Abstract
Benign perianal diseases are common pathologic lesions affecting millions worldwide which lead to significant morbidity and representing major medical and socioeconomic problems . This study aiming to evaluate the effect of life style modification's nursing program on post-operative outcomes of patients with selected benign perianal diseases. Subjects : A purposive sample of 100 adult patients undergoing a surgical procedure for hemorrhoid or/and anal fissure. Setting : The study was conducted at the general surgery department and general surgery out patient's clinics of Menoufia University hospital and Shebien El- kom Teaching hospital . Tools of the study: Four tools were utilized. Tool I: An interviewing questionnaire includes three parts: Personal data, medical data and patient's knowledge about diet and behavioral modification. Tool II: Post-operative complications assessment sheet. Tool III: Kegel exercise's performance checklist Tool IV: Self reported compliance assessment sheet. Results: There was statistically significant difference between study and control group regarding total means of knowledge, behavioral and exercises performance after intervention. There was statistically significant difference between study group and control group regarding post- operative complication. There were statistically significant differences regarding compliance about diet, behavioral modification and exercises in the study group than control group. Also, there was statistically significant reduction of recurrent manifestation of study group and control group after and six months. Conclusion : The implementation of lifestyle modifications program had led to improve healthy habits regarding diet, behavior and exercise practice that leading to reduce postoperative complication and also, is more effective on prevent the recurrence of manifestation after six months of follow up. Recommendations: Generalizing dietary and behavioral life style modifications among patients to prevent diseases initiation / symptoms aggravation reduce the incidence of surgery and disease recurrence after surgery. Keywords: Life Style Modification's nursing program, Post-operative outcomes &Selected benign perianal diseases. DOI : 10.7176/JHMN/60-10 Publication date :March 31 st 2019
Highlights
Operational definitions Life style modification's nursing program: Simple and effective dietary, exercise and behavioral nursing measures to be followed by the patient from the day after surgery
Regarding demographic data the present study presented that the largest percentage of both study and control groups was 30 years of age, this can be attributed to increasing the tonicity of the muscles during this age, which resists the passage of hard stool and will result in hemorrhoids and fissure formation
This result agreed with Kuiri et al, 2014 who conducted a "Comparative Study of lateral Sphincterotomy Versus Local 2% Diltiazem Ointment for the Treatment of Chronic Anal Fissure" and found that the highest rate of anal fissure was among male
Summary
Operational definitions Life style modification's nursing program: Simple and effective dietary, exercise and behavioral nursing measures to be followed by the patient from the day after surgery. Post-operative outcomes: Include postoperative complications, manifestation's recurrence, Dietary, behavioral and exercise modification and participant compliance with learned program outline. Selected benign perianal diseases: Hemorrhoids and anal fissures. Hemorrhoids and anal fissures are the most common types of benign perianal lesions affecting a large sector of people all over the world. There are many risk factors that leading to perianal diseases including genetics, aging, irregular bowel habits as chronic constipation, passing large hard stools, ongoing diarrhea, lack of exercise, low-fiber diets, increased intra-abdominal pressure as with chronic cough, multiple pregnancy and obesity as well as prolonged sitting or standing, pelvic floor dysfunction, squatting with straining while defecating, sitting on the toilet for long time to defecate and persistent straining (Hollingshead and Phillips ,2016 )
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
