Efficacy of Implementing Pre and Postoperative Protocol of Nursing Care on Postthyroidectomy Patients' Clinical Outcomes | ||||
Egyptian Journal of Health Care | ||||
Article 38, Volume 13, Issue 1, March 2022, Page 528-545 PDF (859.16 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2022.219059 | ||||
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Authors | ||||
Mariam I. El Shafaey1; Nagwa R. Attia2; Ayman A. Elnemr3; Fatma A.Salem4 | ||||
1Assistant lecturer of Medical-Surgical Nursing, Faculty of Nursing, Tanta University | ||||
2Professor of Medical-Surgical Nursing, Faculty of Nursing, Tanta University | ||||
3Professor of Surgical Oncology, Faculty of Medicine, Tanta University | ||||
4Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Tanta University | ||||
Abstract | ||||
Background: Thyroidectomy is a common endocrine surgical procedure. It involves excision a part or all of the thyroid gland. Aim: To evaluate the efficacy of implementing pre- and postoperative protocol of nursing care on postthyroidectomy patients' clinical outcomes. Method, Design: Quasi experimental study. Setting: It conducted in General Surgery Department, Tanta University Education Hospital and Outpatient Surgery Clinic. Subject: It consisted of a convenient sample of 60 adult patients selected and divided into 2 equal groups, study group managed by implementing protocol of nursing care and control group received routine nursing hospital care. Tools: Three tools used for data collection as follows: Tool (1) Postthyroidectomy Patients' Assessment Structured Interview Schedule. Tool (II) Postoperative Thyroidectomy Pain Assessment. Tool (III) Postthyroidectomy Patients' Clinical Outcomes Assessment: consisted of three parts: Part A was Wound Assessment; Part B was Neck Alteration Assessment; Part C was Postthyroidectomy Complications Observation Checklist Results: There were highly statistically significance difference among study group regarding their total knowledge score before and immediately after implementing protocol of nursing care. The current study revealed that the total mean score of Patient Learning Needs Scale was high. In addition, there was highly statistically significance difference between study and control group regarding neck pain. Moreover, there was highly statistically significance difference between study and control group regarding total scores of neck alteration assessment. Conclusion: Application of protocol of nursing care had a positive effect on Postthyroidectomy patients’ clinical outcomes. Recommendations: Application of protocol of nursing care should carry out as a routine care for patients undergoing thyroidectomy. | ||||
Keywords | ||||
Thyroidectomy; Protocol of nursing care; Clinical outcomes | ||||
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