Effect of Self-Care Management on Nursing-Sensitive Patients’ Outcomes after Permanent Pacemaker Implantation

Context: Nursing is striving to build a knowledge base that supports professional practice and improves the quality of care. Aim: This study aimed to evaluate the effect of self-care management guidelines on nursing-sensitive patients' outcomes after permanent pacemaker implantation. Methods: A quasi-experimental design was utilized in this study. A purposive sample of 50 patients admitted to the cardiac catheterization unit at Ain Shams University Hospital after permanent pacemaker implantation during their follow up visit. They are divided into two matched group study and control groups. Their mean age ±SD was 45.37±5.76, and 48.75±4.27 successively. Patient socio-demographic characteristic and medical data sheet, self-care management level assessment scale, and nursing-sensitive outcomes measuring scale were utilized to achieve the study aim. Results: The study results revealed positive outcomes for patients of the study group compared to the controls and their pre-implementation level of self-care guidelines. Conclusion: The study concludes that implementation of self-care management guidelines reflected positively on enhancing all dimensions of nursing-sensitive patients' outcomes recommending that it should be applied in all cardiac catheterization units and should be updated periodically to enhance self-care management for those patients based on nursing-sensitive outcome classification.