Effect of Enhanced Recovery Program on Clinical Outcomes for Patients Undergoing Keratoplasty

Document Type : Original Article

Authors

1 B.SC. Nursing Sciences,

2 Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt. Director of Nursing Science Program Menoufia National University.

3 Professor of Medical Retina, Faculty of Medicine, Menoufia University,

4 Assistant Professor of Medical Surgical Nursing, faculty of Nursing, Menoufia University, Egypt

Abstract

Background: Keratoplasty is the most common form of solid-organ transplantation performed worldwide. Nurses play a vital role in preventing or controlling post-operative complications post keratoplasty though providing enhanced recovery program. Purpose: To evaluate the effect of enhanced recovery program on SELECTED clinical outcomes for patients undergoing keratoplasty. Design: A quasi experimental research design (pretest posttest) was utilized. Setting: This study carried out at Al-Ramed hospital and the Ophthalmology department at Menoufia University Hospital in Shebin El-Kom, Menoufia Governorate, Egypt. Sampling: A consecutive sample of 66 adult patients were selected and divided alternatively into two equal groups. Instruments: structured interview questionnaire, visual function index 14 and Patient's Health Outcomes. significant improvements of self care practices among study group than control group Conclusion: implementing the enhanced recovery program on patients undergoing keratoplasty improved patient’s knowledge, visual function, enhancing their self- care practice as well as preventing and managing complications. Recommendation: patient education centers should be establihed in the ophthalmology department to provide information to patients before performing the keratoplasty as well as patients as well as replication of the current study on larger probability sample at different settings to increase generality ability of study

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