Hebron university – Faculty of Nursing

.Name: Malik Manasrah

.Supervisor: Dr. Hussain Jabareen

Nursing teaching role“
toward Cardiovascular
”disease patients
 :Contents
.Introduction -1

Reaserch question & Hypothesis-2

.Aims & objectives -3

.Methodology -4

.Results -5

Discussion & Recommendations -6

 Introduction
Cardiovascular disease (CVD) is a critical
public health issue, nationally and
internationally.
cardiovascular diseases most common
causes of death worldwide
among adults in Palestine in 2005, 21 % of
deaths were due to heart diseases and 11
.% to cerebrovascular diseases
 :Research question
Is nurse give teaching to
cardiovascular patient by giving
them information and instruction
about variables of Specific
Cardiovascular risk factors (lifestyle
behaviors(
 Aims & objectives
 To establish data of what kind of
teaching the nurse give to cardiovascular
patient.
To examine which topics that nurse focus
on during teaching.
To identify factors which promote the
successful nursing teaching.
To identify factors which limit or prevent
sufficient teaching to cardiovascular
patient.
 Methodology
I used Quantitative approach, cross
sectional method & Questionnaires
design.
-Population:
the population consisted of Nurses
working with cardiovascular patient
 … Methodology
Location:
 Hebron governmental hospital
 Al-Ahli Hospital in Hebron
 Al-Mezan hospital in Hebron
 Al-Hussein governmental hospital
Timing:
2 weeks from 19/2/2011 -1/3/2011
 … Methodology
Subjects:
I was Distributed 80 questionnaires and I
included all nurses’ work with
cardiovascular patients in a ward of CCU
and Medical ward
excluded nurses who don’t work with
cardiovascular patients.
Analysis: By using the SPSS windows
program.
 Result

• The response rate is 86%

• My questionnaires consist of 3 parts:
• 1. Demographic Data
• 2. question to test nursing teaching to
CVD Pt
• 3. Question to test abesticles and
motivations
 Result
Percent Frequency Sex
56.5% 39 Male
43.5% 30 Female

Percent Frequency Ward

20% 14 Medical ward
39% 24 CCU Ward
26% 18 Emergency ward
19% 13 Other wards
 Result
Percent Frequency Hospital
39% 27 Governmental
55% 38 Non-governmental
6% 4 Private
‫هل حصلت على دورات بخصوص امراض‬
‫القلب والشرايين‬

‫‪No‬‬
‫‪49%‬‬ ‫‪Yes‬‬
‫‪51%‬‬
 ‫أقوم بتوضيح التشخيص للمريض‬

‫احيانا‬
‫‪41%‬‬

‫دائما‬
‫‪59%‬‬
‫أوضح للمر‪%‬يض كيفية استخدام االدوية وما الفائدة العالجية لكل‬
‫دواء وتأثيره حتى بدون ان يسأل المر‪%‬يض‬
‫ً‬
‫مطلقا‬
‫‪3%‬‬

‫ً‬
‫دائما‬
‫‪41%‬‬

‫احيا ًنا‬
‫‪57%‬‬
‫أقوم بتوعية المر‪%‬ضى حول اضرار التدخين والفوائد الصحية‬
‫لتر‪%‬كه‬
‫ً‬
‫مطلقا‬
‫‪3%‬‬

‫ً‬
‫دائما‬
‫‪48%‬‬
‫احيا ًنا‬
‫‪49%‬‬
‫أقوم بتوضيح نوعيات الغذاء المناسب الذي يساعد في تحسين‬
‫صحة المريض‬
‫ً‬
‫مطلقا‬
‫‪1%‬‬

‫ً‬
‫دائما‬
‫‪48%‬‬
‫احيا ًنا‬
‫‪51%‬‬
‫أقوم بتوضيح اهمية الر‪%‬ياضة المنتظمة وما هي الرياضة‬
‫المناسبة حسب حالة المريض‬
‫ً‬
‫مطلقا‬
‫‪1%‬‬

‫ً‬
‫دائما‬
‫‪35%‬‬

‫احيا ًنا‬
‫‪64%‬‬
‫أقوم بتوعية المريض حول اهمية الوزن الطبيعي وطرق‬
‫سمنة‬‫التخلص من ال ُ‬

‫دائ ًما‬
‫‪39%‬‬

‫اح ًيانا‬
‫‪61%‬‬
‫أقوم بتوعية المريض حول المخاطر الصحية الرتفاع‬
‫مطلقا االلتزام بالعالج‬
‫ضغط الدم وضرورة ً‬
‫‪1%‬‬

‫احيا ًنا‬ ‫ً‬

‫دائما‬
‫‪48%‬‬ ‫‪51%‬‬
‫عند تقديم التثقيف الصحي استخدمـ كلمات وعبارات‬
‫تراعي القدرات العلمية للمريض‪.‬‬
‫ً‬
‫مطلقا‬
‫‪1%‬‬

‫احيا ًنا‬
‫‪36%‬‬

‫ً‬
‫دائما‬
‫‪62%‬‬
‫اعتقد انه من الضروري اعداد دورات لزيادة الخبرة‬
‫التمريضية في التثقيف الصحي لمرضى القلب‬

‫احيا ًنا‬
‫‪32%‬‬

‫دائ ًما‬
‫‪68%‬‬
‫ال يوجود قوانين في المستشفى تجبر الممرض على‬
‫تقديم التثقيف الصحي‬

