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Effect of Educational Guidelines Prior Nephrolithotripsy on Patients' Performance and Satisfaction

Background: Nephrolithotripsy is a non-invasive kidney stone treatment procedure which breaks the stones into small fragments. Education about nephrolithotripsy helps patients gain best performance (knowledge, practice and behavior) to meet ongoing health care needs. Aim of study: Was to evaluate the effect of educational guidelines prior nephrolithotripsy on patients' performance and satisfaction. Research design: A quasi-experimental, pre-test and post-test intervention research design was implemented to conduct the current study. Setting: The study was conducted at the Urology department at Benha University Hospital, Qalyubia Governorate, Egypt. Sample: A purposive sample consisting of 80 urinary stone patients included case study 40 patients and control study 40 patients. Tools of data collection: Four tools were used to collect data: (I) A structured interview questionnaire for patients included four parts: Patients' personal data, patients' medical history, patients' health habits and patients' diagnostic studies. (II) Patients’ knowledge about nephrolithotripsy assessment sheet. (III) Patients’ practice and behavior checklist; included three parts: Diet ,fluids, sports activities and behavior. (IV) Patients’ satisfaction assessment scale. Results: There was statistical significant improvement in patients' total knowledge level about nephrolithotripsy to 87.5%, increased mean score of patients' practice of kfluids, foods and sports activities and increase total patients' follow up behavior to82.5% in study group than control groups after implementing educational guidelines. Conclusion: Application of the educational guidelines has a positive effect on patient’s knowledge, practice and behavior regarding nephrolithotripsy of the performance mean scores of study group post guidelines were statistically significantly higher than pre guidelines implementation. Recommendations: Continuous evaluation of patient’s knowledge about nephrolithotripsy, identify their needs, and barriers that hinder healthy habits to prevent urinary stones recurrences.