Effectiveness of Nursing Intervention on Physiological Status for Patients Undergoing Coronary Catheterization

Abstract

Background: Nursing care for patients undergoing cardiac catheterization requires an expert nurse who understands the types of complications that can occur, as well as the assessment skills to spot them. The combination of nursing knowledge and skills during the period before and after cardiac catheterization aims to assure safe and accurate procedure, and improving physical and mental health.

Aim of the study: To evaluate the effectiveness of nursing intervention on the physiological status for patients undergoing coronary catheterization through utilization of physiological parameters check list such as (systolic/diastolic blood pressure, heart rate, respiratory rate, and O2 saturation).

Methodology: randomized clinical trial (RCT) was conducted for patients’ undergoing coronary catheterization at Al Najaf Center for Cardiac Surgery and Cardiac Catheterization, the study has been carried out during the period 14 \ June \ 2019 to 29 \ January \ 2020. The sample consisted of (100) patients have been randomly divided into two groups of 50 patients each. The experimental group consisted of 50 patients who are exposing to nursing interventions by the researcher. The groups who have not to expose to nursing interventions by the researcher, are considering the control group. The instrument construction and consisted of three parts, (part I): the socio-demographic characteristics and comprised of (8) items, (part II): the clinical characteristics, (part III): physiological parameters checklist for patients undergoing coronary catheterization (physiological parameters: a bedside monitor is used to measure (heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure, and O2 saturation) for each patient.

Results: The result of present study demonstrated that the number of abnormal cases less in experimental group than control group related to the heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure in the period of measurements.

Conclusions: The study stated that the patients in experimental group who receiving the nursing intervention had decrease in the (heart rate, and blood pressure) compared to the control group.

Recommendations: standardized nursing procedures should be used to guide the nurses in dealing with patients with coronary catheterization, and the standards bill of for such practices should be created and presented to all ties in which such practices are performed.