Effect of Evidence Based Nursing Program on Post Thoracic Surgery Patients' Health Outcomes Regarding Pulmonary Care | ||||
| Journal of Nursing Science Benha University | ||||
| Volume 4, Issue 1, January 2023, Page 427-443 PDF (568.04 K) | ||||
| Document Type: Scientific peer reviewed journal | ||||
| DOI: 10.21608/jnsbu.2023.276006 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Eman Gamal Ahmed Mohammed* 1; Hanan Gaber Mohamed2; Hala Abd El-Salam Sheta2; Samah Elsayed Ghonaem2 | ||||
| 1Assistant Lecturer of Medical Surgical Nursing, Benha University, Egypt | ||||
| 2Medical Surgical Nursing, Benha University, Egypt | ||||
| Abstract | ||||
| Background: Post thoracic surgery patients are often related to the high incidence of lifethreatening pulmonary complications that can be avoided by a variety of pulmonary care techniques. Aim: Was to evaluate the effect of evidence-based nursing program on post thoracic surgery patients' health outcomes regarding pulmonary care. Study design: A quasi-experimental, pre-test and post-test intervention study design was implemented to achieve the aim of the current study. Setting: The study was conducted in chest department and cardiothoracic surgery intensive care unit at Benha University Hospital affiliated to Qalyubia Governorate, Egypt. Subjects: A purposive sample of sixty patients with chest diseases planned for thoracic surgeries selected from the previously mentioned settings over a period of nine months of data collection. Tools: Data were collected using three tools, (I) Patient's interview schedule questionnaire, (II) Pulmonary care technique observational checklist pre/post pulmonary care intervention, (III) Patients' health outcomes assessment. Results: Total knowledge level and total practice level mean scores post evidence-based nursing program implementation were higher statistically significant than preprogram. There was highly significant difference between pre and post program implementation concerning patients' health outcomes including all pulmonary function test variables, respiratory rate, heart rate, systolic blood pressure, as well as PH, PaO2 and SO2. Conclusion: Patients' knowledge and practice had been significantly improved post program implementation which reflects that early post-operative pulmonary care following thoracic surgeries was effective in reducing the risk of post-operative pulmonary complications and had a positive impact on patients' health outcomes with high statistically significance differences as (p=<0.05). Recommendations: Upgrading cardiothoracic nurses' knowledge and practice regarding to chest physiotherapy through continuous attending in-service training programs and workshops to improve the standard of nursing care given to post thoracic surgery patients. | ||||
| Keywords | ||||
| Evidence based nursing program; Patients' health outcomes; Pulmonary care; Thoracic surgery | ||||
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