منى طلعت محمد النادى

 

The Effectiveness of Stress Reduction Psychoeducational Intervention on Affective State of Hospitalized High-Risk Pregnant Women

By

Nehad Helmy Mohamed, Lecturer of Psychiatric Nursing

Hanan Ebrahim Abdel-Aziz, Lecturer of Psychiatric Nursing

Mona Talat Mohamed, Lecturer of Psychiatric Nursing

Cairo University

    Many women today are facing high risk pregnancies, they are labeled high risk for complications in pregnancy such as placenta previa, gestation diabetes, premature rupture of membrane, preterm labor and multiple gestation. Women with high risk pregnancy have feelings of fear, vulnerability, passivity, depression and experienced a profound lack of control over their bodies due to their inability to stop preterm labor and to the increased management of the pregnancy by the physician. Hospitalization is likely to further increase the stress of having a high risk pregnancy because it signals an increase in severity of the complications, loss of maternal control over the pregnancy, and increased medical control. The aim of this study was to determine the impact of stress reduction psychoeducational intervention on the affective state and adaptation to hospitalization among hospitalized high risk pregnant women. An official permission was obtained prior to study conduction. By using quasi-experimental research design, thirty hospitalized high risk pregnant women, aged from 16-40 years old were assigned to the intervention. Tools consisted of demographic data sheet; Mills depression and anxiety symptom feeling checklist, and patient perception of stressful events associated with hospitalization scale were administered to the study sample before and after completion of the intervention. The intervention included "the antepartum doula support for high risk pregnancies which consisted of psychological, emotional, and informational support". The study was conducted at the inpatient gynecological word at El-Kaser El-Aini Hospital. Results revealed that, the high risk pregnant women who attended the psychoeducational intervention showed significant adjustment to the hospitalization and improvement in their psychological state. The study concluded that the adaptation to hospitalization of high risk hospitalized pregnant women. It recommended that the psychoeduational intervention must be included in the nursing care regimen for the high risk pregnant women to improve the quality of care provided to such group, for the optimum level of health and safety for pregnant women and their new born.

Key Words:

Stress Reduction, Affective State, High Risk Pregnancy

 

 The Effect of a Structured Program for Family Caregivers On Their Knowledge and Coping Strategies with Their Children Undergoing Chemotherapy

 

By

Hanan Ebrahim Abd El Aziz

lecturer of psychiatric  Mental Health Nursing

Faculty of Nursing- Cairo University

Lamiaa Ahmed EL-Sayed

Lecturer of Pediatric Nursing

 Faculty of Nursing - Ain Shams University

Mona Talat Mohamed

 lecturer of Psychiatric Mental Health  Nursing

Faculty of Nursing-Cairo University

Abstract

 

    Child facing cancer requires an enormous amount of personal reserve both on   the   part of the patient  and significant others .Therefore, this study aims at assessing the effect of a structured program for family caregivers on their knowledge and coping strategies with their children undergoing chemotherapy. A quasi-experimental research design  was used . The study sample consisted of 60 parents with their children undergoing chemotherapy. Tools of  data collection include, socio-demographic data sheet for caregivers and their children. Semi-structured questionnaire sheet to assess caregivers  knowledge  was developed by the researcher  to assess their knowledge about, chemotherapy ,its side effect and how to manage  as well as, complication of chemotherapy. Coping process scale was developed by Ibrahim,(1994) contains two main subscales: Problem- Focused Coping Scale and  Emotional- Focused Coping Scale Results of this study revealed that ,there was a significant improvement in  caregivers knowledge regarding chemotherapy and coping process. The study concluded that, the intervention program was effective in helping caregivers to manage chemotherapy side effects and to improve their knowledge about their children’s illness and the coping process. The study recommended that increasing caregivers competence requires training family caregivers in the skills they need to provide comprehensive care, including information about the illness, and different ways of coping.

 

______________________________________________________________________

 

Key Words:  Chemotherapy, coping process, family caregivers .