Marwa Shahin - Academia.edu (original) (raw)

Papers by Marwa Shahin

Background and aim: Breast pain resulting from nipple trauma is one of the most common discomfort... more Background and aim: Breast pain resulting from nipple trauma is one of the most common discomforts that post-partum care nurses encounter in post-partum breast-feeding women. This study aim was to study the effect of evidence-based interventions on traumatic nipple among primipara breast-feeding mothers. Materials and Methods: Quasi-experimental study design was used in this study by comparing three groups of women (Group I: Evidence-based interventions, Group II: Evidence-based interventions and health education, Group III: application of ointment) baseline, 7 days, and then 14 days post-intervention. Sample: A purposive sample of 75 women was recruited for the study (25 for each group). Instruments: three instruments were used for data collection: an interviewing questionnaire, a visual analog scale, and a nipple trauma assessment sheet. Results: This study showed a statistically significant reduction in nipple trauma degree and pain in the postintervention measurement in group II...

Egyptian Journal of Health Care, 2021

Background: Female dyspareunia is a sexual dysfunction manifested as pain in reproductive organs ... more Background: Female dyspareunia is a sexual dysfunction manifested as pain in reproductive organs combined with sexual intercourse. It can alter a woman's sense of sexual competency and identity. The aim of the study was to identify risk factors of dyspareunia and evaluates the effect of cognitive behavioral therapy (CBT) on women with dyspareunia including (sexual pain severity, sexual performance, marital and psychosocial adjustment). Subjects and Methods: A quasi experimental design (A pre-post-test) was used. The study was conducted at two Maternal and Child health centers (MCH) and family planning outpatient clinic (FPOC) at Shebin-El-Kom Teaching Hospital-Egypt. A purposive sample of 200 women (100 women with dyspareunia and 100 free of dyspareunia) were included to detect the risk factors. The 100 women who diagnosed with dyspreunia received CBT intervention. These women were followed up for 12 weeks. Five tools were used to collect pertinent data. Results: the study revealed that, the mean score of maternal age of the women with dyspareunia were 24.74±4.01. Most of them were had intermediate level of education (60%), were lived in rural community (78%) and not had enough income (56%). The common risk factors for dyspareunia were related to demographic data (age, residence, and income), reproductive factors (vaginal dryness, itching, abnormal vaginal discharge and cervical ulcer, erosion) and obstetric factors (episiotomy, laceration during delivery and breast feeding). A significant improvement was found between women before and after receiving CBT intervention regarding severity of sexual pain, sexual performance, marital-relationship, social & psychological status. Conclusion: CBT as an important nursing intervention is an effective therapy in managing dyspareunia for decreasing sexual pain severity, improving sexual performance, marital adjustment, psychosocial state.

Malaysian Journal of Public Health Medicine, 2020

Many couples experience postpartum period of decreasing sexual satisfaction. Postpartum sexual dy... more Many couples experience postpartum period of decreasing sexual satisfaction. Postpartum sexual dysfunction is a very common and relevant clinical problem, with significant adverse effects on women's health. The aim of this study was to evaluate the impact of sexual nursing care for the postpartum period on sexual dysfunction and life satisfaction among Egyptian women. A quasi-experimental design was used to study 219 women selected using a purposive sample. The study was conducted in out-patients maternity clinic at Zagazig university hospitals, Sharkia Governorate, Egypt, between the periods from February 2019 to February 2020. Data was collected using three tools. The first: Structured interview questionnaire that consist from three parts, part one: socio demographic characteristics , part two obstetric history and part three sexual history, the second: Female Sexual dysfunction index (FSDI), and the third: Satisfaction with Life Scale (SWLS).Four session about sexual educatio...

