Effect of Nurse-Led Interventions on Post-surgical Expected Outcomes among Patients with Cataract

Background: Medical attention for the visually impaired patients is an essential element for their
overall wellbeing. Cataract dominates among the main causes of visual impairment in Egypt and
South Africa. Early detection, patients' awareness, eye self-care practice, dynamic treatment and
adherence to treatment are imperative perspectives to avoid extra damage and hence protect vision.
Aim: Assessing the effect of nurse-led interventions on post-surgical expected outcomes among
patients with cataract Setting: current study was conducted at the lecture's room of the
ophthalmology Department in Menoufia University Hospital and at the waiting area of Shebien El-
Kom Ophthalmology Hospital, Menoufia Governorate, Egypt. Design: A quasi-experimental
research design was used in this study. Tools: three tools: Structured interview questionnaire that
included three parts for assessing patents' sociodemographics, past/present medical and family
history, and knowledge level, Observational checklist to evaluate patient's self-care practices
regarding eye care and patient's post-surgical expected outcomes' scale to assess the achieved
patient's outcomes after applying nurse-led interventions. Results: a highly statistically significant
post-intervention improvement regarding patients' total knowledge score, satisfactory expected
outcomes' mean score and a major achievement in patients' eye self-care practice among study
group patients than for control group in comparison between study and control groups with p value
<0.001. Furthermore, the present study showed a significant post-intervention positive correlation
between total scores of patient's expected outcomes' scale and eye self-care practice associated with
knowledge about cataract among study group with p value <0.001. Conclusion: Nurse-led
interventions including health education for enhancing patients' knowledge and self-care practice
were found to be an effective method to attain the targeted improvement in cataract patients' post-
surgical expected outcomes. Recommendation: Nurse-led interventions should be implemented in
periodic training programs for ophthalmology patients to consolidate, update and refresh their
knowledge base and promote safe and good eye self-care practice regarding cataract in order to
properly meet the patient's needs and thus enhancing safety.