Tanta Scientific Nursing Journal Tanta Scientific Nursing Journal Prof Dr Ikbal Elshafye Board Director Prof Dr Rahma Soliman Bahgat Editor in Chief Dr Manar Zaky Elwelely Editor Secretary Volume 13 Number. 2 November , 2017 Vol. 13 No. 2 November, 2017 1 Tanta Scientific Nursing Journal Editorial Advisory Board Prof Dr Farial Abdal Aziz : Community Health Nursing Alexandria University Prof Dr Gamalat Elsaid Mansy : Pediatric Nursing, Alexandria University Prof Dr Bassema Azat Goid : Community Health Nursing, Tanta University Prof Dr Nazek Ebrahim AbdElghany: Community Health Nursing, Alexandria University Prof Dr Fouada Shaban : Nursing Administrative Tanta University Prof Dr Seham Hamoda : Nursing Administrative Tanta University Prof Dr Rahma Soliman : Pediatric Nursing, Tanta University Prof Dr Sanaa Abdal Aziz : Psychiatric and Mental Health Nursing , Alexandria University Prof Dr Sanaa habashy : Psychiatric and Mental Health Nursing ,Alexandria University Prof Dr Sanaa Ala eldeen: Medical Surgical Nursing, Alexandria University Prof Dr Sanaa Nour: Obstetric and gynecological Nursing, Zagazig University Prof Dr Soher waheda: Medical Surgical Nursing, Alexandria University Prof Dr Magda Mourad : Obstetric and Gynecological Nursing , Alexandria University Vol. 13 No. 2 November, 2017 2 Tanta Scientific Nursing Journal Information to Authors General policies The Bulletin of Tanta Scientific Nursing Journal publishes concise, original articles and contributions in the board field of nursing sciences. 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Symbols, others than standard statistical symbols, should be identified the first time used Subject and methods: Vol. 13 No. 2 November, 2017 3 Tanta Scientific Nursing Journal Contents Subject Page 1- Effect of Massage Therapy on Vital Signs of Premature Infant at 7 Neonatal Intensive Care Unitsin Sohag city 2- Effect of Massage Therapy on Weight and Length of Staying 26 Premature Infant at Neonatal Intensive Care Units of Sohag city 3- Effect of Implementing Practice Guidelines Regarding Medication Administration Iatrogenic Events on Nurses' Performance at 44 Neonatal Intensive Care Unit 4- Effect of Implementation of Teaching Program about Care of Children with Nephrotic Syndrome on Nurses Knowledge and 63 Practice 5-Training the Trainer Nurses on Infection Control at Student Hospital 78 6- Knowledge and attitude of the first year student at Faculty of Medical and Applicable Sciences at Yanbu governorate about some aspects of 91 reproductive health. Vol. 13 No. 2 November, 2017 4 Tanta Scientific Nursing Journal Effect of Massage Therapy on Vital Signs of Premature Infant at Neonatal Intensive Care Unitsin Sohag city Sabra Mohamed Ahmed Abed Elataief. Assistant Lecturer of Pediatric Nursing Faculty of Nursing, Sohag University Rahma Solieman Bahgat:. Professor of Pediatric Nursing- Faculty of Nursing, Tanta University, Amina Mohamed ThabetAssistant Professor of Pediatric Nursing- Faculty of Nursing, Sohag University, Faten :Lecturer of Pediatric Nursing- Faculty of Nursing - Suez Canal University Abstract: In premature infants, weight gain becomes the main criterion for hospital discharge. Research shows that massage therapy had led to weight gain in premature infants when moderate pressure massage had been provided. Aims:The present study aimedto determinethe effect of massage therapy on vital signs of premature infant at Neonatal Intensive Care Units.The total sample included sixty low birth weight premature infants, who were selected from the Neonatal Intensive Care Units in Sohag Affiliated to the ministry of health hospitals. Tools:Two tools have been used: Structure Questionnaire Sheet about Socio-demographic data of low birth weight infants and General condition of premature infants. Results: The study revealed significant relation of weight and length of staying of premature infant at Neonatal Intensive Care Units. No significant relation on anthropometric measurements (length) and vital signs in relation to massage therapy. Conclusion: massage therapy has positive effect on weight of premature infants. Recommendation:nurses who work in Neonatal Intensive care units should receive training program of massage therapy to improve their practice regarding general condition of premature infants. Keywords: Massage Therapy, Premature Infants, vital signs,Neonatal Intensive Care Units. Vol. 13 No. 2 November, 2017 5 Tanta Scientific Nursing Journal Introduction: Premature infant survivors show a significant postnatal problems (e.g., respiratory growth and development retardation, reflected problems, sepsis, and metabolic instability by lower body weight, length and head such as hypoglycemia and hypothermia). The circumference and poor motor, adaptive, morbidity and mortality connected with late social and language development in the first premature infants are especially magnificent a five years of life. Later in adult being, they direct result of their vast quantities (Heron remain at an upturn risk of cardiovascular and M& Sutton 2011). metabolic disorders (Coutinho,et Massage therapy as a non-therapeutic al.,2011&Velez ,et al., 2011). interference may have positive effect on Premature infant is defined as all births before physical and developmental growth of 37 completed weeks of gestation or less than premature and LBW newborn infants 259 days since the first day of a woman’s last including weight gain, decreased stress menstrual period. Premature birth can be behavior, promotion of neurologic and neuro- further sub-divided based on gestational age: motor development, better infant-parent extremely preterm (<28 weeks), very preterm emotional bonding, improved sleep, reduced (28 - <32 weeks) and moderate preterm (32 - rates of nosocomial infection and along these <37 completed weeks of gestation). lines, decreased mortality of hospitalized Moderate preterm birth might be additional premature infants. A survey has part to concentrate on late pre-term birth (34 - recommended that massage has several <37 completed weeks). The 37 week remove beneficial properties in the form is to some degree self-assertive, and it is psychological relationship. Lubricant oil currently documented that although the risks massage was more useful than simple touch connected with premature birth are greater the therapy (Kulkarni et al., 2010). lower the gestational age, even infants born at Massage therapy has not any harmful effects 37 or 38 weeks have higher dangers than and it can enhanced weight rapidity of more those born at 40 weeks of gestation (Marlow than 30 weeks of gestation and physically 2012). stable premature infants by different Premature infant mortality for late preterm mechanisms. Increase Weight is the most infants (34–36 weeks of gestation) is common reliable stricture which is connected threefold greater than for full-term infants, with massage therapy in premature infants often related to a mix of intra partum events (Samsamshariat&Pourmorshed 2011). (e.g., placental and umbilical cord injury) and Vol. 13 No. 2 November, 2017 6 Tanta Scientific Nursing Journal The primary communication that parents can Research Design: Quasi experimental make with their infant is by method of touch, research design was used in this study. and massage is a standout amongst the most Setting: The study was conducted at appropriate methods for touching a newborn Neonatal Intensive Care Units at Sohag infant. Therefore, infant massage is essential University Hospital and Children Specialized since because infants interpret touch as Hospital at Sohag which is affiliated to the physical sign that they are loved. The impact Ministry of Health. The study was conducted of giving a newborn infant comforting skin from march 2015 to July 2015. massages is evident on several stages. For Subjects: Sixty premature infant in the above example, the brain contains psychological previously mentioned setting who admitted at classifications that, from the first day of life, Neonatal Intensive Care Units.The sample was divided into two