Egyptian Journal of Health Care, 2021

Aim of this study was to evaluate the effect of topical application of mother milk on umbilical c... more Aim of this study was to evaluate the effect of topical application of mother milk on umbilical cord stump separation time compared to ethanol in healthy newborn. Design: A quasi-experimental design was used for the study. Setting: The study was carried out in postpartum unite of obstetrics department at Benha University Hospital Sample: A purposive sample of 100 neonates randomly assigned into two groups (50) in mother milk group, and (50) in ethanol group. Tools: Data were collected through two main tools: Structured interview schedule and follow up observational checklist for monitoring signs of cord healing, cord separation time and signs of cord infection. Results: There was highly statistically significant difference in umbilical cord stump separation time, sign of cord infection, bleeding continuation and mucoid secretion in mother milk group as compared with ethanol group. Conclusion and recommendation: Topical application of mother milk on umbilical cord stump care leads to...

Egyptian Journal of Health Care, 2021

Background: Preeclampsia during pregnancy is considered one of the major obstetrical problems in ... more Background: Preeclampsia during pregnancy is considered one of the major obstetrical problems in developing countries that cause maternal mortality and preterm birth throughout the world. Aim: To evaluate the effect of nursing intervention guided by PRECEDE model on knowledge and practice of preventive behavior of high-risk pregnant women regarding preeclampsia. Subjects and method: Design: Quasi-experimental research design pre-post-test was utilized in this research. Settings: The study was applied in the antenatal outpatient clinics at Tanta and Sohag University Hospitals. Sample: A purposive sample of 120 high-risk pregnant women was recruited from the selected settings. Tools: Four tools were used: (1) Structured interviewing questionnaire, (2) Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire), (3) Pregnant women’s reported practices of preeclampsia preventive behavior tool and (4) Pregnant women attitude questionnaire regarding preeclampsia pr...

preoperative vaginal wash with povidone iodine reduced the vaginal bacteria up to 98% which can i... more preoperative vaginal wash with povidone iodine reduced the vaginal bacteria up to 98% which can in turn reduce ascending bacteria from the vagina to the uterus end reduce post cesarean infection . The purpose of the study was to assess effect of preoperative vaginal cleansing to reduce post caesarean infection. Methods: A quasi-experimental design was utilized. Sample: A convenience sample of 162 pregnant women in the full term pregnancy. Setting: The study was carried out at Menoufia University Hospital at Shebin El-Kom and Menouf General Hospital at menouf. Instruments: An interviewing questionnaire, maternal assessment tool, cesarean examination tool, follow up assessment tool. Results: There was a statistically significant reduction in postoperative infection in the study group compared to the control group. Conclusion: preoperative vaginal cleansing with povidion iodine is effective in the reduction of post cesarean infection. Recommendations: Preoperative vaginal preparation w...

Back ground:Violence against women is considered the most widespread form of human rights violati... more Back ground:Violence against women is considered the most widespread form of human rights violation worldwide Aim: The study aimed to examine the effect of nursing intervention based on crisis counseling model on spouse violence recovery among women. Method: A quasi-experimental research design (pre/post) was utilized to achieve the aim of the study. Settings: This study was conducted at obstetric outpatient clinic in Menoufia University Hospital at Shebin ElKom, Menoufia Governorate Egypt. Sample:A purposive sample, composed of 198 women experiencing spouse violence was included and willing to participate and complete the study. nstruments: five instruments were used for data collection:A structured interviewing questionnaire, Tylor anxiety scale, Perceived stress scale (PSS), Sexual satisfaction scale and ENRICH marital satisfaction scale. Results: The study revealed that there was a statistically significant differenceamong women regardinganxiety level, stress level, sexual and m...

Background: Breastfeeding is an extremely time-sensitive relationship. Experiences with breastfee... more Background: Breastfeeding is an extremely time-sensitive relationship. Experiences with breastfeeding in the first hours and days of life significantly influence an infant’s later feeding. The study aimed to explore the effect of baby-friendly hospital initiative breast feeding program on maternity nurses , mothers and infant outcomes. Subjects &methods a quasi-experimental design was used. The study was conducted at obstetric departments at Shebin – Elkom teaching hospital, Menoufia university hospital and Banha university hospital. A simple random sample of two hundred mothers and 50 maternity nurses were involved in the study. 5 tools were used to collect data. Results: There was statistically significant difference between case and control group regarding mothers' knowledge, attitude regarding breast feeding and practice of sex steps of baby friendly hospital initiative intervention. A significant improvement was observed in nurses' implementation of baby-friendly hospit...

