equal groups; cognitive stimulation therapy group, reminiscence therapy group and control group. Tools: The data were collected through demographic and health-related characteristics interview sheet, montreal cognitive assessment, psychological wellbeing scale-18, the satisfaction with life scale and one question to assess participants’ satisfaction with the program. Results: A significant increase in cognitive function and psychological outcomes were evident among the cognitive stimulation group and reminiscence group after implementation of the intervention when compared to pre intervention and the control group (p<0.05). Conclusion: The application of either cognitive stimulation therapy or reminiscence therapy is effective strategy in improving cognitive and psychological outcomes of older adults with mild cognitive impairment. Recommendation: The health care providers should be encouraged to incorporate such programs as non-pharmacological interventions in routine care of older adults residing either in the community or institutions to preserve their cognitive and psychological health.
- Effect of Cryolipolysis on Insulin Resistance in Type 2 Diabetic Females
with Abdominal Obesity
Abstract: Background: Cryolipolysis is a non-invasive procedure designed to target subcutaneous adipose tissue in obese patients that has emerged as a potential therapeutic approach for modifying insulin resistance(IR ) in T2DM individuals.Aim: to evaluate the efficacy of cryolipolysis in reducing IR among patients diagnosed with T2DM patients exhibiting abdominal obesity.Research design: Randomized, two-group pre–post-test, controlled design. Patients and Methods: sixty females with T2DM exhibiting abdominal obesity were enrolled. The participants were randomly and equally divided either in Group A (cryolipolysis in combination with aerobic exercise ), or in Group B (aerobic exercise therapy alone) for three months. All variables measured Pre- and post-study, including (HbA1c, FBG, fasting insulin level, HOMA testing).Results: there was statistically significant decrease in all measured parameters of groups A and B post-treatment compared with pre-treatment with a significant increase in water content, muscle mass, and a significant decrease in fat content and visceral fat of groups A and B post-treatment compared with pre treatment. Following the intervention, Group A significantly reduced fat content and visceral fat compared to Group B. However, there were no significant differences in waist-hip ratio, water content, and muscle mass between the two groups post-treatment. Significant improvements in metabolic parameters were observed in Group A compared to Group B. Group A showed a significant decrease in FBG, insulin levels, HbA1c, and HOMA-IR.Conclusions: Cryoliopolysis is one of the effective strategies for addressing localized fat deposits that enhance glucose absorption and favorable changes in HbA1c and HOMA-IR, that improve insulin sensitivity.
- Electromagnetic and Heating Therapy for Longevity
Abstract: This article explores the potential benefits of electromagnetic and heating therapies for promoting longevity and overall well-being. It reviews the scientific evidence supporting the efficacy of these therapies and discusses their potential mechanisms of action. The article also highlights the importance of integrating these therapies into a holistic approach to health and wellness. It has been taken into account that aging begins immediately after birth, and before that, it is in the developmental stage without aging
- Detection of Risk for Foot Ulceration and its Relation to Foot Self-care
among Diabetic Elderly Patients
Abstract: Abstract: Most amputations are caused by foot ulcers among diabetic older adults so it is essential to identify people who are at risk as early as possible. Aim: was to detect the risk for foot ulceration and its relation to foot self-care among diabetic elders. Design: A descriptive research design was conducted on 300 elderly patients with type II diabetes from the outpatient clinic and medical department of Minia University Hospital, Egypt. Tools: Demographic characteristics, medical data, and two research instruments were used (1- Standardized INLOW’S 60 s diabetic foot screening tool. 2) Nottingham Assessment of Functional Foot Care Scale (NAFFC).Results: The mean age was (71.36±6.835) and 60% were male. Foot examination reflected 62.6% and 22% of the participants were at moderate and high risk for foot ulcers respectively. Additionally, 60.7% of them had low adherence level to foot self-care practices with a negative correlation between patients' risk for foot ulceration and their adherence to foot care with (r=.889-& p <.000). Conclusion: Around half of the studied sample were at risk for foot ulceration added to, 60.7% of them had poor foot care behaviors which demand urgent prophylactic strategies for reducing diabetic foot ulcer related morbidity and mortality among diabetic elders. Recommendations: Healthcare providers should emphasize regular foot screening along with proper education for diabetic elderly patients to detect the risky cases of DFUs at an early stage and consequently prevent foot complications.
