The Development Nursing Practice Guideline for Surveillance and Prevention of Arrhythmias in Open Heart Surgery

Abstract

Purposes : to development the clinical nursing practice guidelines (CNPGs) and to evaluate the using the nursing practice guideline to surveillance and prevention of cardiac arrhythmias in open heart surgery patients.

Study design : The study design was research and development. 

Materials and Methods: The study subjects were patients 10 cases with coronary artery disease and received open heart surgery at Roi Et Hospital during January – March 2022 and 8 professional nurses. Data were collection consisted of the evaluation nursing practice guideline, the opinion nurse , nursing practice guidelines for surveillance and prevention of cardiac arrhythmias in open heart surgery patients, and manual of nursing practice guidelines. Data were analyzed by used descriptive statistics.

Main findings : Based on this study, five key components of nursing practice guidelines were obtained prevention of low cardiac out put, prevention of ineffective tissue perfusion, prevention of acute confusion/fear of anxiety, monitoring of cardiac arrhythmias from Fluid & Electrolyte, and monitor of cardiac arrhythmias from  pain. The evaluation nursing practice guideline used showed that the registered nurses were able to comply with the guideline of all items, except for the hemodynamic assessment. The opinions of registered nurses to use the guideline were mostly at moderate to highest level. The results of the nursing practice guideline used for patients found out that all of patients had their arrhythmias corrected by medication and no patients died from arrhythmias.         

Conclusion and recommendations : This study had 5 main components of nursing practice guidelines, which can be used in nursing practice to monitor and prevent the danger of arrhythmia in open heart surgery patients for achieve good patient outcomes.