Labor pain is a universal experience among primigravida during pregnancy. Failure to manage labor... more Labor pain is a universal experience among primigravida during pregnancy. Failure to manage labor pain may lead to abnormal labor. There are many complementary nonpharmacological methods used to cope with labor pain such as back massage and breathing exercises. Aim: To evaluate the effect of natural methods for relieving labor pain and anxiety during the first stage of labor among primigravida mothers. Design: A quasi-experimental design was utilized to accomplish this study. Sample: A Purposive sample included 80 primigravida mothers were recruited and divided into two equal groups as a group (A) refers to the back massage group (n=40) and group (B) which refers to the breathing exercises group (n=40). Setting: The study was applied in the Obstetrics and Gynecology Department at Sohag University Hospital. Three tools were used for data collection (1) A structured interviewing questionnaire, (2) a visual analog pain scale, (3) a State-Trait Anxiety Inventory scale. Results: Revealed...

Background and aim: Breast pain resulting from nipple trauma is one of the most common discomfort... more Background and aim: Breast pain resulting from nipple trauma is one of the most common discomforts that post-partum care nurses encounter in post-partum breast-feeding women. This study aim was to study the effect of evidence-based interventions on traumatic nipple among primipara breast-feeding mothers. Materials and Methods: Quasi-experimental study design was used in this study by comparing three groups of women (Group I: Evidence-based interventions, Group II: Evidence-based interventions and health education, Group III: application of ointment) baseline, 7 days, and then 14 days post-intervention. Sample: A purposive sample of 75 women was recruited for the study (25 for each group). Instruments: three instruments were used for data collection: an interviewing questionnaire, a visual analog scale, and a nipple trauma assessment sheet. Results: This study showed a statistically significant reduction in nipple trauma degree and pain in the postintervention measurement in group II...

Assiut Scientific Nursing Journal, 2021

Breastfeeding is an important practice in Egypt from the first day of childbirth by giving colost... more Breastfeeding is an important practice in Egypt from the first day of childbirth by giving colostrum milk. Colostrum is contained large amounts of IgA antibodies that promoting health, reducing diarrheal disease among neonates, and providing excellent immune support. Aim: To evaluate the effect of instructional guidelines on pregnant women's knowledge, attitude, and practices regarding colostrum feeding. Design: Quasi-experimental research design was conducted in this study. Setting: The current study was conducted at the Antenatal Outpatient Clinic at South Valley University Hospital. Subjects: A purposive sample included 100 pregnant women were enrolled in the study. One tool was used, a structured interview questionnaire composed of: part I Sociodemographic characteristics: part II: Pregnant women's knowledge assessment sheet about colostrum feeding, part III: Pregnant women's attitude towards colostrum feeding and part IV: Pregnant women's practices of colostrum feeding. Results: Most women did not have knowledge about the importance of colostrum and unsatisfactory level of knowledge toward colostrum feeding was reported, negative attitudes and inadequate practices among pregnant women for colostrum feeding were presented by the studied women pre instructional guidelines implementation. Meanwhile, knowledge, attitude, and practices of the pregnant women had improved post one month of the guidelines implementation. Conclusion: Instructional guidelines were effective in improving pregnant women's knowledge, attitude, and practices regarding colostrum feeding. Recommendations: Educational programs about colostrum feeding should be taught and discussed in the antenatal care follow-up visits to all mothers.

