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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Atchara Ponchai
Sumolchat Duangbubpha
Kusuma Khuwatsamrit


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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Ponchai A, Duangbubpha S, Khuwatsamrit K. 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. Nurs Res Inno J [Internet]. 2024 Apr. 19 [cited 2024 Jun. 21];30(1). Available from:
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