Permanent Pacemaker
Conditions
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.
Interventions
BEHAVIORALStructured Nurse-Led Empowerment Program
Three individual teaching sessions (30-45 minutes each) using Arabic-language illustrated booklets and a demonstration/return-demonstration technique, delivered within the first week after pacemaker implantation. Sessions covered pacemaker function, wound care, activity precautions, device follow-up, and warning signs requiring medical attention.
Sponsors
Kafrelsheikh University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Participants were assigned to either the structured empowerment program (intervention) or standard care (control) in a non-equivalent control-group design.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient Knowledge Score | 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
| Measure | Time frame | Description |
|---|---|---|
| Title: Change in Self-Care Behaviours Score | Baseline, immediately post-intervention, and at 1-month follow-up | Self-care behaviours measured using the Self-Care Behaviours Scale (score range 0-20). Higher scores indicate better self-care behaviours. |
| Change in Practical Skills Competence Score | Baseline, immediately post-intervention, and at 1-month follow-up | Practical self-care skills assessed using a validated Observational Checklist (score range 0-50). Higher scores indicate greater competence. |
Countries
Egypt
Outcome results
None listed