Efficiency of nursing action in reduction of early deaths among patients referred to coronary care unit in al-Saddr teaching hospital in Najaf, Iraq

Abstract EN

-Introduction: Myocardial infarction is one of most serious fatal disease of the acute coronary syndromes .These disease necessitate a rapid medical and nursing intervention both before and after hospital arrival.

Deaths rate from the disease is still high in hospitals of the Najaf governorate mainly from fatal arrhythmias .

mortality rate in a previous study (test) conducted during the last four months of the year 2008.

The death rate was compared in relation to the presence or absence of nurse contact at admission to hospital during the first 24 hours.

Results: The case fatality rate was 7.7% for patients with STEMI in the proper study (retet) period versus 19.2% among patients of the same disease in the previous study (test) (P<0.05).

This death rate was associated with provision nursing actions for 53% of patients in the current study (retest) versus 35.8% for the comparable study (P<0.05)..

Conclusion: The provision of qualified nursing services through the rapid intervention to patients with acute MI was associated with significant reduction in mortality.

Objective: to verify the association between the provision of nursing services and reduction of mortality from acute coronary syndromes especially myocardial infarction.

Design: comparable cross sectional study.

Methods: A convenient sample of 493 patients with acute coronary syndrome referred to Al Sadder Hospital in Najaf from which 183 patients had diagnostic criteria of acute ST elevation myocardial infarction (SEMI) during the period from 1st January 2009 and 30th June 2009.

The case fatality rate from STEMI of study sample was compared with