Factors related to the functional performance of patients at home after coronary bypass surgery for two months
Keywords:
functional performance, coronary artery bypass graft surgeryAbstract
The objective was to study factors associated with patients' functional performance at home after coronary bypass surgery. The sample is patients with cardiovascular disease who underwent coronary bypass surgery admitted to the Thoracic and Cardiovascular Surgery ward, Chulalongkorn Hospital. In the 92-sample case using purposive sampling, received consultation to follow-up and home visits after surgery. The instruments used for data correction were the demographic data questionnaire, pain assessment, Modified Borg's Scale, Insomnia Severity Index, Revised Piper Fatigue Scale, Hospital Anxiety and Depression Scale, and The Functional Performance Inventory Short Form. The data was collected in 6 phases: the pre-discharge phase and after discharge from the hospital, weeks 1, and 2,4,6,8, respectively. The data were analyzed using descriptive statistics, Pearson's Product Moment Correlation Coefficient, and Spearman's Rank Correlation Coefficient.
The results indicated that age, depression, gender, incisional pain, insomnia, dyspnea, fatigue, and anxiety were negatively associated with the functional performance of patients after coronary bypass surgery and postoperative stages with statistically significant (p<.05). However, body weight and comorbidity were not significantly associated with the functional performance of patients after coronary bypass surgery level at all postoperative stages.
This research can be applied to the nursing planning of coronary artery bypass surgery patients in the post-hospital period and determine the appropriate period of home visits for patients.
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