الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
Most patients with long-term illness are cared for at home. Some who are in general hospitals, chronic disease, could be nursed at home if public health nursing care or a comprehensive home care programm were available. Y~ny of the patient’s conditions required daily nursing cCire, but for a short period of time. With an aITay of supportive services, they can be cared for effectively at home. The concept of coordinated home care is not new, that would reduces the cost of heal th care, shorten hospi taliza tion and hasten recovery. The nurse provides service directly to patients at home or indirectly by offering guidance to the staff nurse upon request. The special needs of the patient’ and his fumily can be met at home, if specific components of care a~ included in the services offered. Home care program is characterized by a centrally a~inistrated team approach which provides for coordinated planning, evaluation, and follow up. The study was carried out in one of the reclaimed villages near Alexandria Ibis” 2” village, Usually rural areas are characterized by lack of facilities, low socio economic state and illitracy as well as large family size, which all together lead to poor state of health of members. The aim of this study is; . To study home visiting operation on family health care and, . to identify optimal time and opportunities to introduce family planning care through home vis it. This is done through; identifying some of the main apparent health problems of families as expressed by members or observed by signes and complaints. Also recognizing the opportunities for introducing family planning topics. Moreover, estimation of the average time consumed by one visit, whether initial or follow up visit, and to assess the number of visit to be carried out by one visiting nurse. Also identifying the image of the visiting nurse as expect ed by families in Ibis ”2ft village. An interviewinG scheQule sheets was formulated. A questionnaire was designed and pretested to collect the following data about: -Socioeconomic and biological data, as well as some of main health problems observed or perciptive by its members. Time of visits whether initial or. follow up were com puted by minutes and calculated. -Arabic questionnaire were directed to the mothers of every family in the sampled studied, to collect data about, family planning practices and its implications. - The sample studied included 50 families with 317 members. - Houses were visited 4 times, one initial and thre~ follow up visits. - Analysis of the collected data revealed the following results: Illiteracy rate was high among all family members. It was found that the illitrate mothers was (84.0 ), while J the illitrate fathers was (44.9 ) and, the illitrate family members was (49.5 ). Generally parents desire education for their children, but children not forced to go .to school. Consequently, educations usually limi tted to boys. Large family size is a definite feature among rural fumilies, mean was 6.47 ~ 1.78. Most of the male working members of families studied, were engaged in agriculture (39.8 ) and partialy in trade (9.5 ) because of the differences in the cultural charac terist ic s. The main crops in the area were rice and vegetable. Trans:Qorta tion: Roads suitable for motor tr~ffic linked the village with the nearest town ”Alexandria” Hegular bus services were run by priva te and government enterprises on these routes. Sani ta t ion: Sanitation in the villuge was generally of low standard. Housing condition were poor regardless of the presence of the sanitary fac ili ties which ind ica te the ir inproper utilization. Heal th services: The village was covered by one health centre and 8 hospital beds were available. i A number of medical and surgical practionnares were widely used by the village and were easily accessible to the residents of these area. Better health for the individual is not Ibis ”2” village concept, prevention not a concern of the families the ir . III health accepted as a part of life, too ill to move. ’rhe belief thci t birth is [;. norm:..:.l process t..nd cl ifferent ca tegory than pa thology les s j.nclined to trust do.ctors over chcinge and prescribe too much medicc:.tion. (44.0 ~~), of mothers, attending the centre for care if any of their members gets sick. While (16.0 ) of mothers, asking private doctors when medical help needed. The rest (40.0 ) mothers, those who do not seek care from a clinic or special doctors, but only asking help from home ~de remedies relatives ~nd gets neighbours advice. Some of the rra in health problems: During assessment of family members condition, the study revealed the following results; Dillrrheal diseases is the highest groups, where it affeGt (19.2 ) of all members stud.ied during .the initial visit and it remain high during the three follow up visits. But despite the frequency of this complaints, significant dehydration was un commen. f .The second disease that was observed to affect the ~mbers in the grouped studied, was the parasitic diseases, which constitute (13.9 ) dllring the initial visit, and remain settled in the three follow up visits. The least disease the. t was observed in the sampled studied, was those members affected with Diabetes Melletus, and those constitute 1.3 during the period of the inter views. I\:1embers complaints with upp,er Respiru.tory rrract Infection, they constitute (8.4 ) of ull members observed with age group of less than 5 years old, during the ini tial visit cmd remain high durj_ng the three follow up visits. Family members with eye disease were constitute 9.5 in the age group of less than 10 years, during the initial visit and it persisted high during the trITee follow up visits. The time and number of yisits: The average time consumed per initial visit, was 25-45 minutes, while the time needed to complete each follow up visit was 10 to 20 minutes. An additional time was located for address. The nurse could probably visit about 6-8 homes to. begin VJith, but nhen she kno’.’Is the roads and the families” 8.nd this ~s happened during the follow up visi ts” , it may be possible to visit’ between 10-15 homes a day. Topics discussed in the homes: The topics discussed in homes, expressed us per centages of the whole family members, the topics were grouped into four main categories. A. Topics concerned with the care of infant and children, and this were discussed among (87.0 ) of all family members. B. Topics concerned with personal health of mothers ”ci.nte and post natal care”, and this were discussed among 39 39.5 of all family members. c. Topics of environmental health and this discussed among all family members and during the four visits conducted. D. Topics concerned with family-planning services and apportunities to introduced such subject, and this were discussed among (50.0 ) of all members in the studied families. As regards,family planning subject, its time and apportunities in this study.