The Effect of Instructional Guidelines on Women that Suffer from Genital Prolapse

  • Mervat Saad Fathy Saad Technical Institute of Nursing, Ministry of Health, Egypt
  • Entesar Fatouh Abdel Moniem Maternal and Newborn Health Nursing Department, Faculty of Nursing, Helwan University, Egypt
  • Rania Abd El-hak Eid Farrag Maternity and Neonatal Health Nursing Department, Faculty of Nursing, Fayoum University, Egypt
  • Haitham Mohannad Badran Obstetrics and Gynecology Department, Faculty of Medicine, Fayoum University, Egypt
Keywords: instructional guidelines, prolapse, symptoms

Abstract

Genital prolapse is one of the most frequent causes of gynecological morbidities among women in the world. The symptoms of genital prolapse can be extremely debilitating and have an appreciable impact on quality of life. The present study aimed to evaluate the effect of instructional guidelines on women that suffer from genital prolapse  . Quazi experimental design was conducted at the out-patient’s clinics of Fayoum University hospital and General hospital (obstetrics and gynecology clinic). Purposive sample 73 women was included in the study. Data were collected through four types of tools (structured interviewing questionnaire sheet, Pelvic Organ Prolapse Quantification system (POP–Q) . It was used to assess genital prolapse, Pelvic organ prolapse-symptoms score (POP-ss),it was used to assess symptoms of genital prolapse and Instructional guidelines follow up sheet was designed to assess the manifestations. The results of this study revealed that there were a statistically no significant differences between the women with satisfactory level of knowledge and genital prolapsed symptoms, and its stages before instructional guidelines. While the result is almost statistically significant between the women with satisfactory level of knowledge and symptoms and stages after instructional guidelines, there were a statistically significant differences between the genital prolapsed symptoms and its stages before and after instructional guidelines. The study concluded that instructional guidelines was effective in improving women' knowledge and stages regarding genital prolapse. As well a reduction in prolapse symptoms which lead to better quality of life at follow-up periods.

References

Adams, J., and Tovery, P., (2013): Complementary and alternative medicine in nursing and midwifery: Towards a critical social science. Routledge Publishing, London, England; 4(65): 45-67.

Aigmullar, T. (2016): Diagnosis and therapy of female pelvic organ prolapse, available at; https://www.ncbi. nlm.nih.gov

Alberta, A., (2016): Bladder irritants. Urology Journal; 25(9): 1-2.

Alila, B., (2014): Anatomy of internal female reproductive organs; Shutterstock Publishing; 9(56): 27.

Amy, A., (2015): Integrating complementary alternative medicine: A nurse's challenge. Alternative and Complementary Medicine Journal; 3(46): 898-903.

Arias, B., Ridgeway, B., and Barber, M., (2018): Complications of neglected vaginal pessaries: case presentation and literature review. Urogynaecology. Pelvic Floor Dysfunction Journal; 6(2): 19,1173.

Arvigo, R., and Belize, I., (2013): The Arvigo Techniques of Maya Abdominal Therapy. Alternative and Complementary Medicine Journal; 11(3): 1,3.

Bacsu, C., and Zimmern, P., (2016): Complications and treatment of urinary incontinence and pelvic organ: prolapse surgical treatment. Medical Journal; 24(2) 6: 229-237.

Bajracharya, A.R. (2011): Uterine prolapse a hidden for women, available at; www.iimsph.com/?mno=l 81221.

Barsom, R. & Sitter, R. (2015): Uterine Prolapse in Emergency Medicine: Etiology,available at: emedicine.medscape.com/article/797295-overview.

Barsoom, R. (2015): Uterine Prolapse in Emergency Medicine, available at; emedicine.medscape.com/ article/797295-overview.

Be, KHilde, G., Jensen, J., Siafarikas, F. and Engh, M. (2013): Too tight to give birth? Assessment of pelvic floor muscle function in 277 nulliparous pregnant women. International Urogynecol J 24:2065-2070, available at; https://www.ncbi.nlm. nih.gov/pubmed/ 23749241.

Betsy, M. (2017): What Women Should Know about Uterine Prolapse available at; https://www. aurorahealthcare, nr^/patients-visitors/blog/what-women- should-know_: a hoi it-i i ten n e-prolapse.

Braun, K. (2011): Genital prolapse fact sheet | Women's Health Queensland ...available at; womhealth. org.au > Conditions & Treatments Chen Xiaohui. 91 cases of laparoscopic hysterectomy with experience [J], Foreign Medical Research, 2013, 12 (07): 90.

Bruno, T., Bernardes, A., Paula, M., Liliana, S., Emerson, O., Rodrigo, A., Batista, C and Marair, A. (2012): Efficacy of pelvic floor muscle exercises for treating organ prolapse in women, Department of Gynecology, Universidade Federal, Randomized controlled trial SaoPaulo Med J.

Bucher, L, Harding, H. & Roberts, K. (2017): Medical surgical nursing, assessment and management of clinical problems, 10th edition, El sevier, USA, Section 10, PP 1262, available at; https://booVs.google.com. eg/books?isbn=0323371647.

Bugge, C., Adams, E., Gopinath, D. and Reid, F. (2013):

Pessaries (mechanical devices) for pelvic organ prolapse in women, Cochrane Database Systematic Review, available at; http://www.ncbi.hlm. nin.gov/ pubmed.

