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Background: Hydrocephalus is less common in adults but is complex disorder requiring immediate management. Aim: Evaluate the impact of nursing management on outcomes of patients with adult hydrocephalus treated by ventriculoperitoneal shunt. Patients and methods: Randomized controlled trial. A random sample of 74 adult male and female through a period of 2 years, their age (1865 years), newly diagnosed with adult hydrocephalus and planned for treatment with ventriculoperitoneal shunt in neurosurgery department at Assiut Neurological, Psychiatric and Neurosurgery University Hospital. Randomly, there were 2 groups of patients "A1" and "B1". Group "A1" received routine care provided by hospital while group "B1" received routine care in addition to nursing management by researchers. Tools: Patients` assessment sheet, knowledge assessment questionnaire, Grading Scale of Japanese Normal Pressure Hydrocephalus, Rand short form 36 items questionnaire, Instructions and exercises logbook and teaching booklet. Results: Group "B1" showed significant improvements in gait, cognitive function, and quality of life and presented with fewer or no clinical presentations and complications than group "A1". Conclusion: Continuous nursing management combined with periodic follow up is essential to improve patients` outcomes.

Ventriculoperitoneal Shunt: Impact of Nursing Management on Outcomes of Patients with Adult Hydrocephalus