the sources of data is from cardiac arrhythmias patient from 数据来源是心律失常的病人_第1页
the sources of data is from cardiac arrhythmias patient from 数据来源是心律失常的病人_第2页
the sources of data is from cardiac arrhythmias patient from 数据来源是心律失常的病人_第3页
the sources of data is from cardiac arrhythmias patient from 数据来源是心律失常的病人_第4页
the sources of data is from cardiac arrhythmias patient from 数据来源是心律失常的病人_第5页
已阅读5页，还剩19页未读， 继续免费阅读

下载本文档

版权说明：本文档由用户提供并上传，收益归属内容提供方，若内容存在侵权，请进行举报或认领

文档简介

RAJIVGANDHIUNIVERSITYOFHEALTHSCIENCESBANGALORE,KARNATAKASYNOPSISPROFORMAFORREGISTRATIONOFSUBJECTFOR1NAMEOFTHECANDIDATEANDADDRESSMSJOSELINVJOSEMSCNURSING,1STYEARDHANWANTARINURSINGCOLLEGE,NO41/3,VINAYAKNAGAR,CHIKKBANAVAR,BANGALORE,5600902NAMEOFTHEINSTITUTIONDHANWANTARINURSINGCOLLEGE,NO41/3,VINAYAKNAGAR,CHIKKBANAVAR,BANGALORE,5600903COURSEOFTHESTUDYANDSUBJECTMSCNURSING1STYEARMEDICALSURGICALNURSING4DATEOFADMISSION30/09/20095TITLEOFTHETOPICKNOWLEDGEREGARDINGIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIAS51STATEMENTOFTHEPROBLEM“ASTUDYTOASSESSTHEKNOWLEDGEREGARDINGIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIASAMONGSTAFFNURSESOFSELECTEDHOSPITALSATBANGALOREWITHVIEWTODEVELOPANINFORMATIONALBOOKLET”6BRIEFRESUMEOFTHEINTENDEDWORK61INTRODUCTIONTHEWRINKLESOFTHEHEARTAREMOREINDELIBLETHANTHOSEOFTHEBROWMADAMEDELUZYTHEHEART,MUSCULARPUMPOFTHECIRCULATORYSYSTEM,ISPOWEREDBYANELECTRICALIMPULSETHATSIGNALSTHEHEARTSFOURCHAMBERSTOCONTRACT,EACHATTHEPROPERTIMETHEHEARTWORKSINANENDLESSCONTRACTRELAX/CONTRACTRELAXCYCLEANAVERAGEHEARTBEATS1,00,000TIMESADAY,PUMPINGSOME2000GALLONSOFBLOODTHROUGHITSCHAMBERSANDTHENBACKTOTHEHEARTOVERA70YEARLIFESPAN,THATADDSUPTOMORETHAN25BILLIONHEARTBEATS1BUTMANYFORMSOFHEARTDISEASECANINTERRUPTTHENORMALCONTRACTRELAXCYCLEANDCAUSEABNORMALLYFASTORUNUSUALLYSLOWHEARTRATES,CALLEDCARDIACARRHYTHMIASTHESECONDITIONSMAKETHEHEARTPUMPLESSEFFECTIVELY,SOTHATNOTENOUGHBLOODREACHEDTHEBRAINANDOTHERVITALORGANSWHENTHEBODYSBLOODFLOWISINADEQUATE,THEPERSONCANFAINTORSUFFERCHESTPAINEVENSUDDENDEATHCANOCCURZYPES1ABNORMALHEARTFUNCTIONRESULTSINDISTURBANCESOFEITHERELECTRICALORMECHANICALACTIVITYORBOTHABNORMALELECTRICALACTIVITYMAYRESULTINARRHYTHMIASCRAWFORDMV,2WHENTHERATE,RHYTHMORCONTOUROFANYOFTHEINDIVIDUALWAVEOFELECTROCARDIOGRAMECGISABNORMAL,THEDISORDERISCALLEDARRHYTHMIADEVELOPMENTOFARRHYTHMIASISONEOFTHEMOSTCOMMONCOMPLICATIONSINPATIENTSWITHACUTEMYOCARDIALINFARCTIONNEARLYHALFOFDEATHSFROMMYOCARDIALINFARCTIONAREDUETOARRHYTHMIASNANCY3ARRHYTHMIASCANLEADTODRAMATICCHANGESINCIRCULATORYDYNAMICSSUCHASHYPOTENSION,HEARTFAILUREANDSHOCKBLACK,M4THEMOSTLIFETHREATENINGRESULTOFCARDIACARRHYTHMIASISSUDDENCARDIACDEATHAMERICANHEARTASSOCIATION,RECOGNIZINGANDTREATINGARRHYTHMIASATANEARLYSTAGECANPREVENTDEATHTHENURSEINICCUSHOULDTHEREFOREBEFAMILIARWITHTHEIDENTIFICATIONOFSUCHARRHYTHMIASINSTANTRECOGNITIONOFLETHALARRHYTHMIASANDIMMEDIATERESUSCITATIONSAVESTHELIVESOFMANYNANCY3ORLANDORECOMMENDSTHATNURSESMUSTRADICALLYSHIFTTHEIRFOCUSFROMASSISTANCETOPHYSICIANSANDINSTITUTIONSTOASSISTINGPATIENTSWITHWHATTHEYCANNOTDOALONEPHYSICIANSORDERSAREDIRECTEDTOPATIENTS,NOTTONURSESMOREOVER,ATTIMESNURSESMAYEVENASSISTPATIENTSINNOTCOMPLYINGWITHMEDICALORDERSWHENSUCHORDERSAREINCONFLICTWITHTHEPATIENTSNEEDFORHELP762NEEDFORTHESTUDYABNORMALHEARTFUNCTIONRESULTSINDISTURBANCESOFEITHERELECTRICALORMECHANICALACTIVITYORBOTHABNORMALELECTRICALACTIVITYMAYRESULTINARRHYTHMIASCRAWFORDMV,2WHENTHERATE,RHYTHMORCONTOUROFANYOFTHEINDIVIDUALWAVEOFELECTROCARDIOGRAMECGISABNORMAL,THEDISORDERISCALLEDARRHYTHMIAOUTOFGLOBALTOTALOF522MILLIONDEATHS,153MILLIONSWEREDUETOCIRCULATORYDISEASESMOSTDEATHSFROMCIRCULATORYDISEASESWEREDUETOCORONARYHEARTDISEASES72MILLION8ABOUT33,380GLOBALDEATHSPERYEARAREDUETOCARDIACARRHYTHMIASWITHTHEWEIGHTEDAVERAGEOF31581DEATHSPREVALENCEOFARRHYTHMIASIS53PER100020059INDEVELOPINGCOUNTRIESLIKEINDIA,NONCOMMUNICABLEDISEASESAREBECOMINGMOREPREVALENTTHISISMAINLYDUETOADOPTIONOFWESTERNLIFESTYLEANDTHEIRACCOMPANYINGRISKFACTORSSMOKING,HIGHFATDIET,OBESITY,ANDLACKOFKNOWLEDGEWHOREPORT1998ININDIACORONARYHEARTDISEASESAPPEARADECADEEARLIERCOMPAREDWITHTHEAGEINCIDENCEINDEVELOPEDCOUNTRIES8ACCORDINGTOWORLDHEALTHORGANIZATION,DEATHFROMHEARTDISEASESWOULDDOUBLEININDIABY2015,ASTHEREISGROWINGINCIDENCEAMONGTHEYOUTHANDWOMAN10INDIAISAGEINGASINDICATEDBYINCREASEINELDERLYPOPULATIONSINGHALLWEREDISCHARGEDUNEVENTFULLYWITHIN24HOURSNOIMPORTANTCOMPLICATIONSOCCURREDWAITINGTIMEWASREDUCEDFROM27WEEKSTOEIGHTWEEKSFORPATIENTSELIGIBLEFORTHESERVICEITWASCONCLUDEDTHATELECTIVEDCCARDIOVERSIONUNDERGENERALANESTHESIACANBESAFELYDONEBYANAPPROPRIATELYTRAINEDNURSEINADAYSURGERYUNIT,REMOTEFROMANACUTEGENERALHOSPITALTHISMODELOFCAREISEFFECTIVEANDCANREDUCEWAITINGTIMEANDRELIEVEPRESSUREONACUTEBEDSANDJUNIORDOCTORS46