Volume 8, Issue 2, Summer 2020, Page 116-126


Knowledge of Mothers regarding Premature Baby Care in Mosul city

Salwa Hazim AL-Mukhtar; Mohammed faris Abdulghani

Mosul Journal of Nursing, 2020, Volume 8, Issue 2, Pages 108-118
DOI: 10.33899/mjn.2020.165620

Background: Premature babies, those born very early, often have complicated and medical problems. Typically, complications of prematurity are varying. The premature baby has a higher risk of complications. The baby will likely need a more extended hospital stay in a special nursery unit at the hospital, depending on how much care requires. Mother is faced with numerous challenges by experiencing a premature birth; therefore, knowing about the mother's efforts and knowledge regarding premature infants. The present study was carried out to explore the mothers' knowledge regarding prematurely born infants.
Patients and methods: This survey was conducted amongst 100 mothers visiting the Al Khansa Hospital and Ibn Al-Atheer, both hospital, specialized in the maternity and pediatric. The collection of data was done for the period of 15th November 2019 until 28th February 2020. A questionnaire form consisting of multiple-choice questions about knowledge about infant premature health was distributed to the volunteer mothers. The data was compiled and analyzed statistically. A Chi-Squair was used in data analysis resulted.
Results: Inthe present study, 53% of mothers scored 50 or less (poor knowledge), showing inadequate knowledge about infant premature health. Mother’s knowledge about infant premature health showed a significant positive correlation with her education, the order of childbirth, age at childbirth, and socioeconomic status (P-value<0.001).
Conclusion: The present study concludes that mothers have inadequate knowledge of premature infant health. Factors like mother's education, birth order of the child, mother's age at childbirth, and her socioeconomic status are related to the mother's knowledge
Keywords: mother knowledge, care of the baby, premature baby

Effectiveness of an Educational Program on Nurses Knowledge toward Leukemic Patients at Kirkuk Oncology Center in Kirkuk City

Shelan Hasan Abdullah; Khalida Mohammed Khudhur

Mosul Journal of Nursing, 2020, Volume 8, Issue 2, Pages 119-126
DOI: 10.33899/mjn.2020.165698

Objective:  To evaluate the effectiveness of an education program on nurses knowledge toward leukemia in Kirkuk Oncology center
Methodology: Quasi-experimental study carried out among 30 nurses at oncology center, the data collected by using questionnaire consisted of 43 items.
Results: 70% of the study group at age (20-29) years, 50% of them were males and females, Graduate Nursing Institute. They had low level of knowledge at pretest the grand mean was (1.25) and at posttest the level of knowledge improve to moderate level (1.6) after implementation of an educational program.
Conclusion: Nurses had un adequate knowledge about leukemia. Therefore it is need to identify the gap of knowledge and initiate training session to improve their information.
Recommendations: nurses had un adequate knowledge about leukemia. Therefore it is need to identify the gap of knowledge and initiate training session to improve their information.
Key words: effectiveness- education program- nurses knowledge- leukemic patients.

Assessing the risk factors for cytomegalovirus and prediction the relationship between abortion and virus in Kirkuk City Hospitals

Salwa Hazim Ghailan; Samira Shokir Mohammed

Mosul Journal of Nursing, 2020, Volume 8, Issue 2, Pages 127-141
DOI: 10.33899/mjn.2020.166078

