Microvascular Free Flap: Effect of Nursing Teaching Protocol on Knowledge and Postoperative Complications for Patients Underwent Reconstruction of Lower Extremity | ||||
| Assiut Scientific Nursing Journal | ||||
| Article 17, Volume 11, Issue 40 - Serial Number 1, November 2023, Page 198-209 PDF (996.57 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asnj.2023.247994.1710 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Marwa Abd Elhamed Sayed   1; Magda Ahmed Mohammed2; Amr Elsayed3; Rasha Ali Ahmed Abdelmowla 4
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| 1Assistant Lecturer of Medical- Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt | ||||
| 2Professor of Medical, Surgical Nursing- Faculty of Nursing, Assiut University, Assiut, Egypt | ||||
| 3Professor of Orthopedic and Trauma Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
| 4Assistant Professor of Medical- Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt | ||||
| Abstract | ||||
| Background: Microsurgical free flap is widely used for the reconstruction of complex tissue defects, retrieval of anatomical structure, and improvement of function after debilitating injuries. Aim: Evaluate the effect of nursing teaching protocol on knowledge and postoperative complications for patients underwent microvascular free flap reconstruction of lower extremity. Patients and Methods: A quasi-experimental research design was used for a sample of 60 adult male and female patients, age ranged from 18-65 years old, underwent microvascular free flap reconstruction of lower extremity. They were randomly divided into 2 groups by flipping a coin [tails ꞊ control group (30 patients), heads꞊ intervention group (30 patients)]. Nursing teaching protocol was applied to the intervention group (teaching booklet) while control group received routine hospital care. Patients were followed up for 6 months in trauma department and microvascular reconstruction outpatient clinic. Tool (I): Patient assessment sheet and Tool II: Modified clavien–dindo classification. Results: Statistically significant difference between patients in intervention and control groups regarding patients’ knowledge (p.value=0.001) and postoperative complications during follow up [after three weeks (P.value =0.02), three months (P.value =0.01), and six months (P.value =0.03)]. Improvement was obvious in intervention group than control group. Conclusion: Application of nursing teaching protocol showed obvious and significant effect in increasing patients’ knowledge and reducing postoperative complications. Recommendation: To achieve the best patient outcomes, nurses must provide attentive nursing care for patients and nursing teaching booklet should be accessible in the microvascular unit for those patients. | ||||
| Keywords | ||||
| Microvascular free flap; Nursing teaching protocol; Patients’ knowledge; Postoperative complications & Reconstruction of lower extremity | ||||
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