Found: 9 resources
Evaluation of nurses practices toward patients who undergo cardiac catheterization
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AbstractObjective: To evaluate the nurse's practices and it's relationship between with thier demographic characteristic.Methodology: A descriptive study was carried out , from January 15th 2002 to April 15th 2002 , to evaluate the nurse’s practices toward patients who undergo cardiac catheterization . A purposive sample of ( 65 ) nurse , was selected out of three teaching hospitals in Baghdad city . These nurses were worked at the catheterization units and catheterization labs .A questionnaire was constructed for the purpose of the study , which comprised of three major parts in which there were ( 45 ) items . Reliability and validity of the questionnaire were determined through the conduct of a pilot study .Data were collected through the use of the constructed questionnaire as an observational tool and the observation technique as means of data collection .Data were analyzed through the use of two statistical analysis approaches : 1 - Descriptive statistical analysis that included frequencies and percentages . 2 - Inferential statistical analysis that include mean of scores , Alpha correlation coefficient and Chi square .Result: Findings of the study indicated that there were no significant associations between the nurse’s practices toward patients who undergo cardiac catheterization and their educational level and the nurse’s sex. The present study concluded that all staff nurse had performed almost an equal level of practices regardless to their sex and education and newly employed nurses had presented better practices that other .Recommendation: The study recommended that a well – formulated bill of standards should be created and presented to all sites in which such practices are performed . Special training programs should be designed and constructed for nurses in this area to reinforce their skills and promote their experience Keyword : cardiac patients cardiac catheterization
Effect of Cardiac Catheterization on Certain Hematological Parameters
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bAckground: Cardiac catheterization is a procedure used to check the heart for blocked arteries and valve abnormalities by using a coronary angiogram, through which the patient will exposed to the hazardous effect of radiation and contrast media used.Aim of the study: Our study aimed to see the effect of cardiac catheterization on certain hematological parametersMethods and subjects: This study was carried out in the cardiac catheterization center in Al-sader teaching hospital in Basrah city on 30 patients (20 were males and 10 were females), their ages ranged between 35 and 66years with mean of (53.62±8.98 years). Solution of Ultravist 370 injection was used during the procedure as contrast media in amount ranged between (25-600 ml) with an average of (41.56 ±13.75 ml). Fluoroscopy was also used and the flouro-time was ranged between (0.54-8.9) minutes with an average of (2.085±1.18 min).In this study and for all patients we estimated the number of RBCs, WBCs (total and differential) and platelets one hour before and one hour after the procedure of cardiac catheterization by using automated hematology analyzer (Sysmex XT2000i Japan).The results were analyzed using SPSS software, in which independent t test were used to compare the differences in the values of the included parameters obtained before and after cardiac catheterization.Results: The comparative data revealed that there were decreases in most of the parameters one hour after cardiac catheterization which is statistically significant regarding the number of lymphocytes, monocytes and platelets, with significant increase in the number of neutrophils one hour after cardiac catheterization (p˂0.05).Conclusion: The exposure to radiation and iodinated contrast media increases neutrophils count and decreases lymphocyte and platelets counts one hours after cardiac catheterization while it has not effect on the RBCs and total WBCs counts.
Assessment of the effect of video information on patient's anxiety undergoing cardiac catheterization in An Nasiriyah city
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The researcher applies descriptive study to assessment of the effect of video information on patient's anxiety undergoing cardiac catheterization in An Nasiriyah city. Study aims: is to assess effect of video information on patient's anxiety undergoing cardiac catheterization. The setting of study: The study was performed in An Nasiriyah city; between (9/February to 3/March / 2015), in An Nasiriyah heart center - in Medical Wards. The study sample: A non-probability (purposive) sample of (100) patients. The study population consisted of a sample of adults from both genders whose ages were 30 years and more, and was newly diagnosed as having CAD (coronary artery disease) and they admitted to hospital in order to confirm the diagnosis by coronary angiography in the cardiac catheterization unit of An Nasiriyah heart center. Data collection: The data, which were collected in the hospital for the period from 9 of February to 3 of March / 2015, include in two major parts was constructed for the purpose of the study:- 1-socio-demographic characteristic, which includes 5 variables(items) (age, gender, occupational status, level of education, marital status) 2- the questionnaire related to signs & symptoms of anxiety, which includes of (5) items & (26) sub-items: Nervous system included (lack of concentration, headache, insomnia, muscle spasm, nervous, dizziness, frequent sweaty, dry mouth, fear ,Trembling, Un happiness, Crying easily, Numbness, Sensitivity to nose), Cardiovascular system included (palpitation, fatigue & restlessness), Digestive system included (anorexia, difficulty in swallowing, dysphagia, nausea, & diarrhea), Respiratory system included (shortness of breathing, increase of respiration (over breathing) ), Urinary system included (Nocturia, Increase the number of times urination. Data analysis: the data was analyzed through the use of statistical approaches. They are descriptive statistical analysis (frequencies, percentage, SD, Range of scores, mean of scores and relative sufficiency. Results: The result of the study showed the samples that have low or absent pre-test anxiety level were (39 (39%)). The moderate level were (52 (52%)) and the high level were (9 (9%), While the result shows the of samples that have low or absent post-test anxiety level were (79 (79%)). The moderate level were (21 (21%), Recommendation: Based on the above results, this study recommends conducting An education program should be designed to increase information of the patients about anxiety associated with coronary angiography. Also Prepare educational video (animation video about the procedure) for the patients before one-hour pre-operation to decrease anxiety, as well as the establishing specialized educational center to provide information and educate patient before coronary angiography procedure.
