Effectiveness of Nursing Intervention on Early Complications for Patients undergoing Coronary Catheterization.
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Author:
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MOHAMMED AL-KAREEM, PROF.DR.HAKEMIA S.HASSAN
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Abstract:
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Objective: To evaluate the early complications through utilization of observation check list form to check (hematoma, bleeding, back pain, urinary retention, and vasovagal stimulation post coronary angiography, contrast reaction).
Methods: randomized clinical trial (RCT) was conducted for patients’ undergoing coronary catheterization at Al Najaf Center for Cardiac Surgery and Cardiac Catheterization, the study has been carried out during the period 2th September 2019 to 5th March 2020. The sample consisted of (100) patients has been randomly divided into two groups of 50 patients each. The experimental group consisted of 50 patients who are exposed to nursing interventions by the researcher. The group, that who have not to exposed to nursing interventions by the researcher, are considered the control group. The instrument construction and consisted of three parts, (part I): the socio-demographic characteristics and comprised of (8) items, (part II): the clinical characteristics (part III): early complications' checklist for patients undergoing coronary catheterization and comprised of (27) items divided into (6) content areas (Hematoma, bleeding, back pain, urinary discomfort, contrast reaction, vasovagal reaction) for each patient.
Results: The study results indicated that significant difference between the period of measurements of hematoma, and vasovagal reflex in the patients of experimental group (i.e. the patients return to normal though out the period of measurements). While the results indicated that significant difference between the period of measurements of hematoma, back pain, urine discomfort, and vasovagal reflex in the patients of control group (i.e. the patients deteriorated though out the period of measurements).
Conclusions: The study confirm that the nursing intervention would be helpful to come up with a better nursing guideline for managing patients’ hematoma, back pain, and vasovagal reflex after cardiac catheterization
.Recommendations: Standardized nursing procedures should be used to guide the nurses in dealing with patients with coronary catheterization, and the standards bill of for such practices should be created and presented to all ties in which such practices are performed
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Keyword:
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Effectiveness, nursing intervention, early complications, coronary catheterization.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.02.0307
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