Abstrait

Permanent pacemaker implantation: Effect of intervention protocol on nurse's knowledge, practices, and patient's outcomes.

Rehab Ragab Bayomi

Background: Pacemaker may be a supportive therapeutic modality won’t to control long-term cardiac rhythm problems to save patients' lives from complications as sudden death. Nurse plays an important role for caring cardiac pacemaker patients. Aim of the study: To evaluate the effect of intervention protocol on nurses' knowledge, practices, and patient's outcomes. Subjects and methods: Quasi experimental pre–post assessment study was performed on 40 nurses working at cardiology intensive care unit, and Department, and outpatient clinics at Zagazig University Hospitals, and 40 patients with implantable pacemaker in the setting. Tools for data collection: A self–administered questionnaire and an observational checklist. The researcher integrated intervention protocol focused on analysis data collected in the assessment phase in order to provide nurses with intervention protocol guides for caring patients with permanent pacemaker implantation. The intervention protocol evaluation had effects on nurses' knowledge, and practices and based on patient adherence with pacemaker care practice and performing activity daily living was carried out immediately after implementation (post – test). Results: The results showed statistically significant improvements in the knowledge and practice of nurses at the post test (p<0.001), with statistically significant strong positive correlation (r=(r=0.567) between them. Also, across all aspects of patients adherence care practice and performing activity daily living after implementation there were also, statistically improvement (P=0.000*). In multivariate analysis, the intervention was a statistically significant positive independent indicator of the improvement in nurses’ knowledge and practice, and patient's outcome. Conclusion: Implementing nursing intervention protocol for caring patients with implantable pacemaker is efficient in improving the knowledge and practice of nurses, which is a better adherence with pacemaker care activities and increase independency for performing activity daily living. Therefore this protocol can be used in specific settings. Further research is proposed to examine the effect of the implementation of this protocol on reducing the incidence of complications due to non-adherence after implantation of pacemaker.