Background: Acute myocardial infarction is multi-factorial, progressive, and complex
disease, means that part of the heart muscle suddenly loses its blood supply, its major causes of
morbidity and mortality worldwide. Aim of study: Was to evaluate the effect of designed
guidelines on nurses‟ performance for acute myocardial infarction patients who receiving
thrombolytic therapy. Research design: Quasi- Experimental research design was utilized to
achieve the aim of the study. Setting: This study was conducted at Cardiac Care Unit (CCU) in
Benha University Hospital. Sample: Convenient sample of (55) nurse from both sex who working
at CCU their age ranged from 20 to 50 years old and willing to participate in the study. Tools of
data collection: Two tools were used, I: Self-administered questionnaire which consisted of two
parts to assess A) Nurses' demographic data. B) Nurses' knowledge questioners about acute
myocardial infarction and thrombolytic therapy and II: Observational checklist for nurses'
performance which consisted of three parts to assess pre, during and after infusion of thrombolytic
therapy for acute myocardial infarction patients. Results: The study revealed that nurses'
knowledge and regarding acute myocardial infarction patients who receiving thrombolytic therapy
pre guidelines implementation was unsatisfactory level (80% and 60%) which improved
immediately post guidelines implementation at satisfactory level (94%and 96%) and return to
decline post one month of guidelines implementation at satisfactory level (86% and 88%)
respectively. Conclusion: There was highly statistical significant relation between total
performance at pre, immediate post and after one month of guidelines implementation.
Recommendation: Ongoing educational and training guidelines for nurses are needed regarding
acute myocardial infarction patients who receiving thrombolytic therapy and apply the guidelines
on large sample selected from cardiac care unit at Benha University Hospital. |