APROSPECTIVELONGITUDINALSTUDYWASCONDUCTEDTOASSESSTHESAFETYANDEFFECTIVENESSOFNURSELEDELECTIVECARDIOVERSIONOFATRIALFIBRILLATIONUNDERSEDATIONSUCCESSRATESATDISCHARGEANDATSIXWEEKS,ENERGYDELIVERED,NUMBEROFSHOCKS,DOSEOFSEDATION,IMMEDIATE,24,AND48HOURPATIENTPERCEPTIONS,COMPLICATIONS,WAITINGTIME,ANDCOSTEFFECTIVENESSWERESTUDIEDOVER300PATIENTSREFERREDFORELECTIVECARDIOVERSIONOFPERSISTENTATRIALFIBRILLATIONAFASTUDYRESULTEDIN87OFSUCCESSRATEOFCARDIOVERSIONATDISCHARGEAND48ATSIXWEEKSMEANSDCUMULATIVEENERGYWAS497282ANDNUMBEROFSHOCKS1608MEANSDDOSEOFSEDATIONWAS239MGINTRAVENOUSDIAZEPAMNOPATIENTSREQUIREDREVERSALOFSEDATION,AIRWAYSUPPORT,ORMEDICALINTERVENTIONNINETYEIGHTPERCENTOFPATIENTSHADNOPAINORRECALLOFTHEPROCEDUREWAITINGTIMESFORELECTIVECARDIOVERSIONFELLFROMTHREEMONTHSTOUNDERFOURWEEKSTHEREWASASIGNIFICANTREDUCTIONINTHEESTIMATEDCOSTOFTHEPROCEDUREFROM337POUNDSSTERLINGWITHGENERALANESTHESIATO130POUNDSSTERLINGWITHNURSELEDSEDATIONANDCARDIOVERSIONP0001THESERESULTSSHOWEDTHATWITHAPPROPRIATETRAINING,ANURSELEDCARDIOVERSIONISSAFE,EFFECTIVE,WELLTOLERATED,ANDCOSTEFFECTIVE47APILOTSTUDYWASCONDUCTEDTOASSESSTHERESULTSOFEMERGENCYDEFIBRILLATIONPERFORMEDBYCORONARYNURSINGSTAFFTHEYESTABLISHEDAWORKINGPROGRAMMETHATALLOWSTRAINEDCORONARYCARENURSESTODEFIBRILLATEINEMERGENCIESPROSPECTIVEDATACOLLECTEDFORFOURMONTHSSHOWEDTHATATOTALOF11WITNESSEDEPISODESOFVENTRICULARTACHYCARDIAOCCURREDINNINEPATIENTSANDWEREDEFIBRILLATEDBYNURSESTHEREWASNOVIOLATIONOFTHERESUSCITATIONPROTOCOLORCOMPLICATIONSRELATEDTODEFIBRILLATIONITWASCONCLUDEDTHATTHROUGHPROGRAMMEDTRAININGINADVANCEDCARDIACLIFESUPPORT,CORONARYCARENURSESWERECAPABLETOPROVIDECAREANDPROMPTDEFIBRILLATIONTHEIMPORTANCEOFTRAININGANDRECERTIFICATIONISALSOSTRESSED24ASTUDYWASCONDUCTEDTOASSESSTHEKNOWLEDGEANDATTITUDEOFNURSESONMEDICALWARDSREGARDINGDEFIBRILLATIONTHEYQUESTIONED112QUALIFIEDNURSESABOUTTHEIRRESUSCITATIONEXPERIENCEANDKNOWLEDGEOFECGINTERPRETATIONANDDEFIBRILLATIONALTHOUGHALLBUTTWOOFTHEMHADBEENFORMALLYTRAINEDINBASICCARDIOPULMONARYRESUSCITATIONCPR,ONLY16HADRECEIVEDANYTRAININGINTHELASTSIXMONTHSSEVENTYFIVEPERCENTOFNURSESWEREINVOLVEDINCPRASFIRSTRESPONDERBUTONLY18HADUSEDADEFIBRILLATORDURINGCARDIACARRESTIDENTIFICATIONOFECGRHYTHMSANDPRACTICALKNOWLEDGEABOUTDEFIBRILLATIONWASENCOURAGINGDESPITETHELACKOFFORMALTRAININGINTHISFILEDALMOSTEVERYONEOFTHENURSESWOULDBEWILLINGTORECEIVETRAININGINADVANCEDCARDIACLIFESUPPORTITWASRESULTEDTHATAPPROPRIATETRAININGANDRETRAININGOFNURSINGSTAFFSHOULDIMPROVETHEOUTCOMEOFRESUSCITATIONEFFORTSONMEDICALWARDS14ASTUDYWASCONDUCTEDFORNURSINGSTAFFMEMBERSTHEYWEREPROVIDED53CPRREFRESHERCOURSESACCORDINGTOTHEIRINDIVIDUALSKILLSANDCOMPETENCEINCPRPROCEDURESWEREEXAMINEDACCORDINGTOTHESTANDARDSANDGUIDELINESOFTHEGERMANMEDICALASSOCIATIONTHEEFFICACYOFCARDIACMASSAGEANDARTIFICIALVENTILATIONPERFORMEDBYEACHNURSEWASRECORDEDQUALITYCRITERIAWEREDEFINED,GROUPEDANDANALYZEDSTATISTICALLYBYTHECHISQUARETESTRESULTSSHOWEDTHATONLY66OFTHENURSINGSTAFFWASFOUNDTOHAVEGOODSKILLSINARTIFICIALVENTILATIONTHEATTEMPTSATRESUSCITATIONMADEBY586WERECOMPLETELYINADEQUATEALTHOUGH14OFTHENURSESCARRIEDOUTEFFECTIVECARDIACMASSAGE,THEMAJORITYOFTHETESTGROUP447FAILEDTODOSOONLYFOURINDIVIDUALS09WEREABLETOPERFORMALLSTANDARDCPRPROCEDURESASRECOMMENDEDBYTHEGUIDELINESAND718FAILEDTOPERFORMEFFECTIVECPRMANEUVERSITWASCONCLUDEDTHATCPRSKILLSOFHOSPITALNURSESAREINADEQUATE,MAINLYBECAUSEOFLACKOFMANUALDEXTERITYOBVIOUSLYTHESPECIALSKILLSLEARNEDINCPRCOURSESARELOSTAFTERRELATIVELYSHORTTIMERESEARCHERSAREOFTHEOPINIONTHATREFRESHERCOURSESINSPECIFICCPRTECHNIQUESMUSTBEDEMANDED,WHICHSHOULDBEMADEOBLIGATORYFORNURSINGSTAFFFOREVERYTWOYEARS1864STATEMENTOFTHEPROBLEM“ASTUDYTOASSESSTHEKNOWLEDGEREGARDINGIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIASAMONGSTAFFNURSESOFSELECTEDHOSPITALSATBANGALOREWITHVIEWTODEVELOPANINFORMATIONALBOOKLET”65OBJECTIVESOFTHESTUDYTOASSESSTHELEVELOFKNOWLEDGEOFSTAFFNURSESREGARDINGIDENTIFICATIONOFSELECTEDCARDIACARRHYTHMIASTOASSESSTHELEVELOFKNOWLEDGEOFSTAFFNURSESREGARDINGTHEMANAGEMENTOFSELECTEDCARDIACARRHYTHMIASTOCOMPARETHEKNOWLEDGEOFIDENTIFICATIONWITHMANAGEMENTOFSELECTEDCARDIACARRHYTHMIASAMONGSTAFFNURSESOFSELECTEDHOSPITALS,ATBANGALORETOFINDOUTTHEASSOCIATIONBETWEENTHEKNOWLEDGEOFIDENTIFICATIONANDMANAGEMENTWITHSELECTEDSOCIODEMOGRAPHICVARIABLESTODEVELOPANINFORMATIONBOOKLETREGARDINGIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIASAMONGSTAFFNURSES66RESEARCHHYPOTHESISH1THEREWILLBEASIGNIFICANTDIFFERENCEBETWEENTHEKNOWLEDGEOFIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIASAMONGSTAFFNURSESH2THEREWILLBEASIGNIFICANTASSOCIATIONBETWEENKNOWLEDGEOFIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIASAMONGSTAFFNURSESWITHSELECTEDSOCIODEMOGRAPHICVARIABLES67OPERATIONALDEFINITIONS1KNOWLEDGEREFERSTOTHEABILITYOFTHESAMPLESINGIVINGCORRECTRESPONSESTOTHEQUESTIONSASKEDASMEASUREDBYTHESTRUCTUREDKNOWLEDGEQUESTIONNAIRE2IDENTIFICATIONOFCARDIACARRHYTHMIASREFERSTOTHERECOGNITIONOFSELECTEDCARDIACARRHYTHMIASWITHTHEHELPOFECGMONITORINGANDTHEPRESENCEPHYSICALSIGNSANDSYMPTOMS3MANAGEMENTOFCARDIACARRHYTHMIASREFERSTOTHEKNOWLEDGEONVARIOUSPHYSICAL,PSYCHOLOGICAL,PHARMACOLOGICALANDNURSINGMEASURESTOTREATSELECTEDCARDIACARRHYTHMIAS4STAFFNURSESREFERSTOTHEREGISTEREDNURSESWHOHAVEMINIMUMEXPERIENCEOF3MONTHSINCARDIACCARESERVICESANDWORKINGINASELECTEDHOSPITALATBANGALOREANDWHOAREWILLINGTOPARTICIPATEINTHESTUDY5SELECTEDCARDIACARRHYTHMIASREFERSTOTHESINUSTACHYCARDIA,SINUSBRADYCARDIA,PREMATUREATRIALCONTRACTIONSPACS,ATRIALFIBRILLATION,PREMATUREVENTRICULARCONTRACTIONSPVCS,VENTRICULARTACHYCARDIAVT,VENTRICULARFIBRILLATIONVF6INFORMATIONALBOOKLETREFERSTOPLANNEDSELFINSTRUCTIONALBOOKLETCONSISTOFINFORMATIONREGARDINGIDENTIFICATIONANDMANAGEMENTOFCARDIACARRHYTHMIAS68ASSUMPTIONS1STAFFNURSESMAYNOTHAVEADEQUATEKNOWLEDGEONIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIAS2SELFINFORMATIONALBOOKLETON“IDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIAS”ISANACCEPTEDSTRATEGYFORCREATINGAWARENESSAMONGSTAFFNURSES3STAFFNURSESWILLIMPROVEKNOWLEDGEANDSKILLTOIDENTIFYANDMANAGESELECTEDCARDIACARRHYTHMIASAFTERGOINGTHROUGHSELFINFORMATIONALBOOKLET69DELIMITATIONSSTUDYWILLBEDELIMITEDTOSTAFFNURSESWHOAREOWORKINGINTHESELECTEDHOSPITALSOFBANGALOREOHAVINGMINIMUMQUALIFICATIONOFASTAFFNURSEANDOAVAILABLEDURINGTHEPERIODOFSTUDY7MATERIALANDMETHODSMETHODOLOGYOFTHISSTUDYINCLUDES,RESEARCHAPPROACH,RESEARCHDESIGN,SETTING,POPULATION,SAMPLEANDSAMPLINGTECHNIQUES,DEVELOPMENTOFTHETEACHINGPROGRAMME,SELECTIONANDDEVELOPMENTOFTOOL,PILOTSTUDY,PROCEDUREFORDATACOLLECTION,ANDDATAANALYSISPLAN71RESEARCHAPPROACHINVIEWOFTHENATUREOFTHEPROBLEMSELECTEDFORTHEPRESENTSTUDYTOASSESSTHE“EFFECTIVENESSOFSELFINFORMATIONALBOOKLETONKNOWLEDGEOFSTAFFNURSESREGARDINGIDENTIFICATIONANDMANAGEMENTOFSELECTEDCARDIACARRHYTHMIAS”ANDOFTHEOBJECTIVESTOBEACCOMPLISHED,ANEVALUATIVEAPPROACHISCONSIDEREDAPPROPRIATE711SOURCESOFDATATHESOURCESOFDATAISFROMCARDIACARRHYTHMIASPATIENTFROMSELECTEDHOSPITALSATBANGALORE712RESEARCHDESIGNTHESELECTIONOFDESIGNDEPENDSUPONTHEPURPOSEOFTHESTUDY,RESEARCHAPPROACH,ANDVARIABLESTOBESTUDIEDTHERESEARCHDESIGNADOPTEDFORTHISSTUDYISDESCRIPTIVERESEARCHDESIGN713SETTINGOFTHESTUDYASTUDYWILLBECONDUCTEDATSELECTEDHOSPITALINBANGALORE714POPULATIONTHEPOPULATIONINTHESTUDYARETHESTAFFNURSESWHOAREWORKINGINTHESELECTEDHOSPITALSOFBANGALORE716SAMPLESIZETHESAMPLECONSISTSOF30STAFFNURSESWHOAREWORKINGINTHESELECTEDHOSPITALSOFBANGALORE717SAMPLINGTECHNIQUETHESAMPLESSELECTEDWOULDBEBYSIMPLERANDOMSAMPLINGTECHNIQUE72METHODOFDATACOLLECTIONTHEDATACOLLECTIONISBYSEMISTRUCTUREDQUESTIONNAIRE731SAMPLINGCRITERIA1INCLUSIONCRITERIASTAFFNURSESWHOAREWORKINGINTHESELECTEDHOSPITALSOFBANGALORESTAFFNURSESWHOAREAVAILABLEATTHETIMEOFDATACOLLECTIONSTAFFNURSESWHOAREWILLINGTOPARTICIPATEINTHISSTUDY2EXCLUSIONCRITERIASTAFFNURSESWHOARENOTAVAILABLEDURINGSTUDYPERIODSTAFFNURSESWHOARENOTWILLINGTOPARTICIPATEINTHISSTUDY74TOOLSOFDATACOLLECTIONTHEDATACOLLECTIONTOOLISSEMISTRUCTUREDQUESTIONNAIRE75DATACOLLECTIONPROCEDURETHEDATACOLLECTIONPROCEDUREISBYSTRUCTUREDINTERVIEWSCHEDULEWITHASEMISTRUCTUREDQUESTIONNAIRE76DOESTHESTUDYREQUIREINTERVENTIONNO74HASETHICALCLEARANCEBEENOBTAINEDFROMYOURINSTITUTEINCASEOF73NOTAPPLICATION8LISTOFREFERENCES1ZIPESDPRODUCTIONOFCARDIACARRHYTHMIASAORNJ2003OCT384572812CRAMFORDMV,SPENCEMICOMMONSENSEAPPROACHTOCORONARYCARE6THEDSTLOUISMOSBY1999P123NANCYAREFERENCEMANUALFORNURSESONCORONARYCARENURSING2NDEDDELHIKUMARPUBLISHINGHOUSE2002P18224BLACKJM,MATASSARINJACOBSELUCKMANNANDSORENSENSMEDICALSURGICALNURSINGAPSYCHOPHYSIOLOGICAPPROACH4THEDPHILADELPHIAWBSAUNDERSCOMPANY1993P117785CAPUCCIA,ASCHIERIDEARLYDEFIBRILLATIONINTHETREATMENTOFSUDDENCARDIACARRESTRECENTIPROGMED2003JUN94624166FINNJTHEROLEOFNURSESINCARDIOPULMONARYRESUSCITATIONANDDEFIBRILLATIONCOLLEGIAN1996JUL333147GEORGEJBNURSINGTHEORIES,THEBASEFORPROFESSIONALNURSINGPRACTICE4THEDNORWALKAPPLETON1995P159778PARKKPARKSTEXTBOOKOFPREVENTIVEANDSOCIALMEDICINE17THEDJABALPURM/SBANSARIDASBHANOTPUBLISHERS2002P4419WWWCURESEARCHCOM10WWWJAPIORG11SINGHH,GUPTAG,GUPTAMS,ANANDJS,AGGARWALR,VERMARP24HOURHOLTERSTUDYINASYMPTOMATICELDERLYINDIANSJIACM2003443081412ONEILLJO,YOUNGJB,POTHIERCE,LAUERMSSEVEREFREQUENTVENTRICULARECTOPYAFTEREXERCISEASAPREDICTOROFDEATHINPATIENTSWITHHEARTFAILUREJAMCOLLCARDIOL2004AUARROLDL,HAMITTONGA,MCGOVERNBACHANGESINHEALTHSTATUSANDQUALITYOFLIFEANDTHEIMPACTOFUNCERTAINITYINPATIENTSWHOSURVIVELIFETHREATENINGARRHYTHMIASHEARTLUNG1999JULAUG2842526014STEWARTAJ,LOWEMDKNOWLEDGEANDATTITUDEOFNURSESONMEDICALWARDSTODEFIBRILLATIONJRCOLLPHYSICIANSLOUD1994SEPOCT28539940115BUPPJE,DUIGERM,LAWRENCEC,WINGATESPLACEMENTOFCARDIACELECTRODESWRITTEN,SIMULATED,ANDACTUALACCURACYAMJCRITCARE1997NOV664576216MORTONPGTHEPACEMAKERANDDEFIBRILLATORCODESIMPLICATIONSFORCRITICALCARENURSINGCRITCARENURSE1997FEB17150917ABNERCMINCREASINGCRITICALCARESKILLSOFNONCRITICALCARENURSESJNURSESSTAFFDEV2000MAYJUN1631243018SEFRINP,PAULUSTRESUSCITATIONSKILLSOFHOSPITALNURSINGSTAFFANAESTHETIST1994FEB4321071419PUSHPAVATHIAASTUDYTOASSESSTHEKNOWLEDGEOFNURSINGPERSONNELREGARDINGIMMEDIATEPOSTOPERATIVENURSINGCARETOCARDIOTHORACICSURGICALPATIENTSTHEINDIANJOURNALOFNURSINGANDMIDWIFERY1998SEP12485220HUTCHISSONB,COSSEYS,WHEELERRBASICELECTROCARDIOGRAMINTERPRETATIONFORORNURSEAORNJ1999JAN691222721LAMBMJ,HENDERSONMCCOMPARISONOFTWOMETHODSFORTEACHINGADVANCEDARRHYTHMIASTONURSESJCONTINEDUCNURSE1993SEPOCT245221622PETTINGERAM,WOODSSL,HERNDONSPPAEDIATRICCRITICALCARENURSESKNOWLEDGEOFCARDIACDYSRHYTHMIASAMJCRITCARE1994MAY3325023INWOODH,CULLCDEFIBRILLATIONPROFNURSE1997DEC133165824CHANWK,KUNGNN,MAME,NGWP,CHANS,LAUFLEMERGENCYDEFIBRILLATIONPERFORMEDBYCORONARYNURSINGSTAFFAPILOTREPORTHONGKONGMEDJ1998MAR41475125KLEINMANNCS,NEHGMERACARDIACARRHYTHMIASINHUMANFETUSPEDIATORCARDIA2004MAYJUN2532345126JENSENURSTADK,BOWEIRF,SATTINB,JENSENURSTADMHIGHPREVALENCEOFARRHYTHMIASINELDERLYMALEATHLETESWITHALIFELONGHISTORYOFREGULARSTRENUOUSEXERCISEHEART1998FEB79216116427GUNALN,TOKELK,KAHRAMANYOLO,OZERS,CELIKERA,EKICIE,ETALINCIDENCEANDSEVERITYOFARRHYTHMIASANDCONDUCTIONDISTURBANCEAFTERREPAIROFTETRALOGYOFFALLOTTURKJPEDIATOR1997OCTDEC394491828SAADEHAM,FARSAKHNA,ALALIMKCARDIACMANIFESTATIONSOFACUTECARBAMATEANDORGANOPHOSPHATEPOISONINGHEART1997MAY77546146429SPERRYKACHALASIA,THEVABALVAMANEUVER,ANDSUDDENDEATHACASEREPORTJOURNALOFFORENSICSCIENCES1994MAR39254755130SVIGELGV,GRADA,TEKAVCICI,KIAUTATCARDIACARRHYTHMIAASSOCIATEDWITHREVERSIBLEDAMAGETOI
人人文库> 全部分类> 应用文书 > 项目管理

温馨提示

  • 1. 本站所有资源如无特殊说明，都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
  • 2. 本站的文档不包含任何第三方提供的附件图纸等，如果需要附件，请联系上传者。文件的所有权益归上传用户所有。
  • 3. 本站RAR压缩包中若带图纸，网页内容里面会有图纸预览，若没有图纸预览就没有图纸。
  • 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
  • 5. 人人文库网仅提供信息存储空间，仅对用户上传内容的表现方式做保护处理，对用户上传分享的文档内容本身不做任何修改或编辑，并不能对任何下载内容负责。
  • 6. 下载文件中如有侵权或不适当内容，请与我们联系，我们立即纠正。
  • 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。

最新文档

评论

0/150

提交评论