Self-Care Program: Quality of Life and Satisfaction among Patients with External Skeletal Fixation
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
External skeletal fixation is a widely used orthopedic surgical procedure for the treatment of complex musculoskeletal conditions. Patients with external fixation device have limited activity of daily livings and often have negative effects on their psychological and social wellbeing. A well-structured teaching and care plan can promote maximum self- care for the patients and will decrease frustration with mobilization and problems associated with body image. Aim: This study aimed to evaluate the effect of self-care program on quality of life and satisfaction among patients with lower limb external skeletal fixation. Study design: A quasi experimental design was used to achieve the aim of the current study. Subject: A purposive sample of sixty adult patients was recruited for the conduction of this study. Setting: The study was conducted in the orthopedic departments and outpatient clinic at El-Demerdash hospital which affiliated to Ain Shams University. Data collection tools: 1) Patients' interviewing questionnaire, 2) patients' observational checklist for wound/pin site care, assessment of neurovascular integrity and practicing range of motion exercises, 3) RAND 36-Item Health Survey (Version 1.0) and 4) patient’s satisfaction scale. Results: There were statistically significant differences regarding satisfactory levels of knowledge and practice among studied patients between pre and immediately post program implementation and between pre and follow up program implementation at p <0.001. additionally, there were statistically significant differences regarding physical , psychological and social health related quality of life between pre and immediately post program implementation and between pre and follow up program implementation at p <0.05. The results also revealed that 70% of the studied patients were satisfied with the whole program items. Conclusion: Consistant with study hypotheses, self-care program intervention has a positive effect on patients’ knowledge, practice, physical, psychological and social health related quality of life. Furthermore, patients with skeletal external fixation are satisfied with the self-care program and its activities. Recommendations: Replication of the current study on a larger probability sample is recommended to achieve generalizability of the results and wider utilization of the self-care program.
Authors and Affiliations
Asmaa Mohamed Khorais, Mona Nadr Ebraheim, Asmaa Hafez Afefe Barakat
Keywords
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