الفهرس 
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Abstract
Summary
Myocardial infarction is a serious condition, referred to as cardiac necrosis due to prolonged ischemia usually caused by the abrupt complete obstruction of one or more coronary arteries by a thrombus. Timely treatment of MI is important and slight delay results in severe consequences. Following AMI, many patients are left traumatized physically and emotionally. Assessing needs for MI patients is very important to clarify patients’ needs, meeting biopsychosocial needs and learning needs for patients, facilitate their recovery and help them cope with problems.
Aim of the study:
This study aimed to assess the biopsychosocial and learning needs for patients with myocardial infarction through:
- Assess physical needs for patients with myocardial infarction.
- Assess psychological needs for patients with myocardial infarction.
- Assess social needs for patients with myocardial infarction.
- Assess the learning needs for patients with myocardial infarction.
Research questions:
This study answerd the following questions:
- What are the physical needs for patients with myocardial infarction?
- What are the psychological needs for patients with myocardial infarction?
- What are the social needs for patients with myocardial infarction?
- What are the learning needs for patients with myocardial infarction?
Research design:
Exploratory descriptive design was used to conduct this study.
Setting:
This study was conducted in Coronary Care Unit at Fayoum University hospital. Which related to Fayoum University, Fayoum governmental, Egypt. It consists of two separate rooms in coronary care unit for both males and females in the third floor, it contains 18 beds and the ratio of nurses to patients is 1: 2.
Subjects:
Purposive sample include 120 patients in Coronary Care Unit at Fayoum University hospital.
Inclusion criteria:
- Adult patients of both gender, different ages.
- Free from comorbid conditions.
-Free from psychiatric disorders.
Tools of data collection:
I. Patient’s assessment sheet:
It was designed by the investigator to assess needs of patients with myocardial infarction. It included the following parts:
Part (1): It was concerned with Patients’ demographic data which included 6 closed ended questions such as (age, gender, marital status, level of education, occupation and residency).
Part (2): It was concerned with patients past medical history which included 6 closed ended questions history of chronic illness, surgery, hospitalization, cardiac disorders, drugs and special habits.
II. Biopsychosocial needs and learning needs assessment:
It includes four categories of patients’ needs including:
A) Physical needs assessment
B) Psychological needs assessment
C) Social needs assessment
D) Learning needs assessment
Results:
The major study findings can be summarized as the following:
• It was found that 36.7% of patients were in age range 51-60 years old with Mean ±SD 57.45±10.65
• In relation to gender, 75.8% of patients were male.
• As regard to marital status, 99.2% of patients were married.
• Concerning level of education, 37.5% of patients was not read or writes.
• In relation to residence 62.5% of patients were residences in urban.
• Regarding work 78.3% of patients were works require muscular effort.
• It was found that 70.0% of patients under study had hypertension, 27.5% had arteriosclerosis, 57.5% had diabetes, and 14.2% had chronic liver disease.
• It was found that 54.2% of patients were previously hospitalized and 52.5% of patients were had not history of previous surgeries.
• Regarding the smoking 52.5% of patients were smokers and 95.8% of patients were not practice exercise.
• Results reveald that 49.2% of patients under study had extreme/ sever complaints, while 55.0% of them were partially dependent regarding physical needs.
• It was found that 26.7% of them were moderate regarding psychological needs (depression scale).
• Results reveald that 20.0% of them were moderate regarding psychological needs (anxiety scale).
• Results reveald that 20.8% of them were moderate regarding psychological needs (stress scale).
• It was found that 67.5% of them were somewhat of the time had social needs.
• Results reveald that 62.5% of them had moderate need regarding total learning needs.
• Negative statistically significant correlation was found between patient learning needs with somatic health complaints, social support and stress when r was -0.182, -0.395 and -0.194 with p-value <0.05*
• Positive statistically significant correlation was found between depression with anxiety and stress when r was 0.875 and 0.642 with p-value <0.05*
• There were statistically highly significant relation between patients education level and somatic health complaints (X2 = 27.236 at p-value= <0.001*).
• There were statistically highly significant relation between patients’ age, education level and anxiety level.
• There were statistically significant relation between patients’ residence and social support needs.
• There were statistically highly significant relation between patients education, work and patient learning needs (X2 =50.628 at p-value= <0.001* and at X2 =11.465 p-value= 0.022*).
Based on the findings of the present study, it can be concluded that:
The study has indicated that the studied patients had moderate psychological and learning needs. While half of studied patients had an extreme/ sever complaint, more than half of them were partially dependent regarding physical needs and more than two thirds of them were somewhat of the time had social needs.
Additionally, there was highly statistically significant relation between patients’ education level and somatic health complaints. Also, there were highly statistically significant relation between patients’ education, work and social support needs and between patients’ education, work and patient learning needs.
from the study findings, the following should be recommended:
• Simple booklet written in Arabic language suggested to developed and available for all patients with MI with all needed information included.
• Continuous assessment of biopsychosocial needs and learning needs for patient with MI after discharge at follow-up period.
• Educational program suggested to be designed to improve knowledge regarding to needs for patients with MI.
• Further research studies are needed to focus on studying factors affecting biosychosocial needs for patients with MI.
• Further studies are to be conducted about methods to meet the different needs for patients with MI.
• Further studies should be conducted to evaluate the effectiveness of educational intervention on patients’ quality of life.