About Journal

Mosul Journal of Nursing is an international,quarterly, peer reviewed,open access scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide nurses globally with implications for translation of new knowledge into practice. The journal welcomes studies that aim to evaluate and understand complex health care interventions and health policies and which employ the...
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Profile of patients with Multiple sclerosis in Mosul City

Mohammed Saleh Mohammed; Ali Neamat Sulaiman Alallaf

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 1-5
DOI: 10.33899/mjn.2020.164352

Background: This study was carried out to assess the prevalence of MS in Mosul City.
Methods: A retrospective study was applied in Mosul City for the period between (2020-2000). MS patient’s outpatient of Ibn-Sina Teaching hospital in Mosul City. Assessment of MS status: for the assessment of MS status the Kurtzke EDSS was used. EDSS was based on ten scores (0-10) and categorized the MS severity into three-level; mild disability (EDSS, 0.0 to 3.5), moderate disability (EDSS, 4.0 to 6.5), and severe disability (EDSS, 7.0 to 9.5). Microsoft Excel file was used to analyzed the data, number, percentage, Mean and Standard deviation were computed to analyze all demographic and clinical variables. This study was approved by the Ethics Committee of the Mosul Health Directorate, at Mosul City –Iraq.
Results: the study found that the mean age of patients (34.7) among men and (32.9) among women. The mean age at onset is (28.9) among men and 27.9 among women. In relation to family history, 89.8% of men and 93.9% of women don’t have a positive family history with MS. The majority of the patient have Relapsing-remitting.
Conclusion: In conclusion, the prevalence of MS has been steadily rising in Mosul city over the past few decades.

Prevalence of obesity and physical activity among primary school children in Erbil City/Iraq

Saad Jbraeil Sulaiman; Mouroge Hashim AlAni

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 6-17
DOI: 10.33899/mjn.2020.164353

Background: As inactive lifestyles and a tendency for having a more comfortable life rise in the Iraqi population, obesity prevalence has become a major public health concern particularly among children in the Kurdistan Region Iraq. Moreover, obesity can result in an enormous burden to the economy and public health. Conducting educational programs of physical activity and modifying nutrition patterns among primary school children can be a preventive strategy. The present study was aimed at identifying the obesity prevalence rate and its risk factors among primary school children in Erbil, the Kurdistan Region of Iraq.
Patients and methods: In a cross-sectional descriptive study, 400 children who were 6 to 13 years old were selected from primary schools in Erbil and studied from 2017 to 2019. A researcher-designed questionnaire was employed to gather required socioeconomic and sociodemographic data. For this purpose, face-to-face interviews were carried out with the children’s parents. Moreover, the UNICEF calibrated digital scale was used to measure the children’s weight, a portable stadiometer for their height, and their height and weight for their body mass index. Statistical Package for the Social Sciences (version 22) was used to analyze the collected data.
Results: It was seen that 26% of the students were obese. All age groups and grades had an almost equal prevalence of obesity. Obesity was more prevalent among those students who were males, had child ranking of 1st or 2nd, whose parents lived together, whose parental education was illiterate or primary, whose mother was retired, and whose father was retired. Having an obese mother or father, eating more than 3 main meals per day, physical inactivity, and low socioeconomic status was found to be effective factors in causing children’s obesity. There was a significant relationship between children’s daily physical activity and nutritional status (p=0.000).
Conclusion: Obesity prevalence was higher among inactive primary school children who had an obese mother or father, ate more than 3 main meals per day and had low socioeconomic status. Daily physical activity of children was directly associated with a decrease in obesity prevalence in children.
Keywords: childhood obesity, physical activity, primary school students, daily meals

BLOOD TRANSFUSION KNOWLEDGE AND PRACTICES AMONG NURSES IN KIRKUK CITY HOSPITALS

Shelan Qahraman Shakor; Hewa Sattar Salih

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 18-28
DOI: 10.33899/mjn.2020.164622

Background: Red blood cell transfusions are commonly used in palliative care to treat anemia or symptoms caused by anemia. In patients with advanced disease, there is little evidence of benefit to guide treatment decisions in the face of increased risk of harms. Objectives: To assess the level of knowledge and practices of nurses about blood transfusion for adult patients in Kirkuk city hospitals.
Methods: A purposive study design was conducted in the period from 1st June 2019 to 15th November 2019. the sample includes (80) nurses who were working at (Gynecology and obstetrics, General medicine, General surgery, intensive care unit, Oncology at Azadi teaching hospital, and Kirkuk general hospital.
Results: The number of nurses’ who included in the study was (35%) worked in Gynecology and obstetrics, (25%) worked in General medicine, General surgery, (10%) worked in the intensive care unit, (5%) Oncology, generally nurses had a low level of knowledge but showed best practice level.
Conclusions: The findings showed that the nurses' knowledge of blood transfusion was insufficient which could be detrimental to patient safety, also practice Was optimal in Kirkuk city hospitals
Recommendation: Nurses have the responsibility to update their knowledge and skills in carrying out blood transfusion. The tool developed in this study may be useful for educators and managers to identify gaps in knowledge and inform decisions to address them.
Keywords: Blood transfusion, Knowledge, Practice.

