Abstract: Introduction: Dyslipidemia, characterized by elevated serum lipids, poses significant risks for hypertensive and diabetic patients. This study assessed the prevalence and treatment modalities for dyslipidemia among these patients in a referral hospital in Nnewi, Southeast Nigeria.

Methodology: A comparative cross-sectional study was carried out amongst 50 hypertensive and 50 diabetic patients, recruited consecutively from patients accessing care from a referral hospital in Nnewi, Southeast Nigeria. Data on demographics, prevalence, and treatment of dyslipidemia were collected and analyzed using SPSS version 22 software (2013)

Results: The mean ages were 57.32 years for hypertensives and 59.54 years for diabetics.The prevalence of Dyslipidemia was 53.5% among the hypertensives and 46.5% among the diabetics. The difference was not statistically significant (p = 0.545). Statins were the most commonly used treatment modality among both groups. Fruit and vegetable consumption was significantly associated with both the hypertensive and diabetic conditions (p = 0.003), while smoking or alcohol were not (p = 0.695; p = 0.123).  Healthcare visits were more frequent among the hypertensives than the diabetics (68% vs. 32%, p = 0.05).

Conclusion: Statistically significant differences did not exist in the prevalence and treatment modalities for hypertension and diabetes in this study. There is therefore a need for improved lifestyle modifications and healthcare access among the respondents.

Keywords: Dyslipidemia, Hypertension, Diabetes, care seeking, Lifestyle, Nnewi, Anambra, Nigeria.

Title: Comparative assessment of prevalence and treatment modalities for dyslipidemia amongst hypertensive and diabetic patients in a referral hospital in Nnewi, South East Nigeria

Author: Chinwendu Grace Obi, Chigozie Ozoemena Ifeadike, Chijioke Amara Ezenyeaku, Nkemjika Taye Uzor, Nnabuchi Chidimma Victoria, Egbobe Chisimdi Chidumebi

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 109-125

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 31-December-2024

Abstract: Background: Nurses must have the necessary knowledge, competent practices regarding creating healing environment for preterm in neonatal intensive care unit to reduce stress and promote better outcomes. Aim: Evaluate the effect of preterm’ healing environment program for nurses on their knowledge and related practices. Design: One group pretest-posttest quasi-experimental research design was adopted. Sample: A convenient sample of forty nurses who were providing care for preterm neonates. Tools: A structured interview questionnaire and observational checklist. Results: Nurses' knowledge about methods of reducing noise, light and visual stimuli, effects of exposure of preterm neonates to noise and benefits of reducing light levels improved in post-test. All nurses do not put ear muffs for preterm neonate either before or after teaching program, less than two thirds, three fifths and more than half of nurses were set alarms and phone to lowest level, keep nursing and medical rounds away from neonate incubator, and wear quiet shoes and move softly in post-test. After the program most of nurses reducing the light level, using eye cover and offer non-nutritive sucking with non-oral feeding. More than three quarters and most of nurses corrected the practices related to close the incubator doors softly and do not place things above. More than half of the nurses and more do the practices related to application of kangaroo care. Three quarters of nurses start containment before painful procedures. Also clustering of care, nesting and developmentally supported positions were improved with highly statistically significant differences. Conclusion: Healing environment program had positive effect on improvement of nurses’ knowledge and practices related. Recommendation: Ensure regular on job training programs for nurses about preterm’ healing environment to update their knowledge and practices.

Keywords: Healing environment, knowledge, neonates, nurses, practices, preterm, program.

Title: Effect of Preterm' Healing Environment Program for Nurses on their Knowledge and Related Practices

Author: Assist. Lecturer Samar Gamal Selim, Prof. Azza Abd Elmoghny Attia, Assist. Prof. Manal Farouk Mohamed