- Impact of Otago versus Tai Chi Exercises on Lower Limb Strength in Older
Adults
Abstract: Background: Balance training plays a crucial role in improving strength and mobility, as well as reducing the risk of falls, for elderly individuals who experience balance issues. This is achieved by strengthening the muscles in the lower limbs and enhancing functional ability. Aim: We aim to compare the effect of the Otago exercise program (OEP) and Tai Chi exercise (TCE) on lower limb strength (LLS) in elderly individuals. Design: A randomized controlled trial (RCT) with single-blinding. Setting: Alsafa Nursing Home, Cario, Egypt. Subjects: Seventy-five older individuals were randomly assigned into three equal groups (n = 25). Group A received OEPs plus conventional balance training (CBT), Group B received TCEs along with CBTs, and Group C served as the control group, receiving only CBT. Tools: Pre- and post-testing involved the assessment of LLS using a Handheld dynamometer. Results: The scores on the dynamometer for the calf muscle showed a significant improvement in all three groups, with no statistical variation between them (p <0.05). Conclusion: Our findings highlight the importance of utilizing different types of exercises, such as OEPs, TCEs, and CBTs, to enhance LLS and reduce fall risk and injuries in the elderly population. Recommendations: Based on comparing the effects of Otago and TC exercises on LLS in elderly individuals, it is recommended to incorporate a combination of OEPs, TCEs, and CBTs into the routine of elderly individuals experiencing balance issues. This combination can help improve LLS, mobility, and functional ability, ultimately reducing the risk of falls and injuries in this population.
- Attitudes and Preparedness of Older Adults for Future Health Care Needs
Abstract: Background: Many older persons do not make specific plans regarding their future care, or very few do, despite the possibility of health care demands. This is often because they do not see the need for it or choose not to consider the possibility of being dependent on others in their later years. Aim: assess attitudes and preparedness of older adults for future health care needs. Method: A descriptive cross sectional design was used on 243 older adults diagnosed with at least one chronic disease from geriatric outpatient clinics at Mansoura University Main hospital and Specialized Medical Hospital affiliated to Mansoura University. Data were collected using; demographic and health related data structured interview schedule, Preparation for Future Care Needs Attitude Scale and Preparation for Future Care Needs. Results: The mean scores of low usefulness of planning, expectations for care needs and expectations for no care needs that related to the older adults' preparation for future care needs attitudes were (23.74 ± 9.15, 19.23 ± 4.53, and 15.95 ± 4.10) respectively. Also, the total score of preparation for future care needs was (45.75±10.66) and the mean of overall awareness of future care needs and avoidance of care planning were (11.53 ± 3.26 and 5.35± 2.05) respectively. Conclusion: Older adults had moderate positive attitudes about planning future care needs and their awareness of future care needs tends to be high. Avoidance of planning was positively related to both low usefulness of planning and expectation of no care, while, it was negatively related to expectation of care need. Recommendation: To support the notion of care preparation and future care requirements, additional behaviorally based outcome measures must be investigated in future studies.
