Erbil Journal of Nursing and Midwifery

Effect of Body Mass Index, Caffeine Consumption and Physical Activity on in vitro Fertilization Outcome in Erbil City/Iraq

2022-10-26T10:37:04+00:00

Background and Objective: Several factors influence the success of in vitro fertilization. In recent years, there has been a lot of focus on how lifestyle factors like body weight, physical activity levels, cigarette smoking, alcohol, and caffeine consumption affect In vitro fertilization (IVF) outcome (biochemical pregnancy). The term "biochemical pregnancy" is defined as a pregnancy that can only be determined by the presence of serum levels of the hormone Human Chorionic Gonadotrophin (HCG). This study aimed to assess the effect of women's lifestyle factors, such as body mass index, caffeine consumption, and physical activity, on the outcome of In vitro fertilization (biochemical pregnancy).

Methods: A descriptive cross-sectional study design was conducted from September 2021 to September 2022.A convenience sampling technique was used among 110 women in total who consented to take part in this study, but because 10 of them cancelled (IVF) treatment before embryo transfer or oocyte retrieval, were excluded from analysis, only 100 infertile women undergoing (IVF) were included in the analysis in the Maternity Teaching Hospital's (in vitro fertilization center) and some private hospitals in Erbil, Kurdistan Region, Iraq. The women in the study ranged in age from 20 to 45, were undergoing IVF.

Result: (44%) of infertile women had a successful biochemical pregnancy (positive beta hCG test). The majority (74%) of the study sample consumed caffeinated beverages. Results showed a significant difference between caffeine consumption and IVF outcome (biochemical pregnancy) (P=0.01), but there was no statistically significant difference between body mass index (BMI), and physical activity (vigorous, moderate) with IVF outcome (biochemical pregnancy). Only walking showed a significant difference with IVF outcome (biochemical pregnancy) (P=0.017).

Conclusion: Increased caffeine consumption is a significant factor that can affect IVF outcome.

Patient Satisfaction with the Quality of Nursing Care in Public and Private Hospitals in Erbil City

2024-05-19T15:47:16+00:00

Background and Objectives: Patient satisfaction is an essential parameter in assessing the quality of care and healthcare facility performance and the most important competitive advantage of the government and private hospitals. The study aims to investigate patients’ satisfaction regarding the quality of nursing care in both public and private hospitals.

Methods: A quantitative, comparative study was conducted among 330 patients (165 from public hospitals and 165 from private hospitals) in Erbil City from October 2023 to February 2024. Data were collected through structured interviews using a standardized questionnaire and analyzed using descriptive and inferential statistics via the Statistical Package for the Social Sciences.

Results: Among the 330 patients surveyed, the majority were aged 18 to 39 years (55.8%), predominantly female (65.5%) and married (75.2%). Notably, 50.3% had been hospitalized over four times in public hospitals. Patients reported their health status as fair (38.8% before hospitalization), with 64.2% transferred from other facilities. In private hospitals, 100% of patients had single occupancy in their rooms. Satisfaction scores for nursing care were significantly higher in private hospitals compared to public ones (p < 0.001). Significant associations were observed between sociodemographic factors and nursing care satisfaction (p < 0.001), with gender showing no significant association (p = 0.819).

Conclusions: The study concludes that patients in private hospitals exhibit strong satisfaction with the quality of nursing care compared to those in public hospitals. This highlights the importance of addressing disparities in nursing care quality between hospital types to enhance overall patient satisfaction and healthcare outcomes.

Assessing the Performance of Statistical Tools for Postoperative Nursing Care Quality of Patients with Laparoscopic Cholecystectomy in Teaching Hospitals at Erbil City

2024-03-31T19:19:06+00:00

Background and Objectives: Laparoscopic Cholecystectomy is a minimally invasive surgery for or conducting gallbladder removal, providing faster recovery times and fewer complications compared to conventional open surgery. This study aims to evaluate and compare the standard of post-operative nursing care provided to patients who undergo Laparoscopic Cholecystectomy procedures in surgical units at teaching hospitals and understand statistical tools' performance in evaluating care quality.

Methods: A cross-sectional descriptive study design, involving fifty nurses via non-probability (purposive) sampling technique, who had been working in the surgical unit. The data were collected through the use of the observational checklist, which consisted of two parts; the first part includes information about the socio-demographic characteristics of respondents, and the second part is about the assessment of Postoperative nurses' care items consisting of five main domains. The data were collected from October -2023 to February -2024 after approval of the proposal by the Ethical Committee, using statistical tools to analyze the data.

Result: The finding of the study showed that most study items responding to the questionnaire showed significant differences and that there is insufficient provision of high-quality postoperative nurse interventions for patients undergoing Laparoscopic cholecystectomy at surgical wards at Erbil City teaching hospitals.

Conclusion: This study concludes that several demographic factors, such as age, marital status, and level of education, among nursing staff significantly correlate with the quality of nursing care provided in surgical wards. Despite their educational background, many nurses lacked adequate professional skills and training in postoperative nursing interventions for care.