Knowledge, practice and perception towards the informed consent process among physicians and patients in General Surgical Departments at Cairo University Hospitals
text
article
2016
eng
Although the informed consent process is considered a standard procedure for informing patients about their plan of care, benefits, risks and alternatives of treatment in developed countries; it often fails to meet its goal in many developing countries. Goal: to improve the quality of the informed consent process in general surgical departments at the Faculty of Medicine, Cairo University Hospitals. Specific objectives: evaluating the differences in knowledge, practice and perception between physicians and patients and setting recommendations to improve this process. Subjects and methods: A cross-sectional study was conducted on a total of 172 physicians and 216 elective adult patients who completed a voluntary multiple-choice questionnaire. Results: A significantly higher percent of physicians as compared to patients (73.8% vs. 27.3%, P< 0.001) reported being fully acquainted with the informed consent process. Nearly half of the physicians (49.4%) reported that they informed patients about their medical condition in details, while 38.9% of patients reported that they have been informed about their medical condition in details (P<0.001). A significantly higher percent of physicians as compared to patients reported that they explained to their patients the possible complications of their planned treatment in details (50% vs. 18.5%, P<0.001). Professors had a significantly higher (P<0.001) practice score compared to lecturers and residents regarding nearly all items about obtaining the surgical consent form. Conclusion: Significant differences were found between physicians and patients regarding their knowledge, practice and perception of the informed consent process which highlight the need for establishing better communication channels. Providing educational programs to patients and junior physicians is mandatory to fill the knowledge gaps and improve the quality of this process.
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
1
17
https://ejcm.journals.ekb.eg/article_649_2f9adc80ed8e8441ddf09f5645bf7c99.pdf
dx.doi.org/10.21608/ejcm.2016.649
Hospitalization among prevalent hemo dialysis patients: one year retrospective study
text
article
2016
eng
Background: Incidence of hemodialysis as renal replacement therapy has been increasing continuously in the last decades in Egypt. The risk of hospitalization increases among hemodialysis patients due to factors related to hemodialysis, vascular access or comorbid conditions. Objectives: To measure the frequency and identify the causes of hospital admission among chronic hemodialysis patients and identify factors affecting duration of their hospital stay. Patients and methods: The study population consisted of End Stage Renal Disease (ESRD) patients on regular hemodialysis for more than six months. Total number of patients was 792 recruited from nine different hemodialysis centers in Egypt. A descriptive study was carried out using hospital records for the year 2012. Data extraction sheet was designed to collect data from records as personal data, medical history and laboratory results. Results: Three hundreds and eighty eight patients (49%) had history of hospital admission at least once during the study period. The most frequent cause of hospital admission was complicated A-V fistula in 128 (33%) of the patients followed by disturbed conscious level in 82 (21.1%). No significant difference was found between admitted and non-admitted groups except for type of dialysate used (P value <0.01), vascular access (P value <0.01), presence of hypertension (P value <0.05), presence of ischemic heart disease (P value <0.01), age of patients (P value <0.05) and mean Ca level (P value <0.05). Logistic regression analysis for determinants of hospital admission showed that decreased mean Ca level, using Catheter as a vascular access, using acetate as dialysate , presence of hypertension and presence of ischemic heart disease were significant predictors of hospital admission among hemodialysis patients. The median duration of hospital stay was 7 days with (2-7 IQR), 35 (9.02%) of hospitalized patients had a duration of hospital stay of more than 7 days and no statistically significant difference was found between them and the other hospitalized patients regarding studied parameters except for surface area of dialyzer (P value<0.05). Conclusion: High rate of hospitalization among Egyptian patients on regular hemodialysis especially with complicated AVF as the main cause of admission that increases patient morbidity and financial burden on health care services , needs an integrated vascular management in hemodialysis centers and further studies to determine a comprehensive evidence-based management policy for hemodialysis patients in Egypt .
