Effect of Self Care Management on Nursing-Sensitive Patients’ Outcomes after permanent pacemaker implantation

Abstract

Effect of Self Care Management on Nursing-Sensitive Patients’ Outcomes after permanent pacemaker implantation Reham Adel Ebada1, Tahany Ahmed El Senousy 2, Sahar Yassien Mohamed 3, and Dalia Abdallah Abdelatief 4. Assistant lecturer of Medical Surgical Nursing1, Professor of Medical Surgical Nursing2, Professor of Medical Surgical Nursing3 , and Lecturer of Medical Surgical Nursing4, Faculty of Nursing Ain Shams University.

Abstract

Patients undergoing permanent implantable pacemaker, challenge with multiple physical, psychological and social complications. The patients may perceive the pacemaker device as an electronic security or as a source of physical, psychosocial and emotional discomfort. So self-care management for those patients and measuring nursing sensitive patient's outcomes will lead to improve their life and overcome physical, social and psychological problems. Aim of the study: This study was aiming to evaluate the effect of self-care management on nursing sensitive patients' outcomes after permanent pacemaker implantation. Study design: A quasi-experimental design. Setting: This study was conducted at the cardiac catheterization unit at Ain Shams University Hospital. Sample: A Purposive sample included 50 patients after permanent pacemaker implantation which divided into two equal matched groups' the study and control groups. Tools: 1) Patient's socio-demographic characteristics tool, 2) Patient's clinical data tool, 3) Self-care management level assessment tool, 4) Patients’ self-care practice observational checklists, and 5) Nursing Sensitive patient Outcomes Measuring Scales. Results: The present study revealed that satisfactory level of self-care knowledge, practice and the different levels of Nursing Sensitive patient Outcomes of patients in the study group were improved post implementation of self-care guidelines compared to control group and to pre implementation of self-care guidelines. Conclusion: Implementation of self-care management guidelines had positive effect on improving patient's self-care management level and enhancing all dimensions of nursing sensitive patients' outcomes (physiological health outcomes, functional health outcomes, psychosocial outcomes, health knowledge and behaviors and family health outcomes. Recommendations: Generalize using nursing sensitive patients outcomes based on nursing outcome classifications (NOC) to provide more comprehensive standardized information on patient and family outcomes that result from nursing interventions.