Assessment of Nurses Knowledge towards Post thyroidectomy Management in Nineveh Governorate Hospitals

Ali Ismael Sulaiman; Taha Hassan Al- Saigh

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 29-35
DOI: 10.33899/mjn.2020.164619

Background and Aim: Complications that may associated thyroidectomy can often be life-threatening. It is important that nurses have the knowledge and skills to manage the patients with thyroidectomy and potential complications. The study aimed to assess nurses' knowledge towards post thyroidectomy management in Nineveh governorate hospitals.
Material and Methods: a descriptive cross-sectional study was performed in two governmental hospitals are included in the study (Tal Afar General Hospital and Al-Salam Teaching Hospital). The study has been conducted from 7th of October to 30th of December 2019. The study sample was randomly selected consisting of (60) nurses from both hospitals. A special questionnaire tool was constructed by the researcher, this questionnaire tool consisted of two parts, nurses' demographic characteristics and questions for knowledge about post thyroidectomy management in the form of multiple-choice questions. The data were analyzed through the application of descriptive statistical analysis that included frequency, percentage.
Result: The study indicated that 43.3% of the study sample age were20-29 years, with high percentages of 55.0% were females, 40.0% of them were at secondary and institution educational level. Concerning their knowledge majority, 43.3% of them were at not acceptable level 25.0% of them were at a fail level which means 68.3% of the nurses have incorrect responses.
Conclusion: The findings of the current study concludes that inadequacy of nurses' knowledge in the medical wards, intensive care units, and recovery room toward post-operative management for the patient with thyroidectomy.
Recommendation: conducting an educational program for nurses about post-operative management for the patient with thyroidectomy to improve nurses' knowledge and skills.
Keywords: thyroidectomy, management, complications

ASSESSMENT OF PREGNANT, S OBSTACLES TOWARD ANTENATAL CARE IN MOSUL

Omar Hussein Abdulla; Waleed Ghanim Ahmad

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 36-45
DOI: 10.33899/mjn.2020.164620

Background: Antenatal care is the routine health program of pregnant women to reduce the risk of stillbirths and pregnancy complications and give women a positive pregnancy experience.
Objectives:  This study aims to assess the utilization ratio of antenatal care services and to identify current barriers to the proper utilization of antenatal care services in Mosul city.
Subjects and methods: A descriptive study was carried out during the period from 26 September 2019 to 1st April 2020. The study has been conducted among three hospitals in Mosul city namely: Al- Khanssa teaching hospital, Al- Salam teaching hospital and Al-Batool teaching hospital. The target population was pregnant women who attend maternity and child care unit. The study sample consists of 300 pregnant women. The data collection tool was composed of (2) main parts. The first one was for socio-demographic data about pregnant women. The second part was for gynecological, obstetric and antenatal care characteristics. It was constructed through the use of (2) option- type (yes-no). Content validity was determined by presenting the items to a panel of scientific experts.
Results: study results revealed that 84% of studied women were found to have regular antenatal care visits. Regarding obstacles to antenatal care, a far distance from the center was found among 52% of study subjects.
Recommendations: The study recommends establishing several antenatal care clinics in different areas of Mosul city to improve medical and nursing staff caring attitude in addition to increasing people, s awareness through health education about the importance of conducting antenatal care visits since the beginning of pregnancy.
Keywords: Antenatal care, Obstacles, Utilization, Mosul

ASSESSMENT OF THE WOMEN’S KNOWLEDGE REGARDING CHOLELITHIASIS DISEASES IN DUHOK CITY

Omed Saadallah Al-Amedy; Gulistan Ahmed Saido; Mustafa Riadh Hussein

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 46-63
DOI: 10.33899/mjn.2020.164623

Background and Amis: Gallstone disease is one of the most common worldwide biliary tract disease in which the both genetic and environmental factors have roles in its pathogenesis. shortage of knowledge on gallstone disease contributed to poor dealing with cholelithiasis patients. Thus, the main aims of this study to assess the women knowledge regarding the cholelithiasis disease.
Method: A cross-sectional study was conducted on 60 inpatient of gallstone disease in Azadi and emergency teaching hospital in Duhok city, A set of questionnaires were used to collect the data about their socio-demographic, and knowledge around gallstone disease by interviewer with self-administered. A descriptive and inferential statistical analysis used to analyze the data.
Result: The majority of the participants were (66%) their age  42.03 ± 12.63 within 42 years old, while the lowest ratio (13.3 %) was Conclusion: In this study, the results indicated that lack of knowledge was the major contributing factor for causing gallstone because due lack of awareness women were do not know the way of decreasing risk factor of gallstone disease.
Key word: Women’s Knowledge, Cholelithiasis Diseases, Gallstone, Awareness

