الفهرس 
Significance of the studyOnly 14 pages are availabe for public view
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Abstract
Spinal anesthesia (SA) is popular for its effectiveness in producing anesthesia
with excellent intraoperative neuromuscular paralysis and in generating analgesia for
relieving post-operative pain if continuously infused. As the SA techniques are
popularly used, post-dural puncture headache (PDPH), a common iatrogenic
complication resulted from post spinal taps or accidental dural puncture subsequent to
epidural block, is frequently reported and becomes a challenge to health caregivers
(Chin & van Zundert, 2023).
So nursing intervention is critical in minimizing incidence of PDPH because
early identification of precipitating factors is extremely important in diagnosis and
treatment of this condition. These factors would consequently lead to delay of the
healing process of patients’ wounds, and result in longer hospital stay and subsequent
financial load on the patients and their families, as well as the healthcare system.
Moreover, PDPH might give patients a bad experience with spinal anesthesia that
makes them reluctant to use it again (Eldoushy, 2023).
The purpose of this study was to determine the effect of nursing intervention
on post dural puncture headache and satisfaction among patients undergoing spinal
anesthesia.
Setting: The study was carried out at general surgery department of Menoufia
Emergency Hospital, Shibin El-Koum, Menoufia Governorate, Egypt.
Subjects: A purposive sample of 321 adult patients who fulfilled the inclusion criteria
was assigned randomly and equally divided into three groups.
1- Control group: comprised of 107 patients, they received hospital routine care.Study group: It was divided into two equal groups:
The selection was done according to who likes or dislikes drinking coffee:
2- Study group 1: comprised of 107 patients, they received nursing interventions
beside hospital routine care.
3- Study group 2: comprised of 107 patients, they received nursing interventions
plus drinking coffee beside hospital routine care.
Instruments of the study: Three instruments were used for data collection
Instrument I: Structured interview questionnaire.
Instrument II: Grading of post dural puncture headache (PDPH) Severity
(Campbell et al., 1993)
Instrument III: The Instrument was adapted from Patient Satisfaction with
Perioperative Anesthetic Care questionnaire (PSPACq) (Mui et al., 2011).
The main findings of the present study were
• There was a highly statistical significant difference among control group and
study group 1,2 regarding severity of headache after one week post-surgery.
• There was a highly statistical significant relationship between control group and
study group1 after one week post-surgery according to effect of headache on all
activities on daily living.
• There was a highly statistical significant relationship between control group and
study group 2 after one week post-surgery according to effect of headache on all
activities on daily living.• There was no statistical significant relationship between study group 1 and study
group 2 after one week post-surgery according to effect of headache on all
activities on daily living.
Conclusion
• Nursing intervention had a significant effect on PDPH among study group1 than
control group.
• Nursing intervention had a significant effect on PDPH among study group2 than
control group.
• Nursing intervention had a positive effect on patients ’ satisfaction with spinal
anesthesia among both study group 1&2.
Recommendations
It is recommended to generalize these structured nursing measures in hospitals
to be included in the routine post-operative nursing care for patients undergoing spinal
anesthesia. This would decrease the incidence of complications, and reduce hospital
length of stay. More research is needed to investigate the effectiveness of these
measures in other types of surgery using spinal anesthesia.