Determination The Level of Anxiety Among Patients Scheduled for Diagnostic Cardiac Catheterization
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Objective: presented study aimed to Determination the Level of anxiety among patients scheduled for Diagnostic cardiac catheterization. Methodology: descriptive design study was conducted at Cardiac Catheterization Center at Marjan hospital in Al-Hillah city, data was gathered by using prepared form which consist tool for measuring the level of the anxiety for patients admitted to the hospital from the period ( August 5 .2012 to December 20.2012) . The selected sample was 95 patients. Results: the results shows that the higher percentage of the sample (54.7%) were male most of them were smoker 64.2%, and 48.4% of the sample were hypertensive; 50.5% of the sample suffer from moderate level of anxiety, according to the signs and symptoms which is associated with anxiety most of the sample were suffering from headache and sleeping disturbance two days ago before the procedure. Recommendation: Patient education material is either sensory- or procedural-oriented should be prepared. Procedural material describes the steps involved in the cardiac catheterization. Sensory information focuses on what the patient will see, hear, feel, smell or taste during the procedure which helps the patient reduce anxiety by communicating a better understanding of what to expect during the procedure.
Isolate and Identification some of the pathogens of cardiac catheterization patients in the city of Karbala
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A total of 89 samples have being collected from cardiac catheterization unit patients who admitted to the Imam Hussein Teaching Hospital in Karbala for seven months, starting from ( January 2014 and to the end of July 2014) from both sex and aged between ( 29-75) years. and due to the absence of a local study on pathogens isolated from cardiac catheterization patients came this study.The samples were melded : swabs , catheter tip and the blood culture before and after cardiac catheterization, cardiac catheterization was classified in to three categories catheterization diagnostic , therapeutic catheterization and both of them. diagnostic catheterization samples was 66(74.16%) and gave positive results for bacterial culture (number patients of them) swabs test 15(22.73%),while the catheter tip test 14(21.21%), blood culture 14(21.21%) before a catheterization and 15(22.73%) after a catheterization . Either therapeutic catheterization samples15(16.85%) of them were infected with 6(40%) for all tests. The diagnostic and therapeutic catheterization together samples 8(8.99%) the patients were of them 4(50%) ,4(50%) ,4(50%) and 3(37.5%) respectively.The results showed an sensitivity value of 96% and specificity 100% for swabs testing and catheter tip, either sensitivity values and the specificity 100% and 98.5% to the blood culture test respectively.it is became clear from our results that out of 89 sample collected there wa 25(28.09%) positive culture and two samples of them showed two types of pathogen it is noting that exact number have 27 bacteria isolated as 11(70.74%) gram positive , 15(55.56%) gram negative and 1(3.70%) yeasts, while 64(71.91%) not gave any growth .
Effectiveness of an Educational Program on Nurse's knowledge concerning Complications of Cardiac Catheterization among Children at Al-Nassirhya Heart Center
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OBJECTIVE: To assess nurses' knowledge concerning complications of cardiac catheterization among children and to find out the relationships between the nurses' knowledge concerning complications of cardiac catheterization among children and socio-demographic information.METHODOLOGY: a descriptive study was carried out at Al-Nassirhya Heart Center During the period from November 8th -2015 to the Wednesday June -2016. A non-probability (purposive) sample of (25) nurses, who worked at congenital heart anomalies department which include pediatric wards and cardiac catheterization unit. specialized in pediatric cardiac diseases in AL Nasiriyah Heart Center. The tool of the study included a questionnaire, which has six main parts. The Reliability of questionnaire was determined through internal consistency and through a pilot study, and the content validity of the questionnaire was determined through an expert panel. The data were analyzed through the application of descriptive frequencies, percentages, mean of score and the inferential statistical analysis: F test.RESULTS: The study revealed that there is no statistical significant association between nurses' age and their knowledge concerning the complications of cardiac catheterization at (pre test, post-1 and post-2) of educational program follow up (p value > 0.05). There is no statistical significant association between nurses' gender, nurses' level of education, monthly income, residential area, years of service in nursing field, nurses' years of experience in heart centers and training course about cardiac catheterization and their knowledge concerning the complications of cardiac catheterization. The present study concluded that high percentage of staff nurses were graduated of Nursing Institute and most of them did not participate in training courses about cardiac catheterization. CONCLUSIONS :(1) Most study sample was males. (2)Mostly the ages of study sample were (25-29) Year. (3) A High percentage of the sample did not participate in training courses concerning to cardiac catheterization. (4)Highly significant differences between the two periods (pre and post-1 tests) of study sample in all domains of (nurses’ information about cardiac catheterization and its complication in pediatricRECOMMENDATION: (1) The study recommended the necessity to develop the nurses' skills. (2) Giving chance to nurses to participate in training courses to improve nursing care provided to the child and his family during cardiac catheterization procedure.
