الفهرس 
Etiology and Risk FactorsOnly 14 pages are availabe for public view
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Abstract
Bladder cancer is the represent significant health problem
worldwide it is fourth most common cancer in males after prostate,
lung, and colorectal cancers, while in females bladder cancer is the
eighth most common type of cancers. Urinary diversion is
generally used when the bladder has severe dysfunction or needs to
be removed due to cancer. Patients undergoing urinary diversion
operations they usually face many problems such as loss of body
functions and relationship with others, altered sexuality, and
change in lifestyle. They need to adapt to the external appliance,
stoma, alteration in toileting habits, and urinary drainage, in
addition to skin irritation problems, urinary tract infections, and
odor problems. Nurses play an important role to help these patients
to cope and adapt to their illness. Nurse also should be developed
educational programs to helping the patients to enhance their
knowledge, improve physical and psychological conditions, reduce
complications and improve quality of life.Aim of the study
The study aimed to evaluate the effect of educational
guidelines on the patient’s outcomes undergoing urinary diversion.
Through the following:
1- Assess the knowledge and self-care practical skills for patients
with urinary diversion pre intervention.2- Develop and implement educational guidelines for patients
based on needs assessment.
3- Evaluat the effect of educational guidelines on patients’
outcome.
Hypothesis Research:
The current study hypothesized: Patients with urinary
diversion who received educational guidelines will have better
outcomes than patients who did not receive.
Research design:
To conduct this study a quasi experimental design was
utilized.
Setting:
The study was conducted at urologic department and the
urologic outpatient clinic in National Cancer Institute, Cairo
University.
Subjects:
A purposive sample of 100 patients from both sexes with
bladder cancer requiring radical cystectomy accompanied with
urinary diversion was selected according to certain inclusion
criteria. The study subjects were divided into two groups: study
group who had the self-care guidelines& routine care and control
group who had only the routine care.Tools of Data Collection:
1- demographic tool.
2- Clinical data tool.
3- Patient’s interview questionnaire tool.
4- Patient’s self-care practice observational checklists.
5- Patient’s outcome assessment sheets: It included:
A- Patient’s Complications Assessment tool.
B- Hamilton Anxiety Scale.
C- Social Dysfunction Scale.