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Hepatitis c is a hepatotropic viral infection caused by Hepatitis C Virus (HCV) which can progress to active liver disease, liver failure, hepatocellular carcinoma and liver transplantation, any medical or gynecological intervention during pregnancy, labor, and the puerperium or thereafter may be a risk factor for HCV infection for women because of greater exposure to syringes, blood, contaminated needles and blood products which is the main mode of hepatitis c transmission.
Nurses have an important role to play in the management and prevention of hepatitis c. Educational guidelines should be established for nurses to provide accurate, current information because accurate HCV and liver information will help nurses to care and guide women living with HCV and their families to an understanding of the disease.
The present study aimed at developing a nursing guideline for pregnant women suffering from hepatitis c virus. To achieve the study objectives, a quasi – experimental study was conducted at obstetrics and gynecology hospital- Ain Shams University for 9 months from March 2012 to November 2012.
Purposeful sample of a total number of 47 nurses in different age, level of education, and socioeconomic standard, constituted the study sample
Four tools were used for data collection; structured interviewing questionnaire sheet to assess nurses’ knowledge regarding care of pregnant women suffering from hepatitis c virus, observational performance checklist which generated by researcher to assess practices of nurses during initial and return antenatal visits, A Likart rating attitude scale developed by researcher used to assess nurses’ attitude towards care of pregnant women with hepatitis c virus, and supportive material: in form of Arabic booklet guidelines which developed by the researcher.
The main findings of the present study were:
- The studied nurses mean age was 37.2+ 7.23, the majority of them had diploma of nursing, and working as staff nurse, and 44.7% of nurses had experience from 11 - 20 years.
- The results showed improvement of nurses’ knowledge total score regarding care of pregnant woman with hepatitis c from 10.6% to reach 91.5% after guidelines.
- Nurses had training courses about hepatitis c represented only 23.4% and more than half of nurses acquired their information from mass media.
- The percentage of nurses done complete correctly practices regarding care of pregnant woman with hepatitis c increased after guidelines.
- The majority of nurses had positive attitude towards care of pregnant woman with hepatitis c after guidelines.
- There was a statistical significant difference in nurses’ knowledge, practice and attitude regarding care of pregnant woman with hepatitis c before and after guidelines.
- There was significant positive correlation between nurses’ knowledge score and their practices and attitude score regarding care of pregnant woman with hepatitis c post guidelines.
- There was statistically significant relation between nurses’ knowledge total score regarding care of pregnant woman with hepatitis c and their level of education, experience years and training courses about hepatitis c.
The present study recommended that:
- Continuing education, training courses and seminars must be conducted for nurses regarding care of women with hepatitis c during pregnancy, labor and post-partum period.
- Designed booklets and brochures about hepatitis c should be available for nurses in all hospital departments.
- Finally more research is needed to explore factors affecting nurses’ attitude regarding care of women with hepatitis