Title : Level of knowledge regarding management of patients with permanent pacemaker among nurses
Objective: Pacemaker may induce musculoskeletal attention of the diaphragm, the pectoral or the intercostal muscles due to extracardiac stimulation normally. The increase in the number of patients with the need for pacemaker implant assistance in the health services sector in Malaysia has resulted in an increased need for nurses to have expertise in patient care with pacemaker implantation. Therefore, this study was conducted to analyze the level of knowledge among nurses regarding the management of patients with pacemaker implantation.
Method: A cross-sectional study was conducted among all nurses at the critical care unit, intensive care unit, cardiac rehabilitation ward, investigation clinical laboratory, and non-invasive clinical laboratory in a public hospital in Kelantan. A survey form was adapted from HadiAtiyah and translated by the expert committee with Cronbach’s alpha 0.7. Data were analyzed for descriptive analysis, Pearson correlation test using Statistical Package for the Social Sciences (SPSS) version 24.
Results: Results from all respondents (n=70), 48.6 % of the respondents had a moderate knowledge about patient management with pacemaker implantation. 32.9 % had a low level of knowledge and only 13.6% had high knowledge regarding management of patient with pacemaker implantation. There is a significant difference between the level of knowledge and demographic data that is between the level of education (p=0.027), age (p=0.011) and length of service (p=0.015). There is no significant relationship between knowledge and demographic data such as gender (p=0.481), marital status (p=0.315), and post-basic (p=0.067).
Conclusions: Level of knowledge among nurses about management of patient with pacemaker implantation is minimum. Additional education and exposure among nurses are needed to enhance the knowledge of nurses and improve the quality of care among patients with pacemaker implant.