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Journal of Community & Public Health Nursing | ISSN: 2471-9846 | Volume 4
December 05-06, 2018 | Chicago, USA
Registered Nurse and Nurse Practitioner Meeting
21
st
World Congress on
Nursing Education and Management
&
Effect of implementing a nursing management protocol on the postoperative health outcomes for patients
undergoing radical cystectomy with urinary diversion
Sharaf Omar Shurafi
Alexandria University School of Nursing, Egypt
Background:
Bladder cancer (BC) is the most common malignancy of the urinary tract, the 7th most common cancer in men
and the 17th in women. Radical cystectomy is the primary treatment for patients with muscle-invasive bladder cancer, whereas
alternative treatments are reserved for patients with extensive comorbid conditions or poor performance status. Radical cystectomy
involves removal of the urinary bladder and associated organs; the prostate in men, and the uterus, ovaries, and part of the vagina
in women. It was observed that the numbers of patients with BC requiring radical cystectomy accompanied with urinary diversion
are increasing. These patients require meticulous collaborative care to improve the overall physical and psychological well-being.
Nursing management protocols are a way of documenting and communicating patient care and should include daily aims, such as
mobilization, that increased day by day.
Patient and method:
A convenience sample of 50 adult patients admitted to the Urology Department at Alexandria Main University
Hospital. The subjects of the sample meeting the previously mentioned criteria were sequentially divided into two equal groups;
the first was the study group and comprised 25 patients and they received the nursing management protocol. The second was the
control group which, comprised 25 patients and exposed to routine care only. Data collected through; demographic data, knowledge
assessment sheet, self-care skills observation, quality of life assessment, and patient’s satisfaction. Nursing management protocol was
designed by the researcher. It was written and summarized in a simple Arabic language and supplemented by photos and illustrations
to help the patient understand the content.
Results:
Results showed that the study results revealed that most of the patients of the study and control group had poor knowledge
pre-application protocol of nursing care, while most of the study group had fair knowledge after application of proposed protocol of
nursing care. Overall total scores of functional mobility & activities with a mean (17.88 ±1.27), were improved significantly in the
study group immediately after application nursing management protocol compared with the control group. Overall total scores of
caring for stoma with a mean (18.72 ± 0.98) were improved significantly in the study group after one &half months of application of
nursing management protocol compared with the control group. Mean scores for each domain of patient’s quality of life, including
physical health, psychological health, social relationships, and environment were improved significantly in the study group after
one & half month of application of nursing management protocol and the improvement was significant differences between the two
groups in post protocol in all items.
Conclusion:
Applying the nursing management protocol had statistically significant improvement in knowledge, self -care skills and
quality of life for studied patients undergoing radical cystectomy with urinary diversion postoperatively than their controls.
sharaf.shurafi@yahoo.comJ Comm Pub Health Nursing 2018, Volume 4
DOI: 10.4172/2471-9846-C4-012