Effect of Comprehensive Nursing Intervention on Patient’s Knowledge, Anxiety and Self-care Practice following Vitrectomy for Diabetic Retinopathy

Hakeim, Eglal Hassanein Abdel; Sultan, Eman Nasr El Dine; Abd Elrasol, Zizi Fikry Mohamed; Hamza, Manar Fathy

doi:10.21608/tsnj.2025.414061

Effect of Comprehensive Nursing Intervention on Patient’s Knowledge, Anxiety and Self-care Practice following Vitrectomy for Diabetic Retinopathy

Document Type : Original Article

Authors

¹ Assistant professor Adult Health Nursing, Faculty of Nursing, King Salman International University, Egypt

² Oculoplastic consultant, Matariah Teaching Hospital, Cairo, Egypt

³ Professor of Medical-Surgical Nursing, Faculty of Nursing, Damanhour University, Egypt.

⁴ Assistant professor of Medical-Surgical Nursing, Faculty of Nursing, Helwan University, Egypt

10.21608/tsnj.2025.414061

Abstract

Background: Diabetic retinopathy is a major health problem that is consider the
first cause of blindness worldwide. Nurses play a crucial role in managing patients
undergoing vitrectomy for diabetic retinopathy. Vitrectomy which plays a vital role
in the treatment of severe complications of diabetic retinopathy. Aim: This study
was conducted to evaluate the effect of comprehensive nursing intervention on
patient’ knowledge, anxiety and self-care practice following vitrectomy for diabetic
retinopathy. Design: Quasi-experimental design was applied in this study. Subject:
purposive sample of 60 adult patients, they were distributed equally to control and
study groups (30 for each). Setting: Data were collected from the Ophthalmology
Diagnostic Laser Unit at El Kaser Al Ani hospital, affiliated to Cairo University,
Cairo, Egypt. Tools: Data were collected through four tools. Tool(1) Structured
Interview questionnaire; Tool(2) Patient's Knowledge Assessment Questionnaire;
Tool(3) self-care compliance scale; and Tool(4) Hamilton Anxiety Rating Scale
(HAM-A) Result: there is an improvement of patients’ level of knowledge, level of
anxiety post comprehensive nursing intervention program. While there is a highly
statistically significant improvement of patients regarding self-care practice
(P>0.001) post comprehensive nursing intervention program for diabetic retinopathy
patients following vitrectomy. Conclusion: The finding of the study concluded that,
diabetic retinopathy patients following vitrectomy who receive comprehensive
nursing intervention improve their knowledge, self-care practices and decrease level
of anxiety. Recommendation: Comprehensive nursing intervention for diabetic
retinopathy patients following vitrectomy is essential.