Effect of Implementing Educational Program on Self-efficacy and Late Pulmonary Complications among Patients with Permanent Tracheostomy

Ragab, Islam Ibrahim; Mohammed, Haggagy Mansour; AbouZied, Warda Ramadan

doi:10.21608/asnj.2024.272157.1794

Effect of Implementing Educational Program on Self-efficacy and Late Pulmonary Complications among Patients with Permanent Tracheostomy

Document Type : Original Article

Authors

¹ Assistant Professor of Adult Medical Surgical Nursing, Faculty of nursing, South Valley University, Qena, Egypt

² Lecturer of Chest Disease and Tuberculosis Department, Faculty of Medicine, South Valley University, Qena, Egypt

³ Assistant Professor of Critical and Emergency Nursing Department, Faculty of Nursing, South Valley University, Qena, Egypt

10.21608/asnj.2024.272157.1794

Abstract

Background: Egypt showed that head and neck cancers make up about 17-20% of adults must managed by tracheotomies for the following reasons bronchial toilet, prolonged mechanical ventilation, occlusion of the upper airway, airway protection or maintenance and easier weaning. Aim: This study aimed to evaluate the effect of implementing educational programs on self-efficacy and late pulmonary complications among patients with permanent tracheostomy. Design: A quasi-experimental research design (pre- posttest and follow up) was used. Sample: 60 adult patients with permanent tracheotomy were selected for a purposive study. Setting: The study conducted in surgical outpatient clinic at Qena Tumor Hospital. Tools I: Structured Interviewing Questionnaire consists of two parts II: Self-Care Reported Practice III: Tracheostomy Self-Efficacy Scale and IV: Pulmonary Complications Assessment Scale. Results: There were statistically significant differences between pre/post and pre/follow-up as regard total mean knowledge scores , mean care practice score, self–efficacy level mean scores and late Pulmonary complication severity related post implementing educational program. Conclusion: The educational program is effective in enhancing patients' knowledge, self-efficacy and decreasing late pulmonary complications in patient with permanent tracheostomy. Recommendations: Increase patient's awareness of the complications associated with tracheostomy and self-care practice.

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