CAN LOW DOSE OF ISOTRETINOIN CAUSE DEPRESSION

Kasim S. Al-Chalabi; Haitham B. Fathi; Mohammed N. Al-Mallah

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 64-72
DOI: 10.33899/mjn.2020.164621

Background: Depressive symptoms may associate with the daily recommended dose of Isotretinoin for nodulocystic acne. Does reduce the dose will reduce the incidence of depressive symptoms is still not clearly understood.
Study objective: To compare the types and frequency of depressive symptoms among patients with nodulocystic acne receiving three different low doses of isotretinoin (10mg daily, 20mg every other day, and 20mg daily).  
Study design: Open randomized clinical trial.
 Study setting: Dermatology clinic at Ibn Sina teaching hospital
Patients & methods: 169 patients with severe nodulocystic acne were randomly assigned to one of three isotretinoin regimen groups as follows: 10 mg daily (n=46), 20mg alternate day (n=58), and 20 mg daily (n=65). After a month of treatment, the patient assessed for degree of improvement of acne and incidence of depressive symptoms
Results: The frequencies of depressive symptoms irrespective to the group were as follows: crying in 36 (21.3%), anger in 35 (20.7%), sleep disturbance in 32 (18.9%), isolation in 29 (17.1%), and sadness in 20 (11.8%) of patients. The frequency of crying, anger, and sadness was significantly rose with an increased dose of isotretinoin from 10mg to 20mg daily (p-value equal to 0.02, 0.02, and 0.001 respectively). The summated depressive symptoms rose from (0.52 symptoms) in 10 mg daily to (1.19 symptoms) in 20 mg daily dose and the difference was statistically significant.
Conclusion: Depressive symptoms increased gradually with an increased dose of isotretinoin and reducing the dose to the least effective dose is mandatory.
Key Words: isotretinoin, dose regimen, depression, nodulocystic acne.

FREQUENCY OF CYTOMEGALOVIRUS, RUBELLA, AND HERPES SIMPLEX VIRUS IN EMBRYONIC TISSUES OF WOMEN WITH MISSED ABORTION

AVESTA SEERWAN AHMAD; YASIN KAREEM KAREEM

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 73-93
DOI: 10.33899/mjn.2020.164625

Background and objectives: Spontaneous abortion (SA), also known as miscarriage, is considered as one of the most frequent problems a woman may face during early pregnancy, is not only related to morbidity or mortality, but also has an obvious social and psychological impact on women. An abortion is the removal or expulsion of an embryo or fetus from the uterus, resulting in \or caused by its death, the loss of a pregnancy occurs within the first 20- 24 weeks of gestation, after which, fetal death is known as a stillbirth. This study was first aimed to assess the frequency of, Cytomegalovirus, Rubella and Herpes simplex virus in embryonic tissues of women with abortion. Next to find out the sociodemographic characteristics of the studied populations.
Methods: This cross-sectional prospective study was carried out from February 2019 through January 2020.This study prospectively deal with tissues from conceptus after abortion which collected from maternity teaching hospital in Erbil city, Iraq for the diagnosis of frequency of CMV, rubella and herpes simplex virus. RT-PCR were used in tissue analysis. SPSS version 25 was used for data entry and analysis. 
Results: Out of 72 cases with spontaneous abortion 8 (11.1%) were due to human Cytomegalovirus,2 (2.8%) were due to Rubella virus and 1case (1.4%) was due to Herpes simplex virus, the age range of participants was 17-45 years with mean ± Sd of (31.29 ± 6.11) years. The highest percentages of participants were in their second and third decades of life (40.5% and 37.5% respectively) and about 86.1% of them were unemployed (housewives) and majority about 57% of them attending primary school, and more than half percentage (63.8%) of them have the intermediate economic state. The histopathological analysis shows that out of 72 cases only 9 samples (16.6%) show histopathological abnormalities. A statistically significant association was found between Rubella infection and histopathological abnormality.
Conclusions: Cytomegalovirus infection was more prevalent among the study samples, followed by Rubella infection then Herpes simplex virus infection by real-time polymerase chain reaction, on other hand 16.6% of samples shown nonspecific histopathological abnormality.
Keywords: Spontaneous abortion, real-time polymerase chain reaction, Human cytomegalovirus, Rubella, Human Herpes simplex virus.

