الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
A surgical drain is a tube used to remove pus, blood or otherfluids from a wound. Drains inserted after surgery do not result in faster wound healing or prevent infection. But, it is sometimes necessary to drain body fluid which may accumulate and in itself become a focus of infection. The routine use of drains for surgical procedures is diminishing as better radiological investigation and confidence in surgical technique have reduced their necessity (Tina,et al, 2009). The aim of this study was to assess the benefits and compare the effects of using and not using wound drains in caesarean section. Nursing care for drain after surgery the experimental design was used to fulfill the aim of the study. Data were collected from the obstetric and gynecological department in Minoufia University Hospital at Shebin-Elkom. Asimple random sample was conducted of women undergoing cesarean section. The sample size was 100 cases divided into women with cesarean section wound drains (N =50) representing the study group and women without cesarean section wound drains (N =50) representing the control group. Data were collected through the following:. An interviewing questionnaire was used to collect data from the study group such as Information about personal, medical, surgical family, and obstetric history. An observational checklist was used to collect data from the women who were observed as two hours after operation, the first hours and the second 24 hours.Results:- The main findings of the study revealed the following: - Regarding age of the study group, it ranged from 26.8 ± 3.8 years in cases with drain cesarean section and 27.7± 4.3 years in cases without drain. Also, the majorities of cases were resident in rural areas (about68.0%) in cases with drain and had secondary level of education (about 50.0%). The table revealed that the age of cases without drain ranged from 27.7± 4.3 years. Also, the majorities of cases were resident in rural areas (about72.0%) and had a secondary level of education (about 62.0%).- As regards occupation, the majority of the study groups with and without drain were housewives (about 76.0). - As regards medical and surgical history, a small number of caseshad previous abdominal surgery (appendectomy) about 39% and ovarian cyst about 1%. - As regards obstetric and gynecological history, almost all the study sample had previous cesarean section (about 96%) and had living children and the best place of choice for labor was hospital (about 96%). The majority of women had two or three children. - As regards nursing assessment of their current labor, all patients with and without drain experienced catheter application, with normal amount urinary catheter, contracted uterus with pain during 1st 24 hours, normal bowl movements and walking.- As regard to nursing assessment of their current labor, almost all the study sample had full-term newborn (99%), complete conscious level (97%), and spinal anesthesia (97%). As regardsthe sense degree, they had it at operation site and legs (81%) and had moderate pain (81%).- Regarding the type of drain, most of the cases had traditional drain. - As regards to nursing follow up after operation, almost all the sample had normal amount of drain (about 92%) within 2 hours and (about 92%) within 24 hours. Also, they had serosanguineous content (about 46%) within 2 hours and (about 90%) within 24 hours. they had serous content and had normal vital sign within 2 hours and 24 hours. - As regards nursing management and follow- up after operation, almost all the sample had normal vital sign and wound healing. As regards the site of wound, some cases had pus, redness and oozing. - As regards daily activities, most of the sample of cesarean section wound drain had not psychological effects such as depression and anxiety (about 78.0) and bonding (about 60.0). All the sample with cesarean section wound drain had difficulty walking, breast feeding and dependency (about 100.00) on the first day. - Regarding daily activities, most of the sample of cesarean section without wound drain had psychological effects such as depression, anxiety, bonding and difficulty walking (about 100.0) . Most of the sample of cesarean section without wound drain had difficulty breastfeeding (about 84.0) and dependency (about 86.00) on the first and second days.