Congenital obstruction of the nasolacrimal duct is a condition frequently occurs among young infants. So, proper early management is urgently required. This study aimed to evaluate the effect of designed guideline for mothers having infants suffering from congenital nasolacrimal duct obstruction. Settings: This study was conducted at out-patient clinic of ophthalmology at Benha University Hospital & Ophthalmology Hospital at Benha City. Design: A quasi experimental design was used. Sampling: All infants who attended to outpatient clinic and confirmed diagnosis with congenital nasolacrimal duct obstruction during the period of data collection and their mothers. Tools of data collection: Tool I: A structured interviewing sheet was used; it included three parts; Part 1: Personal characteristics of mothers; Part 2: Personal characteristics and medical data of the studied infants; Part 3: Mothers’ knowledge about congenital nasolacrimal duct obstruction. Tool II: It consisted of two parts; Part 1: Reported practices of mothers related to congenital nasolacrimal duct obstruction, Part 2: Observational checklist for massage technique, Tool III: Follow up sheet for infant’s to assess the improvement of infants’ status after implementing the designed guideline for mothers . The results of this study revealed that: The designed guideline for mothers having infants suffering from congenital nasolacrimal duct obstruction lead to high rates of improvement of total knowledge score from 8.8%(pre) to 87.8%(post) regarding good knowledge and satisfactory practice from7.5% (pre) to 73.8% (post) that reflect on high improvement rates of nasolacrimal duct obstruction reached to (85%) infants who cured and didn’t need surgical intervention. It was concluded that: the designed guideline for mothers about congenital nasolacrimal duct obstruction were effective method for improvement of mothers’ knowledge and practice about the proper care for their infants. This improvement in knowledge and practices subsequently lead to high rates of resolution of congenital nasolacrimal duct obstruction. So it recommended that: educating mothers about proper care for infants with congenital nasolacrimal duct obstruction. Emphasizing the importance of the nasolacrimal massage to the infants can reduce the risk of unnecessary surgical intervention and its subsequent complications. |