Background: Cytomegalovirus belongs to the Herpesviridae family of subfamily Betahrpesvirnae. CMV is one of the major causes of perinatal and congenital viral infection. Also can cause spontaneous abortion in pregnant women in the first trimester of gestation.
Objective: To identify the relationship between CMV and women’s demographic variables of age, parity, occupation, residence and socioeconomic status etc. To determine the prevalence rate of CMV in aborted women in the 1st trimester. To assess the relationship between abortion and CMV. To determine anti CMV IgM and IgG in women after abortion. To find out the consequences of risk factorsof CMV on fetus and maternal.
Methodology: A descriptive correlational design was used in this study. Data were collected from three maternity hospitals in Kirkuk city. A convenience sample of (100) aborted women in the first trimester of gestation were selected in this study, who were admitted in maternity hospitals. A questionnaire designed about assess the risk factors for cytomegalovirus and prediction the relationship between abortion and virus. Assessment tool was constructed by the researcher after extensive review of previous studies and relevant literature. The study instrument consists of two main parts; part one was Demographic data for. And the part two include (Test result and Risk factors for cytomegalovirus on pregnant women). The data were
described statistically and analyzed through the use of descriptive and inferential statistical analysis procedures
Results: The prevalence rate of CMV IgG seropositivity was reported (37%), while the prevalence rate of CMV IgM seropositive results was lower (1%). The majority of the study sample was within middle age group (26 – 36 years, live in urban areas, housewives, Barely
Sufficient economic status and Consanguineous). There is significant correlation of CMV and (abortion, stillbirths, Age at Menarche, Regularity of Menstrual Cycle, Age at Married, Interval between last pregnancy & present Pregnancy, Causes of Abortion, Number of Para,
Type of Previous Delivery to Present Delivery, IgG & IgM Test Results).
Conclusion: CMVI showed significant effects on the abortion rates among pregnant women in the first trimester of gestation. In this study the socio-economic status of the tested women has no significant effects on the rates of anti-CMV IgG and IgM seropositive results.
 Keywords: Cytomegalovirus, prevalence rate of CMV, anti-CMV IgG and IgM, risk factors of CMV

Laparoscopic and open varicocelectomies advantages and disadvantages with subsequent Fertility recovery results

suhel Mawlood Najjar

Mosul Journal of Nursing, 2020, Volume 8, Issue 2, Pages 142-146
DOI: 10.33899/mjn.2020.166199

Background and Objectives:
With laparoscopic varicocelectomy (LVV) invention, controversial ideas are developed regarding choosing the preferable method for surgical management of varicocele; accordingly, various comparative studies are required to evaluate safer and more productive technique. This study is aimed in observation of validity of both laparoscopic and inguinal open methods and their efficiency in producing fruitful male fertility progression.
Cases and methods:
This study is performed in a period of one-year (2017-2018), during which (60) cases of infertility due to varicocele pathophysiological consequences collected by simple random method. Of these (32) cases were laparoscopically managed (Group 1) and the other (28) cases managed by open inguinal method (Group 2). In these patients the basal spermatic analysis performed the parameters were below normal values.  The presences of varicoceles were proved clinically and by ultrasound Doppler studies. The varicocelectomy operations for non-fertile purposes were excluded from study. The follow up carried on two monthly intervals for next (6) months by clinical examinations, US and BSA. Statistically SPSS version package 24 is used; presented data are used.
Results:
The included ages were (24 to 43) years. In (51) cases only left side and in (9) cases were bilateral (VV). Postoperative follow up showed an acute rising of motility and quality of sperms after 4-8 weeks period among laparoscopic group and reached minimum normal level at the end of 24 weeks and 9 (28.13%) cases achieved conception in the first year. In the 
opened group the changes were slow and remained for 24 weeks to achieve wanted normal parameters and 11 (39.3%) cases achieved conception. Laparoscopic group operative duration was (42±5) minutes for unilateral and (60±8) minutes for bilateral, while in open group operation duration was (35± 5) minutes for unilateral and (50±5) minutes in bilateral. Regarding postoperative complications in laparoscopic group were; less painful, less disabling, least trauma, scars and complications.
Conclusions:
The laparoscopic varicocelectomy is promising method of treating varicocele for abnormal sperm parameters, uni or bilateral same ports approachability for especially in subclinical varicoceles.  LVV was safer than open method from various points of but longer operation duration. However open group conceptive outcomes observed more beneficial than LVV.
Key words; varicocelectomy- inguinal - Laparoscopic.  Fertility.    

Awareness of pain among Nurses

Abd-Alrahman Hussein Salih; Refai Yassein Al-Hussein; Ahmed Abd-Allah Al-Sabaawi

Mosul Journal of Nursing, 2020, Volume 8, Issue 2, Pages 147-153
DOI: 10.33899/mjn.2020.166258

Nurses have a key role in effective pain management, the nurse's accurate assessment, prompt intervention and adaptation of pain relief measures are necessary for positive patient outcomes.  This cross-sectional study carried out to highlight awareness of pain for its' importance to nurses. A convenience sample of (107) nurse selected randomly from four teaching hospitals in Nineveh Governorate through the period "December/2009-March/2010". Knowledge and Attitude Survey regarding Pain tool had been used n collecting data from the subjects which was self-administered through interview with each subject in the workplace. The main findings were; "Mean scores of correct answers= 15.65 ± 2.52, Total= 57.63, Percentage= 57.63%, Range= 40.74% - 85.19%", the workplace scores statistical significant differences with awareness as a ward or as a hospital working in. The study concluded that overall awareness was good as a total or as domains except patients' behavior domain while it recommended to include the educational curriculum by pharmacological area, patient assessment and integration of knowledge about pain into daily practice.
Keywords: Awareness, Pain, Nurse.

