Effect of Educational Guidelines Prior Nephrolithotripsy on Patients' Performance and Satisfaction

Document Type : Scientific peer reviewed journal

Authors

1 Nursing Specialist in Technical Institute of Nursing, - Benha University, Egypt

2 Medical Surgical Nursing, Faculty of Nursing – Ain shams University, Egypt

3 Medical Surgical Nursing, Faculty of Nursing - Benha University, Egypt

4 Medical Surgical Nursing - Faculty of Nursing - Benha University, Egypt

Abstract

Background: Nephrolithotripsy is a non-invasive kidney stone treatment procedure which
breaks the stones into small fragments. Education about nephrolithotripsy helps patients gain best
performance (knowledge, practice and behavior) to meet ongoing health care needs. Aim of study:
Was to evaluate the effect of educational guidelines prior nephrolithotripsy on patients' performance
and satisfaction. Research design: A quasi-experimental, pre-test and post-test intervention
research design was implemented to conduct the current study. Setting: The study was conducted at
the Urology department at Benha University Hospital, Qalyubia Governorate, Egypt. Sample: A
purposive sample consisting of 80 urinary stone patients included case study 40 patients and control
study 40 patients. Tools of data collection: Four tools were used to collect data: (I) A structured
interview questionnaire for patients included four parts: Patients' personal data, patients' medical
history, patients' health habits and patients' diagnostic studies. (II) Patients’ knowledge about
nephrolithotripsy assessment sheet. (III) Patients’ practice and behavior checklist; included three
parts: Diet ,fluids, sports activities and behavior. (IV) Patients’ satisfaction assessment scale.
Results: There was statistical significant improvement in patients' total knowledge level about
nephrolithotripsy to 87.5%, increased mean score of patients' practice of kfluids, foods and sports
activities and increase total patients' follow up behavior to82.5% in study group than control groups
after implementing educational guidelines. Conclusion: Application of the educational guidelines
has a positive effect on patient’s knowledge, practice and behavior regarding nephrolithotripsy of
the performance mean scores of study group post guidelines were statistically significantly higher
than pre guidelines implementation. Recommendations: Continuous evaluation of patient’s
knowledge about nephrolithotripsy, identify their needs, and barriers that hinder healthy habits to
prevent urinary stones recurrences.

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Journal of Nursing Science Benha University
Volume 3, Issue 2
July 2022
Pages 728-744

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