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:: Volume 10, Issue 1 (March-Apri 2021) ::
3 JNE 2021, 10(1): 55-67 Back to browse issues page
Nursing Process of a Client with Acute Coronary Syndrome Based on King's goal attainment model: A Case Study
Simin Hojjatoleslami , Fatemeh Cheraghi , Seyed Reza Borzou , Firuzeh Payamani , Mahnaz Khatiban
School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran , Mahnaz.Khatiban@gmail.com
Abstract:   (1042 Views)
Introduction: Cardiovascular disease is a major cause of  death, creating huge health-related costs for health care systems. A client who understands the goals of treatment and care in line with their goals and priorities, will be more involved. Kingchr(chr('39')39chr('39'))s goal attainment  theory has addressed this issue. This study was performed to provide  a  nursing process in a client with acute coronary syndrome based on Kingchr(chr('39')39chr('39'))s goal attainment Model.
Methods: In this case study, a myocardial infarction client with unsuccessful coronary angioplasty and the impossibility of open heart surgery who was referred to the hospital twice within 10 days due to complications was evaluated. Data were collected through the clientchr(chr('39')39chr('39'))s file, observation and interview with the client, family, physician and nurse. The stages of the nursing process, namely, nursing diagnosis, common goals setting and prioritization, transaction based on client preferences, and evaluation of client achievement goals by comparing before and after in the range of 2- to 2+ were performed as a qualitative analysis.
Results: Analyzes showed that although the client did not have a clear understanding of the importance of adherence to health and treatment behaviors, he was willing to interact with the nurse in a step-by step manner. Findings led to 7 nursing diagnoses and 42 caring goals. In the evaluation, the client was able to adhere the treatment well and modify the activities of daily living.
Conclusion: According to the nursing process based on Kingchr(chr('39')39chr('39'))s goal achievement model, the Acute Coronary Syndrome client was able to act on his prioritized goals by trying to adjust daily activities. It is suggested that the nursing process be used based on Kingchr(chr('39')39chr('39'))s goal achievement model in clients with acute coronary syndrome.
Keywords: Nursing Process, Acute Coronary Syndrome, Nursing model, Nursing theory, Case Study
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Type of Study: case report | Subject: Special
Received: 2020/12/15 | Accepted: 2021/04/19 | Published: 2021/04/19
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Hojjatoleslami S, Cheraghi F, Borzou S R, Payamani F, Khatiban M. Nursing Process of a Client with Acute Coronary Syndrome Based on King's goal attainment model: A Case Study. 3 JNE. 2021; 10 (1) :55-67
URL: http://jne.ir/article-1-1239-en.html

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Volume 10, Issue 1 (March-Apri 2021) Back to browse issues page
نشریه آموزش پرستاری Journal of Nursing Education
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