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Effect of Self-care Teach Back Nursing Education on knowledge, Self-Efficacy and Treatment Adherence among Ulcerative Colitis Patients

Research Abstract

Abstract Background: Ulcerative colitis requires effective self-care to maintain remission and prevent relapse. Teach-back education improve patients’ understanding, confidence, and treatment adherence. Aim: Evaluate effect of self-care teach back nursing education on knowledge, self-efficacy and treatment adherence among ulcerative colitis patients. Research design: Quasi-experimental research design. Sample: Purposive sample of 60 patients with ulcerative colitis assigned to study and control groups (30 each). Setting: Gastroenterology Department and Inflammatory Bowel Disease Outpatient Clinic, Al-Rajhi University Liver Hospital, Assiut University Hospitals. Tools: Structured interview questionnaire, knowledge assessment questionnaire, Inflammatory Bowel Disease Self-Efficacy Scale, and Morisky Medication Adherence Scale. Results: At baseline, unsatisfactory knowledge reported by 96.7% and 83.3% of the study and control groups, respectively (p = 0.085). At one-month, satisfactory knowledge increased to 83.3% versus 40.0% (p = 0.001), remaining higher at three months (80.0% vs. 50.0%, p = 0.015). Self-efficacy: At baseline, 90.0% of both groups were fairly confident (p = 0.100). At one-month, high confidence was reported in 63.3% versus 30.0% (p = 0.05), increasing at three months to 60.0% versus 36.7% (p = 0.04). Medication adherence: At baseline, low adherence was reported in 96.7% of both groups (p = 0.368). High adherence increased to 30.0% versus 13.3% at one month (p = 0.003) and 36.7% versus 16.7% at three months (p = 0.045), respectively. Conclusion: Teach-back self-care nursing education improved knowledge, self-efficacy, and medication adherence among patients with ulcerative colitis. Recommendations: Integrating teach-back self-care education into standard care for patients with ulcerative colitis across inpatient and outpatient settings. 

Research Authors
Manal Sayed Atya1, Marwa Abdelhamed Sayed2, Mohammmed Ahmed Medhat3 & Nour Eleman Hassan Ali4
Research Date
Research Department
Research Journal
Assiut Scientific Nursing Journal
Research Pages
Pp (496 - 513)
Research Publisher
Assiut Scientific Nursing Journal
Research Rank
local
Research Vol
(14)
Research Year
2026

Effect of Lifestyle and Dietary Intervention on Quality of Life and Self-care among Patients with Meniere's Disease

Research Abstract

Background: Meniere's disease is a chronic illness that produces a triad of symptoms; vertigo, hearing loss and tinnitus, each of which is known to have the potential to impact on quality of life and patients' self-care. Aim: Evaluate the effect of life style and dietary intervention on quality of life and self-care among patients with Meniere's disease. Patients and Method: A quasi experimental (pre-posttest nonequivalent control group design) was used for a purposive sample of sixty adult patients, diagnosed with Meniere's disease in the Ear, Nose and Throat (ENT) department and outpatient clinics at Assiut University Hospital. Patients were randomly divided into two equal groups (study and control) 30 patients for each. Tools: Tool (I): Demographic and medical background information form, Tool (II): Dizziness Handicap Inventory and Tool (III): Therapeutic self-care measure. Results: The mean age of the study and control groups was (44±9.8, 42.03±10.3) years respectively. There was a statistically significant difference between study and control groups regarding the total QoL scores (60.13±14.55, 57.33±13.58), (35.33±7.62, 47.87±17.62) respectively, pre and post lifestyle and dietary intervention with p. value <0.001**. Also, there was a significant improvement in total mean scores of self –care measure among study group as it increased from 20.1±5.52 on pre-intervention to 42.13±8.52 post. Conclusion: Life style and dietary intervention had a positive effect on improving quality of life and self-care activities among study group patients at 3- month follow up compared to the control group. Recommendations: Healthy lifestyle and dietary modifications should be considered as an initial step for both the prevention and management of Meniere's disease.

Research Authors
Eman Mohammed Hashem, Mervat Abd El-fatah Ismael
Research Date
Research Department
Research File
4 Menieres.pdf (925.1 KB)
Research Journal
Egyptian Journal of Health Care
Research Pages
692-707
Research Publisher
Egyptian Journal of Health Care
Research Rank
local
Research Vol
15
Research Year
2024

Effect of Urinary Catheter Replacement before Urine Specimen Collection on Clinical Outcomes among Critically Ill Patients