Bureau, M. & Carlson, K. (2017): Pelvic organ prolapse: A primer for urologists available at; https://www.ncbi.nlm . nih.gov / pmc / articles / PM C5461143

Glazener, A., Macarthur, C., Hagen, S., Elders, A., Lancashire, R., Herbison and Wilson, D. (2014):Twelve-year follow-up of conservative maagement ofn postnatal urinary and faecal incontinence and prolapse outcomes, Randomized controlled trial, BJOG.; 121:112-20, available at; https://onlinelibrarv.

Hoff, I., (2015): Pelvic floor function and pelvic organ prolapse. Obstetrics Gynaecological Journal; 2 (115): 1- 28.

Hogston, R., (2014): Managing Nursing Care, 4th ed.,Lippincott Williams Inc., USA, chapter 1; pp. 18-19.

Jelovsek, .J, Maher, C., and Barber, M., (2014): Pelvic organ prolapse. Lancet Medical Journal; 369 (9566): 1027-1038.

JIYI, E., DIKE, E., ANOLUE, F,, NZEWUfflE, A., and EJIKEM, C., (2013): Uterovaginal prolapse at a university teaching hospital in south-east Nigeria; Orient Journal of Medicine; 25( 3-4): 107-110.

Johnson, D., Majeroni, B., and Kuncharapu, I. (2015): Pelvic organ prolapse. Obstetrics and Gynaecology Journal; 81(9): 1111-1117.

Jones, K., and Harmanli, O., (2016): Pessaiy use in pelvic organ prolapse and urinaiy incontinence. International Urogynaecology Journal; 3(1): 3-9.

Kashyap, R., (2013): Uterus prolapse and its conservative management. International Journal of Obstetrics and Gynaecology; 3(17): 4-27.

Kashyap, R., Jain, V., and Singh, A., (2013): Comparative effect of 2 packages of pelvic floor muscle training on the clinical course of stage I—III pelvic organ prolapse. International Journal of Gynaecology and Obstetrics; 121(1): 69-73.

Kay, L., (2010 ): Nurse manager competencies. Canadian Journal of Nursing Management; 9 (1): 45-64.

KeIin, E., (2013): Urogynaecology and pelvic floor disorders treatments. International Urogynaecology Journal; 90 (603): 212.

Kenny, T., and Wright, M., (2014): Pelvic organ prolapsed. Obstetrics and Gynaecology Journal; 36 (2): 127-138.

Kuncharapu, I., Majeroni, B., and Johnson, D., (2013): Pelvic organ prolapse. International Journal of Pelvic Floor Dysfunction; 181(9): 1111-1117.

Lambrou, P., Kontodimopoulos, N., and Niakas, D.,(2010): Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital. American Medical Nursing Association Journal; (8) 26: 9-12.

Lazarou, G., and Grigorescu, B., (2011): Pelvic Organ Prolapse, 7th edition, Pearson Education Publisher, chapter 7, USA; P201.

Leia, C., (2013): Arvigo techniques of Maya abdominal therapy for reproductive, digestive, and pelvic health and healing. Alternative and Complementary Medicine Journal; 1(55): 165-180.

Lentz , G., Linda, J., and Vorvick, M., (2012): Anatomic Defects of the Abdominal Wall and Pelvic Floor, Diagnosis and Management. Comprehensive Gynaecology, 6th ed., Philadelphia, PA: Mosby Elsevier, USA, chapter 20, pp. 116-217.

Lewiky-Gaupp, C., and Sciarra, J.,(2015): Contemporary use of the pessary . Obstetrics and Gynaecology Journal; 6 (1): 75-128.

Lewis, J., (2017): The Arvigo techniques of Maya abdominal therapy: self care handout for women and men clients; available at http://www.mavanbellv.com.

Liddell, A., (2013): Foods that decrease the estrogen levels in women. American College of Nutrition Journal; 6(45): 28.

Lochner, B., (2011): Communicating respect model: cornerstone coaching & training. American Psychiatric Nurses Association Journal; 5(39): 18-22.

Toaf, M. (2011): Uterine Prolapse | OBGYN.Net, available at; www.obgyn.net/incontinence/uterine-prolapse.

Walters, M. & Ridgeway, B. (2013): Surgical treatment of vaginal apex prolapse, available at: https://www.ncbi. nlm.nih.gov/pubmed/23344287.

Williams, B. (2018): Supporting self-care of patients following general abdominal surgery, Journal of Clinical Nursing. 2008; 17(5):584-92, available at; http://www.scienccdirect.com

Wilson, D. (2014): Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes,

Winters, J.C., Togamai, J.M. and Chermansky, C.J. (2012): Vaginal and abdominal reconstructive surgery for pelvic organ prolapse, 10th ed. Philadelphia, PA: Elsevier Saunders, chap 72, available at: www.lutheranhealthcare.org/Main/AdamProducts/5764.aspxed=l.

Wong LP, N. L. (2017). A survey of knowledge and perceptions of genital prolapsed among young to middle-aged women in federal territory. JUMMEC, 2-30.

World Health Organization, (2019): global plan of action for maternal health and new born.

Websites North American Maternal Society. Available at: www.genital prolapse.org. Accessed 13 Dec, 2016. http://www.Womens guid.org, Accessed 13 Dec, 2016.

http://www.genital prolapse awareness month.org/comedic relief.htm

Zambito, T. (2018): Travel-RN-Post Operations, available at https://www.travelnursesource.com/job/.../travel-m-

Published
2021-10-23
How to Cite
Saad, M., Moniem, E., Farrag, R., & Badran, H. (2021). The Effect of Instructional Guidelines on Women that Suffer from Genital Prolapse. Journal of Language and Health, 2(2), 53-64. https://doi.org/10.37287/jlh.v2i2.605