Early Neonatal Assessment with Detection of Cases of Hypocalcemia and Nursing Implication | ||||
| Zagazig Nursing Journal | ||||
| Article 5, Volume 8, Issue 1 - Serial Number 2012, 2012, Page 60-75 PDF (437.53 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/znj.2012.38862 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Saida El Sayed Hassan1; Zeinab Loutfi Loutfi Loutfi2; Nagwa A. El-Shafei3; Nevein Mustafa Mohammed4; Thoraya Mohamed Keashiea5; Sanaa Ali Nour Eldin6; Ali Mohammed Abo-Zaid7 | ||||
| 1Assistant Lecturer of Psychiatric/Mental Health Nursing - Faculty of Nursing - Beni Sueif University | ||||
| 2Prof. of Psychiatric/ Mental Health Nursing Faculty of Nursing - Ain Shams University | ||||
| 3Prof. of Pediatric Medicine- Faculty of Medicine - Zagazig University, | ||||
| 4Assistant Prof. of Psychiatric/ Mental Health Nursing- Faculty of Nursing - Ain Shams University | ||||
| 5Assistant lecturer, Obstetrics and Gynaecology Nursing Dep., Faculty of Nursing, Zagazig University | ||||
| 6Professor of Obstetrics and Gynaecology Nursing, Faculty of Nursing, Zagazig University | ||||
| 7Professor of Pediatric, Faculty of Medicine, Zagazig University | ||||
| Abstract | ||||
| Background: In Egypt the neonatal mortality is 25 per 1000 live births. Half the deaths occurred in the first two days of life. Immediate assessment of the newborn helps to determine the initial condition, establishes a baseline for subsequent care, and identifies potential and existing problems and ensures the newborn adaptation to extrautrine life is progressing normally. An important component of assessment is the investigation done for hypocalcemia. . The nurse must be able to know how to perform essential basic interventions and to take care of the hypocalcemic infant. Skilled care and early identification of problems could reduce the incidence of death and disability. Aim: To assess the neonatal condition and detect cases of hypocalcaemia. Setting: This study was carried out in the obstetric hospital and NICU (Newborn Intensive Care Unit), at Zagazig University Hospital, on 100 newborn infants. Sample: Twenty nurses were selected for the training program which was designed to upgrade nurse’s knowledge and skills pertaining to neonatal assessment and detection of hypocalcemia. Results: The majority of neonates were normal. Meanwhile, prematurity, still birth and twins accounted for 26.5%, 3.9% and 3.9%, respectively. The incidence of hypoglycemia and hypocalcemia accounted for 29.6% and 27.6%, respectively. At the pretest, and before the educational program implementation, the percent knowledge scores were low for most nurses. However, significant improvement in nurses' knowledge an practice, regarding assessment of neonates with detection of hypocalcemia, was noted at the post-test and it recommended that the education training program is effective in increasing the knowledge and practice of nurses pertaining to the assessment of the newborn infants and the detection and management of neonatal hypocalcemia and neonatal assessment. In Conclusion: The education – training program is effective in increasing the knowledge and practice of nurses pertaining to the assessment of the newborn infants and the detection and management of neonatal hypocalcemia. Recommendation: It was recommended that maternity nurse should be alert for early detection and identification of risk factors of the newborn. Proper care is needed during prenatal, natal and postnatal periods to prevent most neonatal complications. Implementation of the developed training program for all nurses in labor departments is suggested. | ||||
| Keywords | ||||
| early neonatal assessment; early neonatal hypocalcemia | ||||
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