محمد حاكم شمران الحجيمي

stage renal disease and to find out the relationship between the patient double lumen subclavian catheter complications and their demographic characteristics. A descriptive study was carried out through the present study in order to achieve the early stated objectives. The study was begun from February, 1st, 2017 to April, 10th, 2017. The study is conducted in Al-Najaf City in Iraq in dialysis centers of Al-Sadder Medical City and Al-Hakeem General Hospital. A non-probability (Convenience) sample of (29) patients with ESRD who are admitted to the dialysis centers. The data was collected on structured questionnaire designed specifically for this study, and it is consist of two parts: Part 1 Included Socio-demographic characteristics, and Part 2 Include (13) items concerned with the complications of double lumen subclavian catheter. Double lumen subclavian catheter for hemodialysis is preferred by many because catheters can be left in longer than femoral or jugular catheters in mobile patients, but the subclavian vein catheterization is associated with a variety of complications. The researcher can conclude that the infection of the catheter’s orifice is high percentage among double lumen subclavian catheters complications and the result shows that there is no significant relationship between socio-demographic data and complications. The study recommends that the catheter should be performed only by trained personnel and should enhance the methods of sterile techniques in hemodialysis unit to decrease infection by improving the nursing practice through training course.

Abstract: Objective: aimed to determine anginal patient functional status, to determine myocardial infraction patient's functional status, to find out the impact of Angina on patients functional status, to find out the impact of myocardial infraction on patient functional status and finally to find a correlation of impact of ( angina and myocardial infraction) on patient functional status. Methodology: a descriptive study was carried out through the present study in order to achieve the early stated objectives. The study was begun from January , 1st , 2018 to April, 10th , 2018. The study is conducted in Al-Najaf City/Al-Najaf Al-Ashraf Health Directorate / Al-Sadder Medical City in cardiac units (CCU, Medical ward and Al-Najaf Center for Heart Disease and Surgery). A non-probability (Convenience) sample of forty (40) patients with Ischemic Heart Disease, were included in the present study. The data was collected on structured questionnaire designed specifically for this study, and it is consist of two parts: Part 1 Included Socio-demographic characteristics and clinical data, and Part 2 Include (Functional status). Validity of the study instrument is conducted through a panel of experts who have years of experience in nursing field. Data analysis by using descriptive statistics (percentage, frequency & mean of score) and inferential statistics (Chi-Square and Standard deviation). Results: the study show that the myocardial infarction and angina has affect on patient physical activity and no significant statistical difference (p value = 0.9) was recorded between MI and angina according to the mean of the overall assessment of functional status . Conclusion: The researcher can conclude that the MI is more effective than Angina on patient physical activity and patients who are live in residential urban area are more likely to be affected by IHD than rural area. Recommendation: The study recommends that Instructional program to the patients with IHD care to improve quality of health and health oriented mass media approach should be employed to increase population knowledge and awareness toward ischemic heart disease.

ABSTRACT Objective: aimed to assess self-care activities among patients with heart failure and to find out the relationship between the patient self-care activities and clinical data (diabetes mellitus, Kidney failure, Thyroid disease, C.V.A. Methodology: a descriptive study was carried out through the present study in order to achieve the early stated objectives. The study was begun from November, 1st, 2016 to April, 22nd, 2016. The study is conducted in Al-Najaf City/Al-Najaf Al-Ashraf Health Directorate / Al-Sadder Medical City in cardiac units (CCU, Medical ward and Al-Najaf Center for Heart Disease and Surgery). A non-probability (Convenience) sample of (60) patients with Heart Failure, were included in the present study. The data was collected on structured questionnaire designed specifically for this study, and it is consist of three parts:Part 1 Included Socio-demographic characteristics and clinical data, and Part 2 Include (Chronic disease). Part 3 include Information regarding self-care activities. Validity of the study instrument is conducted through a panel of experts who have years of experience in nursing field. Data analysis by using descriptive statistics (percentage, frequency &mean of score) and inferential statistics (Chi-Square, Standard deviation and Contingency Coefficient). Results: revealed that the heart failure patients were failure at all studied domains regarding self-care activities. Also there was a non-significant association between self-care activities of heart failure patients and their clinical data except with diabetes mellitus there is a significant association at P-value equal or less than 0.05.

