The effect of preoperative training provided to patients undergoing coronary artery bypass graft surgery on postoperative comfort
The effect of preoperative training on postoperative comfort
Keywords:
cardiac surgery, education, patients, nursesAbstract
Background/Aim: The most popular surgical procedure for treating coronary artery diseases is coronary artery bypass graft surgery. However, the comfort that patients experience after coronary artery bypass graft surgery varies considerably. The purpose of this study is to ascertain the impact of preoperative training on postoperative comfort in patients undergoing coronary artery bypass graft surgery.
Methods: This study was conducted as a quasi-experimental research investigation the cardiovascular surgery clinic of Edirne Sultan Murat I State Hospital from December 2019 through December 2020. It included 46 patients aged 18–65 who were undergoing their first coronary artery bypass graft surgery and volunteered to participate. The patients in the experimental group (23 individuals), were provided preoperative training; no interventions were made with the patients in the control group. The General Comfort Questionnaire was administered to all of the patients prior to discharge. The necessary ethical and institutional approvals were obtained before the study. Transparent Reporting of Evaluations with Non-randomized Designs was used as the research reporting guideline.
Results: The postoperative General Comfort Questionnaire total score (P<0.001), mean scores of all sub-dimensions (P<0.001) and comfort levels of the experimental group were higher than those of the control group (P<0.001). Preoperative training therefore had a positive impact on postoperative comfort level.
Conclusion: Preoperative training provided to patients improved their postoperative comfort. It is recommended that surgical nurses increase patient comfort by providing patient training before coronary artery bypass graft surgery and that nurses should be supported in administering patient training.
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References
World Health Organization (WHO), Cardiovascular diseases (CVDs). 2021. [cited 2023 Jun 10]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
Eunsil J, JiSun C. Identifying latent classes of risk factors for coronary artery disease. J Korean Acad Nurs. 2017;47(6):817-27. doi: 10.4040/jkan.2017.47.6.817 DOI: https://doi.org/10.4040/jkan.2017.47.6.817
Center for Disease Control and Prevention (CDC). 2018. Coronary artery disease (CAD). [cited 2023 May 10]. Available from: http://www.cdc.gov/heartdisease/coronary_ad.htm
Melly L, Torregrossa G, Lee T, Jansens J.L, Puskas J. Fifty years of coronary artery bypass grafting. J Thorac Dis. 2018;10(3):1960-7. doi: 10.21037/jtd.2018.02.43 DOI: https://doi.org/10.21037/jtd.2018.02.43
Badır A, Demir Korkmaz F. Koroner arter hastalıkları. Dahili ve Cerrahi Hastalıklarda Bakım içinde. Ed. A Karadakovan, F Eti Aslan. Ankara: Akademisyen Tıp Kitabevi. 2014. (pp. 431-495).
Büyükünalan Şahin P, Rızalar S. Ameliyat geçiren hastalarda konfor düzeyi ve etkileyen faktörlerin incelenmesi. HSP. 2018;5(3):404-13. doi: 10.17681/hsp.395018. DOI: https://doi.org/10.17681/hsp.395018
Aksoy G. Ameliyat öncesi hemşirelik bakımı. Cerrahi Hemşireliği I içinde. Ed. G Aksoy, N Kanan, N Akyolcu. İstanbul: Nobel Tıp Kitabevi. 2017. (pp. 257-301).
Bülbül F, Arıkan B. Çocuklarda ameliyat öncesi psikolojik hazırlık: güncel yaklaşımlar. Balıkesir Sağlık Bilimleri Dergisi. 2018;7(3):101-7.
Kolcaba K. A theory of holistic comfort for nursing. Journal of Advanced Nursing. 1994;19(6):1178-84. DOI: https://doi.org/10.1111/j.1365-2648.1994.tb01202.x
Kolcaba K, DiMarco A. Comfort theory and its application to pediatric nursing. Pediatric Nursing. 2005;31(3):187-94.