Practicing Breast Self-Examination Related Knowledge among Women at General Hospitals in Duhok City

Kawther Mahmood Galary; Rebar Yahya Abdullah; Robar Anwar Majid

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 97-105
DOI: 10.33899/mjn.2020.164725

Background and aims: Despite the consideration that the Breast Cancer is a preventable cancer, it's still known as the most common cancer among women worldwide. Early detection of it is performed by a medical and self-screening procedure which is Breast Self-Examination (BSE). It makes women more "breast aware", which in turn may lead to an earlier diagnosis of BC. The aims of the study are to assess the level of women’s knowledge regarding practicing BSE, and identify the main reasons regarding practicing BSE.

Methods: A cross sectional descriptive study was conducted among 200 women attending General Hospitals in Duhok city at the time of data collection 28 January to 10 March 2020. A structured questionnaire was used by researchers to gather the data related to socio-demographic, the knowledge of practicing BSE, the reasons for practicing BSE.

Results: Among all women who were interviewed, about (28.5%) practiced BSE , among those women who had practiced  BSE, (16.5%) of them had irregular BSE, 6.5% of the woman who had practiced it monthly, about (82.5%) of women had a poor knowledge regarding practicing BSE correctly, very little of them had good practicing BSE knowledge (2%). The main reason for doing it was getting information from mass media in (14%).

Conclusions: The majority of women had low knowledge level about practicing BSE. Effective media and providing health education are required to improve the level of awareness toward it. The professional healthcare provider should be contributing to knowledge transfer whenever the opportunity arises.
Keywords: breast self-examination, Breast Cancer, Knowledge, Practice

A preliminary comparative study on dental health between convict and non-convict people within Erbil, Kurdistan of Iraq

Aza Bahram Khdir Maulood; Yasin Kreem Amin

Mosul Journal of Nursing, 2020, Volume 8, Issue 1, Pages 106-115
DOI: 10.33899/mjn.2020.165113

This investigation involved determination of prevalence range of dental caries and hygiene study among convicts and general population within Erbil, Kurdistan of Iraq. Ages, gender, education level and smoking habit have been taken in consideration for both group of samples (convict and non-convict). The study dealed with a total of 153 person from both group and they were sampled from Erbil Central Prison and Erbil Juvenile Prison, as well as from various location within Erbil district as control group. The results indicated that prisoners have more dental problem than others and it was found that number of smokers are much more within jails and generally they have lower standard of education. However a qualified dental team should be prepared to provide an optimum dental treatment to prisoners. More detail investigation in this respect is needed for dental aspects of the country.
Keywords: Dental health, Caries, Smokers, Convict people, Erbil Prison.

ASSESSMENTS 0F THE APPLICATION OF NURSING PROCESS IN SURGICAL WARDS

Munther Natheer AL-Fattah

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 50-59
DOI: 10.33899/mjn.2019.162875

The nursing process is a  problem-solving framework that enables the nursing staff to plan their care for a patents and clients as an individual  or  group basis . This requires nurses to be accountable for the care that they prescribe with care deliver and to keep clear and accurate records of the discussions .Today, one’s ability to use the nursing process is governed by the standards for pre-registration  for any nursing education as outline.
The present study aimed at utilize the nursing process in Mosul teaching hospitals
The initial sample consisted of  (42) nurses  whose were   selected randomly  from surgical and emergency  units at Mosul teaching Hospitals .
the period of data collection for this  study was carried out  from 20-1-2019 until  20-2-2019 . in Ibn-Sina and AL-Jamhuori teaching hospitals.
The results shows a highly significant of all assessment for applications of nursing process at p. value (0.05) 
In conclusions of this study The nursing process it's very important to enhancing the quality of care especially at surgical field and The highly significant number for all elements of nursing process. Furthermore, the nursing staff cant not be able to make any management without nursing process.
Thus the researcher put some recommendations for the current study such as ;the nursing process case sheet should be putting in patient case folder  , to evaluate the patient and his health status systematically, the nursing staff  and health care team  must be educating to how could they using  nursing process and updating, surgical wards should be formulate a time table for all clients to guide them about their care as a schedules .The head of nursing staff  as a adviser must be enrolled with conferences and educations centers to discuss the implementation of nursing process .
Keywords: nursing care plan, recommender system, data mining.