Egyptian Journal of Health Care, 2021

Egyptian Journal of Health Care, 2019

Egyptian Journal of Health Care, 2020

Egyptian Journal of Health Care, 2019

American Journal of Nursing Science, 2015

Background: A breast cancer's diagnosis and treatment can bring changes related to women's body i... more Background: A breast cancer's diagnosis and treatment can bring changes related to women's body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women undergoing treatment. Subjects &methods a quasi-experimental design was used. The study was conducted at Outpatient Oncology Institute, Menoufia University-Egypt. A purposive sample of 66 women with breast cancer was included. Four tools were used to collect data., a structured interviewing questionnaire, body image scale, female sexual function index (FSDI), the revised dyadic adjustment scale. Results. A significant relationship was found between treatment side effects pre and post intervention regarding nausea & vomiting, diarrhea and pain. The mean score of body image, couple satisfaction and sexual dysfunction were improved after application of PLISST counseling model. Conclusion: application of PLISSIT model was effective in enhancing sexual functioning, body image and couple satisfaction for breast cancer women under treatment regimen. Recommendation: Adopting PLISSIT sexual counseling model in addressing sexual dysfunction in a cancer treatment institutions. Applying the evidence-based nursing interventions to address and manage the effects of breast cancer on sexuality.

The study aimed to evaluate the effect of structured postpartum nursing intervention involving CO... more The study aimed to evaluate the effect of structured postpartum nursing intervention involving COVID-19 precautions on mother's knowledge, practice, fear level and neonatal care. The study sample was purposive composed of 75 mothers during postpartum period. Study design was Quasi Experimental ( pre-post). Setting: the study conducted at the obstetrics and gynecology departments affiliated to University Hospital and Shebin El-Kom teaching hospital, Menoufia Governorate, Egypt. Five tools were used for data collection: a structured interviewing questionnaire, an observational checklist of mother practice of maternal and neonatal care, COVID-19 precautions knowledge questionnaire, Observational checklist of COVID-19 practice, and the COVID-19 fear scale. Study results revealed a statistically significant difference in the mothers' knowledge and practice regarding COVID-19 precautions and decrease in fear level on post and follow up intervention compared to pre intervention whi...

American Journal of Nursing Science, May 5, 2015

Background: Premenstrual syndrome (PMS) is a common cause of substantial psychological and physic... more Background: Premenstrual syndrome (PMS) is a common cause of substantial psychological and physical distress for women during their reproductive years. Forty percent of women have symptoms that are severe enough to disrupt some aspect of their daily lives, 5% are incapacitated by their symptoms. Despite the magnitude of this problem, a lot of confusion exists in medical and lay communities alike about what is and is not effective for treatment of PMS. The study aimed assessing premenstrual symptoms, self care practices among women at reproductive age attending Maternal and Child Health (MCH) centers in Menoufia governorate, Egypt and Hodidha governorate, Yemen and evaluate the effect of evidence-based nursing management on severity of premenstrual syndrome among them. Subjects and methods: A quasi experimental study was used. Subjects consisted of 2000 clients (1000 Hodidha clients and 1000 Menoufia clients). Structured Interviewing questionnaire, tool about assessment of premenstrual symptoms severity and pre-post knowledge test were used. Results: there was statistically significant differences in the severity of premenstrual symptoms before and after administration of evidence based nursing management for 3 months (3menstrual cycles). Conclusion: clients experience decrease severity of premenstrual syndrome after administration of evidence based nursing management for 3 months (3 menstrual cycle). Recommendation: Effective evidence based program about premenstrual syndrome, care of gynecological problems should be included into educational program of maternal and child health (MCH) centers in rural Menoufia governorate, Egypt and Hodidha governorate, Yemen. More research is needed to expand the evidence base on effective interventions for premenstrual syndrome and to translate knowledge into practices. Future studies are needed to be performed about prevalence, consequences, and management methods of premenstrual syndrome in different settings in Egypt and Yemen and other Arabic countries.

