الفهرس 
Extra-hepatic causes of ascitesOnly 14 pages are availabe for public view
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Abstract
Free fluid in the abdominal cavity is ascites. Ascites is a symptoms that may have important diagnostic, prognostic, and therapeutic implications. When clinically detectable, ascites may indicate underlying heart failure, liver disease, nephrotic syndrome, or malignancy. In patients with liver disease ,ascites has prognostic significance since operative mortality is increased and overall survival is decreased; ascites may also signal metastases in patients with malignancy. Compliance toward nursing management is a very important issues in the successful treatment of ascites and prevention of complications. The main goals of ascites care are education regarding dietary sodium restriction and oral diuretics. These are affected by patient compliance, which is the extent to which a person’s behavior coincides with medical or other health care regimen. The present study aimed to assess compliance of patients with abdominal ascites toward nursing management. This study was conducted at Medical and Tropical Departments at Tanta University Hospital. A convenience sample consisted of 150 patients who had the following criteria: Patients age from 21 to 60 years, both sexes, conscious, and Patients free from complications or associated disorders. Tools of data collection: Three tools were used by the researcher in order to obtain the necessary data for the study. Tool (I) Structured interview questionnaire schedule: it was consists of two parts: Part (a): Biosocio-demographic characteristics, which included patient code, name, age, sex, marital status, residence, educational level, occupation, income monthly and family size. Part (b): Clinical data, included past and present medical history, onset of disease, medication condition, vital signs, causes of ascites, previous hospitalization and past surgical history. Tool (II): patient knowledge assessment sheet: it was developed by the researcher to assess the knowledge of the patient regarding ascites. It contained 14 questions. Tool (III): Compliance toward Nursing Management Questionnaire: Compliance toward Nursing Management Questionnaire was developed by Teleb S and El-Shazly A(12) and were adopted and modified by the researcher. It includes closed ended questions related to compliance to nursing management as compliance with sodium restriction, alcohol cessation, treatment regimen, daily weighting, exercises, urine sodium monitoring, paracentesis and self care practice as skin care. The main results obtained from the present study: It was found that (73.3%) of the studied patients ranged from 50-60 years old. Also, it was found that (51.3%) were females and (48.7%) were males. Concerning the marital status, it was showed that (75.3%) of the studied sample were married while (46.7%) were housewives. It was found that there is a statistical significant differences between total compliance level and total knowledge level with p value= 0.00. There is a significant difference between total knowledge level and socio-demographic data regarding sex, marital status, educational level and occupation where p= 0.003, 0.031, 0.00 and 0.00 respectively. Also, There is a significant difference between sociodemographic data and total compliance level in relation to age, educational level, residence and occupation where p= 0.001, 0.00,0.009 and 0.001 respectively. There is a significant positive correlation between total knowledge scores and socio demographic data regarding educational level and occupation (work) where p= 0.00, 0.00 respectively. While there is a significant negative correlation regarding age, sex, and occupation (housewife) where p= 0.028, 0.002, 0.00 respectively. There is a significant positive correlation between total compliance score and socio-demographic data regarding educational level, residence and occupation(work) where p= 0.00, 0.003, 0.000 respectively. While there is a significant negative correlation regarding age, occupation (not work) where p= 0.00, 0.009 respectively. There is a significant positive correlation between total compliance level and total knowledge level where p= 0.00. The study concluded that compliance among patients with abdominal ascites had fair level. Knowledge level of patients about their disease had a significant positive impact on their compliance toward nursing management. Patient education is very important to enhance compliance. from the results of the present study it can be recommended to provide ascites care guidelines hand book for each patient in simplified terms to provide the patients with the necessary and required knowledge for enhancing their compliance.