Effect of a Structured Nurse-Led Empowerment Protocol on Knowledge, Practical Skills, and Self-Care Behaviours Among Patients With Permanent Pacemakers: A Quasi-Experimental Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Kafrelsheikh University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Change in Patient Knowledge Score
Study Overview
Brief Summary
This study evaluates whether a structured nurse-led education and empowerment program improves knowledge, practical self-care skills, and self-care behaviors in adult patients who have recently received a permanent pacemaker. Seventy participants were assigned to either the structured program, consisting of three individual teaching sessions with illustrated booklets and hands-on demonstration delivered within the first week after implantation, or standard hospital care. Outcomes were measured at baseline, immediately after the intervention, and at one-month follow-up using validated knowledge, practice, and self-care questionnaires.
Detailed Description
Patients with newly implanted permanent pacemakers often lack sufficient knowledge and practical skills for self-care, which can affect long-term outcomes and quality of life. This quasi-experimental study used a non-equivalent control-group, pretest-posttest design to evaluate a structured nurse-led empowerment protocol grounded in Bandura's Self-Efficacy Theory, Orem's Self-Care Deficit Nursing Theory, and patient-empowerment principles. The intervention consisted of three individual teaching sessions (30-45 minutes each) delivered within the first week after pacemaker implantation, using Arabic-language illustrated booklets and a demonstration/return-demonstration technique. The study was conducted in the cardiac intensive care unit, inpatient wards, and outpatient clinics of Tanta University Hospitals, Egypt.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥ 18 years
- •First-time permanent pacemaker implantation
- •Admission to the cardiology department
- •Willingness to provide written informed consent
Exclusion Criteria
- •Documented psychiatric or cognitive disorders
- •Inability to cooperate with the protocol
Outcomes
Primary Outcomes
Change in Patient Knowledge Score
Time Frame: Baseline, immediately post-intervention, and at 1-month follow-up
Patient knowledge about pacemaker function, wound care, activity precautions, and warning signs, measured using a validated knowledge questionnaire (score range 0-20). Higher scores indicate greater knowledge.
Secondary Outcomes
- Title: Change in Self-Care Behaviours Score(Baseline, immediately post-intervention, and at 1-month follow-up)
- Change in Practical Skills Competence Score(Baseline, immediately post-intervention, and at 1-month follow-up)
Investigators
Nahla Mohamed Mahmoud Afify
Lecturer of Critical Care & Emergency Nursing
Kafrelsheikh University