Effectiveness of A Planned Teaching Programme on Mothers' Knowledge Regarding Home Care Management of Children Undergoing Genitourinary Surgery in Selected Hospitals

Abstract

Introduction: Genitourinary (GU) disorders are among the most common congenital and acquired conditions requiring surgical intervention in children. Successful postoperative recovery largely depends on appropriate home care provided by mothers, who are the primary caregivers after discharge. Inadequate knowledge regarding wound care, medication administration, hygiene, nutrition, catheter care, activity restrictions, follow-up, and recognition of complications may adversely affect recovery. A planned teaching programme can enhance mothers' knowledge and improve postoperative home care practices.

Methods: A quantitative evaluative research approach with a quasi-experimental pre-test–post-test control group design was adopted. The study was conducted among 70 mothers of children undergoing genitourinary surgery in selected hospitals of the Sangli, Miraj, and Kupwad Corporation area. Participants were selected using non-probability purposive sampling and assigned to an experimental group (n=35) and a control group (n=35). Baseline knowledge was assessed using a structured knowledge questionnaire. The experimental group received a planned teaching programme, whereas the control group received routine hospital care. Post-test assessment was conducted using the same questionnaire. Data were analysed using descriptive and inferential statistics, including paired t-test, unpaired t-test, and Chi-square test.

Results: The experimental group showed a statistically significant improvement in knowledge following the intervention, with the mean score increasing from 10.26 ± 3.39 in the pre-test to 18.09 ± 2.68 in the post-test (paired t=22.126, p<0.001). The control group showed no significant improvement (paired t=0.572, p=0.571). Post-test knowledge scores were significantly higher in the experimental group than in the control group (unpaired t=13.134, p<0.001). Mothers' educational status was significantly associated with pre-test knowledge (χ²=28.285, p<0.001).

Discussion and Conclusion: The findings demonstrate that the planned teaching programme effectively improved mothers' knowledge regarding home care management of children undergoing genitourinary surgery. Integrating structured discharge education into routine paediatric surgical nursing practice can enhance caregiver preparedness, promote safe home care, reduce postoperative complications, and improve recovery outcomes.