Effect of Nursing Intervention Guidelines on Knowledge and Self-care Practices among Adult Patients Undergoing Cataract Surgery

Abstract

Background: Cataracts now account for the largest proportion of the global burden of blindness and vision loss worldwide.Inadequate postoperative nursing interventions related to knowledge and self-care practices may lead to serious complications for the patient with cataract surgery.Aim of the study: The study aimed to evaluate the effect of nursing intervention guidelines on knowledge and self-care practices among adult patients undergoing cataract surgery.Design and Setting: A quasi-experimental research design was utilized.The study was carried out in the surgical ophthalmology inpatient department and the ophthalmology outpatient clinics.Alexandria Main University Hospital, Egypt.Subjects: It was a convenience sample of 60 adult male and female patients.Tools: two tools were used for data collection; Tool I: Cataract surgery patient's assessment: structured interview schedule, It was divided into three parts, Part I: Patient's sociodemographic data, Part II: Patient's clinical data and Part III: Patient's level of knowledge .Tool II: Self-care practices scale.Results: (96.7%, and 96.7% respectively) of patients in the control group had unsatisfactory level of knowledge compared to (90%, 36.7% respectively) of patients in the study group pre, and post implementation of nursing interventions.In addition to the overall score of post-operative level of self-care practices was unsatisfactory (100%, and 100% respectively) of patients in the control group in the first and second follow up periods, compared to satisfactory level of self-care practices (100%, 98% respectively ) of patients in the study group. Conclusion:The study group showed improvement in all of their total scores of knowledge level and self-care practices after application of the nursing interventions guidelines compared with the control group.Recommendation: Replication of the current study with a bigger statistical sample size selected from different regions and a longer follow-up period in order to get more broadly applicable findings.