Self-care of Adult Client with Permanent Pacemaker at Home

Document Type : Original Article

Authors

1 Professor of Community Health Nursing Faculty of Nursing- Ain Shams University-Cairo-Egypt.

2 M.Sc.N., Community Health Nursing Faculty of Nursing- Ain Shams University-Cairo-Egypt.

Abstract

Background: Sudden death is one of the most common reasons of death worldwide which
can be prevented by inserting a pacemaker. Studies have proved that 60 percent of all sudden
cardiac deaths occur due to arrhythmia. Aim: To assess self-care for adults clients with permanent
pacemaker at home. Design: Descriptive analytic design was used. Setting: In cardiac outpatient
clinics at El-Demardash Hospital. Sample: It included the total sample size was 74 adult client with
apermanent pacemaker were chosen according certain criteria age over 40 years and recent
implantation of pacemaker not more than 2years ago. Tool: An interviewing questionnaire designed
to collect data about studied sample socio demographic characteristics, and their knowledge about
heart, pulse, permenant pacemakers and self-reported practices about pacemaker care at home.
Results: Majority of studied sample were their aged 60 or more years, Majority of them were
married, illiterate& most of them had incorrect knowledge regarding heart, pulse, artificial
permenant pacemakers and unsatisfied total practices score, There were a no statistical significant
relation between client's age, level of education & occupation and their total knowledge &self -care
of adults clients with permanent pacemaker. Occupation and their total knowledge of adult clients
and their self- care, the permanent pacemaker effect on self-care of the adults clients with a
permanent pacemaker at home. Conclusion: Study finding showed that the majority of clients
hadn't a correct knowledge & poor self-care regarding permanent pacemaker at home.
Recommendation: Establish educational program for adult clients with a permanent pacemaker at
home to improve their self-care regarding their knowledge and practice of permanent pacemaker at
home. A further research on a large sample is recommended to achieve more generalization.

Keywords