Research Abstract
Background: Catheter-associated urinary tract infections (CAUTIs) are common healthcare-associated infections in critically ill patients with indwelling urinary catheters. Prolonged catheterization promotes bacterial colonization and biofilm formation, potentially compromising urine culture accuracy and patient outcomes. Aim of the study: to evaluate the effect of urinary catheter replacement before urine specimen collection on clinical outcomes among critically ill patients. Setting: The current study was conducted at in the General Intensive Care Unit at Sohag University Hospital, Egypt. Sample: A purposive sample of 60 critically ill adult patients with indwelling urinary catheters was recruited in the study. Design: A Quasi-experimental design was used. Tools: I-Demographic and clinical Data Sheet; II- Urinary Tract Infection Assessment sheet and III- Patients’ Outcomes Assessment sheet. Results: The findings demonstrated statistically significant differences between the intervention and control groups regarding several clinical outcomes. Patients in the intervention group had a lower incidence of sepsis, a shorter ICU length of stay, and lower incidence of recurrent urinary tract infections than those in the control group (P = 0.001, P = 0.001, and P = 0.004, respectively). Conclusion: Urinary catheter replacement before urine specimen collection was associated with improved clinical outcomes among critically ill patients as lower incidence of sepsis and recurrent urinary tract infections and a shorter ICU length of stay. Recommendation: Urinary catheter replacement before urine specimen collection may be considered as part of an evidence-based urinary catheter management protocol for critically ill patients requiring urine culture, particularly when clinically indicated.

Keywords

Research Authors
Eman Mamdouh Aziz Soliman 1 Amal Nabil EL-Sayied Abboud 2 Shaimaa EL-Sayed Abdullah Ibrahim 3 Asmahan Serag Mohamed 4 Sanaa saber Mohamed 5
Research Date
Research Department
Research File
Research Image
Research Journal
Egyptian journal of health care
Research Member
Research Pages
720-741
Research Publisher
EKB
Research Rank
local
Research Vol
17
Research Website
https://ejhc.journals.ekb.eg/article_527368.html
Research Year
2026

Effect of Nutritional Based Pre-habilitation on Nutritional Status among Malnourished Women Who Undergoing Gynecological Malignancies Surgery

Research Abstract
Background
A unimodal pre-habilitation program called nutritionally based pre-habilitation focuses on the nutritional readiness of women who undergoing gynecological malignancy surgery. Malnutrition is a critical issue in gynecological malignancy care, with studies indicating that 20% to over 70% of cancer patients suffer from malnutrition, which can lead to significant morbidity and mortality. In gynecological oncology, specifically, between 20% and 88% of patients may present with at least mild malnutrition at the time of diagnosis. Aim of research: evaluate the effect of nutritional based pre-habilitation on nutritional status among malnourished women who undergoing gynecological malignancies surgery.
Research design
A non-randomized controlled trial design was used to conduct the study.
Research setting
The study was carried out at Gynecological Oncology Unit at Women's Health Hospital’s at Assiut University in Egypt.
Sample
Purposive sampling contained 140 women divided into interventional and control group [70] woman in each group .
Study instrument
three instruments were used as: (I): A structured interviewing questionnaire, (II): nutritional assessment, (III): post- operative complication assessment.
Result
Based on Patient-Generated Subjective Global Assessment (PG-SGA) scores, women’s nutritional status significantly improved during post-operative  and  follow-up period (p = 0.007 , p < 0.001, respectively), while postoperative complications were reduced (p = 0.25)..
Conclusion
Preoperative nutritional based pre-habilitation enhances nutritional status among women undergoing surgery for gynecological malignancies …
Research Authors
Aziza M Mohammed, Nadia Hussien Ahmed Ismail, Hisham Ahmed El Sayed Abou Taleb, Walaa Hamza Ibrahim, Aya Mostafa Abdelhafez
Research Date
Research Journal
Assiut Scientific Nursing Journal
Research Pages
76-86
Research Publisher
Assiut University, Faculty of Nursing
Research Vol
14
Research Year
2026

Transformative Effect of Nursing Educational Classes on Fear of Childbirth and Self-Efficacy among Primiparous Women

