Effect of Supportive Educational Interventions on Self-care practices and Expected Health Outcomes among Patients Undergoing Radical Nephrectomy

Mahmoud, Heba; Abd Elmaksoud Mohamed, Mona; Abdel Hamid Hawash, Mervat

doi:10.21608/ejhc.2020.219043

Effect of Supportive Educational Interventions on Self-care practices and Expected Health Outcomes among Patients Undergoing Radical Nephrectomy

Document Type : Original Article

Authors

¹ Lecturer of Medical Surgical Nursing Faculty of Nursing, Alexandria University, Egypt

² Lecturer of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt

10.21608/ejhc.2020.219043

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

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