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Study Papers | Medical Surgical | India | Volume 12 Issue 8, August 2023
A Study to Assess the Knowledge and Practice regarding Homecare Management of Permanent Pacemaker Implanted (PPI) Patients in Selected Hospitals of Guwahati, Assam with a View to Develop an Information Booklet
Nibedita Baishya | Anjali Gogoi [4] | Baby Dutta
Abstract: Background: An artificial Cardiac Pacemaker is an electronic device, recognized and widely used treatment for patients presenting with bradycardia. Patients are expected to return to normal activities almost immediately post implantation. However, patients themselves may perceive interferences to pacemaker function by various routine activities and devices and hence continued to lead restricted, disabled lives. As permanent pacemakers are meant for life time use, a negligence and lack of adequate knowledge and practice can cause life threatening complications. Therefore, it is considered vital for healthcare professionals to be aware of patients? knowledge and practices after the device implantation and the impact of this device on patients? day - to - day - life, hence subsequent evaluation of knowledge among PPI patients is the first and vital step to improve quality of life. Aim: The aim of the study was to assess the Knowledge and Practice regarding Homecare Management of Permanent Pacemaker Implanted (PPI) patients in selected Hospitals of Guwahati, Assam with a view to develop an Information Booklet. Objectives: Objectives of the study were to - assess the knowledge regarding homecare management of PPI patients, assess the practice regarding homecare management of PPI patients, find out the correlation between knowledge and practice regarding homecare management of PPI patients, find out the association between knowledge regarding homecare management of PPI patients with selected demographic variables and to find out the association between practice regarding homecare management of Permanent Pacemaker Implanted (PPI) patients with selected demographic variables - age, gender, religion, type of family, place of residence, marital status, education, occupation, place of pacemaker implantation, day of pacemaker implantation. Materials and Methods: A quantitative descriptive research approach with descriptive correlational research design was considered to be appropriate for this study. The settings of the study were 5 conveniently selected hospitals of Guwahati, Assam.105 PPI patients were selected as a study sample chosen by Non Probability Consecutive sampling in proportionate percentage from each hospital. The data were collected through Structure Interview Schedule and analysed in terms of descriptive and inferential statistics. Results: Out of 105 PPI patients, majority i. e., 49 (46.7%) belonged to the age group of 50 - 65years, 66 (62.9%) were male, 69 (65.7%) were Hindu, 57 (54.3%) were from nuclear family, 76 (72.4%) were from urban area, 75 (71.4%) were married, 22 (21.0%) were high school pass, 27 (25.7%) were government employee, 63 (60.0%) patients had their place of pacemaker implantation in private hospital, 31 (29.5%) patients belonged to 2 - 6 months according to day of pacemaker implantation. Majority i. e.57 (54.3%) had moderately adequate knowledge followed by 30 (28.6%) with inadequate knowledge and only 18 (17.1%) had adequate knowledge regarding homecare management of permanent pacemaker implantation. Whereas majority i. e., 68 (64.8%) had moderately adequate practice followed by 22 (21.0%) with inadequate practice and only 15 (14.3%) had adequate practice regarding homecare management of permanent pacemaker implantation. The study also revealed a significant positive correlation between knowledge and practice regarding homecare management of PPI patients (r= 0.953) at p value <.001. A significant association was found between knowledge with selected demographic variables and also between practice with selected demographic variables such as age, religion, marital status, education, occupation, place of pacemaker implantation, day of pacemaker implantation. Conclusion: The study concluded that majority of the patients had not adequate knowledge and practice regarding homecare management of permanent pacemaker. It was further established that there is a significant positive correlation between knowledge and practice of PPI patient.
Keywords: Knowledge, Practice, Homecare, PPI patients, Information Booklet, Demographic Variables, Pacemaker
Edition: Volume 12 Issue 8, August 2023,
Pages: 2361 - 2369