Background: the National Heart, Lung, and blood Institute estimate that each year approximately 785,000 Americans will have a new\ncoronary attack and approximately 470,000 will have a recurrent attack. Chest pain is one of the most common symptoms of coronary\nartery disease or acute coronary syndrome. Objectives: this study aims to compare between routine nursing care of chest pain and chest\npain guidelines in patients with acute coronary syndrome and assess health outcome after application of chest pain guidelines in acute\ncoronary syndrome patients. Method: Quasi experimental research design was used in the current study. The study was conducted at the\ncoronary care unit of Suez canal University Hospital. Sample; consecutive of 70 patients was included in the study. Four tools were used\nfor study data collection that named the chest pain guidelines evidence based nursing care in patients with angina pectoris, visual analog\nscale to assess chest pain, dyspnea scale to assess breathing pattern and fourth one was lab investigation to assess patient health prognosis.\nResults: The study results revealed an improvement of patients� health outcome represented in a significant reduction in complain of\nchest pain, blood pressure and insufficient sleeping with P-value of 0.000 after applying guidelines of care regarding chest pain. Additionally,\nthe respiratory pattern and respiratory rate improved significantly with P-value of 0.000. Moreover, lab investigation showed\nsignificantly decrease in LHD level with P-value of 0.000. Conclusion: The current study concluded that application of chest pain guidelines\nintervention could be improved patients health outcomes.
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