Coronary Artery Spasm; Frequency and Angiographic Findings in the Iraqi center for heart diseases (Single Centre experience)
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Background: Coronary artery spasm occurs spontaneously leading to the syndrome of variant angina. It occurs in about 15 % of patients undergoing coronary angiography.Objectives: This study sought to estimate the rate of coronary artery spasm that occurs during coronary angiography and percutaneous coronary intervention with their risk factors in patients admitted to the Iraqi center for heart disease.Methods: This is a cross sectional observational study, We prospectively collected the data of patients over six months period (from August 2014 till February 2015 ) who developed coronary artery spasm during cardiac catheterization (diagnostic and therapeutic).Results: Out of 1274 patients, 106 patients developed coronary artery spasm(8.3%). 71.6% of patients were adult aged 50-69 years.74.5% patients were males (P.V 0.0001).Smoking was a strong risk factor for the coronary artery spasm (P.V<0.0005).Engagement of catheter in the coronary artery ostia during angiography was the most common cause of spasm (P.V0.0001).Spasm was induced by stents (31.1%), by guide wire (16%), by balloon (3.7%) while spontaneous spasm occurred in 6.6% only.The frequency of spasm in apparently disease - free vessels was more in the right system (65.4%) compared to the left system (34.6%). In diseased vessels the frequency is comparable in both systems.Conclusions: This study has shown that the CAS is frequent during diagnostic cardiac catheterization and percutaneous coronary intervention procedures.
Detection of ability of pathogens isolated from cardiac catheterization kit to production of biofilm in vitro
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This study was conducted for the detection of virulence of pathogens isolated from cardiaccatheterization kit on the production of biofilm in vitro .the catheter tip culture Was performed foreach type of catheterization test as diagnostic catheterization samples included 66 (74.16%) hasgiven 15 (22.73%), and therapeutic catheterization samples 15 (16.85%) has given 6 (40%) infectedwith the samples of diagnostic catheterization and therapeutic together 8 (8.99%) has given theresults of 4 (50%) infected and results showed sensitivity and specificity values for the catheter Tipculture test (96%) and (100%), respectively,the results were explained after cultured the samples on Enriched and differential media ,that(89) patients (a common sample) gave 25 (28.09%) positive sample for bacterial culture, and two ofthem showed two types of bacteria were (27) isolated bacterial, bacteria diagnosed isolates was 11(70.74%) gram positive and 15 (55.56%) gram-negative and only one isolation of yeasts 1 (3.70%),although 64 (71.91%) did not give any growth. the ability of pathological isolates were tested onbiofilm production by using three different methods, (TM) Tube method , (CRA) Cong Red Agarand Microtiter Plate (MTP) has given 25 (92.6%) , 16 (58.26% ) and 26 (96.29%) the isolation ofproducing biofilm different quantities respectively , The isolation of producing biofilm in differentquantities, respectively. The results of the investigation on the composition of the biofilm The MTPtest has showed sensitivity (100%) and specificity 96%, while TM test values sensitivity was (96%)and (100%) specificity and CRA test was (61.5%) sensitivity and (100%) specificity values.The absence of local study on the ability of pathogens isolated from cardiac catheterization kiton the production of biofilm came this study*Search unsheathed from the first Master Researcher
Nurses’ Knowledge Regarding Patients Safety After Diagnostic Cardiac Catheterization in Azadi Teaching Hospital in Kirkuk City
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The present study aims to assess Nurse’s Knowledge about Patient Safety after diagnostic Cardiac Catheterization at Azadi Teaching Hospital in Kirkuk City. A descriptive study survey approach was carried out from the period of 1st March 2017 up to 1st October 2017. A non-probability (purposive sampling) method was used to select the sample of the study. The study includes the (45) nurses who are working in medical ICU and cardiac medical ward at Azadi Teaching Hospital in Kirkuk City. The instrument of the study is Self structured questionnaire which is developed to assess the knowledge of nurses who are working in ICU and cardiac medical ward. The analysis of the data was used descriptive statistics (frequencies, percentages, mean, S.D), and inferential statistical (ANOVA and t- test). The results of the study showed that (48.9 %) of samples were in the age group between (23-27) year, and with a mean & SD of 2.13± 1.12.(64.4%) of study sample were female, (37.8 %) of the sample were graduate from Nursing institute, (75.6%) of them having (1-5) years of experience in the nursing profession, (95.6%) of the nurses had no training session in cardiac catheterization. The socio-demographic characteristic of the sample of the study has no significant relationship with knowledge at (P value < 0.05). The results of the questionnaire demonstrated that the nurses who are working in medical ICU and cardiac medical ward nurse’s knowledge towards Patient Safety after diagnostic Cardiac Catheterization were far from optimal. The researcher recommends the establishment educational training programs for staff working in cardiac catheterization and establishes specialized centers for cardiac catheterization.