Effect of Nursing Interventions on Self-management Behaviors of female Geriatric patients with Liver Cirrhosis | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 22, Issue 2, December 2020, Pages 1-18 PDF (642.79 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2020.206109 | ||
| Authors | ||
| Naglaa AlsaiedAlsaied Alfauomy,* 1; Somaya Abdel Moneim Elshazly2; Abeer Abd El Galeel Abd EL Moneam2 | ||
| 1Gerontological Nursing, Faculty of Nursing, Damanhour University | ||
| 2Gerontological Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| Liver cirrhosis (LC) is a serious, irreversible and silent disease prevalent among geriatric patients that results in development of complications leads to high morbidity, frequent hospital admissions and mortality. In this context, the role of nurses in the care of geriatric patients with liver cirrhosis should focus on improving self-management behaviors which in turn would lead to minimize the progression of the disease, prevent complications, facilitate their optimal functional ability and enhance their quality of life. Objective: Determine the effect of nursing interventions on selfmanagement behaviors of female geriatric patients with liver cirrhosis. Setting: The hepatology ward of the medical department of Damanhour National Medical Institute, El-Behaira Governorate, Egypt. Subjects: The study subjects included 50 female geriatric patients with liver cirrhosis divided equally into two matched groups of 25 each. Tools: Four tools were used for data collection: I)The Mini- Mental State Examination (MMS), II) Socio-Demographic and Clinical Data of Female Geriatric Patients with Liver Cirrhosis Structured Interview Schedule, III) Female Geriatric Patients with Liver Cirrhosis Knowledge Assessment Structured Interview Schedule, and IV) Self-Management Behavior Scale for Liver Cirrhosis Patients. Results: A highly statistical significant Improvement in overall selfmanagement behaviors of female geriatric patients with liver cirrhosis was found in the study group post interventions (p<0.0001) compared to pre interventions. A statistically significant difference was found between the study and control groups post interventions regarding dietary, medication and illness monitoring management. As well, significant Improvement was found in the study group knowledge level regarding liver cirrhosis post interventions. Conclusion: Nursing interventions had affected positively the level of knowledge and self-management behaviors of female geriatric patients with liver cirrhosis. Yet, occurrence of complications, readmission to hospital and death rate could not be affected significantly by nursing interventions in study group. The main factors affected significantly self-management behaviors of female geriatric patients were age, educational level and income. Recommendations: Coordination with different health care settings for application of this program for geriatric patients with compensated LC admitted to out-patient clinics for better results, prevention of complication, decreased hospitalizations and resource utilization. | ||
| Keywords | ||
| Nursing Interventions; Self-Management Behaviors; Liver Cirrhosis; Female Geriatric Patients | ||
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