Research Abstract
Background
 
Fear of childbirth is a prevalent issue for primiparous women, potentiallyimpacting their experiences and outcomes. Educational classes are effective in increasingknowledge, lowering childbirth-related fear, and enhancing childbirth self-efficacy.
Aim
To evaluate the transformative effect of nursing educational classes on fear of childbirthand self-efficacy among primiparous women.
Design
A quasi-experimental (pre/post-test)design was used.
Setting
Maternal and Child Health Centers in Al-Sat Khadra, Helwan,Cairo.
Sample
Fifty-five primiparous women who fit the inclusion requirements wereselected using a purposive sampling technique.
Tools
Tool I: a structured interviewingquestionnaire to assess personal and obstetrical characteristics and women's knowledge;Tool II: the Childbirth Fear Questionnaire; and Tool III: the Childbirth Self-EfficacyInventory.
Results
The intervention led to significant improvements in women'sknowledge regarding childbirth. Notably, there was a marked decrease in childbirth fear,with most women reporting no fear post-intervention, compared to severe fear beforehand.Additionally, childbirth self-efficacy rose dramatically; 80% of women had low selfefficacy before the program, while 94.5% achieved high self-efficacy afterward. Thesechanges were statistically significant (p < 0.001).
Conclusion
Women's knowledge andchildbirth self-efficacy improved significantly, and fear of childbirth was notably reducedafter participating in educational classes.
Recommendations
Educating expectantmothers about the labor process, coping mechanisms, and preparation for childbirth canlessen their fear of giving birth …
Research Authors
Rania Ezzat Elgobashy, Enas Ibrahim Abbas Badr, Aya M Abdelhafez
Research Date
Research Journal
Tanta Scientific Nursing Journal
Research Publisher
Tanta University; Faculty of Nursing
Research Vol
42
Research Year
2026

Effects of the Unpleasant Symptoms-Relief Program on Pregnant Women at Risk of Preterm Labour

Research Abstract
Background
Preterm labor represents a significant issue in maternal andneonatal health, linked to physical discomfort, psychological distress, andcompromised emotional regulation. Nonpharmacological nursing interventionshave the potential to alleviate these symptoms and enhance the health of expectantmothers who are at high risk.
Aim
to evaluate the effects of the unpleasantsymptoms-relief program on pregnant women at risk of preterm labour.
Designand setting
A quasi-experimental pretest/posttest study was implemented atAssiut University, Woman's Health Hospital's Antenatal Care Unit.
Subjects
Apurposive sample of 70 women (35 in each study and control group). Tools ofdata collection: Tool I: preterm labour risk assessment sheet. Tool II: TheDepression, Anxiety, and Stress Scale (DASS-21) and Tool III: MaternalPhysical Discomfort Scale (MPDS) and Tool IV: Difficulties in EmotionRegulation Scale – version (DERS-16).
Results
Post-intervention, the studygroup showed significant improvements in psychological distress, physicaldiscomfort, and emotion regulation compared with the control group. Extremelysevere anxiety level decreased from 17.1% to 2.9%, while severe depressiondecreased from 17.1% to 0.0%, and extremely severe stress dropped from 28.6%to 2.9%. The proportion of low-risk discomfort rose from 25.7% to 57.1%,whereas very high-risk discomfort declined from 45.7% to 0.0%. The prevalenceof low difficulties in emotion regulation rose from 40.0% to 85.7%.
Conclusion
The Unpleasant Symptoms-Relief Program significantly alleviated psychologicaldistress and physical discomfort while enhancing emotion 
Research Authors
Aya M Abdelhafez, Saleh Omar Abdullah, Safaa H Mohamed
Research Date
Research Journal
Tanta University; Faculty of Nursing
Research Vol
42
Research Year
2026

‏ The Effect of Nutritional Education on Menstrual Migraine and Stress Reduction among Secondary Nursing Students

Research Abstract
Menstrual migraine's predictability offers a special chance to create focused treatment plans that are suited to the individual requirements of afflicted women.
Aim
The study aimed to evaluate the effect of nutritional education on menstrual migraine and stress reduction among secondary nursing students.
Subjects and Methods
A quasi-experimental one-group pretest-posttest design was conducted among 400 female students enrolled in technical secondary nursing schools in Assiut and Damanhour Governorates, Egypt. Data collected using a structured questionnaire covering personal, menstrual, and migraine characteristics, the Migraine Disability Assessment Scale (MIDAS), the Headache Impact Test (HIT-6), and the Perceived Stress Scale (PSS-14). The nutritional education program consisted of educational sessions addressing menstrual migraine, dietary modifications, stress management, relaxation techniques, emotional coping strategies, and sleep hygiene. Participants  evaluated before and three months after the intervention.
Results
Of the initial sample, 376 students completed the post-intervention assessment, yielding an attrition rate of 6%. The percentage of students with severe migraine disability significantly decreased from 27.8% before to 7.4% after the intervention. Likewise, severe headache impact decreased from 51.5% to 22.3%, while high perceived stress levels declined from 88.5% to 39.9% following the intervention (p<0.001). The prevalence of dysmenorrhea and the frequency and severity of migraine attacks also demonstrated statistically significant reductions. Family history of migraine and dysmenorrhea were …
Research Authors
Asmaa A Ibrahim, Safaa R Osman, Aya M Abdelhafez, Eman Mohammed Rashad Ahmed Behiry, Ahmed Mohamed Salama, Asmaa Hamed Mohamed
Research Date
Research Journal
Assiut University, Faculty of Nursing
Research Pages
63-75
Research Publisher
Assiut University, Faculty of Nursing
Research Vol
14
Research Year
2026