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 97-108

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 30-December-2024

Abstract: Background: Rheumatoid arthritis is a progressive systemic inflammatory autoimmune disease that initially affects the joints, manifesting as pain, stiffness, and synovitis leading to the destruction of cartilage and bone, functional limitation, and disability also accompanied by extra-articular organ involvement. Although this inflammatory process is reversible, it may progress into irreversible damage of articular structures if left untreated and may lead to loss of function. DMARDs remain the first-line treatment of RA. The aim of RA treatment is to achieve remission, or low disease activity, avoid joint damage and disability, maintaining the quality of life, and controlling extra-articular manifestations. Therapeutic success depends on both drug’s efficacy and medications adherence. Objective: To identify factors associated with medications adherence among patients with rheumatoid arthritis. Setting: The study was conducted at the Rheumatology Outpatient Clinic in the Alexandria Main University Hospital.  Subjects: A convenience samples of 120 adult patients with rheumatoid arthritis from both sexes were selected from the above-mentioned settings. Tools: three tools were used for data collection. Tool I: Socio-demographic, Clinical Data, and Patient's Knowledge Structured Interview Schedule, Tool II: Korean Version of the Hill-Bone Medication Adherence Subscale (HBMA-K),Tool III: Factors Associated with Medications Adherence among Patients with Rheumatoid Arthritis Structured Interview Schedule. Results: the study revealed that more than half (55%) of the studied patients had poor knowledge, while more than one third (36.7%) had fair knowledge and only (8.3%) had good knowledge. Whereas, it was found that more than half (53.4%) of the studied patients had moderate adherence to medications, while more than one third (38.3%) of them had highly adherence and only 8.3 of them had poor adherence to medication. There was no statistical significant relationship between studied patients knowledge and their level of medications adherence as (P =0.360). Whereas there were statistically significance relation between the Therapy related factors, condition-related factors, patient related factors, educational, social and economic factors, and health care system factors and adherence level to medications as (p <0.001). Conclusion: study revealed that most of the studied patients with RA were adherent to their medications, and more than half of them had poor knowledge related to RA disease. Recommendations: Develop and implement health teaching program to improve patients' knowledge regarding the rheumatoid arthritis disease and its treatment.

Keywords: Adherence, Factors affecting, Medications, Rheumatoid Arthritis.

Title: Factors Associated with Medications Adherence among Patients with Rheumatoid Arthritis

Author: Neama Azzam Hamed Abd Elhamid Azzam, Yousria Mohamed Salem, Maha Adel Salem, Mervat Adham Mostafa Ghaleb

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 81-96

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 26-December-2024

Abstract: Background: Alcohol abuse induces dangerous health conditions. Tannic acids (TA) are plant-based derivatives gaining attention in scientific research due to its medicinal potentials. Aim: To evaluate the morphometric effects of TA treatments following ethanol-induced neurotoxicity in adult male Wistar rats. Methodology: Thirty six (36) adult male wistar rats (160g-240g) were assigned into six (6) groups (A to F) of 6 rats each. Group “A” (untreated negative control) received daily doses of distilled water at 6ml/kg/bwt while Group “B” (alcohol control group) received daily doses of 6g/kg/bwt of 40% ethanol only. Group “C, D and E” received daily doses of 6g/kg/bwt of 40% ethanol co-administrated with 200mg/kg/bwt, 100mg/kg/bwt and 50mg/kg/bwt of TA respectively. Group “F” (positive control group) received daily doses of 6g/kg/bwt of 40% ethanol co-administrated with 335mg/kg/bwt of Vitamin-E. All treatments were oral and lasted 14 days. Morphometric study involved estimating total body weights, brain weights and brain volumes. Body weights were recorded at two days intervals. Brain weights and volumes were measured after animal sacrifice under anaesthesia, 24 hours after final treatment via weighing and fluid displacement in calibrated test tubes. Following statistical analysis, p–value≤0.05 was considered as statistically significant. Result: High-doses of TA demonstrated significant impact on body weights in the early stages of ethanol-induced toxicity. Brain weights analysis displays no statistically significant differences in brain weights among the various groups. Brain volumes analysis showed statistically significant differences between groups suggesting that TA improves brain volume in response to ethanol-induced damage. Conclusion: TA demonstrated positive morphometric and neuroprotective potentials.

Keywords: Tannic acid, Neuroprotective potentials, Neurotoxicity, morphometric, Wistar rats.

Title: MORPHOMETRIC EFFECTS OF TANNIC ACID TREATMENTS FOLLOWING ETHANOL-INDUCED NEUROTOXICITY

Author: Christian Chiemeka Ozor, Chike Anibeze

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 74-80

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 24-December-2024

Abstract: The Philippines faces a rising demand for organ transplants, with one person dying daily while waiting. This study focused on awareness and acceptance of deceased organ donation to address this crisis.

Following ethical standards, a descriptive correlational design, with purposive sampling for data gathering was employed. A survey tool, validated, was used on participants aged 18 to 65. The pilot study was done and excluded from the main data collection, which included face-to-face surveys in selected barangays of Parañaque City.

Most respondents were aware of the importance of legal next of kin's consent in organ donation, but not as familiar with PhilNOS, its allocation criteria, donating organs posthumously, including in cases of HIV, Hepatitis B, and C. Aware of potential bodily changes when donating organs, but are unaware that signing a donation card does not guarantee success. Social media is their main awareness source. Family agreement and discussions are highly accepted, but willingness to donate from a brain-dead relative is slightly accepted. Religious beliefs lean towards high acceptance with less concern for body preservation. Registering through the I-HOPE app is slightly accepted.

