Orthopedic casting is a routine procedure used for managing fractures in all age groups. Patient counseling is considered as the most valuable tool to ensure proper cast maintenance and improve patient outcomes. Aim of the study:To investigate the effect of self-care nursing instructions on reducing specific potential local complications among patients with limbs plaster cast. Research design: Quazi experimental research design (pre-posttest) was utilized. Setting: Orthopedic clinic and department of Minia university hospital, Egypt. Sample: The purposive sample technique was used to select 60 patients with a newly applied upper or lower limb plaster cast. Tools: Three tools were utilized for collecting data of this study. First tool: A structured interview questionnaire was developed and filled by the researchers to assess sociodemographic, medical data and cast patient's knowledge and practice about cast care. Second tool: Pain numerical rating Scale. The third tool: Was a Post-applied cast assessment tool used to assess the incidence of any signs and symptoms of potential local complications. Results: There was a highly statistically significant improvement of the patients' knowledge and self-care practices about cast care which consequently leads to a low incidence of specific potential cast complications among them. Conclusion: Implementation of self-care nursing instructions was effective in improving knowledge and practice about cast care as well as reflected low incidence of potential local complications among patients with limb plaster casts. Recommendations: Applying nursing interventions regarding cast care on a large sample and other different types and locations of the orthopedic cast and measuring the effect of nursing intervention on reducing both local and systemic complications. Designing and implementing an educational training program for orthopedic nurses to improve the quality of care before, during, and after casting.
Background: Today urolithiasis is the third most common urological disease affecting elders with high recurrences rates. Extracorporeal shock waves lithotripsy (ESWL) became the treatment of choice for upper urinary tract stones without surgical intervention. The aim of this study: was to assess educational needs for elderly Patients undergoing extracorporeal shock waves lithotripsy in order to design an educational program as indicated by their knowledge. Descriptive research design: was used. Patients & methods: the study was carried out in Minia Al-Watany hospital. The sample was included 112 patients suffering from upper urinary tract stones undergoing ESWL procedure. Data was collected in a period of 6 months started from January to the end of June 2013. An interview questionnaire sheet consists of one tool was utilized divided into three parts, first part; included socio-demographic characteristics, second part; included past and present history, and third part; was to assess knowledge of elderly patients regarding disease and ESWL procedure. Results: the majority of patients were male, married, come from rural areas, and illiterate (66.1%, 79.5%, 50.9, and 61.6 % respectively), the mean of age was (65.46 ± 5.13). Results showed unsatisfactory total knowledge scores about urolithiasis, ESWL, and disease prevention among the studied sample. Conclusion: education for patients with urolithiasis undergoing ESWL is very necessary to achieve a satisfactory level of knowledge about the procedure, clearance of stone, and prevention of stone recurrence. Replication of this study on larger probability sample is highly recommended.
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