الفهرس 
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Abstract
Summary Cataract remains the leading cause of blindness globally. It usually occurs in people
overage 50 years and is the principal cause of blindness in the world.
The purpose of the current study was to examine nursing intervention on nurses’
practice regarding patients’ daily living activities and selected visual problems of cataract
surgery.
Subjects and method:
The current study was conducted at ophthalmology department and out patients ophthalmic
clinic, in Menoufia university Hospital and El Ramad Hospital in Shebin El-Kom, Menoufia
Gavernorate, Egypt. Data were collected over a period of 6 months extended from the beginning
of July 2019 to the end of December 2019.
A group of 25 nurses was examined three times (pre intervention, immediately post
intervention and one week as a follow up after nursing intervention).
patients was divided into two equal groups; 50 for each group:
- Control group (I) of 50 patients was examined three times on (one day, one week and
one month) and receive routine hospital nursing care.
- Study group (II) of 50 patients was examined three times on (one day, one week and
one month) after nursing intervention as implementing educational nursing
intervention for nurses.
Tools of the study:
Three tools were carried out for data collection of the current study (tool I & tool II)
for nurses and (tool III) for patients.
Summary
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Tool I: a self-administered questionnaire:-
This tool was developed by the researcher to assess sociodemographic and knowledge
of the nurses. It was written in English and was comprised of two parts:
Part 1: socio demographic characteristics of the nurses: it was used to collect data about
the following: age, gender, marital status, educational level, years of clinical experience and
training courses in ophthalmology.
Part 2: knowledge assessment: it included questions to assess nurse’s knowledge before and
after implementation of educational nursing intervention.
Tool II: Observation checklist:-
This tool was developed by (Mecann, Judith and Cooper, 2009) and adapted by the
researcher to examine nurse’s practice for the care provided to patients after cataract surgery.
Tool III: Patient’s Interviewing Questionnaire for the patients:-
This tool was developed by researcher to assess patients’ daily living activities &
needs and visual problems within (one day, one week and one month) after surgery.
It was divided into three parts as the following:-
Part 1: Patients’ socio demographic data such as age, gender, marital status, occupation,
level of education, smoking and monthly income.
Part 2: Patients’ daily living activities and needs to assess meeting of patients’ daily living
activities and needs, such as:- (Physical needs, Psychological domains, Pre-discharge
instructions).
Part 3: Patient’s visual problems: it was assessed patient’s selected visual problems after
cataract surgery.
Summary
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The main findings of current study were:-
There were highly statistically significant and clinically relevant improvement in
nurses’ knowledge and practice regarding educational nursing intervention about cataract
surgery after implementing nursing interventions with improvement of patients’ daily living
activities & needs and less incidence of post-operative visual problems to patients in the study
group than control group.
Conclusions:
Based on the findings of current study; it can be concluded that implementing nursing
intervention to nurses for enhancing care of patients undergoing cataract surgery had a
positive effect and improvements in nurses’ knowledge and practice with a better achievement
of patients’ daily living activities & needs. Also with minimize post-operative cataract visual
problems.
Recommendations:
Ophthalmic nurses should receive periodic training programs to improve, update,
refreshing their knowledge and practice regarding cataract which a better achievement of
patients’ needs and minimize postoperative visual problems. Replication of the study on a
large sample size and with long term follow up can help in generalized the results on other
clinical areas.