Volume 5, Issue 3 (Summer 2019)                   JCCNC 2019, 5(3): 203-210 | Back to browse issues page


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Mousavi M, Adib-Hajibagheri M, Azizi-Fini I, Izadi-Avanji F S. The Satisfaction of Ischemic Heart Disease Patients With Nursing Care in Emergency Department. JCCNC 2019; 5 (3) :203-210
URL: http://jccnc.iums.ac.ir/article-1-234-en.html
1- Department of adult health, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
2- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
3- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran. , azizifinies@yahoo.com
Abstract:   (2387 Views)
Background: Emergency department congestion is among the major barriers to receiving nursing care for high-priority conditions, like ischemic heart disease. Therefore, it can affect patients’ satisfaction with the quality of care. This study aimed to investigate satisfaction with emergency care among patients with ischemic heart disease.
Methods: This cross-sectional study was conducted on 600 randomly-selected patients with ischemic heart disease who were admitted to the emergency department of Shahid Beheshti Hospital in Kashan City, Iran, from April to October 2017. The required data were collected, applying the Patient Satisfaction Instrument (PSI). The obtained data were analyzed using descriptive and analytical statistics, including Independent Samples t-test, Analysis of Variance (ANOVA), Multivariate Regression, and Pearson’s correlation analysis in SPSS software.
Results: In total, 50.7%( 304) of the studied patients were male. The Mean±SD score of patient satisfaction with nursing care was 71.90±14.76. The highest and lowest scores of patient satisfaction were related to technical-professional care (4.40±1.09) and patient education (3.17±0.74) subscales, respectively. Patient satisfaction was significantly correlated with previous experience of hospitalization and educational level (P=0.03). Pearson’s correlation analysis results suggested a positive and significant correlation between age and satisfaction (P<0.01; r=0.310).
Conclusion: In this study, patient satisfaction of technical-professional care was at an acceptable level; however, it was low on the subscale of patient education. Nevertheless, nursing managers should create conditions to promote patient education for more patient satisfaction. Additionally, devoting more time for patient education is required by nurses.
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• Patient satisfaction is considered to be a hallmark indicator of health care quality.
• Ischemic heart disease is among the main causes of patients’ admission to the emergency department.
• Patients with ischemic heart disease admitted to the emergency department require urgent care.
Plain Language Summary 
The current study assessed the satisfaction of patients with ischemic heart disease in terms of the care received in the emergency department of an educational hospital in Kashan City, Iran. The study patients’ total satisfaction was at a relatively desirable level; however, these patients had low satisfaction with patient education. Furthermore, the lack of knowledge is among the main reasons for the frequent referral of ischemia patients. Therefore, nursing managers and health policymakers must take appropriate actions to improve such care. 

Type of Study: Research | Subject: Special
Received: 2019/12/27 | Accepted: 2019/04/5 | Published: 2019/08/1

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