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318356

Effect of Nursing Interventions on Patients’ Health Outcomes Post Thyroidectomy

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Last updated: 28 Dec 2024

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Abstract

Background: Thyroidectomy is the most common surgical management of many thyroid diseases as simple goiter, benign thyroid tumors, hyperthyroidism and thyroid cancer (TC). Its complications involve hypocalcaemia, swallowing disorders, the presence of a hematoma with less or greater severity or recurrent laryngeal nerve (RLN) injury, especially after a total thyroidectomy. Preoperative and postoperative nursing interventions are important and have a serious influence on patient's recovery directly. Objective: To determine the effect of nursing interventions on patients' health outcomes post thyroidectomy. Settings: The study was carried out at the head, neck and endocrine surgery unit at Alexandria Main University Hospital, Egypt. The postoperative follow up after discharge was conducted at the head and neck surgery outpatient clinic at the Alexandria Main University Hospital Clinics Department. Subjects: A convenience sample of 60 adult's patients who undergoing thyroidectomy admitted to the previously mentioned setting. The sample was divided into two equal groups (30 patients each the group). Tools: three tools were used. Tool one: Bio-socio demographic data structured interview schedule. Tool two: Thyroidectomy patient's knowledge structured interview schedule. Tool three: Health outcomes for post thyroidectomy patient assessment sheet. Results: The study showed that there was a significant improvement in neck pain, neck disability and decreasing postoperative complications in the study group more than in the control group. Conclusion: The implementation of nursing interventions including neck and shoulder exercises significantly improved neck pain, neck disability and decreasing postoperative complications which improve patient health outcomes. Recommendations: In service training program should be carried out for nurses working in head and neck surgery department about complete care for patients pre and post thyroidectomy. Hospital administration should facilitate opportunities for nurses to attend continuing educational program about thyroid gland diseases and care of patients undergoing thyroidectomy.

DOI

10.21608/asalexu.2023.318356

Keywords

Thyroidectomy, Neck exercises, shoulder exercises, Complications

Authors

First Name

Alice

Last Name

Reizian

MiddleName

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Affiliation

Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University

Email

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City

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Orcid

-

First Name

Abeer

Last Name

El Shatby

MiddleName

-

Affiliation

Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University

Email

-

City

-

Orcid

-

First Name

Waleed

Last Name

Abo-Elwafa

MiddleName

Abdel Haleem

Affiliation

Head and Neck Surgery department Faculty of Medicine, Alexandria University

Email

-

City

-

Orcid

-

First Name

Hoda

Last Name

El-Deeb

MiddleName

Abdou

Affiliation

Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University.

Email

-

City

-

Orcid

-

First Name

Bardies

Last Name

Mohamed

MiddleName

Shaban

Affiliation

Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University.

Email

-

City

-

Orcid

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Volume

25

Article Issue

3

Related Issue

43600

Issue Date

2023-09-01

Receive Date

2023-09-22

Publish Date

2023-09-01

Page Start

64

Page End

75

Print ISSN

1687-3858

Article File

ASALEXU_Volume 25_Issue 3_Pages 64-75.pdf

PDF . 378.8kB

Link

https://asalexu.journals.ekb.eg/article_318356.html

Detail API

https://asalexu.journals.ekb.eg/service?article_code=318356

Order

318,356

Type

Research articles

Type Code

2,129

Publication Type

Journal

Publication Title

Alexandria Scientific Nursing Journal

Publication Link

https://asalexu.journals.ekb.eg/

MainTitle

Effect of Nursing Interventions on Patients’ Health Outcomes Post Thyroidectomy

Details

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Article

Created At

28 Dec 2024