The Effect of Nursing Discharge Practical Adherence Tips on Optimizing Patients’ Living Throughout Permanent Pacemaker Installation

Abstract

Background: Permanent pacemaker installation is an emerging lifesaving practice; Therefore, it is considered vital for the patients to have knowledge and experience practical adherence throughout the permanent pacemaker installation to get maximum quality all over their life day-to-day. This study aimed to evaluate the effect of nursing discharge practical adherence tips on optimizing patients’ living throughout permanent pacemaker installation. Design: A quasiexperimental research design was utilized. Setting: The study was conducted at the cardiology unit, coronary care unit, intermediate coronary care unit, and outpatient pacemaker programming clinic affiliated to Al Batinah Specialized University Hospitals. Subject: A purposive sample of 92 adult patients was selected and equally divided into the study and control groups, (46) patients for each one. Tools: three tools were used for data collection; patients’ structured interview questionnaire, knowledge questionnaire, and self-care practical observational checklist. Results: There was a highly statistically significant difference between study and control group regarding total mean scores of knowledges and all dimensions of patient self-care practical adherence scores for pre/post and follow up phases at (p < 0.001). There were highly statistically significant positive correlation between total knowledge and total practical adherence for post-test and follow-up phases at p > 0.01. Conclusion: There was an improvement in patients’ optimization of living with permanent pacemaker throughout installation based on practicing written adherence tips. Recommendation: Designing a written Arabic discharge practical adherence tip for patients and procedure checklist for nurses in all cardiac units and outpatient clinics for optimization of patients’ living with a permanent pacemaker.