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Educational Nursing Intervention: Its Effect on the Nurses’ Performance, Patients’ Daily Living Activities, Needs and Selected Visual Problems of Cataract Surgery

Cataract is the second cause of visual impairment and the first cause of blindness globally so 
inadequate nursing intervention lead to serious complications for the patient with cataract surgery. 
Purpose of the study: to evaluate the effect of educational nursing intervention on the nurses’ 
performance, patients’ daily living activities, needs and selected visual problems of cataract surgery. 
Setting: The current study was carried out at ophthalmology department and out patients’ 
ophthalamology clinic in Menoufia university hospital and El Ramad hospital in Shebin El-Kom 
district, Menoufia governorate, Egypt. Subjects: A purposive sample of adult 25 nurses and 100 
patients was divided into two equal groups (study and control). Tools of the study: Three tools for 
data collection; two tools for nurses (a self-administered questionnaire (tool I) and an observation 
checklist for nurses’ performance (tool II) and one tool for patients (an interview questionnaire, tool 
III). Results: There was a highly statistically significant improvement in total mean score of nurses’ 
knowledge from 27.56±3.11 pre intervention to 41.08±4.09 post intervention and after one week to 
38.0±3.69 as a follow up. Also, there was a highly statistically significant improvement in the total 
nurse's performance mean score from 102.84±21.54 pre intervention to 245.44±22.84 post 
intervention and after one week to 239.84±23.05 as a follow up p < 0.001. Also, there were highly 
statistically significant improvements in meeting all patients’ daily living activities and needs with 
minimized visual complications after intervention (p < 0.001). Conclusions: Total good level of 
knowledge, satisfactory performance of the studied nurses significantly improved after 
implementing educational nursing intervention with better achievement of patients’ daily living 
activities and needs with major limitation in visual problems.