Research findings show significant relationships between age and sex regarding awareness, age and employment status in terms of acceptance, and awareness and acceptance towards deceased organ donation.

Increased awareness and education to public and healthcare providers, can appreciate its life-saving importance, thereby increasing the likelihood of participation, and can help dispel myths and reduce fears, leading to a more supportive attitude toward deceased organ donation.

Keywords: Acceptance, Awareness, Deceased Organ Donation, Organ Donation Campaign, Selected Barangay, Sources of Information, Willingness to donate.

Title: AWARENESS AND ACCEPTANCE TOWARDS ORGAN DONATION IN SELECTED BARANGAYS: BASIS FOR ORGAN DONATION CAMPAIGN

Author: Jasmin Pascua Junio, Hazel F. Zulla, Jermaine Nyzza P. Delloro, Eriza Monique V. Magbual, Stella Marie J. Gonzaga, (RN, MAN), Amparo T. Miguel, (RN, MAN, PhD)

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 63-73

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 13-December-2024

Abstract: Background: Stroke is a disease whose consequences have a considerable impact on the quality of the patient’s life. It is a widespread disease that has a disabling impact on life and, in addition to physical changes, brings about a number of psychological and cognitive processes. Aim: To assess remedial compliance and quality of life among patients with stroke.Design: Descriptive design. Setting: The study was conducted in Neurology department at Sohag University Hospital. Sample: Convenient sample of 84 adult male and female patients who attended the neurology unit. Data collection tools: three tools were used in data collection, first tool: Structured Interviewing questionnaire for patients. Second tool: Compliance assessment questionnaire; third tool Stroke Specific Quality of Life Scale (SS-QOL). Results: This study mentioned that 76.2% of the studied patients had low compliance level with medication and 17.9% of the studied patient had high compliance level with exercise. Also, 67.9% of the studied patients had low quality of life level. Conclusion: The main findings showed that there was statistical significant positive correlation between the studied patient's compliance with medication, compliance with exercise and quality of life.

Keywords: Stroke, Remedial compliance, Quality of life.

Title: Remedial Compliance and Quality of life among patients with Stroke

Author: Asmaa Hassan Albadry, Shalabia Elsayed Abozead, Ghona Abd El-Naser Ali, Alaaeldin Sedky Bekhit

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 51-62

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 19-November-2024

Abstract: Background: In the intensive care unit, weaning off of a mechanical ventilator is regarded as a critical issue. Critical Care Nurses play a crucial role in providing care to patients on mechanical ventilation by customizing various intervention. Aroma therapy using lavender essential oil is considered one of the complementary therapy and was reported to be effective in facilitating weaning process. The aim of the study was to assess the effect of aromatherapy on physiological parameters and mechanical ventilation weaning outcomes among critically ill Patients. Design: a quasi-experimental study. Setting: the study was carried out at general ICUs of Tanta University Emergency Hospital.  Subjects: a purposive sample of 60 adult patients from both genders newly admitted attached with mechanical ventilator was involved in this study divided randomly into equal groups 30 patient for each group. Data collection tool: Integrated Nursing Practice & weaning trial assessment tool was used to collect data. Results: There was statistically significant difference between control and study groups from the start to the end of the study period regarding ( HR, RR,SPO₂,SBP,DBP and fio₂). There was statically significant relation between aroma therapy using lavender oil and the mean values of GCS and duration of weaning from mechanical ventilation. Conclusion:  It has been demonstrated that using lavender oil in aromatherapy can improve the outcomes for mechanically ventilated patients. It is linked to a notable improvement in oxygenation, mean arterial blood pressure, and vital signs. . Recommendation: this study recommends the importance of implementation of aroma therapy for mechanically ventilated patients. Also, in-service educational programs and workshops should be conducted to raise CCNs' awareness regarding the safe use of different types of the aroma therapy nursing practices using essential oils for mechanically ventilated patients.

Keywords: Aromatherapy, Lavender oil, Mechanical ventilation, Weaning process.