Abstract: A descriptive study used to find the relationship between physical and psychosocial aspects and heart failure. The study was carried out during the period from (October 2013 to May 2014). The study aims to find out Physical and psychosocial aspects for patients with heart failure in Al-Sadder medical city, in the ICU and CCU units, to identify the relationship between the physical and psychosocial aspects for heart failure. A purposive sample of (30) patient in the ICU and CCU units in Al- Sadder medical city in Al – Najaf Al – Ashraf Governorate. The data were collected through used of questionnaire was developed and modified by researchers format of viewing with patient that available in the ICU and CCU units. The questionnaire consisted of three major part, the first part was concerning Sociodemographic characteristics, consisted of (9) items,the second part of the questionnaire was comprised of (10) items that related to disease distribution characteristics and clinical manifestations, the next part concerning about the physical and psychosocial aspects and this part have (47) item. The validity through reviewing the questionnaire by a panel study of (9) experts. The data were analyze through the application of descriptive statistical analyze include (frequency & percentage) and the application of inferential statistical analyze that include (person correlation coefficient and Chi-square). The finding of the present study indicate that there is highly significance for physical domain with the age, marital status, Occupational Status, Socioeconomic Status, Disease chronicity, Disease duration, Cardiomyopathy and Pneumothorax. Also highly significance for psychological domain with the age, marital status, and level of education, Occupational Status, Socioeconomic Status, Disease chronicity, Disease duration and Cardiomyopathy. The study confirms that the heart failure most commonly occur in elderly people over (38) years of age. Heart failure occurs almost equally between male and female, rural and urban, married and widow. The study confirms that the heart failure occur in high percentage of illiterate retires have no enough income in An Najaf Al Ashraf. The study indicates that the majority of the study sample have chronic heart failure, most of them diagnosed since over (2) years and over. The study confirms that the heart failure most commonly complications progress was high percentage for cardiomyopathy then pulmonary hypertension then hepatomegaly then pneumothorax. The Overall assessment of physical and psychosocial domains of heart failure patients’ quality of life in al-Sadder medical city which are high percentage for poor in physical domain of quality of life (73.3%) also there is high percentage for poor in psychosocial domain (63.3%), which mean failing in these domains of heart failure patients' quality of life The study recommends that an intensive comprehensive wide populationbased studies be conducted to assess the physical and psychosocial aspects of persons with heart failure. And Health oriented mass media approach should be employed by the ministry of health to increase population knowledge and awareness of heart failure and how we can prevent and managed it.

Abstract: A descriptive study used to find effects bladder cancer on patient'slifestyle, the study was carried out the period from November 2016 to march 2017.The study aims to find out effect of bladder cancer on patient lifestyle at Al-Najaf Al-Ashraf oncology center. A purposive sample involved (25) patients who attended to the oncology Center.The data were collected using a screening questionnaire (main domain of life style), to determine the effect of bladder cancer on patient’s life style.The study was analyzed by use of descriptive and inferential statistics.As a result of the study show the highest percentage increase was for males (72%), also show the bladder cancer effect on patient life style. The study concludesthat the bladder cancer most commonly effected elderly people.And the study indicates that the majority of the study sample was married (84%). The study recommended the following special training sessions for nurses that working in the oncology center to improve their knowledge about life style problems related to the patient with bladder cancer which reflect on nurse's performance and create especial teaching room for nurses to educate the patients about their disease and developed their ability to improve quality of life. Keywards: Effect, Cancer, Patient, Life style, Oncology.

bstract- Objective:this study aimed to assess the nurses' knowledge toward management of heart failure and to determine the effect of nursing educational program by comparing the pre- test and post-test score on nurse's knowledge toward management of heart failure.Methodology: A quasi- experimental (pre-post test) study had been used through the present study with application of pre-post test approach for both studied and controlled groups during the period fromNovember 1st, 2015 to May 1st, 2016, in Medical city at Al Najaf city.Purposive sample was selected which consist of (40) nurses. The sample is divided in to two groups; (20) nurses as a study group are exposed to the nursing education program, and the other (20) nurses are not exposed to the program considered as the control group. The measurement effectiveness of nursing educational program through the knowledge assessment includes (40) items. Data was analyzed by usingdescriptive data analysis and Inferential data analysis.Results: the results show that the educational program was effective among nurses' knowledge about management of patient with heart failure. It also shows that there is good improvement with highly significant differences in study group between pre and post-test, in overall items.Conclusion:The study concludes that the educational program is appropriate and effective way to improve the nurses' knowledge concerning management of patient with heart failure. Recommendation: The study recommends that nurses need to be joining in special courses in order to improve their knowledge so they can participate in educating patients through information obtained from these courses.