Evaluation of applying chest pain guidelines in coronary care patients on their health outcome

  • Authors

    • Eman Shahin faculty of nursing/Port said University
    • Mona Hasan Lecturer at Medical Surgical Nursing Department, Faculty of Nursing, Suez canal University, Egypt.
    2017-10-14
    https://doi.org/10.14419/ijans.v6i2.8282
  • Chest pain – Coronary - Nursing- Intervention – Guidelines- Patients.
  • Background: the National Heart, Lung, and blood Institute estimate that each year approximately 785,000 Americans will have a new coronary attack and approximately 470,000 will have a recurrent attack. Chest pain is one of the most common symptoms   of coronary artery disease or acute coronary syndrome. Objectives: this study aims to compare between routine nursing care of chest pain and chest pain guidelines in patients with acute coronary syndrome and assess health outcome after application of chest pain guidelines in acute coronary syndrome patients. Method: Quasi experimental research design was used in the current study. The study was conducted at the coronary care unit of Suez canal University Hospital. Sample; consecutive of 70 patients was included in the study.  Four tools were used for study data collection that named the chest pain guidelines evidence based nursing care in patients with angina pectoris, visual analog scale to assess chest pain, dyspnea scale to assess breathing pattern and fourth one was lab investigation to assess patient health prognosis. Results: The study results revealed an improvement of patients’ health outcome represented in a significant reduction in complain of chest pain, blood pressure and insufficient sleeping with P-value of 0.000 after applying guidelines of care regarding chest pain. Additionally, the respiratory pattern and respiratory rate improved significantly with P-value of 0.000. Moreover, lab investigation showed significantly decrease in LHD level with P-value of 0.000. Conclusion: The current study concluded that application of chest pain guidelines intervention could be improved patients health outcomes.        

  • References

    1. [1] Amit Kumar M D, Christopher P & Cannon, M D (2009) Acute Coronary Syndromes: Diagnosis and Management, Part I, Mayo Clin Proc.84, 917-938.

      [2] Chapmana A R, Lesliea S J, Derek K, Sageb DK (2012) New Guidelines for the Management of Chest Pain: Lessons From a Recent Audit in Tauranga, New Zealand. Cardiol Res 3, 8-15

      [3] Davis T, Bluhm J, Burke R, Iqbal Q, Kim K, Kokoszka M, Larson T, Puppala V, Setterlund L, Vuong K & Zwank M (2012) Health Care Guideline Diagnosis and Treatment of Chest Pain and Acute Coronary Syndrome (ACS), Eighth Edition/November 2012, www.icsi.org

      [4] Fox K A, Dabbous O H, Goldberg R J, Pieper KS, Eagle K A, Van de Werf F, Avezum A, Goodman SG, Flather M D, Anderson FA Jr & Granger C B (2006) Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ 333, 1091

      [5] Granger CB, Goldberg RJ, Dabbous O, Pieper KS, Eagle KA, Cannon CP, Van De Werf F, Avezum A, Goodman SG, Flather M D & Fox KA (2003) Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med 163, 2345–2353.

      [6] Hamm CW, Bassand J P, Agewall S, Bax J, Boersm E, Bueno H, Caso P, Dudek D, Gielen S, Huber K., Ohman M, Petrie M C, Sonntag F, Uva U S, Storey R F, Wijns W &Doron Zahger D (2011) Guidelines for The management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. European Heart Journal 32 , 2999– 3054, doi:10.1093/eurheartj/ehr236.

      [7] Hogan M (2014) Medical Surgical Nursing, 4edition, Salt Lake City, Prentice Hall, P.P. 548- 59.

      [8] Harbman P (2014) The development and testing of a nurse practitioner secondary prevention intervention for patients after acute myocardial infarction: A prospective cohort study. International Journal of Nursing Studies 51, 1542–1556.

      [9] Kimble L P, Dunbar S B, Weintraub W S, Mcguire D B, Manzo S F & Strickland O L (2011) Symptom clusters and health-related quality of life in people with chronic stable angina. Journal of Advanced Nursing 67, 1000–1011. doi: 10.1111/j.1365-2648.2010.05564.x

      [10] Lloyd-Jones D, Adams RJ, Brown TM (2010) Heart disease and stroke statistics – 2010 update: a report from the American heart association. Circulation. 12, e46-e215.

      [11] Murray C J & Lopez A D (1997) Alternative projections of mortality and disability by a cause 1990–2020: Global Burden of Disease Study. Lancet 349, 1498– 1504.

      [12] Nezamzadeh M, Khademolhosseini S.M, Nouri J M & Ebadi A (2012) Design of Guidelines Evidence-Based Nursing Care In Patients With Angina Pectoris. Iranian Journal of Critical Care Nursing. 4, 169-176.

      [13] Weber, J R & Kelley, J H (2014) Health Assessment in Nursing, Fifth Edition, Lippincott William & Wilkins, Philadelphia. P.P. 25,150.

      [14] World Health Organization (2014) The Top 10 Causes of Death. (Fact sheet No. 310). Available at http://www.who.int/mediacentre/factsheets/fs310/en/ accessed in 2017.

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  • How to Cite

    Shahin, E., & Hasan, M. (2017). Evaluation of applying chest pain guidelines in coronary care patients on their health outcome. International Journal of Advanced Nursing Studies, 6(2), 99-102. https://doi.org/10.14419/ijans.v6i2.8282