Background and aim: Breast pain resulting from nipple trauma is one of the most common discomfort... more Background and aim: Breast pain resulting from nipple trauma is one of the most common discomforts that post-partum care nurses encounter in post-partum breast-feeding women. This study aim was to study the effect of evidence-based interventions on traumatic nipple among primipara breast-feeding mothers. Materials and Methods: Quasi-experimental study design was used in this study by comparing three groups of women (Group I: Evidence-based interventions, Group II: Evidence-based interventions and health education, Group III: application of ointment) baseline, 7 days, and then 14 days post-intervention. Sample: A purposive sample of 75 women was recruited for the study (25 for each group). Instruments: three instruments were used for data collection: an interviewing questionnaire, a visual analog scale, and a nipple trauma assessment sheet. Results: This study showed a statistically significant reduction in nipple trauma degree and pain in the postintervention measurement in group II...

Egyptian Journal of Health Care, 2021

Background: Female dyspareunia is a sexual dysfunction manifested as pain in reproductive organs ... more Background: Female dyspareunia is a sexual dysfunction manifested as pain in reproductive organs combined with sexual intercourse. It can alter a woman's sense of sexual competency and identity. The aim of the study was to identify risk factors of dyspareunia and evaluates the effect of cognitive behavioral therapy (CBT) on women with dyspareunia including (sexual pain severity, sexual performance, marital and psychosocial adjustment). Subjects and Methods: A quasi experimental design (A pre-post-test) was used. The study was conducted at two Maternal and Child health centers (MCH) and family planning outpatient clinic (FPOC) at Shebin-El-Kom Teaching Hospital-Egypt. A purposive sample of 200 women (100 women with dyspareunia and 100 free of dyspareunia) were included to detect the risk factors. The 100 women who diagnosed with dyspreunia received CBT intervention. These women were followed up for 12 weeks. Five tools were used to collect pertinent data. Results: the study revealed that, the mean score of maternal age of the women with dyspareunia were 24.74±4.01. Most of them were had intermediate level of education (60%), were lived in rural community (78%) and not had enough income (56%). The common risk factors for dyspareunia were related to demographic data (age, residence, and income), reproductive factors (vaginal dryness, itching, abnormal vaginal discharge and cervical ulcer, erosion) and obstetric factors (episiotomy, laceration during delivery and breast feeding). A significant improvement was found between women before and after receiving CBT intervention regarding severity of sexual pain, sexual performance, marital-relationship, social & psychological status. Conclusion: CBT as an important nursing intervention is an effective therapy in managing dyspareunia for decreasing sexual pain severity, improving sexual performance, marital adjustment, psychosocial state.

Malaysian Journal of Public Health Medicine, 2020

Many couples experience postpartum period of decreasing sexual satisfaction. Postpartum sexual dy... more Many couples experience postpartum period of decreasing sexual satisfaction. Postpartum sexual dysfunction is a very common and relevant clinical problem, with significant adverse effects on women's health. The aim of this study was to evaluate the impact of sexual nursing care for the postpartum period on sexual dysfunction and life satisfaction among Egyptian women. A quasi-experimental design was used to study 219 women selected using a purposive sample. The study was conducted in out-patients maternity clinic at Zagazig university hospitals, Sharkia Governorate, Egypt, between the periods from February 2019 to February 2020. Data was collected using three tools. The first: Structured interview questionnaire that consist from three parts, part one: socio demographic characteristics , part two obstetric history and part three sexual history, the second: Female Sexual dysfunction index (FSDI), and the third: Satisfaction with Life Scale (SWLS).Four session about sexual educatio...

