Effect of the Nursing Protocol of Care on Health-Related Outcomes for Patients Undergoing Permanent Pacemaker Implant | ||||
| Egyptian Journal of Health Care | ||||
| Article 61, Volume 13, Issue 4, December 2022, Page 815-833 PDF (240.58 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.265124 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Wafaa Hassan Ali Awad1; Walaa El shahat Ahmed El gammal2; Azza Anwar Aly3; Safaa Hussein Mohamed Abd Elrhman4 | ||||
| 1Assistant professor of Medical-Surgical Nursing. Faculty of Nursing, Alexandria University | ||||
| 2Lecturer, of Medical-Surgical Nursing. Faculty of Nursing, Faculty of Nursing, Damanhour university | ||||
| 3Assistant professor of Medical-Surgical Nursing. Faculty of Nursing, Damanhour University | ||||
| 4Lecturer, of Medical-Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: Patients undergoing permanent implantable pacemakers, challenge with multiple physical, psychological, and social complications. The patients may perceive the pacemaker device as electronic security or as a source of physical, psychosocial, and emotional discomfort. So self-care management for those patients and patients’ practices will lead to improving their life and overcoming physical, social, and psychological problems, and improving their outcomes. Aims: to determine the effect of the nursing protocol of care on health-related outcomes for patients undergoing permanent pacemaker implant. Design: A quasi-experimental design was used. Setting: The study was conducted at the Cardio- Electrophysiology Unit at the new Main Alexandria University Hospital Alexandria Sample: data was conducted on 100 cardiac patients undergoing permanent pacemaker implants that were divided into two equal groups as study and control. Tools: Three tools were used in this study. The tool I: Structured Interview Schedule, Tool II: patients’ Knowledge Assessment Questionnaire regarding pacemaker implant, Tool III: Patients’ Health Outcomes Sheet. Results: Overall total scores of self-care practice and patient knowledge improved significantly in the study group immediately post and post three months from program implementation in comparison with the control group indicating a significant difference between the two groups after implementing a teaching program (P>0.001). Conclusion: Medication management, Postoperative pacemaker implant care, precautions followed postoperatively, diet modification, ADL and follow-up were improved significantly in the study group immediately post and post three months from the nursing protocol of care. Recommendation: a training program for nurses about the protocol of care for patients with a permanent pacemaker. Future studies are needed about artificial pacemaker issues to develop evidence-based nursing management guidelines from different health centers in Egypt. | ||||
| Keywords | ||||
| Health-related outcome; the nursing protocol of care; permanent pacemaker implant | ||||
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