The Effect of a Discharge Planning Program for Patients after Coronary Artery Bypass Graft Surgery on Knowledge of Self-Care after Surgery, Self-Care Behaviors, and Satisfaction
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Abstract
This quasi-experimental study with a one-group pretest-posttest design aimed to 1)compare the self-care knowledge of patients before and after receiving a discharge planning program for patients after coronary artery bypass graft (CABG) surgery; 2) compare the self-care behavior of the patients after receiving the discharge planning program between the first and the second hospital follow-ups; and 3) explore the satisfaction of the patients with the discharge planning program. A total of 26 patients after CABG surgery at a university hospital in Bangkok were recruited by purposive sampling. The discharge planning program consisted of three phases: the pre-operation phase—patient preparations before CABG surgery; the post-operation phase—visiting patients on the ward after CABG surgery and patient preparation before hospital discharge; and the post-discharge phase—patient follow-up by providing telephone calls and visiting at outpatient clinic. Data were collected using the Personal Data Questionnaire, Self-Care Knowledge Questionnaire, Self-Care Behaviors Questionnaire,and Satisfaction with Discharge Planning Program Questionnaire.Data were analyzed using descriptive statistics, paired t-test, and Wilcoxon signed rank test. The results of the study showed that 1)after receiving the discharge planning program, the mean score of self-care knowledge of patients after CABG surgery was significantly higher than that before receiving the discharge planning program; 2) at the second hospital follow-up, the mean rank of self-care behaviors of patients after CABG were significantly higher than that at the first hospital follow-up; and 3) the patients had a high level of satisfaction with the discharge planning program. In conclusion, the discharge planning program positively promoted knowledge and self-care behaviors of patients after CABG surgery. However, the generalization is limited because this study did not have a control group.Therefore, the program’s effectiveness should be further tested before being used as a guideline in patients undergoing CABG surgery.
Keywords: Coronary artery by past graft surgery, Discharge planning program, Knowledge,Satisfaction, Self-care behaviors
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
Thongcharoen P, Laksanabunsong P. Coronary artery bypass grafting (CABG) [Internet]. [cited 2021 Sep 18].Available from: http://www.thaiheart.org/images/sub_1296823951/Coronary%20Artery%20Bypass%20Grafting.pdf (in Thai)
Alexander HJ,SmithKP.Coronary-artery bypass grafting.N EngJ Med. 2016;374:1954-64.
National Adult Cardiac Surgery Audit (NACSA) 2020 Summary Report (2016/17-2018/19 data).[Internet].[cited 2022 Feb 18].Available from:https://www.nicor.org.uk/wp-content/uploads/2020/12/NationalAdult-Cardiac-Surgery-Audit-NACSA-FINAL.pdf
Thai Society of Thoracic Surgeons of Thailand. Rate of CABG in Thailand. [Internet]. [cited 2018 Mar 2].Available from: http://thaists.org/news_detail.php?news_id=212 (in Thai)
Chaiyaroj S. Coronary artery bypass surgery: CABG. In:ChaiyarojS, editor. Essentials in cardiothoracic surgery.Bangkok: Idea Instant Printing; 2010. (in Thai)
Chaimongko O. Care management for CABG patients with renal dysfunction: literature Review. Thai Journal of Cardio-ThoracicNursing. 2010;21(2):2-17.(in Thai)
Paorod P, Chidnok W, Panomchaisawang P, Sayasathid J. The studyof exercise capacityby 6 minute walktest in open heart surgery patients at Naresuan University Hospital before discharges. Songklanagarind Medical Journal.2016;34(6):321-29. (in Thai)
Kilic A, Sai-Sudakar CB, Crestanello J, Higgins RB.Coronary artery disease in mastery of cardiothoracic surgery. 3rd ed., Philadelphia: Lippincott Williams &Wilkins; 2014.
Noyez L,KievitPC,van Swieten HA,de Boer MJ.Cardiac operative risk evaluation: the EuroSCORE II,does it make a real difference? Neth Heart J. 2012;20(12):494-98.
Aydin A, Gursoy A. The care needs and care dependency of coronary artery bypass graft (CABG) patients after hospital discharge. Hemşirelikte Eğitim ve Araştırma Dergisi. 2019;16(1):8-14.
Machompoo N,Jitpanya C. Effect of unpleasant symptom management program. Songklanagarind Journal of Nursing. 2017;37(3):97-108. (in Thai)
Sornpirom S. Critical nursing care for post cardiovascular surgery.Srinagarind Medical Journal. 2016;31:46-52.(in Thai)
Singhapol K,Khuwatsamrit K,Hanprasitkam K,Leelayana P. Risk factors related to surgical site infection after coronary artery bypass graft surgery.Ramathibodi Nursing Journal. 2014;20(1):33-49. (in Thai)
Inci S, Arslan S, Bakirci EM, Tar MH, Gundogdu F,Karakelleoglu S.Predictors of reintervention after coronary artery bypass grafting. Eur Rev Med Pharmacol Sci.2014;18:66-70.