- The Concealed Hazard: Vitamin D Deficiency, Awareness, and Its Impact on
Psychological Wellness among elderly
Abstract: Background: The prevalence of vitamin D deficiency and its consequences is expected to increase with ageing. Consequently, this study aimed to explore the prevalence of the hidden danger posed by vitamin D deficiency among the elderly, awareness and its impact on psychological well-being. A cross-sectional study design was employed in Najran City, using a convenient sample of 100 elderly. Data collection included socio-demographic information, serum 25 (OH) D analyses, knowledge questionnaires, and the Depression, Anxiety, and Stress Scale (DASS 21). Results revealed that 9% of the sample had deficient vitamin D levels (<20 ng/mL), 33% were insufficient (20-29 ng/mL), and 58% were sufficient (≥30 ng/mL). Knowledge about vitamin D was satisfactory only in 23%. Negative emotional states were mild in 40%, moderate in 31%, and severe in 29% of the sample. Correlation analysis showed a significant positive relationship between knowledge/lifestyle scores and vitamin D (p<0.0001). Moreover, a highly significant association was found between vitamin D sufficiency levels and negative psychological states (p=0.0002). Conclusion: The findings of this study highlighted the prevalence of vitamin D deficiency among elderly individuals where about the third had vitamin D deficiency, a significant proportion of participants exhibited unsatisfactory knowledge about vitamin D (47%). The study also revealed the significant association between varying degrees of negative emotional states among the elderly and their sufficiency levels of vitamin D. Recommendations: perform routine screening for vitamin D levels among elderly individuals.
- MYOSTATIN AS A POTENTIAL DIAGNOSTIC BIOMARKER IN ELDERLY PATIENTS WITH
SARCOPENIA
Abstract: Sarcopenia is a progressive loss of skeletal muscle mass and strength. Myostatin is a myokine, and a potent negative regulator of muscle growth. This study aimed to assess the accuracy of serum myostatin in prediction of Sarcopenia in elderly patients and correlate it with QoL. The study involved 64 elderly patients aged 65 years and older; Group (I):32 sarcopenic patients, and Group (II):32 healthy age and sex-matched control participants. Participants with chronic renal, hepatic, or cardiac compensation, DM, women on hormonal replacement therapy were excluded. All participants were subjected to history taking, clinical examination, anthropocentric measurements, routine laboratory investigations, serum myostatin using ELISA, and SF-36 to assess QoL. Sarcopenia was diagnosed using EWGSOP-2 criteria. Sarcopenic patients had significantly lower ASMI, hand grip strength, and physical performance values (p<0.001). Serum Myostatin level in sarcopenic patients was significantly higher compared to controls (32.73 ± 5.0 vs. 26.49 ± 6.44 IU/dl) (p<0.001). Sarcopenic patients had significantly lower scores of SF-36 score compared to the controls (74.19 ± 5.04 vs 84.84 ± 3.33) (p<0.001).A significant negative correlation was found between serum myostatin and SF-36 scores in the sarcopenic group compared to the control group (r= -0.345; p<0.001).Serum myostatin level more than 29 (IU/dl) has sensitivity of (87.5%) and specificity of (75%) in discriminating sarcopenic patients from healthy elders. In conclusion; serum myostatin is a possible blood-based biomarker for Sarcopenia prediction as well as quality of life assessment in such population. Further researches with more sample sizes are required to confirm our outcomes.
- EFFECT OF TRANSCRANIAL DIRECT CURRENT STIMULATION ON SLEEP DISORDERS IN
PATIENTS WITH MULTIPLE SCLEROSIS
Abstract: Background: Sleep disorders are common in multiple sclerosis (MS) patients. These disturbances detrimentally impact both their physical and mental well-being, leading to increased difficulties in executing everyday tasks. To date, there is a lack of comprehensive research regarding the influence of transcranial direct current stimulation (TDCS) on sleep in MS patients. Purpose: This randomized controlled trial was conducted to assess the TDCS effect on sleep subjectively and objectively in MS patients. Setting: Outpatient Clinics of Center for Psychiatry, Neurology, and Neurosurgery, Tanta University. Methods: Thirty-eight female MS patients with remission and relapse course aging from 25 to 40 years were randomly assigned into two equal groups (study and control group). The study group received active TDCS plus selected physiotherapy program (diaphragmatic breathing exercise and relaxation technique) and the control group received sham TDCS plus the same selected physiotherapy program. The assessment of daytime sleepiness was conducted through the Epworth Daytime Sleepiness Scale (ESS), while the Pittsburgh Sleep Quality Index (PSQI) was employed to evaluate quality of sleep. Sleep was assessed objectively using Polysomnography (PSD) device. The following parameters were assessed objectively (sleep latency, arousal index, sleep efficiency and total time sleep). Evaluation of all variables took place pretreatment and posttreatment. Results: There were no statistically significant differences between both groups in pretreatment mean values of all measured variables. There were a statistically significant improvement in all measured variables in both groups after treatment. There were significant differences in all measured variables between both groups, favoring the study group. Conclusion: Transcranial direct current stimulation could be an excellent supplement to selected physiotherapy program in improving daytime sleepiness and quality of sleep in MS patients.
