Abstract
Background: Vascular access-site complications are an important cause of morbidity and mortality, which is related mainly to vascular percutaneous intervention procedures and requires safe and standardized care policies, as well as qualified and skilled health provider to obtain good outcome of management. Aim of the study: to investigate the effect of designed teaching protocol regarding patients’ safety after cardiac catheterization on nurses’ performance and patients’ incidence of vascular complications. Aquasi-experimental design was used to conduct the current study in cardiac catheterization and coronary care units at Benha University Hospital during the period from beginning of April 2018 till beginning of October 2018. Subjects: A sample of convenience of 50 nurses who are willing to participate in the study, and patients who admitted for performing cardiac catheterization were 170 patients recruited according to the study formula based on the total number admitted to the study settings during 2017. Tools: Two tools were utilized for data collection, (Ι) Structured interviewing questionnaire for nurses, (II) Patients’ assessment sheet. Results: Showed that nurses’ level of knowledge and practice post implementing the designed teaching protocol was higher than pre implementation, with a significant correlation between nurses’ knowledge and practice(p= <0.001**), besides a lower incidence of complications among patients in intervention group than in control group . Conclusion: The designed teaching protocol was effective in improving nurses’ knowledge and practice, which were positively associated with each other and lower incidence of vascular complications among patients in the intervention group. Recommendation: The study suggested equipping cardiac catheterization unit with simple illustrated guidelines protocol covering percutaneous coronary intervention procedure practices knowledge pre/post cardiac catheterization.
Highlights
1.1 Cardiac CatheterizationCardiac catheterization is a process that is supposed as the golden standard for diagnosing, evaluating, and treating cardiac diseases
Major advances in percutaneous coronary intervention (PCI) have included increasingly complex antiplatelet and antithrombotic regimens used in conjunction with PCI
2.3.1 Convenient sample of 50 nurses who are willing to participate in the study, and patients who admitted for performing cardiac catheterization were 071
Summary
1.1 Cardiac CatheterizationCardiac catheterization is a process that is supposed as the golden standard for diagnosing, evaluating, and treating cardiac diseases. One or more catheters are inserted through a peripheral blood vessel in either the antecubital artery or vein or femoral artery or vein with x-ray guidance (Arathy, 2011) The purpose of this procedure is for diagnostic or interventional reasons. Major advances in percutaneous coronary intervention (PCI) have included increasingly complex antiplatelet and antithrombotic regimens used in conjunction with PCI These advances yield benefits, they contribute to many risks associated with femoral sheath removal, the most common type of these complications is the vascular type, especially associated with inadequate hemostasis which exposes patients to additional discomfort, extended hospital stays, higher hospital costs, and reduces the patients’ outcomes, painful haematoma , ecchymosis, and oozing are the most common signs, development of pseudo-aneurysm, arteriovenous fistulas, thrombosis, thromboemboli, and retroperitoneal bleed (Ebeed et al, 2017). Recommendation: The study suggested equipping cardiac catheterization unit with simple illustrated guidelines protocol covering percutaneous coronary intervention procedure practices knowledge pre/post cardiac catheterization
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