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

Abstract

Background: Intestinal obstruction surgery is a common surgical emergency 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 surgical hospital. Subjects: A Purposive sample (90) adult patients undergoing intestinal obstruction surgery. Tools: Two tools were used for data collection were: I- Patients' interviewing questionnaire it was includes socio-demographic characteristics and medical data sheet. II- 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, less than two thirds of them had moderate level related to total psychological needs and slightly less than three quarters of them had moderate level related to total social needs. Moreover, slightly less than two thirds of the studied patients had low level related to total educational needs. While, slightly more than half of them had moderate level related to total spiritual needs. Conclusion: The highest needs were social needs followed by 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