Botros, S., Ahmed, A., Mehany, M. (2025). Effect of a Nursing Protocol on Reducing the Incidence of Acute Kidney Injury in Patients with Acute Heart Failure. Assiut Scientific Nursing Journal, 13(52), 175-185. doi: 10.21608/asnj.2025.380297.2070
Suzan Shawky Botros; Ahmed Abdel –Galeel Ahmed; Mogedda Mohamed Mehany. "Effect of a Nursing Protocol on Reducing the Incidence of Acute Kidney Injury in Patients with Acute Heart Failure". Assiut Scientific Nursing Journal, 13, 52, 2025, 175-185. doi: 10.21608/asnj.2025.380297.2070
Botros, S., Ahmed, A., Mehany, M. (2025). 'Effect of a Nursing Protocol on Reducing the Incidence of Acute Kidney Injury in Patients with Acute Heart Failure', Assiut Scientific Nursing Journal, 13(52), pp. 175-185. doi: 10.21608/asnj.2025.380297.2070
Botros, S., Ahmed, A., Mehany, M. Effect of a Nursing Protocol on Reducing the Incidence of Acute Kidney Injury in Patients with Acute Heart Failure. Assiut Scientific Nursing Journal, 2025; 13(52): 175-185. doi: 10.21608/asnj.2025.380297.2070
Effect of a Nursing Protocol on Reducing the Incidence of Acute Kidney Injury in Patients with Acute Heart Failure
1Nursing Specialist at Heart Hospital, Faculty of Nursing Assiut University, Egypt.
2Professor of Cardiovascular Medicine, Faculty of Medicine, Assiut University, Egypt
3Professor 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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