Efficacy of Implementing Pre and Postoperative Protocol of Nursing Care on Postthyroidectomy Patients' Clinical Outcomes

I. El Shafaey, Mariam; R. Attia, Nagwa; A. Elnemr, Ayman; A.Salem, Fatma

doi:10.21608/ejhc.2022.219059

Efficacy of Implementing Pre and Postoperative Protocol of Nursing Care on Postthyroidectomy Patients' Clinical Outcomes

Document Type : Original Article

Authors

¹ Assistant lecturer of Medical-Surgical Nursing, Faculty of Nursing, Tanta University

² Professor of Medical-Surgical Nursing, Faculty of Nursing, Tanta University

³ Professor of Surgical Oncology, Faculty of Medicine, Tanta University

⁴ Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Tanta University

10.21608/ejhc.2022.219059

Abstract

Background: Thyroidectomy is a common endocrine surgical procedure. It involves excision a part
or all of the thyroid gland. Aim: To evaluate the efficacy of implementing pre- and postoperative
protocol of nursing care on postthyroidectomy patients' clinical outcomes. Method, Design: Quasi
experimental study. Setting: It conducted in General Surgery Department, Tanta University
Education Hospital and Outpatient Surgery Clinic. Subject: It consisted of a convenient sample of
60 adult patients selected and divided into 2 equal groups, study group managed by implementing
protocol of nursing care and control group received routine nursing hospital care. Tools: Three tools
used for data collection as follows: Tool (1) Postthyroidectomy Patients' Assessment Structured
Interview Schedule. Tool (II) Postoperative Thyroidectomy Pain Assessment. Tool (III)
Postthyroidectomy Patients' Clinical Outcomes Assessment: consisted of three parts: Part A was
Wound Assessment; Part B was Neck Alteration Assessment; Part C was Postthyroidectomy
Complications Observation Checklist Results: There were highly statistically significance
difference among study group regarding their total knowledge score before and immediately after
implementing protocol of nursing care. The current study revealed that the total mean score of
Patient Learning Needs Scale was high. In addition, there was highly statistically significance
difference between study and control group regarding neck pain. Moreover, there was highly
statistically significance difference between study and control group regarding total scores of neck
alteration assessment. Conclusion: Application of protocol of nursing care had a positive effect on
Postthyroidectomy patients’ clinical outcomes. Recommendations: Application of protocol of
nursing care should carry out as a routine care for patients undergoing thyroidectomy.

Keywords