Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis

Kasab, Nadia Mohamed; Basal, Afaf Abdelaziz; EL-Tatawy, Hassan Hussein; Mohamed, Amany Kamal

doi:10.21608/tsnj.2023.285340

Effect of Implementing Nursing Guidelines on Clinical Outcomes for Patients Undergoing Extracorporeal Shock Waves Lithotripsy for Urolithiasis

Document Type : Original Article

Authors

¹ Demonstrator, Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

² Professor, Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt

³ Professor, Surgical Urology Department, Faculty of Medicine, Tanta University, Egypt.

⁴ Lecturer of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt

10.21608/tsnj.2023.285340

Abstract

Background: Extracorporeal shock wave lithotripsy (ESWL) is non-invasive method
for treating kidney stones < 2cm. Aim: This study was conducted to evaluate the
effect of implementing nursing guidelines on clinical outcomes for patients
undergoing ESWL for urolithiasis. Design: Quasi- experimental design was utilized
in this study. Subjects: A convenience sample of (100) adult patients with renal stone
undergoing ESWL admitted to ESWL Unit at Tanta International Educational
Hospital which is affiliated to Main Tanta University Hospital. Tools: Three tools
were used for data collection: Tool (I) Patients' Structured Interview including two
parts, part-one: socio-demographic characteristics of patients, part-
medical data interview questionnaire Tool (II) Patients' health relevant data including
two parts, Part-one : Numeric pain rating scale , part-two: Hospital Anxiety Scale,
Tool (III) Clinical Outcomes assessment sheet including two parts, Part-one:
shock waves lithotripsy,
part-two: Results: There
was an improvement in the clinical outcomes for study than control group, it was
evident that minority of study group(0.6%) compared to about one quarter of control
group(26.0%) suffered from nausea and vomiting during second week post ESWL.
Also there was a highly statistically significant difference between Patients'
knowledge levels after implementation of nursing guidelines through period of study.
Conclusion: The study findings revealed that implementation of nursing guidelines
was successful for improving clinical outcomes and knowledge score for patients
undergoing ESWL. Recommendation: Replication of the study using a larger
probability sample and longer follow up period for studied patients