Proposal Protocol for Management of Health Needs among Patients Undergoing Intestinal Obstruction Surgery

Abstract

Background: Intestinal obstruction surgery is a common surgical emergency procedure due to a mechanical or functional blockage of the bowel. Obstruction frequently causes abdominal pain, nausea, vomiting, constipation and distention. Aim: The aim of this study was to propose a protocol for health needs management among patients undergoing intestinal obstruction surgery. Design: A descriptive exploratory design was utilized in carrying out this study. Setting: The study was conducted at surgical departments and outpatients' clinics at El Demerdash hospital. Subjects: A purposive sample of 90 adult patients undergoing intestinal obstruction surgery constituted the study sample. Tools: One tool was used for data collection: Patients' interviewing questionnaire it was includes three parts 1-sociodemographic characteristics. 2-Medical data sheet. 3-Health needs assessment questionnaire to assess physical, psychological, social, educational and spiritual needs. Results: the result of the study showed that less than half of the studied patients had moderate level related to total physical needs, scores less than two thirds of them had moderate level related to total psychological needs scores and slightly less than three quarters of them had moderate level related to total social needs scores. Moreover, slightly less than two thirds of the studied patients had low level related to total educational needs scores. While, slightly more than half of them had moderate level related to total spiritual needs. Conclusion: The highest needs were social needs followed by scores psychological, educational, spiritual and then later physical needs. There were highly statistically significant positive correlations between total physical, psychological, social, educational and spiritual needs of the studied patients undergoing intestinal obstruction surgery. Recommendation: Continuous assessment of the needs of the patients undergoing intestinal obstruction surgery is highly recommended