Effect of designed nursing care protocol on minimizing post hysterectomy complicationsa at Elmanial University Hospital / Huda Abdelrhman Ali ; Supervised Ragaa Ali Mohamed , Reda Ismail Riad , Nagwa Abdelfadel

Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Maternal and Newborn Health Nursing

Hysterectomy is the most common gynecological surgical procedure among reproductive aged women, where complications with serious consequences may occur. Aim of the study was to assess the effect of designed nursing care protocol on minimizing post hysterectomy complications. A quasi-experimental design was adopted in this study. Where a simple random sample of 120 post hysterectomy women were recruited for this study. The setting was located at a gynecological unit At Elmanial university hospital {u2013} Cairo University. Data were collected by using three tools developed by the researcher: 1) structured interview schedule tool, 2) assessment tool, and 3) follow up tool. Findings of this study indicated that, there is no statistical significant difference between both groups in relation to Socio - demographic characteristics (X2 = 1.56, P = 0.81), marital status (X2 = 0.90, P=0.64), and Residence (X2 = 0.42, P = 0.52). While regarding to the study group, results indicated a highly statistical significant reduced hospital stay (t = 5.01, P = 0.0001), postoperative body temperature (t = 2.63, p = 0.01), urinary tract infection (X2 = 5.84, P = 0.02), wound infection (X2 = 4.54, P=0.03), and chest infection (X2 = 4.39, P = 0.04) after application of designed nursing care protocol during hospitalization after hysterectomy. The study concludes that designed nursing care protocol would appear to be effective in minimizing post hysterectomy complications. Further study is needed to design protocol of care before and after hysterectomy to prevent hysterectomy complications, and application of a planned nursing care protocol for all post hysterectomy women at the hospital

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