Egyptian Journal of Health Care, 2021

Aim of this study was to evaluate the effect of topical application of mother milk on umbilical c... more Aim of this study was to evaluate the effect of topical application of mother milk on umbilical cord stump separation time compared to ethanol in healthy newborn. Design: A quasi-experimental design was used for the study. Setting: The study was carried out in postpartum unite of obstetrics department at Benha University Hospital Sample: A purposive sample of 100 neonates randomly assigned into two groups (50) in mother milk group, and (50) in ethanol group. Tools: Data were collected through two main tools: Structured interview schedule and follow up observational checklist for monitoring signs of cord healing, cord separation time and signs of cord infection. Results: There was highly statistically significant difference in umbilical cord stump separation time, sign of cord infection, bleeding continuation and mucoid secretion in mother milk group as compared with ethanol group. Conclusion and recommendation: Topical application of mother milk on umbilical cord stump care leads to...

Egyptian Journal of Health Care, 2021

Background: Preeclampsia during pregnancy is considered one of the major obstetrical problems in ... more Background: Preeclampsia during pregnancy is considered one of the major obstetrical problems in developing countries that cause maternal mortality and preterm birth throughout the world. Aim: To evaluate the effect of nursing intervention guided by PRECEDE model on knowledge and practice of preventive behavior of high-risk pregnant women regarding preeclampsia. Subjects and method: Design: Quasi-experimental research design pre-post-test was utilized in this research. Settings: The study was applied in the antenatal outpatient clinics at Tanta and Sohag University Hospitals. Sample: A purposive sample of 120 high-risk pregnant women was recruited from the selected settings. Tools: Four tools were used: (1) Structured interviewing questionnaire, (2) Predisposing, Enabling, and Reinforcing Questionnaire (PRECEDE model questionnaire), (3) Pregnant women’s reported practices of preeclampsia preventive behavior tool and (4) Pregnant women attitude questionnaire regarding preeclampsia pr...

preoperative vaginal wash with povidone iodine reduced the vaginal bacteria up to 98% which can i... more preoperative vaginal wash with povidone iodine reduced the vaginal bacteria up to 98% which can in turn reduce ascending bacteria from the vagina to the uterus end reduce post cesarean infection . The purpose of the study was to assess effect of preoperative vaginal cleansing to reduce post caesarean infection. Methods: A quasi-experimental design was utilized. Sample: A convenience sample of 162 pregnant women in the full term pregnancy. Setting: The study was carried out at Menoufia University Hospital at Shebin El-Kom and Menouf General Hospital at menouf. Instruments: An interviewing questionnaire, maternal assessment tool, cesarean examination tool, follow up assessment tool. Results: There was a statistically significant reduction in postoperative infection in the study group compared to the control group. Conclusion: preoperative vaginal cleansing with povidion iodine is effective in the reduction of post cesarean infection. Recommendations: Preoperative vaginal preparation w...

Back ground:Violence against women is considered the most widespread form of human rights violati... more Back ground:Violence against women is considered the most widespread form of human rights violation worldwide Aim: The study aimed to examine the effect of nursing intervention based on crisis counseling model on spouse violence recovery among women. Method: A quasi-experimental research design (pre/post) was utilized to achieve the aim of the study. Settings: This study was conducted at obstetric outpatient clinic in Menoufia University Hospital at Shebin ElKom, Menoufia Governorate Egypt. Sample:A purposive sample, composed of 198 women experiencing spouse violence was included and willing to participate and complete the study. nstruments: five instruments were used for data collection:A structured interviewing questionnaire, Tylor anxiety scale, Perceived stress scale (PSS), Sexual satisfaction scale and ENRICH marital satisfaction scale. Results: The study revealed that there was a statistically significant differenceamong women regardinganxiety level, stress level, sexual and m...

Background: Breastfeeding is an extremely time-sensitive relationship. Experiences with breastfee... more Background: Breastfeeding is an extremely time-sensitive relationship. Experiences with breastfeeding in the first hours and days of life significantly influence an infant’s later feeding. The study aimed to explore the effect of baby-friendly hospital initiative breast feeding program on maternity nurses , mothers and infant outcomes. Subjects &methods a quasi-experimental design was used. The study was conducted at obstetric departments at Shebin – Elkom teaching hospital, Menoufia university hospital and Banha university hospital. A simple random sample of two hundred mothers and 50 maternity nurses were involved in the study. 5 tools were used to collect data. Results: There was statistically significant difference between case and control group regarding mothers' knowledge, attitude regarding breast feeding and practice of sex steps of baby friendly hospital initiative intervention. A significant improvement was observed in nurses' implementation of baby-friendly hospit...

