Efficacy of Nursing Care Guidelines on Clinical Outcomes for Patients Undergoing Permanent Pacemaker | ||
| Tanta Scientific Nursing Journal | ||
| Volume 35, Issue 4, November 2024 PDF (759.22 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2024.406235 | ||
| Authors | ||
| Asmaa Salah Fayed1; Om Ibrahim Ali Elsaay2; sameh Samir Mohamed Khalil3; Amany Kamal Abd Allah4 | ||
| 1Assistant Lecturer of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt. 2Doctorate student of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 2Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 3Professor of Cardiology, Faculty of Medicine, Tanta University, Egyp | ||
| 4Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| Abstract | ||
| ackground: Pacemaker Implantation is a crucial procedure which saves patient from life- threatening arrhythmias. Patients undergoing permanent implantable pacemakers face various physical and psychological challenges that are increase need to be fully informed about the specific restrictions and precautions for daily activities following pacemaker implantation to improve quality all over their life. Aim: This study was conducted to evaluate efficacy of nursing care guidelines on clinical outcomes for patients undergoing permanent pacemaker. Design: A quasi experimental research design was utilized. Setting: This study conducted at Cardiac Care Department of Tanta Educational Hospital. Subjects: A purposive sample of 80 adult patients undergoing permanent pacemaker surgery divided into two equal groups, Tools: four tools were used. Tool (I): Structured Interview schedule Tool (II): Patients‘ Knowledge Assessment Sheet Tool (III): Adherence to Pacemaker Care Practice Tool (IV): Clinical Outcomes Assessment Tool Results: There was a highly significant statistical difference in the total knowledge levels of all studied patients as (87.5%, 90% and 85%) of study group had high level of knowledge about permanent pacemaker and its work after ten days, one month and three months post implementation of nursing care guidelines. Additionally, significant differences were observed between the study and control groups in adherence with pacemaker care practices (52%of control group had moderate adherence while 62% of study group had high adherence and performance of daily activities post-implementation. Furthermore, the study group showed a significant difference in pain levels according to the Visual Analog Scale. Conclusion: Knowledge, adherence to pacemaker care practices and independency in daily activities were improved in the study group after implementation of nursing care guidelines. Recommendations: Nursing care guidelines are essential for managing patients with permanent pacemakers. It's crucial to enhance caregivers' awareness about pacemaker practices, necessary precautions, and handling complications. | ||
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