Effect of Nursing Post-discharge Protocol on Quality of Life among Menopausal Women Undergoing Gynecologic Surgery

Mohamed Abobaker, Randa; Allah G Abou Zeid, Mennat

doi:10.21608/ejhc.2019.224093

Effect of Nursing Post-discharge Protocol on Quality of Life among Menopausal Women Undergoing Gynecologic Surgery

Document Type : Original Article

Authors

¹ Assistant professor, Department of Hospitals and Health Services Administration, Gulf Colleges, Hafr Al Batin Governorate,

² Lecturer, Department of Nursing Administration, Faculty of Nursing, Ain Shams University, Cairo, Egypt.

10.21608/ejhc.2019.224093

Abstract

Background: Gynecologic surgery is a surgery performed on any part of a woman’s reproductive
system. Uterine prolapse can affect menopause women’s quality of life and lead to maternal morbidity
and mortality. The treatment of uterine prolapse depends on the symptoms and the degree. Aim of
this study: To evaluate the effect of nursing post-discharge protocol on quality of life among
menopausal women undergoing gynecologic surgery. Research design: A quasi-experimental design
was utilized. Research setting: The study was carried out at gynecological outpatients' clinics
affiliated with Ain Shams university hospitals. Sampling: A purposive sample of 210 menopausal
women with uterine prolapse in the 2nd, 3rd, and 4 th degree and scheduled for surgery. The pretest
interviews in outpatient clinics then the post-surgery interviews after discharge at three months during
the follow-up in the hospital in the outpatient department. Tools: Three tools were used to measure
the study variables. Tool (1): structured questionnaire of personal and medical data. Tool (2): A
questionnaire to evaluate knowledge about uterine prolapse surgery. Tool (3). The World Health
Organization Quality of Life Instruments (THE WHOQOL-BREF) to evaluate the quality of life in
bio-psychosocial and environmental domains. Results: showed a statistically significant difference
between pre & post-test regarding knowledge. Also, there was a statistically significant relationship
between items of the physical quality of life domain after the discharge protocol. Conclusion: Many
aspects of life quality improved because of the nursing post-discharge protocol. Recommendations:
Continuous periodic nursing care protocol should be given for menopausal women who undergoing
uterine prolapse surgery.

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