Effect of Pre and Postoperative Nursing Interventions on Clinical Outcomes and Quality of Life for Patients Undergoing Percutaneous Nephrolithotomy

Omar, Neama Abdallah; Attia, Nagwa R.; Elgamal, Samir; Salem, Fatma A

doi:10.21608/tsnj.2025.450259

Effect of Pre and Postoperative Nursing Interventions on Clinical Outcomes and Quality of Life for Patients Undergoing Percutaneous Nephrolithotomy

Document Type : Original Article

Authors

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

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

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

10.21608/tsnj.2025.450259

Abstract

Abstract
Background: Percutaneous nephrolithotomy is the initial treatment option for
complicated kidney stones. Aim: This study was conducted to evaluate the
effect of pre and postoperative nursing interventions on clinical outcomes and
quality of life for patients undergoing percutaneous nephrolithotomy. Design:
Quasi experimental research. Setting: The study was conducted in the Urology
Department at Students Teaching Hospital. Subject: It consisted of convenience
samples of 60 adult patients who were selected and divided into two equal
groups. Tools: Three tools used in this study for data collection: Tool I:
Patient's Interview Questionnaire. Tool II: Patients’ Clinical Outcomes
Assessment Tool composed of three parts: Part a: Numeric pain rating scale;
Part b: fluid and electrolyte assessment sheet and Part c: Post PCNL
Complications Assessment. Tool III: Quality of life Assessment questionnaire
Result: there was improvement in total knowledge level study group who had
high level of knowledge (83.3) while control group had (6.7%).There were
highly statistically significant differences regarding risks of complications
between both groups p value (<0.001**), It was noted that control groups had
poor quality of life (56.7%) compared to in study group had good quality of life
(73.3%). Conclusion: Implementation of nursing interventions had a positive
impact on clinical outcomes and quality of life. Recommendations:
Implementation of pre &post operative nursing interventions for patients
undergoing percutaneous nephrolithotomy operations upon patients’ admission,
before discharge and in follow up.