Nurses’ Knowledge about Cardio-Pulmonary Resuscitation in Mosul City

Mahmoud Mohammed Ahmed; Nasir Mufaq Youns; Ahmed Ali Hussein

Mosul Journal of Nursing, 2017, Volume 5, Issue 1, Pages 49-53
DOI: 10.33899/mjn.2017.160051

Background and Objectives: Resuscitation in hospitals and health care facilities, refers to prompt actions aimed to prevent death and providing the best possible chances for human survival. The study aims to assess the nurses' knowledge towards cardiopulmonary resuscitation and to identify the relationship between nurses' knowledge about cardiopulmonary resuscitation and some demographic variables (age, gender, educational level, work place and years of experience).
Material and method: A descriptive study design was adapted to assess the knowledge of the nurses regarding CPR. The sample of the study consist of (122) nurses, (26) female, and (96) male who works in Iben-Sena and Al-Zahrawe teaching hospitals in Mosul City. The sample of the study was selected in the simple random method. Data were collected by using a questionnaire throughout an interview technique. The questionnaire consists of two parts, Part one consists of (5 items) includes some demographic data including age, gender, educational level, work place and previous experience. Part two consists of (23 items) include questions that assess the nurses' knowledge towards cardiopulmonary resuscitation. Data were analyzed and calculated by using SPSS program.
Results: The nurses' knowledge score regarding cardiopulmonary resuscitation record low, (27.942%), and standard deviation (0.609).
Conclusion: The present study reveals that the nurses have poor knowledge regarding the CPR techniques and there are no significant difference between nurses' knowledge about cardio pulmonary resuscitation with demographic characteristics except work place and gender.

Assessment of Job Stress among Nurses Working in Akre Teaching Hospitals

Mohanned Khaleel Abdullah; Zikri Mahmood Mirza; Shevan Younis Othman

Mosul Journal of Nursing, 2018, Volume 6, Issue 1, Pages 20-32
DOI: 10.33899/mjn.2018.160079

Background and Aim: The phenomenon of Job Stress remains a reality that touches on different areas of work with inequality. Sources and levels of pressure from one field to another, particularly affecting the humanitarian field as it has proved. Many studies compare careers, under the study of job stress in particular the fields of teaching and nursing as they involve a number of tasks and responsibilities relationships.The study aimed to identify the relationship between job stress and nurses’ demographical characteristics.
Materials and Method: Aquantives descriptive study was applied study to determine job stress for nurses in Akre teaching hospitals in Dohuk city. About 75 nurses participants from two hospitals, Gulan General Teaching Hospital and from Akre General Emergency Teaching Hospital were chosen randomly. A questionnaire is constructed by researchers is divided into two sections, the 1st section is the demographical characteristics of nurses and the 2nd section consists of 23 items about job stress.
Results: The study shows that high percentage of the study population where less than 30 years old and most of them married and male the findings show that 61.3% of nurses where graduated from medical instituted. the study revealed that 61.3% of the sample had less than seven years of experience. The finding displayed that there is a significant difference between job stress among nurs’s age, years experience, Position, Marital status and Salary, While there is no significant difference in relation to Education levels ,Setting, Gender and Hospital..
Conclusion: The results revealed that the young, single and new employed with low salaries nurses suffer from job stress more than the older, married, wide experienced senior nurses. And all the sample have follow almost the same curriculum and instructions to deal with stress in the hospitals.
Recommendations: The researchers reommnded for improving the working conditions of workers in sectors of a humanitarian nature, including a sector education and nursing sector so that their employees can provide better services .

Effect of cochlear implants in children on parental mental health in Mosul city

Ahmed Abdulla Aziz Alsamady

Mosul Journal of Nursing, 2019, Volume 7, Issue 2, Pages 60-71
DOI: 10.33899/mjn.2019.162876

Cochlear implant is one of the treatments for deafness.
child cochlear, purposive sample their children have (CI) from hearing and speech rehabilitation centers in Mosul city. During the period 10 January 2018  to 28 February 2019. The instrument depended in the study was a 28-GHQ self- administered technique. The GHQ-28 is divided into four categories: somatic symptoms, anxiety/insomnia, social dysfunction, and depression.
This questionnaire includes information about the operated child such as gender, age, date of birth, and also information about the parents, such as their age, job and family background
.Data were analyzed in several steps. First descriptive statistics, which include frequency
and percentages. The second step, which include inferential statistics Chi-Square test) ,the probability level depend in the present study  was p<0.05
the study concluded Mother and father were affected by psychological symptoms.
the study recommended Preparing a comprehensive extension program that is suitable for the size of the problem experienced by parents and families through psychological, social and financial support programs, participation of specialists and professionals, families of children with hearing. disabilities, and the development of suitable solutions for themdeveloping a child's language helps parents get rid of their anxiety, Provide advanced rehabilitation centers within the governorate and be more than a center rehabilitation and training of staff  working in the centers of rehabilitation,  Make the parents communicate fully with the manufacturers of the cochlear and make the center of the company in each province, providing the spare tools for planting Working on the opening of specialized centers for cochlear implantation to reduce cost.

