Effect of Instructional Guidelines on Knowledge, Practice, and Fatigue Level among Patients with Brain Tumors | ||||
| Egyptian Journal of Health Care | ||||
| Article 75, Volume 12, Issue 1, March 2021, Page 1268-1280 PDF (541.13 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2021.193386 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Hanan Ali Ibrahim Almanzlawi1; Hanaa Farahat Ibrahim Ahmed2; Inas Mohamed Mohamed lofty3; Manal Ibrahem Abd El Fatah Yassen4 | ||||
| 1Lecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura University | ||||
| 2Medical-Surgical Nursing, Nursing College, Badr University in Cairo | ||||
| 3Assistant professor of Hospital and Nursing Management, Military Medical Academy | ||||
| 4Lecturer in Medical-Surgical Nursing Department, Faculty of Nursing, Beni-Suef University | ||||
| Abstract | ||||
| Fatigue is recognized as one of the most common and distressing adverse effects of cancer disease and treatment. Educational guidelines are providing general information about fatigue and introducing new concepts regarding energy conservation, self-care, and confrontation techniques. Aim was to evaluate the effect of instructional guidelines on knowledge, practice, and fatigue level among patients with brain tumors. Subjects and method: Design: A quasi-experimental research design was utilized to fulfill the aim of this study. Setting: the research was conducted in the neurosurgery department and neurosurgery outpatient clinic of Fayoum Oncology Center. Subjects: A purposive sample of 50 adult patients was included. Four tools were used: Tool (I) a structured interview questionnaire, Tool (II) adult patients' knowledge regarding brain tumors, Tool (III) adult patients' practice regarding brain tumors (pre/post), and Tool (IV) Fatigue assessment scale. Results: More than half of adult patients were having a family history of cancer. The majority of adult patients reported that the main source of information regarding their knowledge was doctors. There was a positive significant correlation (P=0.005) between adult patients' knowledge scores and their practice post-three months of instructional guidelines implementation. There were highly significant improvements in adult patients' knowledge and practice regarding brain tumors post instructional guidelines implementation (P=0.005). Statistical highly significant differences and reductions were detected between fatigue mean scores pre and post-three-months of instructional guidelines implementation. Conclusion: The instructional guidelines implementation had a highly significant positive effect on reducing fatigue level among adult patients with brain tumors. Recommendations: The instructional guidelines regarding brain tumors should be conducted, discussed, integrated into the rehabilitation programs, and taught to the adult patients using the booklet and illustrated pamphlets for each one to improve their information and reduce their fatigue level and replication of the current study with a larger sample of an adult patient with brain tumors in different settings is required for generalizing the results | ||||
| Keywords | ||||
| Instructional guidelines; knowledge and practice; fatigue level; adult patients diagnosed with brain tumors | ||||
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