Correction to: Generative artificial intelligence acceptance, anxiety, and behavioral intention in the middle east: a TAM-based structural equation modelling approach

Research Abstract

Correction to: Generative artificial intelligence acceptance, anxiety, and behavioral intention in the middle east: a TAM-based structural equation modelling approach - PMC Skip to main content Here's how you know Official websites use .gov A .gov website belongs to an official government organization in the United States. Secure .gov websites use HTTPS A lock ( Locked padlock icon ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites. NCBI home page Search Log in Dashboard Publications Account settings Log out Search… Search NCBI Primary site navigation Close Search Search Logged in as: Dashboard Publications Account settings Log in Search PMC Full-Text Archive Search in PMC Search Journal List User Guide Open resources icon View on publisher site icon PERMALINK Copy As a library, NLM provides access to scientific …

Research Authors
Mona Gamal Mohamed, Polat Goktas, Shimaa Abdelrahim Khalaf, Aycan Kucukkaya, Ibrahim Al-Faouri, Ebtisam Abd Elazeem Saber Seleem, Awatef Ibraheem, Aya M Abdelhafez, Saleh O Abdullah, Hanan Nasef Zaki, Abdulqadir J Nashwan
Research Date
Research Journal
BMC nursing
Research Pages
1003
Research Vol
24
Research Year
2025

Effect of Group Counseling Based on Problem-Solving Solution on Women’s Sexual Function, Quality of Life and Sexual Satisfaction after Mastectomy

Research Abstract
Background
Breast cancer is the most common disease in women, and it poses risks to a wide range of areas of a person's health, including their mental and physical health, their sexual function, and their sexual happiness.
Aim
Evaluate the Effectiveness of Group Counseling Based on Problem Solving on Sexual Function, Quality of Life and Sexual Satisfaction of Women After Mastectomy.
Methods
Quasi - experimental research design (Pre-test and post-test) was used in this study. It was conducted at outpatient clinic of the South Egypt Cancer Institute, Assiut University.
Sample
a purposive sampling of 50 participants after mastectomy were included in the study. Four tools were used: structured interview questionnaire, Female Sexual Function Index, Married Women’s Sexual Satisfaction Scale and Medical Outcomes Study 12-Item Short-Form.
Results
The findings from this study showed a significant improvement in the means score of the total and scores of all domains of sexual function and quality of life after intervention. Also, the findings of the present study showed a significant difference in the increase of sexual satisfactions among women undergoing mastectomy surgery after intervention.
Conclusion
 Sexual counseling was statistically increasing the mean score of sexual function, sexual pleasure, and quality of life.
Recommendations
A randomized controlled trial on continuing sexual health counseling programs for breast cancer survivors with a large sample is recommended.
Research Authors
Aya M Abdelhafez, Saleh O Abdullah, Naglaa Fathy Ahmed, Treza S Badia
Research Date
Research Journal
Egyptian Journal of Health Care
Research Pages
2028-2039
Research Publisher
Ain Shams University, Faculty of Nursing
Research Vol
15
Research Year
2024

Training Program for Girls with Hearing Disability about Breast Self-Examination in Assiut City

Research Abstract
Background
Girls with hearing disability continue to undervalue the practice of breast self-examination, despite Egypt's ever-expanding programs to raise breast cancer awareness.
Aim
To evaluate the effectiveness of the training program for girls with hearing disability about breast self-examination in Assiut City.
Research Design
Quantitative research pre/post one group intervention design was applied.
Setting
Al-aml school for dumb and deaf girls in Assiut City.
Subjects
A convenient sample was used to include 153 adolescent girls with hearing disability. Data collection tools: Two tools were utilized: Tool one: Designed interview questionnaire comprised from three parts: Part (1): Personal data, part (2): Girls’ family history of breast cancer and data about breast self-examination and part (3): Questions to assess knowledge of girls regarding breast cancer and breast self-examination. Tool II: Breast self-examination observational checklist.
Results
It noticed from the current results that 46% of girls aged less than 18 years, 90.8% from rural area, 71.9% weren’t know about breast self-examination. The girls’ mean of knowledge and practices regarding breast self-examination was in pre-program 12.28 and 2.26 while it enhanced to be 36.03 and 9.67 with significant improvement after the program application.
Conclusion
The training program improved knowledge and practices of breast self-examination among girls with hearing disability.
Recommendations
Continuous training program about breast self-examination for girls with special need to increase their awareness regarding early detection of breast cancer
Research Authors
Shaimaa M Goda, Shimaa Elwardany Aly, Aya M Abd El Hafez, Shaimaa A Khalaf
Research Date
Research Journal
Egyptian Journal of Health Care
Research Pages
939-952
Research Publisher
Ain Shams University, Faculty of Nursing
Research Vol
15
Research Year
2024
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