‫معارض‬
‫‪36%‬‬

‫موافق‬
‫‪64%‬‬
 Mean
1 2.5 4
Go with hypotheses Go against hypotheses

The Mean of the meabs for this section is 1.74

So these section go with hypotheses
‫اي من العوامل التالية تعبره عامل يحد من اعطاء‬
‫قدر كافي من التعليم للمرضى‬
‫‪Percent‬‬ ‫‪Frequency‬‬ ‫ضغط العمل‬
‫‪94%‬‬ ‫‪65‬‬ ‫أوافق‬
‫‪6%‬‬ ‫‪4‬‬
‫أعارض‬
‫عدم المعرفة بالتعليمات الواجب اتباعها‬
‫‪Percent‬‬ ‫‪Frequency‬‬
‫‪54%‬‬ ‫‪37‬‬ ‫أوافق‬
‫‪46%‬‬ ‫‪32‬‬
‫أعارض‬
‫ال اعتبر التثقيف الصحي للمريض جزء من البرنامج العالجي للمريض‬

‫‪Percent‬‬ ‫‪Frequency‬‬

‫‪26%‬‬ ‫‪18‬‬ ‫أوافق‬

‫‪74%‬‬ ‫‪51‬‬ ‫أعارض‬

‫ال املك مهارات في التواصل مع المرضى‬

‫‪Percent‬‬ ‫‪Frequency‬‬
‫‪33%‬‬ ‫‪23‬‬ ‫أوافق‬
‫‪67%‬‬ ‫‪46‬‬
‫أعارض‬
‫اي من العوامل التالية تعبره عامل محفزا ً العطاء قدر‬
‫كافي من التعليم لمرضى القلب‬
‫يوجد في القسم ارشادات مطبوعة لتثقيف المرضى‬
‫‪Percent‬‬ ‫‪Frequency‬‬
‫‪62%‬‬ ‫‪43‬‬ ‫أوافق‬
‫‪38%‬‬ ‫‪26‬‬
‫أعارض‬
‫يوجد في القسم حوافز اضافية للمرضين الملتزمين بالتثقيف الصحي‬
‫‪Percent‬‬ ‫‪Frequency‬‬
‫‪56%‬‬ ‫‪39‬‬ ‫أوافق‬
‫‪44%‬‬ ‫‪30‬‬
‫أعارض‬
 ‫المستشفى * هل حصلت على دورات بخصوص‬
‫امراض القلب والشرايين‬
‫‪Crosstabulation‬‬
‫‪30‬‬

‫‪25‬‬
‫‪Frequency‬‬

‫‪20‬‬

‫‪15‬‬ ‫نعم‬
‫‪47%‬‬ ‫ال‬
‫‪53%‬‬
‫‪10‬‬
‫‪74%‬‬
‫‪26%‬‬
‫‪5‬‬

‫‪0‬‬
‫مستشفى حكومي‬ ‫مستشفى خاص‬
 ‫القسم * أقوم بتوضيح التشخيص للمريض‬
‫‪Crosstabulation‬‬
‫‪16‬‬

‫‪14‬‬

‫‪12‬‬
‫‪Frequency‬‬

‫‪10‬‬
‫‪31%‬‬ ‫ً‬
‫دائما‬
‫‪8‬‬ ‫‪38%‬‬
‫‪31%‬‬ ‫احيا ًنا‬
‫‪6‬‬
‫‪55%‬‬
‫‪4‬‬ ‫‪28%‬‬
‫‪17%‬‬
‫‪2‬‬

‫‪0‬‬
‫الباطني‬ ‫العناية القلبية المكثفة‬ ‫طوارئ‬
 ‫الدرجة العلمية *ال املك مهارات في التواصل مع‬
‫المرضى‬
‫‪Crosstabulation‬‬
‫‪30‬‬

‫‪25‬‬

‫‪20‬‬ ‫‪57%‬‬
‫‪Frequency‬‬

‫‪15‬‬ ‫أوافق‬
‫‪65%‬‬ ‫أعارض‬
‫‪30%‬‬
‫‪10‬‬

‫‪5‬‬
‫‪27%‬‬ ‫‪13%‬‬
‫‪9%‬‬
‫‪0‬‬
‫دبلوم متوسط‬ ‫بكالوريوس‬ ‫دبلوم عالي متخصص‬
 Discussion
• The evidence from this study lends support for
the research hypothesis that there are
significant interrelationships between the
cardiovascular health/risk behaviors and
nursing role in teaching.
• training health nurses to deliver effective
teaching to CVD patients is needed.
• The level of Cardiovascular patients health
education program were given in high level and
Rate.
 .…Discussion Cont
• There are many factors affect health education
program the main one is work overload.
• There are Incentives for health education, the
main is motivations from hospital management
team .
 Recommendation
• They must increase communications skills in
nursing.
• they must offer The printed guidance for each
Patient acording to patient case.
• Health education programs among CVD patients
should be introduced in nursing curricula in
Constitution of the hospital
• They must decrease work overload by increase
number of nurses in wards.
 .…Recommendation Cont
• Cooperative efforts to promote the education
of patients may be encouraged through joint
staff conferences of several agencies, inservice
training, case conferences of several agencies,
and other means for exchange of ideas and
make Course to raise the level of awareness' in
nursing working with cardiovascular patients.
 Conclusion
• This study aimed to investigate the nursing
role in teaching among Cardiovascular disease
patients.
• Nurses can take a central role in working with
clients to promote the best outcomes.
• The result go with my hypothesis.
Thank you
For attention
ANY QUESTIONS