Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis
Kasab, N., Basal, A., EL-Tatawy, H., Mohamed, A. (2023). Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis. EKB Journal Management System, 28(1), 86-105. doi: 10.21608/tsnj.2023.285340
Nadia Mohamed Kasab; Afaf Abdelaziz Basal; Hassan Hussein EL-Tatawy; Amany Kamal Mohamed. "Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis". EKB Journal Management System, 28, 1, 2023, 86-105. doi: 10.21608/tsnj.2023.285340
Kasab, N., Basal, A., EL-Tatawy, H., Mohamed, A. (2023). 'Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis', EKB Journal Management System, 28(1), pp. 86-105. doi: 10.21608/tsnj.2023.285340
Kasab, N., Basal, A., EL-Tatawy, H., Mohamed, A. Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis. EKB Journal Management System, 2023; 28(1): 86-105. doi: 10.21608/tsnj.2023.285340

Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis

Tanta Scientific Nursing Journal
Volume 28, Issue 1, March 2023, Page 86-105  XML PDF (698.58 K)
Document Type: Original Article
DOI: 10.21608/tsnj.2023.285340
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Authors
Nadia Mohamed Kasab1; Afaf Abdelaziz Basal2; Hassan Hussein EL-Tatawy3; Amany Kamal Mohamed4
1Demonstrator, Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.
2Professor, Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt
3Professor, Surgical Urology Department, Faculty of Medicine, Tanta University, Egypt.
4Lecturer of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt
Abstract
Background: Extracorporeal shock wave lithotripsy (ESWL) is non-invasive method
for treating kidney stones < 2cm. Aim: This study was conducted to evaluate the
effect of implementing nursing guidelines on clinical outcomes for patients
undergoing ESWL for urolithiasis. Design: Quasi- experimental design was utilized
in this study. Subjects: A convenience sample of (100) adult patients with renal stone
undergoing ESWL admitted to ESWL Unit at Tanta International Educational
Hospital which is affiliated to Main Tanta University Hospital. Tools: Three tools
were used for data collection: Tool (I) Patients' Structured Interview including two
parts, part-one: socio-demographic characteristics of patients, part-
medical data interview questionnaire Tool (II) Patients' health relevant data including
two parts, Part-one : Numeric pain rating scale , part-two: Hospital Anxiety Scale,
Tool (III) Clinical Outcomes assessment sheet including two parts, Part-one:
shock waves lithotripsy,
part-two: Results: There
was an improvement in the clinical outcomes for study than control group, it was
evident that minority of study group(0.6%) compared to about one quarter of control
group(26.0%) suffered from nausea and vomiting during second week post ESWL.
Also there was a highly statistically significant difference between Patients'
knowledge levels after implementation of nursing guidelines through period of study.
Conclusion: The study findings revealed that implementation of nursing guidelines
was successful for improving clinical outcomes and knowledge score for patients
undergoing ESWL. Recommendation: Replication of the study using a larger
probability sample and longer follow up period for studied patients
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