Title: Effect of Aromatherapy on Physiological Parameters and Mechanical Ventilation Weaning Outcomes among Critically Ill Patients

Author: Samar Ahmed Nour Eldin Mohamed Yousef, Prof.Dr. Ahmed Mohamed Saber Hamed, Dr. Mohamed Abd Elhady Shama, Dr. Badria Abd Elshahed Elkattan

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 39-50

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 02-October-2024

Abstract: Background: Breast self-examination is a way a female can check breasts by feeling for lumps or other changes. Breast self-exams can help a female learn how breasts normally look and feel and notice when changes occur. The aim of the study: was to disseminate of breast self-examination among female students with disabilities. Research design: Quasi-experimental research design used to in the current study. Setting: the current study was conducted at the Intellectual School for disabled female in Fayoum, city, Egypt. Sample: A convenient sample consists of forty disabled female students. Tools: three main tools were used; tool 1: Interviewing questionnaire sheet, that included two parts, Part Ⅰ: Socio demographic data, Part Ⅱ: Knowledge assessment sheet, tool 2: Breast self-examination cheek list ,and tool 3: Satisfaction assessment sheet. Results: the result of the current study showed that there was a statistically significant difference between studied female students regarding total knowledge toward breast self-examination. Conclusion: The knowledge of female students with disabilities was improved after the study. Recommendation: Improve health facilities to examine disabled female students and treat them if there any breast problem according there disability.

Keywords: Awareness, Breast self-examination, Disabilities, Raising, Female students.

Title: Raising Awareness of female Students with Disabilities Regarding Breast Self-Examination

Author: Nessma Mohamed Sameeh, Hanan Fawzy El-Sayed, Neama Abd El-Fattah Abd El-Gawad

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 26-38

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 24-September-2024

Abstract: We have here for you such attractive case for a boy who is 4 years old known to me via the regular FU due to the recurrent HL caused by the G6PD he is having and presented to me recently with MLN of four toes nails which is the darkness pigmentation of the toes nails that was so striking and diffuse in the affected toenails. Nothing mentioned in our medical environment offices of paediatrics blood t there is a known relations between the blood disorders in children and any skin hyperpigmentation except the Fanconi Anaemia. So, on this case report maybe we will be the first peoples who recorded the second haematological disorder that comes with cutaneous pigmentation (Hemocutaneous stigmata) if it is really and correct terminology.

Keywords: FU: Follow up, HL: Hemolysis, G6PD: Glucose-6-Phosphate Dehydrogenase Deficiency, MLN: melanonychia, KSA: Kingdom of Saudi Arabia, RDH: Riyadh, NGCSC: National guard Comprehensive Clinics, AHA: Acute haemolytic anaemia.

Title: 4 Years Old Boy with Four Toes Nails Melanonychia and Recurrent Hemolytic Anemia Due To G6PD

Author: Dr. Ahmed Moosa Yahya Assery, Dr. Mohammad Abdullah Elomair

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 19-25

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 16-September-2024

Amendment Date: 25-September-2024

Abstract: Background: Computers are widely used in academic institutions, working for prolonged period in an ergonomically deficient workplace increases the risk of many health issues such musculoskeletal problems and computer vision syndrome.

Aim: To evaluate the effect of an Ergonomic Program on Preventing Health Hazards of the Computer among Faculty Staff.

Design: A quasi- experimental design (pre and post-test). Setting: This study was conducted at Faculty of Nursing, Helwan University. Subjects: A convenient sample of 102 faculty staff at Faculty of Nursing, Helwan University was included in this study.

Tools: three tools was used; Tool I: Structured Interviewing Questionnaire, Tool II: Faculty staffs' reported practices regarding Computer workstation Ergonomics and Tool III: Computer Health Hazards Questionnaire.

Results: 97.1% of the studied faculty staff gained satisfactory level of knowledge regarding ergonomics post-program as compared with 23.5% pre-program, 90.2% of them gained adequate level of practices post- ergonomic program as compared with 24.5% pre-program, and 76.5% of them gained a mild level of computer health hazards post ergonomic program as compared with 19.6%. pre-ergonomic program. Also, there was a high statistically significant positive correlation between the studied faculty staffs’ knowledge and reported practices regarding ergonomics at (r ranged from 0.824 to 0.985 & P= 0.000).

Conclusion: Ergonomic program had large effect size on the studied faculty staffs’ knowledge, reported practices regarding ergonomics and computer health hazards so hypothesis was accepted.

Recommendations: Continues implementation of ergonomic programs and workshops for all faculty staffs in universities to highlight the importance of ergonomics in preventing computer health hazards.

Keywords: An Ergonomic program, computer health hazards, faculty staff.

Title: The Effect of an Ergonomic Program on Preventing Health Hazards of the Computer among Faculty Staff

Author: Mariam Mohammed Fouda, Afaf Salah Abd El-Mohsen, Sahar Ahmad Shafik, Ons Saied El-Zayat

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 3, September 2024 - December 2024

Page No: 1-18

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 14-September-2024