Vaidya M.A study to assess the knowledge regarding home care management among patients undergone coronary artery bypass grafting (CABG) admitted in a selected hospital of Surat city in Gujarat state with view to develop information booklet. JETIR. 2020;7(9): 1457-60.
Fofanova TV, Subotnikov MV, Ageev FT. Patient adherence after coronary bypass grafting: different facets of same matter. a systematic review. Kuban Scientific Medical Bulletin. 2021;28(4):100-117. [Internet].[cited 2023 May]. Available from: https://doi.org/10.
/1608-6228-2021-28-4-100-117
Orem DE. Nursing concept of practice. 5th ed.St. Louis:Mosby-Year Book; 2001.
Gonçalves-Bradley DC,LanninNA,ClemsonL,Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database of Systematic Reviews. 2022;(2):1-113.
Cebici F, Celik S. Discharge training and counselling increase self-care ability and reduce post discharge problem in CABG patients. J Clin Nurs. 2008;17(3):412-20.
Nimit-arnun N. Discharge planning:concept and clinical practice guideline. Christian University of Thailand Journal. 2017;23(3):501-10 (in Thai)
Rorden JW, Taft E. Discharge planning guide for nurse.Philadelphia: W.B.Saunders; 1990
Phemphul J, Pinyopasakul W, Asdornwised U,Laksanabunsong P. The effectiveness of a structured discharge planning program in patients with acute coronary syndrome on functional status,satisfaction and unexpected hospital revisits. Nursing Science Journal of Thailand.2011;29(2):120-8. (in Thai)
Zhu T, Liu H, Han A, Gu H, Li X. Orem’s self-care to treat acute coronary syndrome after PCI helps improve rehabilitation efficacy and quality of life.AmJ TranslRes.2021; 13(4):2752-62
Information Service Unit, Ramathibodi Hospital. CABG.Faculty of Medicine Ramathibodi hospital, Mahidol university; 2021.
Trongsakul S,LambertR,ClarkA,Wongpakaran N,Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int. 2015;10(1):594-600.
Srisang P.The effects of the nursing discharge plan program on knowledge and goal attainment in caring for stroke patients in Phachi hospital, Phra Nakhon Si Ayutthaya.Academic Journal of Mahasarakham Provincial Public Health Office. 2020; 4(7) (in Thai)
Faul F, Erdfelder E, Buchner A, Lang, A-G. Statistical power analyses using G*Power 3.1: tests for correlation and regression analysis. Behav Res Methods. 2009;41(4):1149-60
Martin CG, Turkelson SL. Nursing care of the patient undergoing coronary artery bypass grafting. J Cardiovasc Nurs. 2006 Mar-Apr;21(2):109-17.
Chintapanyakun T, Ua-Kit N, Chaiyaroj S. Predicting factors of health status among patients after coronary artery bypass graft surgery. Thai Journal of Cardio-Thoracic Nursing. 2017;28(1):96-110. (in Thai)
Rushton M, Howarth M, Grant MJ. Person centred discharge education following coronary artery bypass graft:a critical review. J Clin Nurs.2017;26:5206–15.
Esmaeili Vardanjani SA, Fanisaberi L, Shahraki FA,Khalilzadeh A, Vardanjani AT, DehkordiFG. The effect of face to face education and educational booklet on heart health indexes of the hospitalized patients with myocardial infraction. Nurs Res Pract. 2013 [cited 2023 Jan 25].Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3678501/.
Somluk TepsuriyanontS,Sayasathid J, Tangpanyawong C, Sudasut T, Prasitpaphada Y, Konkam K. Effects of a transitional care program on knowledge and self-care behavior among patients undergoing cardiac surgery. Thai JournalofCardio-Thoracic Nursing. 2022;33(1): 167-83. (in Thai)
Elesawy FM, Abouzied WR, Ahmed DM, Hamad AH.Effect of implementing discharge plan on patient’s outcomes post coronary artery bypass graft surgery. Egypt J Health Care. 2019;37(10):517-34.
Zamanzadeh V, Valizadeh L, Howard AF, JamshidiF. A supportive-educational intervention for heart failure patients in Iran: the effect on self-care behaviours.[Internet]. Nurs Res Pract. 2013, [cited 2023 Jan 22].Available from: https://downloads.hindawi.com/
journals/nrp/2013/492729.pdf
Naylor MD, Hirschman KB, Toles MP, Jarrín OF,Shaid E, Pauly MV. Adaptations of the evidence-based transitional care model in the U.S. Soc Sci Med.2018;21(3):28–36.
YuroongA,Asdornwised U,Pinyopasakul W,Wongkornrat W, Chansatitporn N. The effectiveness of the transitional care program among people awaiting coronary artery bypass graft surgery: a randomized control trial. J Nurs Scholarsh. 2021;53(5):585-94