Effect of Education Nursing Program on Preventive Practices of Urinary Tract Infection among Community-Dwelling Older Adults | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 23, Issue 1, July 2021, Page 40-62 PDF (353.84 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2021.206053 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Basma Taher Abd-Elwahab* 1; Hanaa Shafik Ibrahim,2; Zaghloul Elsafy Gouda,3; Hanaa Abou El-soued Hussein2 | ||||
| 1Gerontological Nursing, Faculty of Nursing, Damanhour University | ||||
| 2Gerontological Nursing, Faculty of Nursing, Alexandria University | ||||
| 3Deputy Chair of Research and Training, Damanhour Medical National Institute | ||||
| Abstract | ||||
| Urinary tract infection (UTI) is a life-threatening and fatal problem for community-dwelling older adults, and its prevalence in both sexes increases with age. UTI has a significant impact on the overall health of older adults. It can lead to increased morbidity and mortality, as well as impose a societal economic burden. Gerontological nurses are the key responsible for applying education nursing programs in order to promote preventive measures, provide patient education, and evaluate evidence-based practice (EBP) approaches to reduce UTI in community-dwelling older adults. Objective: Determine the effect of education nursing program on preventive practices of urinary tract infection among community-dwelling older adults. Setting: Damanhour National Medical Institute in El Behera Governorate, Egypt, in two outpatient clinics namely; urology clinic and internal medicine clinic. Subjects: A convenience sample of 50 community-dwelling older adults who did not have UTI. Tools: Five tools were used for data collection: I. Mini-Mental State Examination (MMSE), II. Urinary Tract Infection Symptoms Assessment (UTISA), III. Community-dwelling Older Adults' Sociodemographic and Clinical Data Structured Interview Schedule, IV. Community-dwelling Older Adults' Knowledge about Preventive practices of UTI Assessment Sheet, and V. Community-dwelling Older Adults' UTI Preventive practices Checklist. Results: There were significant improvements in the study subjects' knowledge and practice levels in all areas of knowledge and practice about UTI after the implementation of the study intervention and the differences were statistically significant. The proposed education nursing program had a highly significant effect on the study subjects' UTI preventive practices (0.96) for knowledge and (0.91) for practice. Conclusion: The proposed education nursing program had a highly significant effect on preventive practices regarding UTI and observed statistically significant differences between the prior to and immediately after the program. This improvement has been regretted over time (six weeks post-program), but is still better than before. Recommendations: A written UTI preventive practice guidelines should be developed by an interdisciplinary team comprised of physicians, gerontological nurses, and other health care providers for managing UTI in outpatient clinics for older adults. These guidelines should be reviewed and updated on a regular basis. | ||||
| Keywords | ||||
| Education nursing program; Urinary tract infection; Preventive practices Communitydwelling older adults | ||||
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