Quality of Life of Diabetic Patients Type -2- in Urban and Rural Areas in Kirkuk City (Comparative Study

Abid Salih Kumait

Mosul Journal of Nursing, 2014, Volume 2, Issue 1, Pages 38-45
DOI: 10.33899/mjn.2014.162927

Background and Objectives: Diabetes mellitus has become representing one of the most challenging public
health problems of the 21st century. It is a metabolic disease characterized by high blood glucose levels
(hyperglycemia) which may arise from defects in the secretion of insulin, defects in insulin action, or both.
Diabetic patients suffering from worse quality of life in rural and urban area. Aims of the study were to
assess quality of life Type-2- of diabetic patients in rural and urban area , to identify the relationship
between some characteristics of diabetic patients and quality of life and comparison of quality of life of
diabetic patients between urban and rural area in Kirkuk city.
Material and Method: The non- experimental approach and descriptive design was used in this study . The
study was conducted at Azadi Teaching Hospital in Kirkuk city and Al-Hawija General Hospital at Al-
Hawija district during the period from 15th November 2012 to the 20th of June 2013 .Purposive sample
consists of (110) clients from urban area who visited Azadi Teaching Hospital and (110) clients from rural
area who visited Al-Hawija General Hospital . In order to collect the study information, a questionnaire was
constructed depending on the criteria of World Health Organization scale (WHO ) format that modified by
researcher and related literature. It composed of two parts , part one included ( 5 ) items which focused on
the client demographic characteristics such as (age, gender, marital status, residence , occupation , level of
education .Diabetes Mellitus Quality of life questionnaire is the instrument that consists of (5) domains. The
domains are Independence , daily physical activities , Psycho-social , beliefs , environmental and
circumstances. The overall questions includes (80 ) items. The questions were rated on (3) point- likert
scale. The score ranges between (0-240), never ( 1), sometimes (2), always (3).content validity was
determined by presenting the questionnaire to a panel of (10 ) experts.
Results: The data analysis shows that most of the type -2- diabetic patients were male in urban and rural
area and constituted (75.3% ) and ( 61.8 % ) respectively . In relation to the age , high percentage of the
sample were between age (55-64 ) years in urban and rural area and constituted (32.7% ) and (34.5 % )
respectively .Also the data analysis showed that there is a significant statistical association between health
related quality of life (HRQoL) items that are related to independency, daily physical activities, psychosocial
aspects ,beliefs and environmental circumstances. Also the study concluded that health problems of
diabetic patients related to quality of life differs in sub domains have mild effects on the quality of life of
patients with diabetic in rural than urban area .
Conclusions: The socio demographic characteristic of quality of life of type 2- diabetic clients (age,
gender, marital status, level of education, jobs ) are different in effects on independency, daily physical
activities, psycho-social aspects, beliefs and environment Quality of life of diabetic patients type -2- more
impact in rural than urban area.
Key words: Quality of Life, Diabetic Patients Type -2-, Urban, Rural

Prevalence of Mobile Phone Addiction among Students in Institute Technical of Kut

Sameeha Naser Abed; Rawaa Kamel Abd; Israa Dawood Salim; Nadia Abdul Razzaq Jamal

Mosul Journal of Nursing, 2017, Volume 5, Issue 1, Pages 33-38
DOI: 10.33899/mjn.2017.160048

Background and aim: The mobile phones have considerably the new epidemic of this century .It is a two edge sword, it has both the positive and negative consequences. The objective of this study was to determine the prevalence of mobile phone addiction among students in institute technical of Kut, and also to determine significant demographic associations.
Materials and method: A descriptive cross-sectional survey was performed using a self-administered questionnaire on a sample of 380 randomly selected students. A survey was carried out in the 1st of April to the 1st of July 2017. Data analysis by using the Minitab, version 18.
Results: About 66% of the students were females. The overall prevalence of mobile phone addiction was 60% in studying students (35.37% among male and 64.63% among female), with large increases in both sexes aged less or equal twenty years (59.21%). There is no significant relationship between gender and demographic characteristics and there was no any significant relationship between demographic factors ) gender, residence, marital status, and employment status) with mobile phone addiction, while was a significant association between mobile phone addiction and age groups.
Conclusions: Overall female had more effects of mobile phone usage compared to male. Statistically significant difference was also observed for mobile phone addiction and age groups. There is a no significant relationship between demographic factors, gender, residence, marital status, and employment status with mobile phone use.
Recommendations: The recommendations of the present study are necessary to develop a mobile phone addiction preventive measure and controlling the mobile phone use. In addition to implementing effective education and intervention strategies such as behavior modification, the promotion of healthier free-time activities, and providing a healthy living environment around youths. Counseling programs are recommended for raising awareness of families concerning mobile phone use.

