ASSESSMENT OF NURSING STAFF’s KNOWLEDGE AND PRACTICE REGARDING STREPTOKINASE ADMINISTRATION FOR MYOCARDIAL INFRACTION PATIENTS IN CORONARY CARE UNITS IN PUBLIC HOSPITALS

Mohammed Habiballa Mohammed Hessaen* and Hammad Ali Hassan Fadlalmola

ABSTRACT

Background: Myocardial Infarction (M.I) is a life threatening condition characterized by the formation of localized necrotic areas within the myocardium, usually follows the sudden occlusion of a coronary artery and abrupt cessation of blood and oxygen flow of the heart muscle.[1] Streptokinase is thrombolytic agent; it dissolves vascular thrombosis, this agent derived from the beta hemolytic streptococci bacteria. It is mainly used in the treatment of myocardial infarction for re-establish blood flow in coronary vessels by dissolving thrombus.[2] Objective: To assess nursing staff’sknowledge and practice regarding streptokinase administration for myocardial infarction patients in CCU in public hospitals in Sudan. Methodology: This is prospective observational complete coverage hospital based study carried to evaluate the level of nurse’s knowledge and practice in different aspect of care for patient need administration of streptokinase in most of public hospitals. The study population all nurses working in CCU, the sample size was 60 nurses total coverage, all this number covered in level of knowledge but only 15 covered in practical observation. Result: All nurses participating in this study have knowledge about route of administration of streptokinase because every nurse in CCU had administered streptokinase several times. 100% know the recent surgery is contraindications, more than 90% know the uncontrolled hypertension is one of contraindication to use the streptokinase. 85% of nurse’s population in CCU public hospitals has good knowledge about place patient in supine position to treated hypotension. 100% of nurses take base line vital signs, more than 90% of nurses do ECG before administration streptokinase, and more than 90% prepared the drug properly. Conclusion when dealing with procedure of administration of streptokinase to MI patient all nurses in CCU in public hospitals have good level of knowledge regarding rout of administration, dissolved streptokinase, and continues monitoring vital signs, cardiac rhythm. All study population in CCU in public hospitals has good knowledge about complication of streptokinase and how to treated hypotension as one of more common complications, they also have moderate knowledge about observation and prevention of internal and external hemorrhage caused by streptokinase. The study populations in CCU in public hospitals have lack knowledge about reperfusion arrhythmias, monitoring lab test, and early CPK peak as successful outcomes of streptokinase. Generally the nurses in CCU in public hospitals in practical administration of streptokinase they administered streptokinase properly in phase of during procedure more than pre and after administration of streptokinase that when compared from standard of procedure. Recommendation: Continuous training program need to be provided for nurses working in CCU units to upgrade their knowledge and practice regarding administration of streptokinase for treatment of Myocardial Infarction.

Keywords: Knowledge, Practice nursing, Streptokinase, myocardial infarction, Sudan.