Effect of Supportive Educational Interventions on Self-care practices and Expected Health Outcomes among Patients Undergoing Radical Nephrectomy | ||||
| Egyptian Journal of Health Care | ||||
| Article 62, Volume 11, Issue 4, December 2020, Page 1033-1049 PDF (989.27 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.219043 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Heba Mahmoud1; Mona Abd Elmaksoud Mohamed2; Mervat Abdel Hamid Hawash2 | ||||
| 1Lecturer of Medical Surgical Nursing Faculty of Nursing, Alexandria University, Egypt | ||||
| 2Lecturer of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt | ||||
| Abstract | ||||
| Background: Radical nephrectomy (RN), remains the most commonly performed procedure for the excision of renal cell carcinoma (RCC). Preoperative preparations of the RN patients physically and psychologically are the cornerstone of the good outcomes. Aim: This study aims to evaluate effect of supportive educational intervention on self-care practices and expected health outcomes among patients undergoing radical nephrectomy. Research design: A quasi-experimental research design with pretest, posttest, and follow up assessments was utilized to achieve the aim of this study. Settings: The present study was conducted at the Urology Surgical Department of the Main Alexandria University Hospital at Alexandria. Subjects: Purposive sample of 60 patients planned for radical nephrectomy and were recruited in this study and divided attentively into two equal groups (study and control). Tools: Five tools were used for data collection: Patients’ Assessment Interview Schedule,Patient self-care practices, Numerical analog scale for pain severity, Beck Anxiety Inventory (BAI) Scale and Clavien-Dindo grading system for the classification of surgical complications. Results: Improvement in self-care practices among the study group than the control group after implementation of supportive educational interventions program, fewer post operative complication grade II in the study group compared with patients in the control group with statistically significant differences. The pain & anxiety level were improved in the study group than control group after implementation of implementation of the supportive educational interventions program, (p 0.001), also there was statistically significant between level of anxiety in relation to post-operative complications. Conclusion: patient undergoing radical nephrectomy showed a significant improvement in their self-care practices and better post-operative health outcome as absent of post-operative complications, early recovery, effective pain and anxiety control after received of supportive educational interventions | ||||
| Keywords | ||||
| Radical Nephrectomy; Supportive Educational Interventions; Self-care practices; Health outcomes | ||||
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