Effect of a Nursing Protocol on Reducing the Incidence of Acute Kidney Injury in Patients with Acute Heart Failure

Document Type : Original Article

Authors

1 Nursing Specialist at Heart Hospital, Faculty of Nursing Assiut University, Egypt.

2 Professor of Cardiovascular Medicine, Faculty of Medicine, Assiut University, Egypt

3 Professor of Critical Care & Emergency Nursing, Assiut University, Egypt

Abstract

Background: Acute kidney injury (AKI) is a common and serious complication between patients with acute heart failure (AHF). Nurses play a critical role in early detection and prevention of AKI through implementation of nursing protocol. Aim: To evaluate effect of a nursing protocol on reducing the incidence of acute kidney injury in patients with acute heart failure. Design: A quasi -experimental research design was utilized in this study. Setting: Study was carried out in the Coronary Care Unit and Emergency Department at Assuit University Heart Hospital. Patients: Purposive sample of 100 adult patients were split into two groups: a control group and study group. Tools: Three tools were used to gather the data, Tool I: Demographic data and clinical data assessment tool, Tool II: Renal assessment tool and Tool III: patientsꞌ outcomes tool. Result: Patients in the study groups showed a significantly lower incidence of AKI compared to the control group (p =0.037*). There was also improvement in renal function parameters in the study group with creatinine (p =0.003*). Conclusion: Implementing of nursing protocol success in minimizing occurrence of acute kidney injury, moreover, to decrease the occurrence of renal complication. Recommendation: Policy Implementation: Encourage hospitals to adopt nursing protocol for AKI prevention as part of standard care for patients with AHF. Expand of study population: future research should include a larger and more diverse sample across multiple healthcare centers to improve the generalizability of the results.

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