محمد عبد الكريم مصطفى الجنابي

ABSTRACT Objective: To evaluate the early complications through utilization of observation check list form to check (hematoma, bleeding, back pain, urinary retention, and vasovagal stimulation post coronary angiography, contrast reaction). Methods: randomized clinical trial (RCT) was conducted for patients’ undergoing coronary catheterization at Al Najaf Center for Cardiac Surgery and Cardiac Catheterization, the study has been carried out during the period 2 th September 2019 to 5 th March 2020. The sample consisted of (100) patients has been randomly divided into two groups of 50 patients each. The experimental group consisted of 50 patients who are exposed to nursing interventions by the researcher. The group, that who have not to exposed to nursing interventions by the researcher, are considered the control group. The instrument construction and consisted of three parts, (part I): the socio-demographic characteristics and comprised of (8) items, (part II): the clinical characteristics (part III): early complications' checklist for patients undergoing coronary catheterization and comprised of (27) items divided into (6) content areas (Hematoma, bleeding, back pain, urinary discomfort, contrast reaction, vasovagal reaction) for each patient. Results: The study results indicated that significant difference between the period of measurements of hematoma, and vasovagal reflex in the patients of experimental group (i.e. the patients return to normal though out the period of measurements). While the results indicated that significant difference between the period of measurements of hematoma, back pain, urine discomfort, and vasovagal reflex in the patients of control group (i.e. the patients deteriorated though out the period of measurements). Conclusions: The study confirm that the nursing intervention would be helpful to come up with a better nursing guideline for managing patients’ hematoma, back pain, and vasovagal reflex after cardiac catheterization .Recommendations: Standardized nursing procedures should be used to guide the nurses in dealing with patients with coronary catheterization, and the standards bill of for such practices should be created and presented to all ties in which such practices are performed

Nursing care for patients undergoing cardiac catheterization requires an expert nurse who understands the types of complications that can occur, as well as the assessment skills to spot them. The combination of nursing knowledge and skills during the period before and after cardiac catheterization aims to assure safe and accurate procedure, and improving physical and mental health.

Objective: this study aimed to assess risk factors of cholelithiasis for patients under waiting surgery in al-najaf al-ashraf governorate hospitals, and to find out relationship between risk factorsrelatedcholelithiasis and patients' demographic characteristics.Methodology:A descriptive study design (cross section) was carried out through the present study in order to achieve the early stated objectives. From period 25th of Dec 2018 to 20th of May 2019. A non-Probability (Purposive Sample) of (120) patient with whowere prepared to admitting to operation room for cholecystectomy. The study is conducted in Al-Najaf City/ Health Directorate of Al-Najaf AL-Ashraf/ AL- Sadder Medical City/ Operation Rooms. Data collected through using a questionnaire consisting of two parts: (7) items, which included age, gender, level of education, residency, marital status, socio-economic status and occupational status part II: This part consists of (12) items,related to risk factors including family history of GS, past history of liver diseases, history of D.M., Smoking, Drinking Alcohol, Drinking Beverages Containing Caffeine, BMI, History of rapid weight loss, hyperlipidemia, pregnancy, daily activities and diet.Results: The study shows the most of the study sample with cholecystectomy (76.7%) are female sex within age group (31-40) years old most of them married, also A significant relationship (p<0.05)between age and DM history and diet. A significant relationship (p<0.05) between gender and each of smoking, drinking alcohol, DM history, pregnancy and daily activities Conclusion: Generally, the study confirms that increasing age, obesity, diabetes mellitus, smoking and diet, are major risk factors of gallstone disease.

The results revealed that more of the study samples (56%) have good dietary habit and (44%) have bad habit at cut- off point (0.66). There was non-significant relationship between the overall assessment and all the demographic data at p-value more than 0.05, except with the study subjects (Occupation, level of education, and monthly income), also the study results indicate that there is a significant relationship at p-value less than 0.05. There was non-significant relationship between the overall assessment and all the clinical data at p-value more than 0.05, except with the study subjects (Duration of hypertension, Restricted to take medication time on time), the study results indicate that there is a significant relationship at p-value less than 0.05

Objective: The study aims to detect the effect of spinal versus general anesthesia on pulmonary function and find out the relationships between patients’ pulmonary functions post- surgery and their demographic and clinical characteristics. Methodology: A comparative study design carried out through the present study in order to achieve the early stated aims. The study started from 21 December 2015 to 30 April 2016 The study conducted in Al-Sadder medical city. Quota sample of (100) patients were included in the present study, (50) patients received general anesthesia and (50) patients received spinal anesthesia. The patients’ demographic and clinical data collected through the utilization the semi-structured questionnaire and by means of interview technique with the subject, while the pulmonary functions test collected by using spirometer instrument. Data was analyzed by using descriptive statistic (percentage and Frequencies) and inferential (person s correlation coefficient, independent sample t-test, and paired t-test). Results: shows that higher of patient are within the age interval about 39-47 years old %),equal ratio of gender are male (50%)and female, there are highly significant of body mass index is normal (70%), most of patient are nonsmoker (47%), most of patient non-worker is, high ratio of operation in the lower of body, all of patient without respiratory disorder, more the patient without chronic disease, The study results indicate that there is a significant effect of the anesthesia on the patients’ pulmonary functions test and the general anesthesia is negatively affect the pulmonary functions more than the spinal anesthesia. In addition, that there is a high significant relationship between the pulmonary functions pre and post general anesthesia and high significant relation between the pulmonary functions pre and post spinal anesthesia and high significant relation between the pulmonary functions post-anesthesia and the types of anesthesia. Conclusions: The study concluded that anesthesia has effect on pulmonary function. Recommendations: The study recommended that breathing techniques should use for patients before anesthesia and smoking cessation before 4-8 weeks from surgery Studies should evaluate the clinical effects of different anesthesia regimes in patients with compromised lung function, and Reduction in FVC after surgery should influence the clinician’s decision at this time when choosing between general and spinal anesthesia depends on the particular clinical situation, possible other disorders, and the surgical demands

Cardiac catheterization represents a significant medical diagnostic and treatment method that may refers as a risk for the development of acute kidney injury (AKI). An Evaluation Descriptive Design is conduct from Dec. 2PndP. 2014 to March30PthP. 2015, in Al-Najaf City/Al-Najaf AlAshraf Health Directorate / Open Heart Surgery Center, to evaluate the effect of the cardiac catheterization on renal functions. A Non-Probability (Convenience Sample) of (53) patients are included in the study. The data has been collect byusing of the questionnaire, and by means of structured interview technique with the study subjects, and by using the Telephone conversation with the patients or with their relatives. With respect to the statistical mean and standard deviation, the study results indicate that there an elevation of the selected renal functionstests that mean that the cardiac catheterization affects the renal functions. According to the study findings and discussion, the study concluded the following:The cardiac catheterization affect the patients’ renal functions. In addition, the impairment in the patients’ renal functions specified through the elevation of blood urea levels affected by the contrast volume, post-cardiac catheterization intravenous fluids, and the nephrotoxic medications. While the duration of disease, medical history, and the contrast volume affect the impairment of the renal functions specified by the elevation in serum creatinine levels. The study recommends that other studies beconduct to evaluate the impact of the cardiac catheterization on patients’ renal functions. In addition,training sessions should be conduct for the health staff members to use advanced methods to reduce the risk for renal problems after cardiac catheterization.