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Effect of Whats App's Education regarding Wound Massage on Post-Thyroidectomy Patients Wound Adhesion and Voice Changes

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Last updated: 03 Jan 2025

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Abstract

Background: Neck discomfort and voice change are common complications after thyroidectomy. These symptoms might be due to damaged laryngeal nerves, intrinsic structures, or extra laryngeal muscles. They can also occur without injury to any structure as with wound adhesion after thyroidectomy. This study aimed to determine the effect of Whats App's education regarding wound massage on post-thyroidectomy patients' wound adhesion and voice changes. Design: A quasi-experimental research design was used to accomplish this study (study/ control). Setting: The study was carried out at the General Surgical Department and General Surgical Outpatient Clinic at Sohag University Hospital, Egypt. Subjects: A convenient sampling technique of 50 post-thyroidectomy patients within six months, admitted to the previously mentioned setting were divided into two groups as study (n = 25) and control (n = 25). Tools: Data was collected by using four tools; Tool (I): A structured interview questionnaire, Tool (II): The patient and observer scar assessment scale (POSAS), Tool (III): Voice Handicap Index (VHI-10) questionnaire & Tool (IV): Compliance assessment sheet. Results: The present study revealed that Following the application of Whats App's wound massage education (2 and 4 weeks postoperatively), there were highly statistically significant differences regarding wound adhesion between the two groups (P-value <0.001**). Following the application of Whats App's wound massage education (2 and 4 weeks postoperatively), there were highly statistically significant differences in voice changes between the two groups (P-value <0.001**).  Also, there were highly statistically significant differences between study and control groups regarding post-thyroidectomy patients' wound adhesion and voice changes after applying the Whats App's education regarding wound massage (2 and 4 weeks postoperatively) (P-value<0.001**). Conclusion: The application of Whats App's education regarding wound massage post-thyroidectomy significantly reduced wound adhesion and improved voice changes in the study group compared to the control group. Recommendations: wound massage is recommended to be an integral part of the pre-operative nursing teaching for patients undergoing thyroidectomy. There is a need to develop comprehensive simple Arabic printed educational materials that can be a reference for them.

DOI

10.21608/ejhc.2023.330179

Keywords

Post-thyroidectomy patients, Voice changes, Whats App education, Wound massage, and wound adhesion

Authors

First Name

Badria

Last Name

Mahrous Abdelhameed Mohammed

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Affiliation

Assistant prof. of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, and Assistant professor of Medical Surgical Nursing, Faculty of Applied Medical Science, Albaha University, KSA.

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First Name

Amany

Last Name

Gamal El Gharieb Mohammed El-berdan

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Affiliation

Assistant professor of medical surgical nursing Port-said University, Egypt

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Orcid

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First Name

Hanan

Last Name

Kheir Abd Ellatif Elmowafi

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Affiliation

Lecturer of Community Health Nursing- Faculty of Nursing – Mansoura University, Egypt

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First Name

Manal

Last Name

Mohamed Ahmed Ayed

MiddleName

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Affiliation

Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Egypt.

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Orcid

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First Name

Amira

Last Name

Tag Mohamed Mohamed

MiddleName

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Affiliation

Alazhar University hospital, Fellow of medical surgical nursing, New Damietta

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Volume

14

Article Issue

4

Related Issue

43871

Issue Date

2023-12-01

Receive Date

2023-12-12

Publish Date

2023-12-01

Page Start

659

Page End

674

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_330179.html

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https://ejhc.journals.ekb.eg/service?article_code=330179

Order

330,179

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of Whats App's Education regarding Wound Massage on Post-Thyroidectomy Patients Wound Adhesion and Voice Changes

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Article

Created At

24 Dec 2024