干预指南对心绞痛患者护理效果的影响

M. Sakr, E. Metwaly, N. Taha
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引用次数: 4

摘要

背景心绞痛的主要威胁是如果不及时发现和诊断,心脏骤停的可能性较大。如果任何类型的心绞痛被忽视和治疗,它可以导致心肌梗死在任何阶段以后。目的评价干预指南对心绞痛患者护理效果的影响。研究设计采用准实验设计达到研究目的。该研究是在埃及Sharkia的Zagazig大学医院的心脏监护室进行的。患者与方法选取CCU护理人员30名作为方便样本。数据收集工具使用了两种工具:结构化访谈问卷和观察清单。结果在实施干预指南前,护士对心绞痛知识的了解程度较低,平均±SD为1.1±0.30;在实施干预指南后及随访阶段,护士对心绞痛知识的了解程度较低,平均±SD为1.96±0.18,差异有统计学意义(P=0.000)。干预指南实施前护士实践不足,平均±SD为1.13±0.35,干预指南实施后和随访期护士实践不足,平均±SD分别为2.00±0.00和2.00±0.00,差异有统计学意义(P=0.000)。结论从研究结果来看,护理干预指南实施后和随访阶段护士的知识和实践平均得分较高。建议护士在分配到CCU工作前应首先进行培训,主要是了解如何处理心绞痛病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of intervention guidelines on nursing performance regarding patients with angina
Background The primary threat of angina is the higher probability of being exposed to cardiac arrest if not detected and diagnosed in time. If any type of angina is left ignored and untreated, it can lead to myocardial infarction at any stage thereafter. Aim To evaluate the effect of intervention guidelines on nursing performance regarding angina patients. Research design A quasi-experimental design was used to achieve the aim of the study. Setting The study was conducted in Cardiac Care Unit at Zagazig University Hospitals, Sharkia, Egypt. Patients and methods A convenient sample of 30 nurses working at CCU was recruited. Tools of data collection Two tools were used: a structured interview questionnaire, and an observational checklist. Results There was a lack in nurses’ knowledge about angina before intervention guidelines, with mean±SD of 1.1±0.30, which increased in postintervention and follow-up phases of intervention guidelines, with mean±SD of 1.96±0.18, with a statistically significant difference (P=0.000). Moreover, there was a lack in nurses’ practice before intervention guidelines, with mean±SD of 1.13±0.35, which increased in postintervention and follow-up phases of intervention guidelines, with mean±SD of 2.00±0.00 and 2.00±0.00, respectively, with a statistically significance difference (P=0.000). Conclusion Based on the results of the study, mean scores of nurses’ knowledge and practice were higher in postintervention and follow-up phases of nursing intervention guidelines. Recommendation Nurses should be trained firstly before they are allotted to working in CCU mainly to understanding how to deal with angina cases.
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