Labor pain is a universal experience among primigravida during pregnancy. Failure to manage labor... more Labor pain is a universal experience among primigravida during pregnancy. Failure to manage labor pain may lead to abnormal labor. There are many complementary nonpharmacological methods used to cope with labor pain such as back massage and breathing exercises. Aim: To evaluate the effect of natural methods for relieving labor pain and anxiety during the first stage of labor among primigravida mothers. Design: A quasi-experimental design was utilized to accomplish this study. Sample: A Purposive sample included 80 primigravida mothers were recruited and divided into two equal groups as a group (A) refers to the back massage group (n=40) and group (B) which refers to the breathing exercises group (n=40). Setting: The study was applied in the Obstetrics and Gynecology Department at Sohag University Hospital. Three tools were used for data collection (1) A structured interviewing questionnaire, (2) a visual analog pain scale, (3) a State-Trait Anxiety Inventory scale. Results: Revealed...

Background and aim: Breast pain resulting from nipple trauma is one of the most common discomfort... more Background and aim: Breast pain resulting from nipple trauma is one of the most common discomforts that post-partum care nurses encounter in post-partum breast-feeding women. This study aim was to study the effect of evidence-based interventions on traumatic nipple among primipara breast-feeding mothers. Materials and Methods: Quasi-experimental study design was used in this study by comparing three groups of women (Group I: Evidence-based interventions, Group II: Evidence-based interventions and health education, Group III: application of ointment) baseline, 7 days, and then 14 days post-intervention. Sample: A purposive sample of 75 women was recruited for the study (25 for each group). Instruments: three instruments were used for data collection: an interviewing questionnaire, a visual analog scale, and a nipple trauma assessment sheet. Results: This study showed a statistically significant reduction in nipple trauma degree and pain in the postintervention measurement in group II...

Assiut Scientific Nursing Journal, 2021

Breastfeeding is an important practice in Egypt from the first day of childbirth by giving colost... more Breastfeeding is an important practice in Egypt from the first day of childbirth by giving colostrum milk. Colostrum is contained large amounts of IgA antibodies that promoting health, reducing diarrheal disease among neonates, and providing excellent immune support. Aim: To evaluate the effect of instructional guidelines on pregnant women's knowledge, attitude, and practices regarding colostrum feeding. Design: Quasi-experimental research design was conducted in this study. Setting: The current study was conducted at the Antenatal Outpatient Clinic at South Valley University Hospital. Subjects: A purposive sample included 100 pregnant women were enrolled in the study. One tool was used, a structured interview questionnaire composed of: part I Sociodemographic characteristics: part II: Pregnant women's knowledge assessment sheet about colostrum feeding, part III: Pregnant women's attitude towards colostrum feeding and part IV: Pregnant women's practices of colostrum feeding. Results: Most women did not have knowledge about the importance of colostrum and unsatisfactory level of knowledge toward colostrum feeding was reported, negative attitudes and inadequate practices among pregnant women for colostrum feeding were presented by the studied women pre instructional guidelines implementation. Meanwhile, knowledge, attitude, and practices of the pregnant women had improved post one month of the guidelines implementation. Conclusion: Instructional guidelines were effective in improving pregnant women's knowledge, attitude, and practices regarding colostrum feeding. Recommendations: Educational programs about colostrum feeding should be taught and discussed in the antenatal care follow-up visits to all mothers.

