Effectiveness of Nursing Intervention on Patients with Acute Myocardial Infarction in Cardiac Centers at Baghdad City Hospitals

Abstract

Study aims: to assess the effectiveness of nursing intervention for patients with acute myocardial infarction, to know the relationship between the nursing intervention with their gender, age, educational level and years of experience.Methodology: a descriptive study conducted in the city of Baghdad in three hospitals ( Ibn Al-Nafees Hospital and Ibn Al-Bitar and the Iraqi Centers for heart disease ) in units of cardiac resuscitation between (first of November 2014 – 19th of August 2015). A purposive (non-probability) sample included 50 nurses who works in CCU, data collected by use of a questionnaire designed which consist of two parts which as the first part includes demographic information for staff nursing and information specific to the workplace and The second part included the questionnaire which consists of paragraphs of nursing intervention for patients with acute myocardial infarction. Limitation honesty the questionnaire through presented to a panel of 12 experts from specialists and the stability of the questionnaire through pre and post test by calculating the Pearson correlation coefficient (r = 0.89). The data analyzed by using descriptive statistics (Frequencies, Percentage, Mean of scores) and deductive statistics (Pearson correlation coefficient and Chi square). Results: Results of the study showed that the majority (22%) at age group (24-28 years and 29-33 years). Most of the study sample was 52% female. (66%) were married. The high proportion of sample (36%) was secondary school nursing compared with (30%) were graduates of the Nursing Institute. The study sample indicated that a high percentage (58%) of the sample monthly income was not enough, and (86%) were living in urban areas, most of them (62%) working in the coronary care unit. (72%) of them has a (1-2) training course in Iraq and the proportion was more than 40% of nurses has a service between (1-5) years. , (62%) have experience less than (5) years in cardiac care units, was to the nursing care little positive impact on the patient's health because it is not applied properly by nurses.Conclusion: The study results showed that most of the nursing staff practices were poor and unsatisfactory in cardiac care units, Although nursing intervention are best whenever the nurse was older age and has a higher level of education and has years of experience in cardiac care units, while there was no difference in the provision of nursing care by the nurse whether it is male or female.Recommendations: The study recommended the adoption of special criteria in order to provide nursing care for patients with acute myocardial infarction, Intensive training courses for the staff nursing inside and outside Iraq, especially for nurses who work in CCU with the increase in the educational level of nurses by giving them the opportunity to complete their studies and to rely on nurses specialties to work in the CCU for dealing with critical situations and dangerous.