Assessment of Nurse’s Knowledge Concerning nursing care of the patients receiving thrombolytic therapy with Acute Myocardial Infraction at Coronary Care Unit in Al-Diwaniya Teaching Hospital

Abstract

Background: Cardiovascular disease is a group of disorders that occur in the heart and blood vessels. Coronary artery disease is a condition that develops due to the accumulation of atherosclerotic plaque in the pericardial coronary arteries leading to myocardial ischemia. Acute myocardial infarction is a severe type of coronary artery disease that occurs from blocked of arteries in the heart, and occurrence of acute myocardial infarction is growing steadily due to increased alcohol and cigarettes, stress. Diagnostic methods for discovery the patients with acute myocardial infarction are electrocardiogram and markers of the heart muscle necrosis, and myocardial perfusion to reduce mortality by thrombolytic therapy or percutaneous coronary intervention. Thrombolytic therapy is used to treat acute myocardial infarction, which is the dissolution of a blood vessel clot of the heart by converting plasminogen into plasmin. It is most effective if it is delivered within three hours of the onset of symptoms.Aims of the study: to assess of nursesꞌ knowledge about nursing care of patients receiving thrombolytic therapy with Acute Myocardial Infarction at Coronary Care Unit.Methodology: A quantitative descriptive cross-sectional design was used in order to achieve objectives of this study was carried out at AL-in Al-Diwaniya Teaching Hospital for the period (17th September, 2020 to 4th April, 2021) on a total population sample consisting of (40 nurses) working in Coronary Care Unit.Results: The results of this study show that nurses' knowledge for Nursing Management of Thrombolytic Therapy for Patients with Acute Myocardial Infraction domains were low at mean score (1.26) and no significant association between knowledge of nurses and selected variables (p>0.05).Conclusion: The nursesꞌ knowledge had low about Nursing Care of Thrombolytic Therapy at Coronary Care Unit.Recommendations: The study recommended that can participating all coronary care unit nurses in special educational program and encouraging to improvement knowledge about nursing management of thrombolytic therapy in the Coronary Care Unit.

Nurses' knowledge and practice of thrombolytic therapy in the emergency department of King Salman Hospital: A comparative analysis

“…Furthermore, ninety percent of the nurses had deficient practices in delivering anticoagulant medicine, and the study advocated offering programs to increase patients' understanding and practice of thrombosis treatment (Shaaban Khalil et al, 2018). In one of the studies conducted on nurses' knowledge about the risk factors for myocardial infarction bleeding for patients receiving thrombolytic therapy, in addition to knowing the effectiveness of the educational program among nurses, it was discovered that patients have little knowledge about thrombosis treatment, as their knowledge improved after the educational program (Skal and Ahmed, 2021).…”