Day Case Ureteroscopic Lithotripsy Procedure: Outcomes of Creating Awareness on Patients` Satisfaction

Abstract

Aim: This study aimed to evaluate the outcomes of creating awareness on patients` satisfaction with day case ureteroscopic lithotripsy procedure. Subjects and Method : A quasi-experimental design was utilized for the conduction of this study in the Uro-Surgery Department and Urology Outpatients` Clinics at Minia Nephrology and Urology University Hospital and EL- Demerdash Surgical Hospital affiliated to Ain Shams University . A purposive sample of (80) adult and old age patients involved both genders underwent ureteroscopic lithotripsyand taken from the above mentioned settings . Tools of data collection were: 1) Patients, interviewing questionnaire (pre / post / follow up tests) to assess the studied patients` knowledge as regards ureteroscopic lithotripsyprocedure. 2). An observation checklist (pre / post / follow uptests) to evaluate studied patients' practices in relation to care activities of ureteroscopic lithotripsyprocedure. 3) Hamilton Anxiety Rating Scale (pre / post/ follow up tests) to assess anxiety level. 4) Numerical pain scale (pre / post / follow uptests) to assess pain severity level. 5) Patients` health condition assessment ( Post / follow up tests . 6) Patients` satisfaction assessment sheet (post- test) to assess the satisfaction level. Results: More than half of the studied patients were male , above 40 yrs. and overweight. There were unsatisfactory level of patients` awareness ( knowledge and practices ) , added to elevated pain and anxiety levels pre guidelines . Conclusion : On light of the current study results , it can be concluded that the educational guidelines for patients with ureteroscopic lithotripsy procedurehad a positive effect on creating awareness (knowledge and practices) and health condition outcomes : relieving of anxiety and pain levels , condition progress and improving satisfaction level. Recommendations: Further studies should be carried out on a large number of patients with ureteroscopic lithotripsy for evidence of the results and generalization.