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العنوان
Factors Affecting the Outcomes of Patients with Ischemic Heart Disease at Intensive Care Units \
المؤلف
Ahmed, Mubarak Abadi Abd Allah.
هيئة الاعداد
باحث / مبـــارك عبــادى عبدالله أحمــد
مشرف / كاميليــا فــؤاد عبــدالله
مشرف / داليا عبدالله عبداللطيف
مناقش / كاميليــا فــؤاد عبــدالله
تاريخ النشر
2019.
عدد الصفحات
264 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التمريض الطبية والجراحية
تاريخ الإجازة
23/10/2019
مكان الإجازة
جامعة عين شمس - كلية التمريض - التمريض الباطنى الجراحى
الفهرس
Only 14 pages are availabe for public view

Abstract

Ischemic heart disease is the leading cause of mortality worldwide, in both high- and low-income countries, according to the latest data of the World Health Organization in a report updated in 2015, the death rate from ischemic heart disease worldwide amounted to 12.8%. Aim: This study aimed to assess factors affecting the outcomes of patients with ischemic heart disease at intensive care units. Design: A descriptive design was used. Setting: The study was carried out at the intensive care units at As-salam International Hospital, Maadi. Subjects: A convenient sample of all the available staff nurses (n =100 nurses) and a purposive sample of 400 patients with ischemic heart disease. Data collection tools: (1) Patient Interview Questionnaire, (2) Nurses’ Interview Questionnaire, (3) Nurses’ Practice Observational Checklist (4) Patients’ Outcomes Assessment Sheet. Results & Conclusion: Many factors affecting patients’ outcomes, patients related factors (demographic and medical data, knowledge with satisfactory level of 85.25%, self reported practice regarding IHD and their management with satisfactory level of 82.75%), psychological and beliefs related factors with the mean of 275.75+102.357 and 339.57+60.43 respectively, health care system and medical team related factors with the mean of 318.75+70.25 and 371.91+18.58 respectively, nurses knowledgeand practice regarding care of patient with ischemic heart disease patients related factors with the satisfactory level of 83% and 91.6% respectively. Also, the study findng related patients outcomes revealed 88.8% of patients had length of stay in intensive care units 1-5 days, modified early warning score was 18% of low score, 64% of median score and 18% of high score, while 82% of the studied patients suffered complications, 3.75% of them had readmission within the first 6 months after discharge and 1.25% of them suffered mortality. Recommendation: Conducting further studies for studying other factors affecting outcomes of patients with ischemic heart disease, conducting educational and in service training programs for nurses and using of the modified early warning score tool to improve nurses’ performance regarding caring for critically ill patients and ischemic heart disease and quality of patients ’life.