الفهرس | Only 14 pages are availabe for public view |
Abstract Antiphospholipid Syndrome (APS), also known as Hughes Syndrome, The syndrome is characterized by recurrent thromboembolic events and pregnancy loss in the presence of persistent laboratory evidence for antiphospholipid antibodies (aPLs)- lupus anticoagulant, anticardiolipin antibodies, and anti-B2 glycoprotein I antibodies (Oretel, 2012). It is estimated that APS may be responsible for nearly one -third of cerebrovascular accidents in people under age 50 years, one- fifth of all cases of deep vein thrombosis, and one -fourth of recurrent miscarriages. In its most lifethreatening form, catastrophic APS carries a mortality of 30-50%, even with treatment (Erkan & Pierangeli, 2012). Perinatal nurses often care for pregnant women with APS who require treatment, education, and support. Because of the prevalence of aPL antibodies and their associated adverse pregnancy outcomes, it is imperative that nurses are aware of APS, its risks, associated complications, medical treatment, and nursing management. Without this knowledge, nurses may fail to overlook changes indicating pregnancy complications. Likewise, nurses may not adequately educate the clients and the clients’ families regarding prevention and management of APS complications (Gabrielle & Deneen, 2013). The present study aimed to assess maternity nurses’ staff perception and practice regarding anti phospholipid syndrome. To achieve the study aim, a descriptive study had been implemented at all departments and units at Ain shams university maternity hospital. Two hundred twenty maternity nurses’ staff was included on the study using a convenient sample technique. Three tools of data collection were used first was structure interviewing questionnaire it was consisted of two parts to assess staff nurse’ s personnel data and knowledge regarding anti phospholipids syndrome, second tool was observation checklist it was used to assess staff nurse’ s practice regarding anti phospholipids syndrome, and third tool was Likert attitude scale it was used to assess staff nurse ’ s attitude regarding anti phospholipids syndrome. The present study revealed that: Most of maternity nurses’ staff level of education 75.1% was technical diploma. Concerning maternity nurses’ staff years of experiences 82.2% of the studied nurses have more than five years of experience on maternity hospital. Relating to maternity nurses’ staff working department 28.0% and 42.7% were working at high risk inpatient department and intensive care unit respectively. Concerning maternity nurses’ staff who had previous experience care for pregnant women suffer from antiphospholipid syndrome 33.8% of them was caring with pregnant women suffering from antiphospholipid syndrome. Minority of maternity nurses’ staff 0.9% was attending training course regarding antiphospholipid syndrome. Concerning maternity nurses’ staff knowledge regarding antiphospholipid syndrome 79.6% of the studied nurses have unsatisfactory knowledge. Most of the studied maternity nurses’ staff 84.4% had incompetent practice regarding antiphospholipid syndrome. As regard maternity nurses’ staff attitude regarding antiphospholipid syndrome majority of them 80.4% had negative attitude There is a highly relation between total knowledge, total practice and total attitude. |