الفهرس | Only 14 pages are availabe for public view |
Abstract Coronary heart disease (CHD) is a major cause of death and disability in developed countries (World Health Organization, 2012). Cardiac Catheterization (CC) is the gold standard diagnostic test for coronary heart disease (Gaziano, et al., 2011). Cardiac catheterization has evolved over the last six decades to a highly specializes discipline for diagnostic purpose and an expanding repertoire of therapeutic advance to treat many problems (National Center for Health Statistics, 2011). The demand for cardiac catheterization exerts constant pressure on health care systems to meet the growing needs of patient. The role of the professional nurse in the care of the patient undergoing CC is beneficial for obtaining a positive outcome for the patients (Chair et al., 2012). Changing position and early ambulation after CC benefits all patients involved, reducing the length of bed rest, decreasing patients’ pain and significantly decrease the nursing staff workload, reducing in hospital stay and also enabling the patients to meet self-care needs as eating, drinking, and voiding (Rezaei-Adryani et al., 2009).Aim of the study: The present of the study was conducted to assess the association between time of ambulation and clinical outcome of patients after cardiac catheterization through the following objectives: 1. What are the association between time of patient ambulation and vital signs? 2. What are the association between time of patient ambulation and pain intensity? 3. What are the association between time of patient ambulation and anxiety level? Subjects and methods: Setting: The study was conducted at cardiac catheterization unit at Ain Shams University Hospital and Ain Shams University Specialized Hospital affiliated to Ain Shams University. Research design: The descriptive exploratory research design was utilized in this study to meet the aim of the present study. Subject: A purposive sample of 150 adult patients undergoing cardiac catheterization procedure was included the study.Inclusion criteria: Adult patients from both gender undergoing diagnostic cardiac catheterization. All included patients using right femoral artery access site. Exclusion criteria: chronic back pain, any bleeding disorders or apparent hematoma formation at the access site. Tools of data collection: Data collection was started which covered a period of 6 months from September 2016 to February 2017. To fulfill the objective of the study, four tools were used to collect the necessary data for this study: Tool one: Patients’ interview questionnaire tool: this tool was developed by the researcher after reviewing the literature in an Arabic language and divided into two parts as follows: Part I: Patients’ demographic characteristics data: it includes the studied sample characteristics such as age, gender, residence, marital status, level of education, occupational status, smoking, and date of admission. Part II: Patients’ medical history: It was used to collect the present and history of the patients.’Tool two: Patient post cardiac catheterization clinical outcomes: This tool was designed by the researcher and it included Vital signs: (temperature, blood pressure, respiration, pulse), O2 saturation, lower peripheral perfusion and cardiac catheterization site assessment. Tool three: A Visual Analogue Pain Scale used to assess pain intensity. Tool four: Anxiety Scale used to measure anxiety level. |