Application of Henderson Theory on Nursing Care for Bullous Pemphigus Patients at Khartoum Dermatology Hospital, Sudan

Abstract

Background: Bullous Pemphigus (BP) is a group of life-threatening autoimmune bullous diseases
characterized by flaccid blisters and erosions of the mucous membranes and skin. Autonomy and
Independence theory adopted by Virginia Henderson to care for people affected by bullous pemphigus
diseases help nurses during their job to assist those patients. Main body: The aim of this study was to
assess the effect of application of Henderson theory on nursing care for bullous pemphigus patients.
Patients and methods: quasi experimental pretest- posttest design carried out on 31 nurses working in
Khartoum dermatology and venereology hospital.
Results: Virtually 63% of nurses didn’t have perfect knowledge regarding nursing care for pemphigus
diseased patients based on the concept of Henderson theory following application program, nurses
knowledge rose to 80.73%. The percentage revealed statistically significant improvement on nurses
knowledge (P-value < 0.001). The practical activities of the nurses showed significant improvement
on physiological concepts assessments from 49.06% to 77.7%. Emotional and mental concepts from
14.00% to 68.8, social and spiritual concepts from 22.00% to 71.1%, (P-value < 0.001).
Conclusion: Utilization of Henderson theory into clinical practice induced significant change on
knowledge and practice among nurses in respect to nursing care for pemphigus diseased patients.
Recommendations: Utilizations of theory and theory-based evidence to structure their practice, it
improves the quality of care and safe time.

Organization of regular educational program which gives a chance to reassess proper application of
nursing theories concepts in clinical practice.