الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Kidney stones have been a widespread problem in recent years. Patients with kidney stone disease are prone to several complications and percutaneous nephrolithotomy is considered golden standard for the treatment of upper urinary stones, but still has complications. Therefore, patient education is crucial to decrease postoperative complications. Aim: to evaluate the effect of nursing protocol on knowledge and health outcomes of patients undergoing Percutaneous Nephrolithotomy. Method: A randomized controlled trial study in which sixty patients were selected from patients with renal stones planned for treatment by percutaneous nephrolithotomy and assigned into two equal groups, 30 in each group (study and control) at Nephrology and Urology Center at Mansoura University Hospitals. Tools: Three tools was used to collect the study data: Tool I: A Structured Interview Questionnaire. Tool II: Patients’ Knowledge Regarding Percutaneous Nephrolithotomy. Tool III: Clavien-Dindo grading system for the Classification of Surgical Complications. Results: There were significant improvement in knowledge among the study group than the control group after implementation of nursing protocol, incidence of complications mean score was statistically significant difference between study and control groups (0.003) ), there was significant relation between knowledge level and level of post-operative complications in the study group where (P=0.037),also there was statistically significant difference between level of postoperative complications in relation to length of hospital stay in study group(P=0.035).Conclusion: Patients undergoing percutaneous nephrolithotomy showed a significant improvement in their knowledge and post-operative health outcomes after receiving the nursing protocol. Recommendation: Nursing protocol should be integrated within the plan of care for renal stone patients undergoing PCNL.