Assessment of Patients Knowledge about Gastritis at General Kirkuk Hospital in Kirkuk City

Qasim Hussein Mohammed

Mosul Journal of Nursing, 2015, Volume 3, Issue 1, Pages 49-54
DOI: 10.33899/mjn.2015.160020

Background and aim: Gastritis (inflammation of the gastric or stomach mucosa) is a common GI problem. Gastritis may be acute, lasting several hours to a few days, or chronic, resulting from repeated exposure to irritating agents or recurring episodes of acute gastritis). The aim of the study to assessment of patient Knowledge regarding gastritis at General Kirkuk Hospital in Kirkuk city.
Materials and method: descriptive study was carried out on gastritis patients at General Kirkuk hospital in Kirkuk city from the beginning from (10th of June 2013 to5th May 2014) in order to assess knowledge concerning gastritis ,non- probability sampling convenience sample of (50) patients .The data was collected through the application of constructed questionnaire with consist of three parts and were used (SPSS). The Data were analyzed by using descriptive and inferential statistical the frequencies (F), percentage (%), and mean of score.
Results : (74%) of the samples (35>) years old, (76%) of them were male, (54%) of the samples were illiterate, (62%) of them were house wife, (88%) of the samples were married, 40%) of them were (4-6) Working hour per day , 32%) of them have history of hypertension,(72%) of the sample had no family history of gastritis, (66%) of them no smoker, (78%) of them had continuous stress.
Conclusion: type of the patients gender the highest age that having gastritis is (female), almost highest rate of the sample revealed illiterate of the patient. Majority of the sample show housewife occupational of patient. Almost majority of the sample showed that most of patient was married, The highest rate of patient who having gastritis was complain from chronic disease. The majority of samples were having continuous stress, The highest rate of patient was having good knowledge about medical treatment instruct the people about avoiding taking any medication without physician order.
Recommendation: Advice the people to take healthy diet and avoid irritant food, and decrease stress.

Prevalence of Mobile Phone Addiction among Students in Institute Technical of Kut

Sameeha Naser Abed; Rawaa Kamel Abd; Israa Dawood Salim; Nadia Abdul Razzaq Jamal

Mosul Journal of Nursing, 2017, Volume 5, Issue 1, Pages 33-38
DOI: 10.33899/mjn.2017.160048

Background and aim: The mobile phones have considerably the new epidemic of this century .It is a two edge sword, it has both the positive and negative consequences. The objective of this study was to determine the prevalence of mobile phone addiction among students in institute technical of Kut, and also to determine significant demographic associations.
Materials and method: A descriptive cross-sectional survey was performed using a self-administered questionnaire on a sample of 380 randomly selected students. A survey was carried out in the 1st of April to the 1st of July 2017. Data analysis by using the Minitab, version 18.
Results: About 66% of the students were females. The overall prevalence of mobile phone addiction was 60% in studying students (35.37% among male and 64.63% among female), with large increases in both sexes aged less or equal twenty years (59.21%). There is no significant relationship between gender and demographic characteristics and there was no any significant relationship between demographic factors ) gender, residence, marital status, and employment status) with mobile phone addiction, while was a significant association between mobile phone addiction and age groups.
Conclusions: Overall female had more effects of mobile phone usage compared to male. Statistically significant difference was also observed for mobile phone addiction and age groups. There is a no significant relationship between demographic factors, gender, residence, marital status, and employment status with mobile phone use.
Recommendations: The recommendations of the present study are necessary to develop a mobile phone addiction preventive measure and controlling the mobile phone use. In addition to implementing effective education and intervention strategies such as behavior modification, the promotion of healthier free-time activities, and providing a healthy living environment around youths. Counseling programs are recommended for raising awareness of families concerning mobile phone use.

ASSESSMENTS 0F THE APPLICATION OF NURSING PROCESS IN SURGICAL WARDS

Munther Natheer AL-Fattah

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 50-59
DOI: 10.33899/mjn.2019.162875

The nursing process is a  problem-solving framework that enables the nursing staff to plan their care for a patents and clients as an individual  or  group basis . This requires nurses to be accountable for the care that they prescribe with care deliver and to keep clear and accurate records of the discussions .Today, one’s ability to use the nursing process is governed by the standards for pre-registration  for any nursing education as outline.
The present study aimed at utilize the nursing process in Mosul teaching hospitals
The initial sample consisted of  (42) nurses  whose were   selected randomly  from surgical and emergency  units at Mosul teaching Hospitals .
the period of data collection for this  study was carried out  from 20-1-2019 until  20-2-2019 . in Ibn-Sina and AL-Jamhuori teaching hospitals.
The results shows a highly significant of all assessment for applications of nursing process at p. value (0.05) 
In conclusions of this study The nursing process it's very important to enhancing the quality of care especially at surgical field and The highly significant number for all elements of nursing process. Furthermore, the nursing staff cant not be able to make any management without nursing process.
Thus the researcher put some recommendations for the current study such as ;the nursing process case sheet should be putting in patient case folder  , to evaluate the patient and his health status systematically, the nursing staff  and health care team  must be educating to how could they using  nursing process and updating, surgical wards should be formulate a time table for all clients to guide them about their care as a schedules .The head of nursing staff  as a adviser must be enrolled with conferences and educations centers to discuss the implementation of nursing process .
Keywords: nursing care plan, recommender system, data mining.

