சுகாதார கல்வி ஆராய்ச்சி மற்றும் மேம்பாட்டு இதழ்

Aim: This study aimed to assess the effect of nursing intervention protocol on the severity of dysphagia among recently stroke patients. Study Design: A Quasi experimental design. Setting: The study was conducted at the neuro-critical care units at said jalal hospital. Study subjects: 60 patients complain of stroke within the first month was included in the study and divided randomly into two equal groups 30 patients for each one for application of the intervention (study group) and other receiving the routine hospital care (control group). Data collection tools: interview questionnaire sheet including demographic characteristics and assessment of the patients history and Gugging swallowing screen. Result: Highly statistically significant difference in the severity of dysphagia between study and control group patients. Conclusion: the implementation of nursing intervention protocol was effective in improving the severity of dysphagia. It is recommended to generalize intervention protocol in the routine hospital care.

Background: Since its independence, Tunisia has made great progress in the prevention of infectious diseases through compulsory vaccination and the normalization of behavior through the instruction of hygiene measures at school. However, social mutations, regional economic disparity and the effect of climate change question the effectiveness of educational interventions at school. Is the current health education model able to cope with new and emerging epidemiological challenges? Methods: This is a cross-sectional survey elaborated in the form of a questionnaire, which included 261 Tunisian school students. In this study, the analysis focuses on the status of handwashing and its place among the management of infectious risk, the identification of practices perceived to be at risk of contracting an infectious disease, and preventive behaviors adopted by the Tunisian school students. Results: A results survey analysis reveals that the practices related to personal hygiene occupy the last position, so only 5.7% of the students questioned affirm to adopt measures related to good personal hygiene and washing hands. A significant difference characterizes the preferred prevention measures according to gender, education level and specialty of the study (sig<0.05) with:Female school students at the preparatory and secondary levels are more likely to opt for body hygiene and handwashing in terms of frequency and different situations of everyday life. 21.6% of female students report washing their hands 10 times a day, compared with 6.5% for male students. 14% of literary students and 0% of scientists cite "personal hygiene" in the last position preferred prevention measures. For situations with potential infectious risk: Only 16.5% of secondary school students report washing their hands "After blowing his nose" and 11,8% "after taking public transport". Didactic analysis of recent Life Sciences textbooks reveals the dominance of the biomedical model aimed at the transmission of information on certain infectious risks and prescribing preventive measures. The promotional model is almost absent. Conclusion: Handwashing is not considered as a preventive measure against infectious diseases but rather as a social imitation. This status of handwashing is correlated with the dominant biomedical model of health education.

Background and Objectives: Arterial blood gas (ABG) analysis is an essential investigation for assessing clinical oxygenation and acid-base status in critically ill patients. Since the nurses and student nurses in critical care units are more involved in ABG interpretation as well as caring patients on ventilation, they have more knowledge. The purpose of the study was to assess the effectiveness of structured teaching program on knowledge regarding arterial blood gas analysis among nursing students. Methods and Materials: A Quasi-experimental study design was conducted among Nursing Students of LMCTH (Lumbini Medical College and Teaching Hospital). A total of 65 respondents were participated using Census enumeration method. Data was collected through structured pre-tested (r=0.7) questionnaire. Data was first entered, coded and analyzed by using SPSS V20. Descriptive and inferential statistics were used. Results: Findings of this study revealed that during pre-test, majority of the respondents (70.8%) had average knowledge, only 15.3% of respondents had adequate knowledge and 13.9% had inadequate knowledge whereas during post-test majority of the respondents (63.1%) had adequate knowledge, 35.4% had average knowledge and only 1.5% had inadequate knowledge regarding Arterial Blood Gas analysis. Structured teaching program was highly significant at p value ​