Role of the nurse in preventing or reducing increase intracranial pressure following craniotomy

  • Authors

    • Rasha Abdelmowla Assiut University, Faculty of Nursing, Egypt
    • Abdelhakeem Essa Faculty of Medicine, Assiut University, Egypt
    • Esmat Abdelmaged Assiut University, Faculty of Nursing, Egypt
    2017-10-13
    https://doi.org/10.14419/ijans.v6i2.8293
  • Craniotomy, Increase Intracranial Pressure, Nursing Educational Program.

  • Background: Increase intracranial pressure following craniotomy is common and different measures should be taken to prevent or treat it promptly. Aim: Preventing or reducing increase intracranial pressure following craniotomy. Research design: Quasi-experimental.

    Subjects and methods: All nurses (26) in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital, in addition to a sample of 124 patients after craniotomy. Control group (62 adult patients before implementing the nursing     educational program) and study group (62 adult patients after implementing the nursing educational program). Nurses’ knowledge and practice were assessed before and after implementation of the nursing educational program. Tools: Structured questionnaire to assess nurses` demographic data and knowledge about intracranial pressure, observation checklist for nurses` practice, patients’ assessment sheet, and teaching booklet for nurses about postoperative increase intracranial pressure. Results: Highly significant differences were found as regarding nurses` knowledge and nurses` practice pre and post implementing the nursing educational program. Significant difference was found between study and control groups as regarding increase intracranial pressure following craniotomy. Conclusion: Nursing educational program had a significant effect on preventing or reducing postoperative increase intracranial pressure.

    Recommendation: Nurses should have continuous education through programs, workshops, seminars and/or training courses to maintain high quality care.

  • References

    1. [1] Al-Shaer,D., Hill,P.D., and Anderson,M.A., (2011): Nurses’ knowledge and attitudes regarding pain assessment andintervention, Medsurg Nurs, Pp.7-11.

      [2] Bin-Madhi,M.K., (2012): Brain tumors excision guided by neuronavigation: Practical application and results, Doctoral thesis, Neurosurgery, Faculty of medicine, Assiut University, Pp. 89, 92, 95, 99

      [3] Brain Trauma Foundation, (2007): Guidelines for the management of severe traumatic brain injury, VIII. Intracranial pressure thresholds. J. Neurotrauma, 24 Suppl1;S55-8.

      [4] Hickey,J., (2013): Clinical practice of neurological and neurosurgical nursing, 7th ed., Lippincott Williams and Wilkins, Philadelphia.

      [5] Hickey,J.V., and Olson,D.M., (2009): Intracranial hypertension: theory and management of increased intracranial pressure, In The Clinical Practice of Neurological and Neurosurgical Nursing, 6th ed., USA: Wolters Kluwer Health, Lippincott Williams and Wilkins, Pp. 270-307.

      [6] Jaddoua,B.,A., (2014): Assessment of Nurse's Knowledge Concerning Glasgow Coma Scale In Neuro Surgical Wards, Kufa Journal for Nursing Sciences, Vol. 3, No. 2.â€

      [7] Layon,A.J., Gabrielli,A., and Friedman,W.A., (2013): Textbook of neurointensive care, Springer Science and Business Media, â€https://doi.org/10.1007/978-1-4471-5226-2.

      [8] March,K., and Hickey,J., (2014): Intracranial hypertension: theory and management of increased intracranial pressure, The clinical practice of neurological and neurosurgical nursing, Lippincott Williams and Wilkins, Philadelphia, Pp. 266-299.â€

      [9] Roytowski,D., and Figaji,A., (2013): Raised intracranial pressure: What it is and how to recognize it,CME Vol. 31, No. 3, Pp.85-86

      [10] Sadoughi,A., Rybinnik,I., and Cohen,R., (2013): Measurement and management of increased intracranial pressure, Open Crit Care Med J, Vol. 6, No. 1, Pp. 56-65.

      [11] Stannard,D., and Krenzischek,D.A., (2012): PeriAnesthesia Nursing Care: Abedside Guide for Save recovery, Neurologic surgery , Chapter 29, Jones andBartlett Learning. LLC, Canada, P. 259.

      [12] Ugras,G.,A., and Yuksel,S., (2015): Factors Affecting Intracranial Pressure and Nursing Interventions, Jacobs Journal of Nursing and Care, Vol.1, No. 1, Pp. 1-6

      [13] Yildiz,T., Goktas,S., Malak,A., Eren,E., (2014): Neurosurgery Nursing and Spiritual Dimension of Nursing Care,J Health Med Informat,5:144. https://doi.org/10.4172/2157-7420.1000144.

      [14] Youssef,S.S., (2007): Microvascular free tissue transfer surgeries: Impact of a designed teaching protocol on nurse`s knowledge, practices and patient`s outcome, Unpublished doctorate thesis, Adult Nursing, Faculty of Nursing, Assiut University.

      [15] Zomorodi,M., (2011): Nursing management acute intracranial problems, In Medical Surgical Nursing: Assessment and Management of Clinical Problems, 8th ed., Louis: Elsevier Mosby, Pp. 1425-1458.

  • Downloads

  • How to Cite

    Abdelmowla, R., Essa, A., & Abdelmaged, E. (2017). Role of the nurse in preventing or reducing increase intracranial pressure following craniotomy. International Journal of Advanced Nursing Studies, 6(2), 92-98. https://doi.org/10.14419/ijans.v6i2.8293