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
19
32
https://ejcm.journals.ekb.eg/article_650_2a6b912b33cf3c4ab54896a89e26dc67.pdf
dx.doi.org/10.21608/ejcm.2016.650
Inpatients’ satisfaction with food services in Sohag University Hospital
text
article
2016
eng
Hospital food plays a significant role in the recovery and well-being of patients and helps them physically and emotionally during their hospital stay.Patient’s opinion about hospital food is one of the main factors contributing to the success of hospital food services. Aim of the study: This study was conducted to determine inpatients’ satisfaction with the provided food services in Sohag University Hospital. Subjects and methods: A cross sectional study was carried out for a period of 6 months (from March to August, 2014) in three major departments in Sohag University Hospital and it included 1015 inpatients. Interview questionnaire was used for collecting data about inpatients' general characteristics and evaluating inpatients satisfaction with food services. Results: Findings showed that (60.8%) of the studied inpatients reported that they ate all hospital food or part of it. The rate of satisfaction with food services among them was (64.2%). Age, educational level and department were significantly associated with the overall satisfaction level(p < 0.05). Positive correlation was found between the overall satisfaction level and the different dimensions of food services. Linear regression of food services dimensions and overall satisfaction revealed that the food quality had the highest regression coefficient (0.69), which implies that food quality is significantly associated (p < 0.05) with the overall satisfaction with food services provided for inpatients followed by staff/service issues, hot food factors, food quantity and physical environment. Conclusion: Improving different food services dimensions especially food quality enhances the level of overall satisfaction with hospital food services.Keywords:Hospital Food Services, Patient Satisfaction, food quality, meal service quality
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
33
45
https://ejcm.journals.ekb.eg/article_651_1ffc2072a003fe4911e3b0f6fd4fcd83.pdf
dx.doi.org/10.21608/ejcm.2016.651
Knowledge of Mothers about Side Effects of Obligatory Vaccines in Al-amyria Family Medicine Center, Cairo
text
article
2016
eng
Knowledge of mothers about vaccination has been documented to influence the decisions they make when it comes to vaccinating their children. The aim of this study was to measure the prevalence of mothers’ knowledge about vaccination side effects and determine any significant relationships between the mothers’ demographic characters and their knowledge. Methods: The mothers were also asked about their source of information. The study was carried out at Al-Amyria Family Centre in Cairo and included a total of 385 mothers who were there for their child’s vaccination session. Results: The prevalence of mothers who had knowledge about side effects was 78.7%, with 32.5% responding that a healthcare provider was the main source, and 26.5% responding that television was the main source of information. These two sources were the main ones, regardless of the mothers’ age or education. Nearly all mothers (98.7%) said they continue giving booster doses to their children even if side effects occur. Conclusion: Programs to enhance the mothers’ knowledge and provide more information to them can therefore be developed with healthcare professionals playing a major role.
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
47
51
https://ejcm.journals.ekb.eg/article_652_8700fd782024145dceafb238033f158e.pdf
dx.doi.org/10.21608/ejcm.2016.652
Effect of Social Marketing Campaign on Maternal Health Care Utilization (An Interventional Study in Rural Sector in Sharkia Governorate)
text
article
2016
eng
Background Family health care (FHC) facilities are widely distributed throughout Egypt but they often seem to operate at suboptimal level. Therefore this study was carried out in a trial to increase the rate of utilization of FHC in rural sector of Sharkia Governorate using a social marketing campaign.Objectives of study: To assess the rate of utilization of maternal services in FHC units in rural sector of Sharkia Governorate andto assesss the effect of social marketing campaign on utilization of health services.Method:Design: Pre- Post interventional study. Setting:El-Sharkia Governorate, Hehya district, El-Shabraween village. Procedure:The study evaluated the utilization of maternalhealth care services in El-Shabraween unit before and after a social marketing campaign using personal interviews of 205 households and the unit records.Results:The household results showed that: the outpatient utilization rate of the FHC unit increased by 18.5%. While records results showed a 0.5% increase in outpatient utilization.The average number of ANC visits per registered mothersincreased from 2.7 before the campaign to 3.5 during the campaign andthe percent proportion of new FP clients to total FP clients increased from 8.7% to 11.1% after the campaign.Conclusion and Recommendation: Social marketing can improve maternal health care utilization in rural sector, so it's recommended to disseminate the marketing materials on a wider scale to attract more customers and improve the primary health care utilization.
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
53
62
https://ejcm.journals.ekb.eg/article_653_0a8fefc7d24e0ae035437a5dd2eaf23a.pdf
dx.doi.org/10.21608/ejcm.2016.653
Utilization, non compliance and causes of unmet needs of family planning among women served by family medicine centers in Menyat Sandoub , Dakahlia , Egypt
text
article
2016
eng
Background : Family planning has a great impact on women’s health. The practice of family planning helps in reducing the rate of maternal and child mortality thus help in improving maternal and child health. Aim: To identify pattern of contraception use, causes of non compliance,and determinants of unmet needs among rural women in Meniet Sandoub, Dakahlia Governorate. Subjects and methods: A comparative cross sectional study was conducted in Menyat Sandoub family medicine center. The studys composed of two groups, the first group were female contraceptive users, and the second group were FP un-met-needs outreached from the catchment area served by the study family medicine center . All target women groups were subjected to a structured questionnaire including sociodemographic, reproductive characteritcs , contraception use pattern as well as causes of family planing and unmet needs client satifaction with provided services. Results: Proportionate utilization rate among attendants was 73.14% while prevalence of contraception use was 58.8% with 3.9% discontinuation rate. Working husband and duration of marriage (≤10years) decreased the risk for family planning unmet needs by logistic regression models (OR=0.28, delete OR=0.19 respectively). Causes of unmet needs were , male baby wish by the family(32%) and related health concerns (32%) , negative religious idea (28%).68.6% of compliant users had health barriers during regular use . Conclusion: Contraception prevalence was 58.8%. Male baby wish, rumors about side effects, and husband disapproval were determinants of unmet needs that necessitate community based intervention to increase family planning utilization conducive to acceleration of Egypt’s progress towards development goals.