Egyptian Journal of Health Care, 2021

Egyptian Journal of Health Care, 2019

Egyptian Journal of Health Care, 2020

Egyptian Journal of Health Care, 2019

American Journal of Nursing Science, 2015

Background: A breast cancer's diagnosis and treatment can bring changes related to women's body i... more Background: A breast cancer's diagnosis and treatment can bring changes related to women's body image and sexuality, which can have a devastating impact on intimate relationships and sexuality. The study aim to examine the effectiveness of PLISSIT Counseling Model on female sexuality, body image and couple satisfaction for breast cancer women undergoing treatment. Subjects &methods a quasi-experimental design was used. The study was conducted at Outpatient Oncology Institute, Menoufia University-Egypt. A purposive sample of 66 women with breast cancer was included. Four tools were used to collect data., a structured interviewing questionnaire, body image scale, female sexual function index (FSDI), the revised dyadic adjustment scale. Results. A significant relationship was found between treatment side effects pre and post intervention regarding nausea & vomiting, diarrhea and pain. The mean score of body image, couple satisfaction and sexual dysfunction were improved after application of PLISST counseling model. Conclusion: application of PLISSIT model was effective in enhancing sexual functioning, body image and couple satisfaction for breast cancer women under treatment regimen. Recommendation: Adopting PLISSIT sexual counseling model in addressing sexual dysfunction in a cancer treatment institutions. Applying the evidence-based nursing interventions to address and manage the effects of breast cancer on sexuality.

The study aimed to evaluate the effect of structured postpartum nursing intervention involving CO... more The study aimed to evaluate the effect of structured postpartum nursing intervention involving COVID-19 precautions on mother's knowledge, practice, fear level and neonatal care. The study sample was purposive composed of 75 mothers during postpartum period. Study design was Quasi Experimental ( pre-post). Setting: the study conducted at the obstetrics and gynecology departments affiliated to University Hospital and Shebin El-Kom teaching hospital, Menoufia Governorate, Egypt. Five tools were used for data collection: a structured interviewing questionnaire, an observational checklist of mother practice of maternal and neonatal care, COVID-19 precautions knowledge questionnaire, Observational checklist of COVID-19 practice, and the COVID-19 fear scale. Study results revealed a statistically significant difference in the mothers' knowledge and practice regarding COVID-19 precautions and decrease in fear level on post and follow up intervention compared to pre intervention whi...

American Journal of Nursing Science, May 5, 2015

Background: Premenstrual syndrome (PMS) is a common cause of substantial psychological and physic... more Background: Premenstrual syndrome (PMS) is a common cause of substantial psychological and physical distress for women during their reproductive years. Forty percent of women have symptoms that are severe enough to disrupt some aspect of their daily lives, 5% are incapacitated by their symptoms. Despite the magnitude of this problem, a lot of confusion exists in medical and lay communities alike about what is and is not effective for treatment of PMS. The study aimed assessing premenstrual symptoms, self care practices among women at reproductive age attending Maternal and Child Health (MCH) centers in Menoufia governorate, Egypt and Hodidha governorate, Yemen and evaluate the effect of evidence-based nursing management on severity of premenstrual syndrome among them. Subjects and methods: A quasi experimental study was used. Subjects consisted of 2000 clients (1000 Hodidha clients and 1000 Menoufia clients). Structured Interviewing questionnaire, tool about assessment of premenstrual symptoms severity and pre-post knowledge test were used. Results: there was statistically significant differences in the severity of premenstrual symptoms before and after administration of evidence based nursing management for 3 months (3menstrual cycles). Conclusion: clients experience decrease severity of premenstrual syndrome after administration of evidence based nursing management for 3 months (3 menstrual cycle). Recommendation: Effective evidence based program about premenstrual syndrome, care of gynecological problems should be included into educational program of maternal and child health (MCH) centers in rural Menoufia governorate, Egypt and Hodidha governorate, Yemen. More research is needed to expand the evidence base on effective interventions for premenstrual syndrome and to translate knowledge into practices. Future studies are needed to be performed about prevalence, consequences, and management methods of premenstrual syndrome in different settings in Egypt and Yemen and other Arabic countries.