Abd-Almageed, A., Ali, N., Mobed, K. (2024). 'Effect of Nursing Discharge Instructions on Outcomes for Patients Undergoing Primary Percutaneous Coronary Intervention', Assiut Scientific Nursing Journal, 12(41), pp. 28-40. doi: 10.21608/asnj.2024.262175.1749
Abd-Almageed, A., Ali, N., Mobed, K. Effect of Nursing Discharge Instructions on Outcomes for Patients Undergoing Primary Percutaneous Coronary Intervention. Assiut Scientific Nursing Journal, 2024; 12(41): 28-40. doi: 10.21608/asnj.2024.262175.1749
Effect of Nursing Discharge Instructions on Outcomes for Patients Undergoing Primary Percutaneous Coronary Intervention
1Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
2Lecturer of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
3Lecturer of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt
Abstract
Background: Primary Percutaneous coronary intervention is a non-surgical, invasive procedure used to treat blockage or narrowing of the coronary artery and improve blood supply to the ischemic tissue. Aim: to investigate the effect of nursing discharge instructions on outcomes for patients undergoing primary percutaneous coronary intervention. Subjects and Methods: Research design: A quasi-experimental design. Sample: 200 adult patients who were admitted for percutaneous coronary intervention. Patients divided equally into two groups study and control (100 for each). Setting: the cardiac catheterization unit and Cardiovascular Medicine Department at Assiut University Heart Hospital. Tools: Patients assessment sheet, readmission risk assessment, complications assessment sheet, and re-admission rate assessment sheet. Results: a statistically significant difference between study and control group post application of nursing discharge instructions regarding knowledge, and complications was (<0.001**). LACE index was moderate for both study and control group. The main cause of re-admission for both study and control group was myocardial infarction (50%, and 46.2( respectively. Conclusion: Nursing discharge instructions significantly improve patients' knowledge and reduce complications and readmission rate among patients undergoing percutaneous coronary intervention. Recommendation: Nursing discharge instructions (brochure) should be used in hospitals for patients with primary percutaneous coronary intervention.
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