Impact of Nursing Management Protocol on Selected Postoperative Outcomes Among Children with Open Heart Surgery at Cairo University Specialized Pediatric Hospital

Citation:
Hassan, M. A. E. - K. I., E. M. Ahmed, S. A. R. Mohamed, and M. R. A. El-Ezz, Impact of Nursing Management Protocol on Selected Postoperative Outcomes Among Children with Open Heart Surgery at Cairo University Specialized Pediatric Hospital, , Egypt, Cairo University, 2013.

Thesis Type:

PhD Thesis

Abstract:

Open-heart surgery is a common medical procedure that can save
lives and improve the quality of heart. The current study was conducted to
evaluate the impact of nursing management protocol on selected postoperative
outcomes among children with open heart surgery at Cairo University Specialized
Pediatric Hospital. The study utilized a pre- post-test quasi-experimental research
design. A total sample of 70 children who were undergoing open heart surgery
was selected from the surgical unit. Data required for the study were collected
through the use of three data collection tools developed by the researcher. The first
one is structured interview schedule which includes the sociodemographic data
about children and their families it also involve history of child's illness. The
second one was the postoperative assessment data sheet to assess the children
during postoperative phase. It includes established child postoperative outcomes
criteria related to: (1) respiratory functions;(2) wound condition; (3) renal
functions and characteristics of urine; (4) chest tubes drainage system. And the
third one was the nursing management protocol. It is apparent from the current
study's results that, there were highly statistically significant differences between
the pre and post application of the nursing management protocol at first and
second days after surgery regarding respiratory rate, pulse, temperature and others.
As well as, there were highly statistically significant differences between pre and
post application of the nursing management protocol at first and second days after
surgery as regards the means of oxygen saturation, PaO2, PcO2, and others. The
study results concluded that, the effectiveness of the designed nursing
management protocol on improving postoperative outcomes among children who
participated in the current study. The study recommended the integration of the
designed nursing management protocol in the care of children undergoing open
heart surgeries in PCICU.

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