Effect of Awareness Program on Health Consequence

Outcomes of Climate Change among Cardiac Patients

protocol
Submitted for Partial Fulfillment of the Requirement of the Doctorate
Degree in Nursing Science (Medical Surgical Nursing)
By

Marwa Abdallah Moursi Afifi

M.Sc. in Medical Surgical Nursing, 2014
Faculty of Nursing - Benha University

Under Supervision

Prof. Dr. Hanan Gaber Mohamed

Professor of Medical Surgical Nursing
Faculty of Nursing - Benha University

Assist. Prof. Dr. Marwa Mosaad Ali

Assistant Professor of Medical Surgical Nursing
Faculty of Nursing - Benha University

Dr. Safaa Mohamed El Sayed

Lecturer of Medical Surgical Nursing
Faculty of Nursing - Benha University

Faculty of Nursing
Benha University
2023
Significance of the study
In Egypt, cardiovascular diseases deaths reached 126,312 or 24.58%
of total deaths; thus ranking Egypt as the 18 th worldwide (El-Moselhy et
al., 2018). The numbers of patients admitted to cardiac outpatient clinic
at Benha university hospital during the year 2022 were about 2400
patient (Benha university hospital statistical office, 2023).

Climate change is predicted to lead to significantly worse global

cardiovascular outcomes in years to come, including increases in
myocardial infarction (MI), stroke, heart failure and death.
(Mannakkara, 2022).
Climate change awareness helps patients comprehend and address the impact of
global warming. Furthermore, it encourages changes in their attitudes and
behavior and helps them adapt to the climate change related trends and seeking
medical emergency care (Gautam et al., 2021). So that, this study will be
conducted to evaluate the effect of awareness program on health consequence
outcomes of climate change among cardiac patients.
Aim of the study
 
This study aims to evaluate the effect of awareness program on health
consequence outcomes of climate change among cardiac patients.
 
Research hypotheses:
To fulfill the aim of the study, the following hypotheses will be formulated:
H1- Patients’ knowledge level could be significantly higher post implementation
of awareness program than before.
H2- Patients’ behaviors could be significantly higher post implementation of
awareness program than before.
H3- Patients’ health consequence outcome could be significantly improved post
implementation of awareness program.
Operational Definitions:

Awareness program: is a targeted initiative an educational program for

regain knowledge about climate change, its effects and health impacts…etc.
 
Health consequence outcome: refers to the adverse effects that a
changing climate can have effect on the health consequences of cardiac
patient. It may includes general health problem for cardiac patient as
complains of physical problems, decrease their quality of sleep and ability of
daily living activities and physical examination as vital signs, blood
investigations and peripheral circulation.
Subjects and Methods
 
Research design
A quasi-experimental research design will be utilized to meet the aim of the
study.
Setting:
This study will be conducted at Cardiac Outpatient Clinic and cardiovascular
department in Benha University Hospital.
 
Subjects:
A purposive sample of patients who attending to previously mentioned setting,
within 6:8 months and they will willing to participate in the study.
 
Inclusion criteria:
Patients will be included in this study who fulfilling the following criteria:
21:60 years old of age.
Have cardiac diseases not less than 2 year
 
Exclusion criteria:
Patients associated with the following disease will be excluded from this
study :
Neurological and mental disorder.
Chronic respiratory and kidney diseases.
Hepatic diseases.
Immunity diseases.