Effect of Self Care Management on Nursing-Sensitive Patients’ Outcomes after Permanent Pacemaker Implantation

Abstract

Context: Nursing is striving to build a knowledge base that supports the professional practice and improves the quality of care. Aim: This study aimed to evaluate the effect of self-care management guidelines on nursing-sensitive patients' outcomes after perma- nent pacemaker implantation. Methods: A quasi-experimental design was utilized in this study. A purposive sample of 50 patients was admitted to the cardiac catheterization unit at Ain Shams University Hospital after permanent pacemaker implantation during their follow-up visit. They are divided into two matched groups, study and control groups. Their mean age ±SD was 45.37±5.76, and 48.75±4.27 successively. Pa- tient socio-demographic characteristic and medical data sheet, self-care management level assessment scale, and nursing-sensitive outcomes measuring scale were utilized to achieve the study aim. Results: The study results revealed positive outcomes for patients of the study group compared to the controls and their pre- implementation level of self-care guidelines. Conclusion: The study concludes that implementing self-care management guidelines positively enhances all dimensions of nursing- sensitive patients' outcomes, recommending that it be applied in all cardiac catheterization units and should be updated periodically to enhance self-care management for those patients based on nursing-sensitive outcome classification.