الفهرس | Only 14 pages are availabe for public view |
Abstract Summary BPH means a non-cancerous and non-inflammatory enlargement of the prostate gland. TURP is considered the golden treatment BPH. TURP like other surgeries has some postoperative complications such as hemorrhage, CABD, urinary tract infections, urinary catheter obstruction, and bladder neck contracture. TURP requires hospitalization for three to four days. During this duration, nurses play a crucial role in preventing potential postoperative complications by providing intensive perioperative counseling and education. Providing the patient the proper instructions about self-care, activities, exercises, nutrition and hygienic care is a very important nursing practice before discharge. The study aimed to evaluate the effect of preoperative nursing instructions on postoperative complications of TURP. A quasiexperimental research design (study-control) was utilized to conduct the study. The study was conducted in setting in Assiut Urology and Nephrology Hospital, Assiut University, Assiut, Egypt during the period from Novemper 2019 to October 2020. A total number of 80 patients with BPH undergoing TURP with age ranged from 40-65 years old were allocated consecutively into the two groups (study or control group). Three tools were used in conduction of this study. Tool I was the patient assessment sheet, Tool II was the interview questionnaire for measurement of patient’s knowledge about TURP, and Tool III was illustrated nursing instruction brochure. Summary 49 Main finding of the present study were: - The majority of the patients in both study and control groups (95% and 92.5% respectively) was between 50-65years old. More than two-thirds of patients in both groups were married (67.5% and 82.5% respectively). Regarding the level of education, more than half of the study and control group patients had read and write education level (55%% and 60% respectively). There was no statistically significant difference between both groups regarding their demographic characteristics. - The main preoperative symptoms of BPH ere terminal dribbling and inability to empty the bladder among study group (75% and 67.5%, respectively) and control group (72.5% and 70% respectively). - There was no statistically significant difference between the study and control group regarding their knowledge score level about TURP before application of the nursing instructions - There was a significant difference between pre and post-test among the study group regarding their knowledge level. -There was a negative correlation between postoperative complications and post test total knowledge scors among study group which means when patient’s knowledge increases, it may have an effect in reducing the postoperatieve complications of TURP |