Proposed Protocol for Health Needs Management among Patients Having Day Case Laparoscopic Cholecystectomy Surgery | ||
| Egyptian Journal of Health Care | ||
| Article 19, Volume 9, Issue 3, September 2018, Pages 259-280 PDF (425.51 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2018.22786 | ||
| Authors | ||
| Shimaa N. Abdelsalam1; Nora S. Saad1; Shimaa F. Miky2; Tarek Y. Ahmed3 | ||
| 1Medical – Surgical , Faculty of Nursing , Ain Shams | ||
| 2Community Health Departments , Faculty of Nursing,Ain Shams | ||
| 3General Surgery Department , Faculty of Medicine , Ain Shams | ||
| Abstract | ||
| Aim: This study aimed to propose a protocol for health needs management among patients having day case laparoscopic cholecystectomy (LC) surgery . Subjects and Method : A descriptive exploratory design was utilized for the conduction of this study in the Outpatients` Clinics and Surgical Departments at El- Demerdash Hospital affiliated to Ain Shams University and Naser Institute Hospital affiliated to Health Insurance . A purposive sample of 120 adult and old age patients involved from both genders having laparoscopic cholecystectomy surgery and were taken from the above mentioned settings . Tools of data collection: 1) Patients, interviewing questionnaire (pre surgery ) to determine patients’ health needs regarding day case laparoscopic cholecystectomy surgery . 2) An observation checklist (pre surgery) to evaluate studied patients' practices in relation to care activities of laparoscopic cholecystectomy surgery and care given for them morning of the surgery. 3) Numerical pain scale (pre surgery) to assess pain severity level. 4) Hamilton’s anxiety rating scale (pre surgery) to determine patients’ levels of anxiety. Results: More than half of the studied patients were female, married and with secondary education. Moreover, they had higher health needs added to elevated pain and anxiety levels pre surgery at both hospitals . Conclusion : On light of the current study results , it can be concluded that more than two thirds of the studied patients had physical, psychological, social, spiritual and educational health needs pre surgery with a statistically insignificant differences between both studied hospitals . Furthermore, less than one third of them had satisfactory level of practices in care activities of LC surgery added to , lower level of care given morning of the surgery . Recommendations : Further research study should be done to implement and investigate effect of such proposed protocol for LC surgery on reducing incidence of complications post surgical technique . | ||
| Keywords | ||
| Day case laparoscopic cholecystectomy; Patients’ health needs management; Proposed protocol | ||
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