Sayed, M., Mohammed, M., Elsayed, A., Abdelmowla, R. (2023). Microvascular Free Flap: Effect of Nursing Teaching Protocol on Knowledge and Postoperative Complications for Patients Underwent Reconstruction of Lower Extremity. Assiut Scientific Nursing Journal, 11(40), 198-209. doi: 10.21608/asnj.2023.247994.1710
Marwa Abd Elhamed Sayed; Magda Ahmed Mohammed; Amr Elsayed; Rasha Ali Ahmed Abdelmowla. "Microvascular Free Flap: Effect of Nursing Teaching Protocol on Knowledge and Postoperative Complications for Patients Underwent Reconstruction of Lower Extremity". Assiut Scientific Nursing Journal, 11, 40, 2023, 198-209. doi: 10.21608/asnj.2023.247994.1710
Sayed, M., Mohammed, M., Elsayed, A., Abdelmowla, R. (2023). 'Microvascular Free Flap: Effect of Nursing Teaching Protocol on Knowledge and Postoperative Complications for Patients Underwent Reconstruction of Lower Extremity', Assiut Scientific Nursing Journal, 11(40), pp. 198-209. doi: 10.21608/asnj.2023.247994.1710
Sayed, M., Mohammed, M., Elsayed, A., Abdelmowla, R. Microvascular Free Flap: Effect of Nursing Teaching Protocol on Knowledge and Postoperative Complications for Patients Underwent Reconstruction of Lower Extremity. Assiut Scientific Nursing Journal, 2023; 11(40): 198-209. doi: 10.21608/asnj.2023.247994.1710
Microvascular Free Flap: Effect of Nursing Teaching Protocol on Knowledge and Postoperative Complications for Patients Underwent Reconstruction of Lower Extremity
1Assistant Lecturer of Medical- Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
2Professor of Medical, Surgical Nursing- Faculty of Nursing, Assiut University, Assiut, Egypt
3Professor of Orthopedic and Trauma Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt
4Assistant Professor of Medical- Surgical Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
Abstract
Background: Microsurgical free flap is widely used for the reconstruction of complex tissue defects, retrieval of anatomical structure, and improvement of function after debilitating injuries. Aim: Evaluate the effect of nursing teaching protocol on knowledge and postoperative complications for patients underwent microvascular free flap reconstruction of lower extremity. Patients and Methods: A quasi-experimental research design was used for a sample of 60 adult male and female patients, age ranged from 18-65 years old, underwent microvascular free flap reconstruction of lower extremity. They were randomly divided into 2 groups by flipping a coin [tails ꞊ control group (30 patients), heads꞊ intervention group (30 patients)]. Nursing teaching protocol was applied to the intervention group (teaching booklet) while control group received routine hospital care. Patients were followed up for 6 months in trauma department and microvascular reconstruction outpatient clinic. Tool (I): Patient assessment sheet and Tool II: Modified clavien–dindo classification. Results: Statistically significant difference between patients in intervention and control groups regarding patients’ knowledge (p.value=0.001) and postoperative complications during follow up [after three weeks (P.value =0.02), three months (P.value =0.01), and six months (P.value =0.03)]. Improvement was obvious in intervention group than control group. Conclusion: Application of nursing teaching protocol showed obvious and significant effect in increasing patients’ knowledge and reducing postoperative complications. Recommendation: To achieve the best patient outcomes, nurses must provide attentive nursing care for patients and nursing teaching booklet should be accessible in the microvascular unit for those patients.
View on SCiNiTO
Top