Factors Affecting the Outcomes of Patients with Ischemic Heart Disease at Intensive Care Units | ||
| Egyptian Journal of Health Care | ||
| Article 44, Volume 10, Issue 4, December 2019, Pages 614-635 PDF (356.21 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2019.253134 | ||
| Authors | ||
| Mubarak Abadi Abd AllahAhmed1; Kamelia Fouad Abdallah2; Dalia Abdallah Abdelatief3 | ||
| 1Clinical Instructor at Technical Institute for Nursing and Nursing supervisor at AS-Salam International Hospital-Maadi | ||
| 2Professor of Medical Surgical Nursing Faculty of Nursing - Ain Shams University | ||
| 3Assistant Professor of Medical Surgical Nursing Faculty of Nursing - Ain Shams University | ||
| Abstract | ||
| Background: Ischemic heart disease is the leading cause of mortality worldwide, in both high- and low-income countries, according to the latest data of the World Health Organization in a report updated in 2015, the death rate from ischemic heart disease worldwide amounted to 12.8%. Aim: This study aimed to assess factors affecting the outcomes of patients with ischemic heart disease at intensive care units. Design: A descriptive design was used. Setting: the study was carried out at the intensive care units at As-salam International Hospital, Maadi. Subjects: A convenient sample of all the available staff nurses (n =100 nurses) and a purposive sample of 400 patients with ischemic heart disease. Data collection tools: (1) Patient Interview Questionnaire, (2) Nurses' Interview Questionnaire, (3) Nurses' Practice Observational Checklist (4) Patients' Outcomes Assessment Sheet. Results & conclusion: many factors affecting patients' outcomes, patients related factors (demographic and medical data, knowledge the majority of the studied subjects had satisfactory level, more than two thirds of them had satisfactory level of self- reported practice regarding IHD and their management, psychological and beliefs related factors with the mean of 275.75+102.357 and 339.57+60.43 respectively, health care system and medical team related factors with the mean of 318.75+70.25 and 371.91+18.58 respectively, the majority of nurses had satisfactory level knowledge and practice regarding care of patient with ischemic heart disease patients related factors. Also, the study finding related patients outcomes revealed majority of patients had length of stay in intensive care units 1-5 days, modified early warning score was 18% of low score, more than the half of median score and the minority of them had high score, while majority of the studied patients suffered complications, 3.75% of them had readmission within the first 6 months after discharge and 1.25 % of them suffered mortality. Recommendation: conducting further studies for studying other factors affecting outcomes of patients with ischemic heart disease, conducting educational and in service training programs for nurses and using of the modified early warning score tool to improve nurses' performance regarding caring for critically ill patients and ischemic heart disease and quality of patients' life. | ||
| Keywords | ||
| Factors affecting the outcomes; Patient; Ischemic heart disease; Intensive care units | ||
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