Discharge Planning for Patients after Coronary Artery Bypass Grafting surgery (CABG): Application of Transition Theory
Keywords:
discharge planning, transition theory, coronary artery patients, coronary artery bypass grafting surgeryAbstract
Coronary artery bypass grafting (CABG) has been used with a group of patients as a treatment to help bring more blood to the heart muscle. Relieving chest pain prevents the heart muscles that are below the blocked position from further deterioration. It also helps prevent sudden death and increases the ability of patients to perform certain activities. Theory of Transition is a middle-range theory that can be applied to discharge plan nursing. This has been used to assess, analyze, plan, implement, and evaluate nursing impacts related to patient status. The nurse’s roles in caring for patients include evaluating readiness for patients to live in a new environment, preparing patients and family, and supporting patients to increase the ability to care for themselves and modify behavior and lifestyle patterns. Reducing the number and severity of complications that may occur is a key to patient recovery. Further benefits include reducing the length of stay in the hospital, preventing re-admission and improving the quality of life of patients after heart and thoracic surgery
References
2. Lindmark U, Bülow PH, Mårtensson J, Rönning H; A.D.U.L.T. Research Group. The use of the concept of transition in different disciplines within health and social welfare: An integrative literature review. Nursing open [Internet]. 2019 [cited 2019 Dec 20];6:664-75. Available from: https://doi.org/10.1002/nop2.249
3. Hardin SR, Kaplow R, Cardiac surgery essentials for critical care nursing. 2nd ed. Sudbury, MA: Jones and Bartlett Publishers; 2016.
4. Chaiyaroj S. Coronary artery bypass Surgery: CABG. In: Chaiyaroj S, editor. Essentials in Cardiothoracic Surgery. Bangkok: Idea Instant Printing; 2010. p. 15-32. (in Thai)
5. Wongkongkam K, Nakon O. Surgical nursing: cardiovascular patients. Bangkok: N. P. Press; 2016. (in Thai)
6. Sornphirom S. Nursing in critically ill patients after cardiovascular surgery. Srinagarind Med J 2016;31(Suppl.):46-50. (in Thai)
7. Meleis AI, Sawyer LM, Im EO, Messias DKH, Schumacher K. Experiencing transitions: An emerging middle range theory. Adv Nurs Sci 2000;23(1):12-28.
8. Meleis Al. Theoretical nursing: Development and progress. 5th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2013.
9. Meleis Al. Transitions theory: middle- range and situation-specific theories in nursing research and practice. New York: Springer; 2010.
10. Chintapanyakun T, Ua-Kit N. Utilization of transition theory for caring and advice patients with post coronary artery bypass graft surgery. Journal of Public Health Nursing 2017;31(2):237-56. (in Thai)
11. Phoodaangau B. Transition theory: Its application to family nursing care. Thai Journal of Nursing Council 2013;28(4):107-20. (in Thai)
12. Saengsiri A, Wattradul D, Kangchanakul S, Natthumrongkul S, Nopplub S, Wonganunnont S. The factors influencing the self-care agency and quality of life of patients with coronary artery disease. Thai Journal of Cardio-Thoracic Nursing 2015;26(1):104-18. (in Thai)
13. 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)
14. Usayapunt N, Sittikool P. Factors associated with functional capacity before discharge of patients with CABG in Suratthani hospital. Reg 11 Med J 2016;30(1):111-20. (in Thai)
15. Chaiwong N. Self-management in coronary artery disease. Thai Pham Health Sci J 2017; 12(3):147-56. (in Thai)
16. Sanckamanee Y, Ruisungnoen W. Effects of preparatory information intervention on knowledge, anxiety, and self-care practice among patients underwent coronary artery bypass graft surgery. Journal of Nurses Association of Thailand, North-Eastern Division 2012;30(1): 15-21. (in Thai)
17. Panuthai S. Factors affecting readiness for hospital discharge among older persons. Nursing Journal 2014;41(4):150-60. (in Thai)
Downloads
Published
Issue
Section
License
เนื้อหาบทความหรือข้อคิดเห็นต่างๆ ในวารสารพยาบาลสภากาชาดไทยนี้ เป็นความคิดเห็นของผู้เขียนบทความ ไม่ใช่ความเห็นของกองบรรณาธิการ หรือสถาบันการพยาบาลศรีสวรินทิรา สภากาชาดไทย