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
63
74
https://ejcm.journals.ekb.eg/article_654_9b68fc53a022f5c3b0ceee31ccd78793.pdf
dx.doi.org/10.21608/ejcm.2016.654
Dietary behavior and its relation with lifestyle, rotating work shifts and job satisfaction among nurses of Ain Shams university hospitals
text
article
2016
eng
Background: Shift work induces stress, disturbs family life and interrupts regular meal schedules. Few studies have addressed the association between shift work and abnormal eating behavior among hospital nurses. Objectives: The objective of this study was to determine the relationship between eating behavior and personal lifestyles, job satisfaction, and gastrointestinal symptoms among nurses working in night shift. Methodology: cross-sectional study with internal comparisons of a sample of 400 nurses working in rotating shift for at least one year in the Ain Shams University Hospitals. Data about socio-demographic characteristics, work conditions, dietary behavior and job satisfactions were collected using three questionnaires. Weight and height were measured for calculating body mass index. Results: Overall, the majority of nurses had semi-healthy diet (89%), 8.8% of them had Unhealthy Diet while only 2.2% ate a healthy diet. Middle Age group, smoking, longer duration of work in rotating shifts and working in surgery departments are factors associated with unhealthy diet. No significant difference was found between nurses with different dietary behaviors and job satisfaction; however those with unhealthy diet have more frequent abdominal symptoms compared to those with semi healthy or healthy diet. Conclusions and recommendation: Duration of shift work was positively associated with abnormal eating behavior among nurses working in Ain Shams university hospitals. More health promotional programs should be targeted towards hospital nurses whose duties require frequent shifts to enhance healthy eating.
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
75
86
https://ejcm.journals.ekb.eg/article_655_523e0347555fc44a40e6072e8e755888.pdf
dx.doi.org/10.21608/ejcm.2016.655
Patterns of Weaning and Its Impact on Infants’ Weight in a Rural Lower Egypt
text
article
2016
eng
Background Optimal nutrition is of crucial importance for normal growth especially in the first two years of life. Appropriate complementary feeding is important to achieve normal growth.Objective: To describe the process of complementary feeding (weaning) and to identify its effect on infants’ weight, six to 24 months of age in a rural area in Lower Egypt.Methodology: A cross-sectional study, including 200 mothers/infant pairs (six to 24 months) coming for immunization or follow up, was conducted in one of the primary health care unites, in Qaluobia Governorate. Demographic data, the process of complementary feeding, and occurrence of diarrhea or cough within the previous two weeks, were inquired about. Infants’ weight and length were measured. Descriptive and analytical bivariate and logistic regression was performed. Significance was at P-value ≤ 0.05.Results: The percentage of normal infants’ weight was 56%. The percentages of stunting, under- and over-weight were 26%, 25%, and 19% respectively; indicating the double burden malnutrition problem. The majority of mothers (82.3%) began complementary feeding before six months with reported high percentage of diarrhea (38.5%). Minimum acceptable diet was received by 27.6% of infants, mainly, because of a poor diversity of food groups. The most frequently fed food groups were dairy products (95%), grains, roots and tubers (86.5%) and the least were the fruit and vegetables (33%) and vitamin A rich group (25.5%) Normal infants’ weight was four fold higher among normal birth-weight infants than low birth-weight (OR: 3.89, 95% CI: 1.07 – 14.22). It was not significantly affected by the age of introduction of any of food groups.Conclusion: Infants’ malnutrition is still a common problem in our community. Three quarter of infants does not receive the minimum acceptable diet mainly, because of poor diversity. Interventions to improve feeding practice are required to address the dual burden of stunting/over-weight.
The Egyptian Journal of Community Medicine
Egyptian Community Medicine Association
1110-1865
34
v.
2
no.
2016
87
99
https://ejcm.journals.ekb.eg/article_656_85978d520e7e40b3fe5017e91f7692f7.pdf
dx.doi.org/10.21608/ejcm.2016.656