Health Coaching Effectiveness in Controlling Idiopathic Intracranial Hypertension

Document Type : Original Article

Authors

1 Assisstant Professor, Medical Surgical Nursing, Faculty of Nursing, Menoufia University. Egypt. , Assisstant Professor, Medical Surgical Nursing, Faculty of Nursing, Jouf University, KSA

2 Lecturer of Family and Community Health Nursing, colleague of Menoufia University Hospitals, Menoufia University, Egypt.

3 Assisstant Professor, Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.

4 Assisstant Professor, Medical Surgical Nursing, Faculty of Nursing, Menoufia University. Egypt , Assisstant Professor, Medical Surgical Nursing, Faculty of Nursing, Jouf University, KSA.

5 Assisstant Professor, Medical Surgical Nursing, Faculty of Nursing, Menoufia University. Egypt.

Abstract

Background: Idiopathic intracranial hypertension is a challenging serious disease with 
significant burden on individuals and society. It's increasing incidence with the obesity 
epidemic increasing blindness risk which more press on service capacity. Aim: To examine 
the health coaching effectiveness in controlling idiopathic intracranial hypertension. Subjects 
and Method: Subjects: A purposive sample of patients fulfill the inclusion criteria were 
selected. Setting: Medical & Surgical neurology and Ophthalmology outpatients’ clinics at 
two University and Al-Qasr Teaching Hospitals. Design: Quasi-experimental research design 
allowed for accomplishment of study goal. Tools: four tools were utilized included, patients’ 
biodemographic questionnaire, headache diary assessment questionnaire, disease related 
objective and subjective assessment questionnaire and disease related health coaching 
practices questionnaire. Results: Patients’ weight preintervention was Kg which reduced 
to Kg and Kg after three and six months respectively. Serum potassium level elevated 
from to after three and six months respectively. Also, systolic and diastolic blood 
pressure, headache attacks and analgesic use per week were significantly decreased after three 
and six months of intervention. Eye related disorders as blurred vision; papilledema degree 
was significantly decreased after intervention by three and six months. Conclusion: The 
nursing health coaching program application has proven potent effectiveness on patients’ 
intracranial pressure reduction reflected on patients’ little headache attacks per week, 
decreased disease related signs and symptom’s severity and frequencies, resolved papilledema 
with improved visual function. Recommendations: Nursing health coaching program should 
be applied among all patients with idiopathic intracranial hypertension as an effective nonpharmacological, non-surgical conventional method