Kütmeç Yılmaz C. Hastanede yatan kronik obstrüktif akciğer hastalığı olan bireylerde dispne şiddeti ve genel konfor düzeyi arasındaki ilişkinin belirlenmesi. DEUHFED. 2020;13(4):222-30. DOI: https://doi.org/10.46483/deuhfed.677896
McVey LW, Hillegass E. A nontraditional approach to cardiac rehabilitation in the dialysis center for a patient with end-stage renal disease following coronary artery bypass surgery: A case report. Cardiopulmonary Physical Therapy Journal. 2010;21(4):14-21. DOI: https://doi.org/10.1097/01823246-201021040-00003
Park JH, Tahk SJ, Bae SH, Son YJ. Effects of a psychoeducational intervention for secondary prevention in Korean patients with coronary artery disease: a pilot study. Int J Nurs Pract. 2013;19(3):295-305. doi: 10.1111/ijn.12067 DOI: https://doi.org/10.1111/ijn.12067
Ghisi GLM, Abdallah F, Grace SL, Thomas S, Oh P. A systematic review of patient education in cardiac patients: Do they increase knowledge and promote health behavior change? Patient Educ Couns. 2014;95(2):160-74. doi: 10.1016/j.pec.2014.01.012 DOI: https://doi.org/10.1016/j.pec.2014.01.012
Kanan N. Kalp ve damar sisteminin cerrahi hastalıkları ve bakımı. Cerrahi Hemşireliği II. Ed. Akyolcu N, Kanan N, Aksoy G. İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti. 2017. (pp. 65-153).
Dowzicky P, Wirtalla C, Fieber J, Berger I, Rapçi S, Kelz R. Hospital teaching status impacts surgical discharge efficiency. J Surg Educ. 2019;7(6):1329-36. doi: 10.1016/j.jsurg.2019.03.022. DOI: https://doi.org/10.1016/j.jsurg.2019.03.022
Gurcayir D, Karabulut N. The Effects of the Training Provided to Patients who are scheduled for Hip Prosthesis Surgery on the Level of Postoperative Comfort and Daily Activities. International Journal of Caring Sciences. 2017;10(1):403-12.
Sönmez A. Determining The Comfort And Anxiety Experiences Of The Patients Having Been Applied With Coronary Artery Bypass Graft Surgery [dissertation]. Trakya University; 2013.
Güner A, Karakoç Kumsar A. Akciğer kanseri nedeniyle ameliyat olan hastalarda konfor düzeyi ve konforu etkileyen faktörler. Online Turkish Journal of Health Sciences. 2021;6(2):155-62. DOI: https://doi.org/10.26453/otjhs.763680
Kolcaba K. Holistic comfort: operationalizing the construct as a nurse-sensitive outcome. ANS Adv Nurs Sci. 1992;15(1):1-10. doi: 10.1097/00012272-199209000-00003 DOI: https://doi.org/10.1097/00012272-199209000-00003
Kuğuoğlu S, Karabacak Ü. Genel konfor ölçeğinin Türkçe'ye uyarlanması. İÜFN Hem Derg. 2008;16(61):16-23.
Pazar B, İyigün E. The effects of preoperative education of cardiac patients on haemodynamic parameters, comfort, anxiety and patient-ventilator synchrony: A randomised, controlled trial. Intensive Crit Care Nurs. 2020;58;102799 doi: 10.1016/j.iccn.2020.102799. DOI: https://doi.org/10.1016/j.iccn.2020.102799
Yönem Amaç H, Çam R. (2019). Günübirlik cerrahide hasta konforu ve hasta konforunu etkileyen etmenler. Adıyaman Üni. Sağlık Bilimleri Derg. 2019;5(1):1222-37. DOI: https://doi.org/10.30569/adiyamansaglik.481605
Kızıl Toğaç H, Yılmaz E. Effects of preoperative individualized audiovisual education on anxiety and comfort in patients undergoing laparoscopic cholecystectomy: randomised controlled study. Patient Educ Couns. 2021;104(3):603-10. doi: 10.1016/j.pec.2020.08.026. DOI: https://doi.org/10.1016/j.pec.2020.08.026
Oshvandi K, Movaheditabar E, Naghshtabrizi B, Mohammadi Y, Shamsizadeh M. The effect of video-based educational program on satisfaction and comfort in patients undergoing transradial coronary angiography: A single-blinded, randomized controlled trial. J Vasc Nurs. 2021;39(2):27-32. doi: 10.1016/j.jvn.2021.01.001. DOI: https://doi.org/10.1016/j.jvn.2021.01.001
Yu Y, Hu L, Chen X, Ge M, Zhu H, Yan Y. The impact of the predictive nursing education process on degree of comfort and quality of life for patients in the oncology department. Iran J Public Health. 2017;46(9):1231–6.
Kacaroğlu Vicdan A. The effect of training given to hemodialysis patients according to the comfort theory. Clin Nurse Spec. 2020;34(1):30-7. doi: 10.1097/NUR.0000000000000495. DOI: https://doi.org/10.1097/NUR.0000000000000495
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