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raefa Allam

    raefa Allam

    • raefa refaat alam , assist prof. in gerontological department Mansoura University. we have a lot experience in teaching and leering technique and social activities.edit
    Background: Gastrointestinal Endoscopy is a widely used procedure in medicine today. It is the diagnosis and treatment of choice among elderly patients with upper gastrointestinal disorders. Thus anxiety, stress, and depression of adverse... more
    Background: Gastrointestinal Endoscopy is a widely used procedure in medicine today. It is the diagnosis and treatment of choice among elderly patients with upper gastrointestinal disorders. Thus anxiety, stress, and depression of adverse out-come or side effect and discomfort regarding endoscopy reduce the patient’s acceptance ability. Effective procedure ex-planation and safety measures have positively impact on decrease level of anxiety, stress, and depression and improve elderly patient’s general health condition Aim: Evaluate effectiveness of nursing interventions on level of anxiety, stress and depression of elderly patients undergoing upper gastrointestinal endoscopy. Design: A quasi experimental study design with pre and post procedure was used.Setting: The study was conducted at Gastrointestinal Surgery Center (GISC) (Endoscopy Unit) Mansoura University Subjects: A convenient sample of 76 elderly patients undergoing GIT endoscopy. Data collected over a period of 9 months fr...
    Background: the level of burden is associated with severity of Alzheimer disease, frequency, and intensity of care, and absence of help. In many cases, mostly all members of the family become a stigma victim and could have feelings of... more
    Background: the level of burden is associated with severity of Alzheimer disease, frequency, and intensity of care, and absence of help. In many cases, mostly all members of the family become a stigma victim and could have feelings of shame about the disease. Aim: the aim of the study was to assess relationship between caregiving burden, knowledge and stigma of caregivers caring for older adults with Alzheimer disease. Design: the researchers used a descriptive-correlational cross sectional design to complete the study. Subjects: A convenience sample of 108 family caregivers of the older adults diagnosed with Alzheimer’s disease covered a period of one year (from 1st of May 2019 till 1st of June Settings: This study was carried out in the general hospital at patient clinic and Association of Alzheimer Patients at Mansoura city, Dekahlia governorate. Tools: Four tools were used to collect the data namely; Demographic and clinical data structure interview schedule sheet, The Zarit Bur...
    Background: Osteoporosis is among the top five conditions causing disability for elder, particularly in women. Unfortunately, Egyptian women were reported to have a lower bone mineral density compared to their Western counterparts. So,... more
    Background: Osteoporosis is among the top five conditions causing disability for elder, particularly in women. Unfortunately, Egyptian women were reported to have a lower bone mineral density compared to their Western counterparts. So, this study was conducted to assessed knowledge and beliefs of menopausal women about osteoporosis and their possible associated factors. Methods: A cross-sectional study was conducted on 208 menopausal women recruited from both rural and urban settings, Mansoura, Egypt. A questionnaire was used to assess socio-demographic characteristics, knowledge, and health beliefs of participants about osteoporosis. Results: The overall osteoporosis knowledge assessment tool (OKAT) and osteoporosis health beliefs scale mean scores were 10.8 ± 3.52 and 140.9 ± 18.1, respectively. High education was the only significant predictor to OKAT mean score (p = 0.011). Linear regression revealed that understanding the symptom and knowledge of preventive factors is strongly significant (p ≤ 0.001) independent predictors for women perceptions to the benefit of exercises and susceptibility to osteoporosis (R2 = 0.205 and 0.167; respectively). Conclusions: This study reflects the limited knowledge and modest perceptions toward osteoporosis among menopausal women. Knowledge was a significant predictor of women health beliefs towards osteoporosis. Gender-based preventive programs may help to reduce the burden of osteoporosis in the Egyptian community
    Background Informed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the... more
    Background Informed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the Egyptian patients’/guardians’ experiences about IC and their expectations about its practices’ purposes in general and according to the type of the healthcare facility. Methods Self-administered questionnaire was carried out for 1092 participants who had undergone or were scheduled to a procedure requiring an IC at three studied types for Egyptian health care facilities. Ten statements were ranked twice by the participants to reflect their perception of IC purpose as per what is currently practiced and what they believe should be practiced. Results IC implementation varies significantly (p<0.05) across the health care facilities in Egypt. The percentage of its implementation at the non-governmental facilities, governmental facilities, and univer...
    Background: Organ donation has become one of the most effective ways in developing and developed countries to save lives and improve the quality of life for patients with end-stage organ failure. No previous studies investigated either... more
    Background: Organ donation has become one of the most effective ways in developing and developed countries to save lives and improve the quality of life for patients with end-stage organ failure. No previous studies investigated either the Egyptians’ perception or preferences about different consenting options for organ donation. This study aims to assess Egyptian personal preferences and public perception of norm on several consenting options for posthumous organ donation, and measure the awareness and acceptance of the public to Egyptian law articles regulating organ donation. Methodology: A cross sectional study was conducted along two years among 2743 participants. Participants were chosen from governmental and non-governmental facilities as well as from the general public. Each participant was required to complete the study questionnaire which included demographic characteristics, personal preferences and public norms of eleven consenting options arranged from 1 (most preferred...
    Background: A focused evaluation of learning needs with a better determination of time during admission for percutaneous coronary interventions (PCI) is urged for elderly patients. When elderly patients' learning needs are not met,... more
    Background: A focused evaluation of learning needs with a better determination of time during admission for percutaneous coronary interventions (PCI) is urged for elderly patients. When elderly patients' learning needs are not met, there is an insufficient treatment, decrease in coping ability and increase in anxiety. Aim of the current study was to Identify learning needs of elderly patients undergoing PCI. Method; A descriptive research design was used to conduct this study at the Cardiac Catheterization Unit in the Specialized-Medical Hospital affiliated to Mansoura University Hospital. A purposive sample of 108 elderly patients undergoing PCI who met the inclusion criteria. Tools Socio-Demographic characteristics& Health Profile Structure Interview Schedule and Percutaneous Coronary Intervention Learning Needs Inventory were used to collect data. Results: The result indicates more than one half of studied elders (57.4%) had moderate level of learning needs, (41.7%) had high ...