Thesis (Ph.D)-Cairo University, 2024.

Bibliography: pages 131-145.

Congenital cardiac disorders represent a major worldwide health issue. To survive, infants with severe congenital heart disease require open-heart surgery. For infants who have had an open-heart surgical intervention, a mother's ability to provide quality postoperative and home care is crucial to their prognosis. The study aimed to evaluate the effect of nursing instructions for mothers on occurrence of complications among their infants after open-heart surgery. The present study utilized a pre-posttest quasi-experimental design to achieve the aim of the current study. The study was conducted at Magdi Yacoub Heart Foundation Hospital in Egypt. A Purposive sample of 70 mothers and their infants undergoing open-heart surgeries participated in the current study. Five tools were used to collect the required data: a structured interview questionnaire, mothers' knowledge, reported and -practices assessment questionnaire (pre-post-test), observational checklists, postoperative complications recording sheet, and face, legs, activity, cry, and consolability pain scale. The current study results revealed that there were statistically significant differences between the total mean scores of mothers’ knowledge, reported practices, and skills (axillary temperature and wound care) in both groups before and after applying the nursing instructions. Infants of the mothers who received the nursing instructions were exposed to less postoperative complications and demonstrated more favorable surgical wound conditions after surgery than those children in the control group. The current study results concluded that the nursing instructions effectively improved the level of knowledge, reported practices, and skills among mothers in the study group and decreased postoperative complications among their infants after open-heart surgery. The study recommended the integration of the nursing instructions for mothers in the pediatric open-heart unit and incorporating them into the discharge plan to enhance the fast recovery of infants and reduce postoperative complications

تتطور جراحة االقلب المفتوح لدى الأطفال بشكل ملحوظ وحققت نتائج إيجابية خلال القرن الماضي ، جنبًا إلى جنب مع ظهور التقنيات الجراحية الجديدة، كما أن التوجيه والتعليم في فترة ما قبل الجراحة ضروريان لتسهيل التعافي السريع للأطفال مع نتائج جراحية كبيرة وتقليل المضاعفات بعد الجراحة. الرعاية التمريضية الشاملة للأطفال بعد عمليات القلب المفتوح متعددة الأوجه. فمن الضروري إقامة علاقة ثقة وتواصل فعال مع الطفل وأسرته ،. تشمل الرعاية التمريضية للأطفال بعد عمليات القلب المفتوح مراقبة العلامات الحيوية، ورعاية شق الصدر، وتقديم نظام غذائي متكامل، واعطاء الدواء المناسبة، توقع ومنع مضاعفات ما بعد الجراحة ، ومعرفة متى يجب الاتصال بالطبيب أو طلب رعاية الطوارئ.

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Text in English and abstract in Arabic & English.