Assessment of Hematological parameters of Young Male with Hookah Smoking in Rania City

Osamah Awad Ahmed; Barzan Mohammed Mohammed Ameen; Riyadh Zainadin Mawlood

Mosul Journal of Nursing, 2016, Volume 4, Issue 1, Pages 49-55
DOI: 10.33899/mjn.2016.160036

Background and aim: Hookah smoking is one of the major causes of cancer and cardiovascular diseases leading to millions of premature deaths each year all over the world. Scientists have identified about 4,000 different substances in tobacco all of which have certain degree of toxic effects, at least 43 of them known carcinogens. The aim of this study is to assess the extent of adverse effect of shisha on hematological parameters in male population of Rania City in Iraq.
Materials and Method: experimental study a purposive (non probability) sample of fifty-five male subjects participated in this study. The method of the study is the following; shisha smoker (n= 30) and non-smoker (n= 25). Fresh peripheral blood samples from healthy adult non-smokers and smokers (males) are collected and analyzed for Red Blood Cells (RBC) count, hemoglobin (Hb) content, packed cell volume PCV , MCV, MCH ,MCHC and RDW, total and differential leucocytes (WBC) counts and total platelets count and its parameters by using fully automatic hematological analyzer.
Results: The smokers of shisha have non-significantly higher level of Hb, HCT, RBCs, WBC count, LYM and platelets counts and its parameters while NUET is insignificantly down in smoker. However, MXD and MCHC are significantly lower in cigarette smokers than that of non-smokers. The present study clarifies that age have no significant effect on hematological parameters except LYM NUET, MID and MCV in smokers. The study shows that the duration of smoking has no significant effect on hematological parameters except LYM and NUET. The current result reveals number of smoking weekly has no significant effect on hematological parameters except NUET.
Conclusion: The study concludes that smoking alters hematological parameter that is injurious to health.

Effectiveness of an Education Program on Nurses knowledge concerning in Nursing Management for patients with Third degree and bundle branch block in Kirkuk Teaching Hospitals

Abid Salih Kumait AL-Jumaily MSc adult nursing; Khalidah Mohammed Khudur

Mosul Journal of Nursing, 2019, Volume 7, Issue 1, Pages 7-19
DOI: 10.33899/mjn.2019.160084

Background and Objectives: Heart block is a disease or acquired condition that causes a fault within the heart's natural pacemaker due to some kind of obstruction (or "block") in the electrical conduction system of the heart.Nurses play an important role in maintaining the health and well-being of patients. Aims of the study was to assess the effectiveness of nursing education program on nursing knowledge concerning in nursing management toward third degree and bundle branch block in Kirkuk's teaching hospitals and to identifying the relationship between the nurses' knowledge and their demographic characteristics such as ( age ,gender and education level)
Material and Method :A descriptive study design (quasi experimental study )was carried out at Azadi teaching hospital and Kirkuk general hospital in Kirkuk city for nursing staff who worked at CCU ,RCU unit , emergency unit and internal medicine unit ,from February up to May, 8102. A non – probability (purposive) sample was selected and composed of (21) Nurses (male and female) .Nurses was divided into two groups, study group consisted of (01) nurses exposed to the nursing educational program and control group consisted of (01) nurses were not exposed to the program from Azadi Teaching Hospital and Kirkuk General Hospital in Kirkuk city. The program and instruments were constructed by the researcher for the purpose of the study .The questionnaire was constructed for the purpose of the study which consisted of three parts: the first part include the demographic data (5 ) items (age, gender,residencr , Educational achievement and marital status.The second about training in cardiac care (8) items ( work place and name of training in cardiac care . The third part consist from (02 ) items of general knowledge toward management of third degree of heart block and bundle branch block of heart block. The (SPSS) ver. (8821) was used for data analysis. Mean, SD, and ANCOVA test, compare means were used to analyze the collected data. Level of significance was the threshold at p<1215
Results: There were 01 nurses included in the study. Relative to "Gender" 82(55255) from sample were female are more illustrated, since, also the study shows the high percent of nursese were at age between (81-23 years) and constitute 25(25255) and most of "Age Groups", are focused at the first two groups since .(5825% ) .Also the results shows (%5215) were female. With regard toresidence 82(51215) were living in urban areas, The study findings indicated that there were highly significant differences between pre and post tests in the study group in overall main domains related to nurses' knowldg abou management of third degree heart block and bundle branch block
Conclusion: The study concluded that the effectiveness of educational program regarding nurses' nurses' knowldg abou management of third degree heart block and bundle branch block .