Factors Affecting the Outcomes of Patients with Ischemic Heart Disease at Intensive Care Units

Abadi Abd AllahAhmed, Mubarak; Fouad Abdallah, Kamelia; Abdallah Abdelatief, Dalia

doi:10.21608/ejhc.2019.253134

Factors Affecting the Outcomes of Patients with Ischemic Heart Disease at Intensive Care Units

Document Type : Original Article

Authors

¹ Clinical Instructor at Technical Institute for Nursing and Nursing supervisor at AS-Salam International Hospital-Maadi

² Professor of Medical Surgical Nursing Faculty of Nursing - Ain Shams University

³ Assistant Professor of Medical Surgical Nursing Faculty of Nursing - Ain Shams University

10.21608/ejhc.2019.253134

Abstract

Background: Ischemic heart disease is the leading cause of mortality worldwide, in both high- and
low-income countries, according to the latest data of the World Health Organization in a report updated in
2015, the death rate from ischemic heart disease worldwide amounted to 12.8%. Aim: This study aimed to
assess factors affecting the outcomes of patients with ischemic heart disease at intensive care units. Design:
A descriptive design was used. Setting: the study was carried out at the intensive care units at As-salam
International Hospital, Maadi. Subjects: A convenient sample of all the available staff nurses (n =100 nurses)
and a purposive sample of 400 patients with ischemic heart disease. Data collection tools: (1) Patient
Interview Questionnaire, (2) Nurses' Interview Questionnaire, (3) Nurses' Practice Observational Checklist (4)
Patients' Outcomes Assessment Sheet. Results & conclusion: many factors affecting patients' outcomes,
patients related factors (demographic and medical data, knowledge the majority of the studied subjects had
satisfactory level, more than two thirds of them had satisfactory level of self- reported practice regarding IHD
and their management, psychological and beliefs related factors with the mean of 275.75+102.357 and
339.57+60.43 respectively, health care system and medical team related factors with the mean of
318.75+70.25 and 371.91+18.58 respectively, the majority of nurses had satisfactory level knowledge and
practice regarding care of patient with ischemic heart disease patients related factors. Also, the study finding
related patients outcomes revealed majority of patients had length of stay in intensive care units 1-5 days,
modified early warning score was 18% of low score, more than the half of median score and the minority of
them had high score, while majority of the studied patients suffered complications, 3.75% of them had
readmission within the first 6 months after discharge and 1.25 % of them suffered mortality.
Recommendation: conducting further studies for studying other factors affecting outcomes of patients with
ischemic heart disease, conducting educational and in service training programs for nurses and using of the
modified early warning score tool to improve nurses' performance regarding caring for critically ill patients
and ischemic heart disease and quality of patients' life.

Keywords