Nursing Quality Monitoring In Pediatric Surgery Center In Al-Khansa Teaching Hospital

Abdulrhman Hussein Salih AL-Hadeedi

Mosul Journal of Nursing, 2020, Volume 8, Issue 2, Pages 154-164
DOI: 10.33899/mjn.2020.166259

A descriptive analytical study was conducted through out the period between the first of November 2005 to the first of August 2006 in order to assess the practice of the nursing staff in the Pediatric Surgery Center in AL-Khansa' Teaching Hospital in Mosul. The sample of study included all the nursing staff working in the Pediatric Surgery Center (20 nurses). After directing an open-end question to (13) professionals medical staff and nurses working in the center to address the nursing activities carried out in center wards, the most common nursing activities were selected (Dressing, Intravenous infusion, placing intravenous cannula, checking axillary temperature, and intravenous drug administration). The reliability of the observational tool was determined through the application of test-retest technique and computation of Pearson Correlation Coefficient (r=0.93), the content validity of tool is determined through a panel of experts. The finding of study indicated that (95%) of nursing staff were males, and (10%)were graduates of Nursing College, while the remaining nurses graduated equally from Secondary School and Nursing Institute. The analysis of variance of study subject showed no-significant differences according to age, marital status, training session, level of education, and work in special department. When reviewing the mean of scores of the steps for all the procedures, it showed that the basic steps of each nursing procedure which may be shared among all procedures fluctuated among excellent, acceptable and weak measures with strong tendency to weakness. The study concluded that there are intense shortage in nursing staff, threatening of the feministic nursing staff, and continuous learning and training programs were not active and dependency on low nursing educational levels. The study recommended the necessity of staff to be highly qualified through activation of continuous learning and training, also the center should be provided by a sufficient number of nursing staff especially females, and the activation of nursing job description is necessary. Key word : QUALITY ، MONITORING ، PEDIATRIC ، SURGERY

Assessment of School Phobia Among Elementary Students in Nineveh Governorate

taha Khudhur Ali; Rifaie Yaseen Hameed

Mosul Journal of Nursing, 2020, Volume 8, Issue 2, Pages 165-176
DOI: 10.33899/mjn.2020.166982

School phobia is one of the most common symptoms among children in the elementary stage, which affects their psychological, social and scientific formation, as the child expresses his fear of coming to this strange environment and reflects this in a set of psychological and physical symptoms.
A descriptive study design carried out to assess school phobia among elementary school students in Nineveh Governorate during the period from September 1, 2019 to August 10, 2020. The sample of the study consisted of (806) elementary school pupils selected randomly from many elementary schools from inside and outside Mosul city which selected by stratified method. Data were gathered by a structured questionnaire based on previous studies and sources related to the research topic. It composed of two main parts; Demographic data and expected reasons or causes behind the phenomenon of the study. Its validity was checked through the opinions of (16) experts, and its reliability was measured by applying it to (50) students who were excluded from the main sample of the research, its value was (0.71). Data were collected through personal interview with each pupil in order to address the causes of the fear from the school, while the pupils’ commitment to the school and absenteeism from it was checked by reviewing each pupil’s file in the school. The interview was carried out by the researcher himself or by one of the teams of teachers assisting the researcher after their approval and engagement if the study. The study found a positive relationship between fear of school and fear from colleagues. The study concluded that there are large numbers of pupils in the schools, also in comparing with the numbers of teachers. High rate of absenteeism from the school among females. The study recommends building more schools in the governorate, establishing an educational and psychological counselling programs to deal with the phenomenon of fear, refusal and truancy from the school.  Also, the school administrations, personnel and teachers should create an appropriate school atmosphere based on dealing with pupils equally without differences, caring for them and follow up their academic levels, as well as working to control the school's surroundings and prevent any transgression and bullying among pupils and create the spirit of intimacy, love and cooperation among them.