Nurses’ knowledge and practice concerning fluid and electrolyte balance among patients with congestive heart failure | ||
| Zagazig Nursing Journal | ||
| Article 8, Volume 12, Issue 1 - Serial Number 2016, 2016, Pages 114-128 PDF (375.96 K) | ||
| Document Type: Original Article | ||
| DOI: 10.12816/0029286 | ||
| Authors | ||
| Samah Ebrahim Eldsouky1; Nadia Mohamed Taha2; Maha Desoky Saleh3 | ||
| 1B.Sc. Nursing | ||
| 2Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Zagazig University | ||
| 3Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Zagazig University | ||
| Abstract | ||
| Background: Critical care nurses have a vital role in identifying and treating the physiologic stressors experienced by critically ill patients that disrupt homeostasis such as the patients with Congestive Heart Failure (CHF). Aim of the study: to assess nurses’ knowledge and practice concerning fluid and electrolytes balance among patients with congestive heart failure and investigating the relation between their knowledge and practice. Subjects and Methods: Research design: Cross-sectional analytic design. Setting: The study was carried out at Zagazig Main University Hospital .Subjects:160 nurses and 160 CHF patients .Tools of data collection: a self-administered questionnaire sheet and an observation checklist. Results: nurses' knowledge about CHF and related fluid/electrolytes balance was high, with an overall good percentage having total satisfactory knowledge. The practice was deficient regarding assessment of peripheral circulation, skin and mucous membranes, signs of altered tissue perfusion, ineffective breathing pattern, and alteration in fluid balance. Nurses’ knowledge was positively influenced by their age, and female gender. The practice was negatively influenced by the knowledge score and the number of medications taken by the patient, and the knowledge and practice scores are negatively correlated. Conclusion: Hence, nurse’s age and gender as well as the attendance of training courses are the factors influencing their knowledge, while the factors affecting practice are their knowledge and the number of medications given to patients. In conclusion, nurses' knowledge about CHF and related fluid/ electrolytes balance is variable, with an overall good percentage of total satisfactory knowledge. The practice is generally higher. The knowledge and practice scores are negatively correlated and the training courses have a negative influence on nurses’ knowledge. Recommendations: The nurses working with patients with CHF improve their knowledge, particularly the younger ones. The content and process of training courses need to be revised, with more focus on applied knowledge. | ||
| Keywords | ||
| Congestive Heart Failure; Fluid-electrolyte balance; Critical Care Nursing; Knowledge; Practice | ||
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