Effect of learning instructional program on quality of life among patients with permanent pacemaker Device

Document Type : Original Article

Authors

1 Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt. and Associate Professor of department of nursing, North Private College of nursing, North Border. Arar, Saudi Arabia.

2 Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt.

3 Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt. and Assistant Prof. of Medical Surgical Nursing, Applied medical science college, University of Bisha, Saudi Arabia

10.21608/ejhc.2025.409580

Abstract

Background: A permanent pacemaker is a small device, approximately a matchbox size, placed beneath the skin in chest or abdomen to regulate abnormal cardiac beats. Assessing the quality of life (QOL) in individuals received permanent pacemaker implantation is essential in clinical environments. This process provides valuable insights for nurses into how the condition and its treatment impact patients' everyday lives. It also offers a prospect to recognize their preferences, expectations, and needs related to the disease and its management. The aim was to evaluate the effect of learning instruction program on QOL among patients with permanent pacemaker device. Research Design: a quasi-experimental research design to examine the study goals. Setting: Study was performed in the Cardiac Intensive Care Unit, the Cardiology Department, and the outpatient clinics at Zagazig University hospitals. Sample: 50 adult patients purposefully selected from both male and female participants. Tools: Data were collected using three instruments: 1. Patient Interviewing Questionnaire, 2. Observational Checklist, and 3. Euro QOL-5Dimensions (EQ-5D) structure interview schedule Results: study outcomes indicated that the majority of the participants were male (86%), with ages ranging from 43-68 years. Additionally, 64% of the patients had a history of myocardial infarction. Results also revealed statistically significant enhancement in patients' knowledge, practices, and overall QOL post-intervention phase. Conclusion: Significant statistical variations were noted among the before and after learning evaluation of the patients about their knowledge. Assessment of practice and QOL three months following continuous pacemaker implantation. Recommendations: A replication of this research with a larger, more heterogeneous sample size and over an extended time is essential to corroborate the findings of the present investigation.

Keywords