- Elderly Patient Satisfaction toward Nursing Care Quality in Najran
Hospitals at Najran City, KSA
Abstract: Background: Perceived patient satisfaction is one indicator to measure quality of the nursing care. Purpose: The present study aimed to assess patient’s satisfaction towards nursing care quality in Najran Hospitals at Najran city southern of Saudi Arabia. Methods: A descriptive cross sectional study design was conducted between Octobers to December 2019. The sample of the study consisted of 333 patients who admitted to the different hospital departments and voluntarily agree to partake in the study. Data were collected using a standardized questionnaire (Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ). It is rated on a 5-point Likert scale. The collected data were analyzed by statistical Package for social sciences (SPSS) version 23. Results: Of 333 participants in the present study. The main finding revealed that the proportion of overall satisfaction toward quality of nursing care was 250(75.08%) of participant were satisfied and 83 (24.92%) of participants were dissatisfied. Male patient 165(66.5%) more satisfied with nursing care than female 83(33.5). Married patient more satisfied 173(69.2%) than single 41(16.4%).Patient with digestive disorders and fractures and patients in surgical ward showed more satisfaction approximately (75%). Also patients admitted one time 100(40%) are more satisfaction than patient who admitted two times 80(32%) , three times 39(15.65) and four times or more 30(12%). Conclusion: Three quarter of patients were satisfied with nursing care they received in Najran hospitals and there is a higher significant association between satisfaction of patient and marital status, number of admission to hospital and ward they admitted in and diagnosis, recommendations: Implement quality improvement initiatives based on the identified areas of patient dissatisfaction, further studies in large population are recommended to ensure continuity of care and generalization of findings.
- Effectiveness of Nursing Learning Package of Abdominal Massage for
Relieving Constipation among Community Dwelling Older Adults
Abstract: Background: Constipation is among the most frequently reported health problems in old-age people, with significant negative impacts on their health, and quality of life. Aim of study: The aim was to evaluate the effectiveness of an abdominal massage learning package in relieving constipation among older adults. Setting: conducted in outpatient clinic beni-suef university hospitals & two Geriatric Social Clubs in Beni-Suef city. Subjects: on 100 older adults suffering from constipation in the setting. Method: A quasi-experimental study Tools: A structured interview questionnaire sheet was used to collect pre-post data concerning knowledge about constipation and reported practices of abdominal massage. The training program was implemented and its effectiveness after three months. Results: The sample had equal gender distribution. Satisfactory knowledge significantly improved from 53% to 98%, and adequate practice from 30% to 65% post-intervention (p<0.001). The problem of constipation showed significant improvement with 74% reporting relief at the post-intervention phase (p<0.001). The predictors of the relief of constipation were the practice score and the knowledge of the benefits of abdominal massage, Odds Ratios 1.66 and 1.58, respectively. Conclusion: Training older adults in abdominal massage technique is effective in relieving their constipation. Recommendations: The technique should be used in geriatric care in various community and healthcare settings. Further research is proposed to assess its effect on older adults’ quality of life.
