Selected factors associated with the patients’ needs in preoperative phase of coronary artery bypass graft surgery

Authors

  • พชรพร ยอดเพ็ชร Nursing student (M.S.N, Adult Nursing), Faculty of Nursing, Chulalongkorn University
  • นรลักขณ์ เอื้อกิจ Assistant Professor, Faculty of Nursing, Chulalongkorn University

Keywords:

selected factors, patients’ needs, pre-operative coronary artery bypass graft surgery

Abstract

             The purposes of this correlational research were to examine the relationships of anxiety, perceived severity, body image perception and social support. One hundred and twenty-three patients with the diagnosis of coronary artery disease waiting for coronary artery bypass graft surgery (CABG) were recruited from three tertiary hospitals in Bangkok. Questionnaires were composed of demographic information, patients’ needs, anxiety, perceived of severity, perceived of body image and social support. Descriptive statistics, independent t-test, and Pearson’s product moment correlation coefficients were used to analyze the data.

            The overall patients’ needs score during the pre-operative phase of CABG was at a medium level. There was no significant between gender and overall patients’ needs during the pre-operative phase of CABG. Anxiety, perceived of severity, perceived of body image were positively related to patients’ needs during the pre-operative phase of CABG at the significance level of .05 (r = .366, r = .447 and r = .464 respectively). There was no relationship between social support and patients’ needs during the pre-operative phase of CABG.

            This finding suggests that the nursing care for pre-operative preparation for CABG patients is not only information, but also physiological, emotional and spiritual needs. In addition, nursing team should consider and well prepare for effective operative care especially patients who are high level of anxiety, perceived high severity diseases, and high body image concern.

References

1. WHO. Media centre ; 2012. [cited 2015 August 18]. Available from: http://www.who.int/mediacenter/event/annual/world heart day/en/.

2. World Heart Campaign; 2014. About world heart day 2014. [cited 2015 August 18]. Available from http://www.world-heart-federation.org/index.php?id=123.

3. Leeper B, Cyr AM, Lambert C, Martin K. Acute coronary syndrome.. Crit Care Nurs Clin North Am. 2011; 23(4): 547-57.

4. Thai Heart Association. Statistics for heart surgery in Thailand. 2015. [cited August 18, 2015 ]. Available from: http://thaists.org/news_detail.php?news_id=212.

5. Emma C.H, Lena J, et al. Coronary artery bypass grafting-related bleeding complications in patients treated with ticagrelor or clopidogrel: a nationwide study. Eur Heart J. 2015; 37(2): 189-197.

6. Hengcharoensuwan P. Factors associated with postoperative length of hospital stay in coronary artery bypass graft patients. J Nurs Sci. 2010; 28 (1) 58-66.

7. Nigussie S., Belachew T., Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia. BMC Surg. 2014; 14(1): 1-10.

8. Feuchtinger J, Burbaum C, Heilmann C, Imbery C, Siepe M, Stotz U, Fritzsche KBeyersdorf F. Anxiety and fear in patients with short waiting times before coronary artery bypass surgery-a qualitative study. J Clin Nurs. 2014; 23(13-14): 1900-7.

9. Nittayasupaphon S. The relationship between personal factors, preoperative anxiety and preoperative information needs of open heart surgery patients. Thai Journal of Cardio-Thoracic Nursing. 2014; 25(1): 2-15. (In Thai).

10. Samakkan P. Operating nurse’s pre-visit needs/ operating nurse’s pre-visit need responses/ major surgery patient. [Thesis of Master degree of Nursing Science]. Burapha University; 2014. (In Thai).

11. Davis Y, Marjorie P, et al. Patient and family member needs during the perioperative period. J Perianesth Nurs. 2014; 29(2): 119-28.

12. Dodge JS. Factor related to patients perception of their cognitive needs. Nurs Res. 1969; 18(6): 502-13.

13. Gaglione KM. Assessing and intervention with families of CCU patients. Nurs Clin North Am. 1984; 19(3): 427-32.

14. Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study. International Journal of Africa Nursing Sciences. 2017;7:31-36. Available from, DOI: 10.1016/j.ijans.2017.06.00

15. Ua-Kit N. Health promotion. Bangkok: Faculty of Nursing Chulalongkorn University; 2010. (In Thai).

16. Ragwitam J. Nursing care need: related factors to needs and care received of hospitalized elders. [Thesis of Master degree of Nursing Science]. Songkhla : Prince of Songkla University; 2000. (In Thai).

17. Hopwood P, Maguire GP. Body image problems in cancer patients. Br J Psychiatry Suppl. 1988 Jul;(2):47-50.

18. Schmid-Büchi S, Halfens RJG, Müller M, Dassen T, Borne B. Factors associated with supportive care needs of patients under treatment for breast cancer. Eur J Oncol Nurs. 2013; 17(1): 22-9.

19. Schaefer C, Coyne JC, Lazarus RS. The health-related functions of social support. J Behav Med. 1981; 4(4): 381-406.

20. Yilmaz M., Sezer H., Gurler H., & Bekar M. Predictors of preoperative anxiety in surgical inpatients. J Clin Nurs. 2011; 21(7-8): 956-964.

21. Wiratchai N. Using statistics. (2nd ed.). Bangkok: Icon printing; 2555. (In Thai).

22. Cheewapoonpol B. Relationship between personal factors, fear of reaction of significant person, coping strategies social support and body image of post mastectomy patients. [Thesis of Master degree of Nursing Science]. Bangkok: Chulalongkorn University; 2004. (In Thai).

23. Chainuthee W. Received social support among patients in intensive care unit, Pua Crown Prince Hospital, Nan Province. [Thesis of Master degree of Nursing Science]. Chiang Mai: Chiang Mai University; 2004. (In Thai).

24. Hernández-Palazón J, Fuentes-García D, Falcón-Araña L, Roca-Calvo MJ, Burguillos-López S, Doménech-Asensi P, et al. Assessment of preoperative anxiety in cardiac surgery patients lacking a history of anxiety: Contributing factors and postoperative morbidity. JCVA. 2018; 32(1): 236-44.

25. Chanmeesri S. Information need and received in perioperative patients. [Thesis of Master degree of Nursing Science]. Songkhla: Prince of Songkla University; 2008. (In Thai).

26. Muenhat S. Nursing care needs of patients with valvular heart disease while waiting for open heart surgery. [Thesis of Master degree of Nursing Science]. Khon Kaen: Khon Kaen University; 2012. (In Thai).

27. Mendonça KMB, de Andrade TM. Patient’s perception about coronary artery bypass grafting. Braz J Cardiovasc Surg. 2015;30 (5):544-51.

28. Kongchan K. Spiritual well being and spiritual needs in critically ill patients. [Thesis of Master degree of Nursing Science]. Khon Kaen : Khon Kaen University; 2012. (In Thai).

29. Nawai A. Needs and need responses of laminectomy patients. [Thesis of Master degree of Nursing Science]. Chiang Mai. Chiang Mai University; 2008. (In Thai).

30. Phaikhamnam N. Body image perception of the head and neck cancer patients. [Thesis of Master degree of Nursing Science]. Khon Kaen: Khon Kaen University; 2014. (In Thai).

Downloads

Published

2018-09-29

How to Cite

1.
ยอดเพ็ชร พ, เอื้อกิจ น. Selected factors associated with the patients’ needs in preoperative phase of coronary artery bypass graft surgery. Thai J Cardio-Thorac Nurs. [Internet]. 2018 Sep. 29 [cited 2024 Nov. 22];29(1):58-71. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/148157

Issue

Section

Research Articles