Effectiveness of nursing care on clients with herniorrhaphy at Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research

Abstract

The present study was conducted to elicit the effectiveness of nursing care on client with herniorrhaphy. Evaluative research design was adopted. A total of 30 clients with herniorrhaphy who met the inclusion criteria were selected from surgical wards in Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research by using convenient sampling techniques and other individualised care were provided. The investigator introduced herself to the clients and developed professional therapeutic relationship with them. Then demographic data about clients were collected with the help of questionnaire and a standardized Modified Aldrete Rating Scale was used to assess the health status. Score was given accordingly. At the time of initial assessment out of thirty clients 27 were in poor health status and three were in fair health status, after that individualized nursing care was given as per nursing process daily and at the day of discharge the client health status were evaluated with the help of modified Aldrete Rating Scale. Out of 30 clients 25 were in good health status, five were in fair health status. The data were analyzed by using descriptive and inferential statistical analysis. CONCLUSION: The improvement score mean was 13.96 with the standard deviation of 3.44 and calculated value is less than sign value 9.13 which was highly significant at p<0.001 level. The correlation value showed that there was no correlation between demographic variables like religion, marital status, educational status, family type, family income, residential area and effectiveness of nursing care and improvement of health status of clients with herniorrhaphy. Thus the effectiveness of nursing care was independent of the demographic variables. The overall finding showed that the pre operative and post operative nursing care was very effective in improving health status in terms of clients normal body temperature, improvement in fluid and electrolyte balance nutritional status, wound healing process, free from complications, improving coping abilities of patient and family members. So finally, it was concluded that pre and post operative nursing care was highly effective for clients with herniorrhaphy