Effect of Implementing Discharge Plan on Patient’s Outcomes Post Coronary Artery Bypass Graft Surgery | ||||
Egyptian Journal of Health Care | ||||
Article 37, Volume 10, Issue 3, September 2019, Page 517-534 PDF (724.53 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2019.252377 | ||||
View on SCiNiTO | ||||
Authors | ||||
Fatma Mohamed Elesawy1; Warda Ramadan Abouzied2; Ragaa Dahi Mohamed Ahmed2; Amal Hemed Hamad3 | ||||
1Lecturer of Medical Surgical Nursing- Faculty of Nursing- South Valley University, Qena, Egypt | ||||
2Lecturer of Critical Care & Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt. | ||||
3Lecturer of medical surgical nursing, Faculty of nursing, Zagazig University, Egypt. | ||||
Abstract | ||||
Background: Despite the development of cardiothoracic surgery, many patients still face some postoperative complications and difficulties, which can be ameliorated through continues care and an appropriate discharge plan. This study aimed to evaluate the effect of implementing a discharge plan on patient outcomes post Coronary Artery Bypass Graft (CABG) surgery. Design: A quasi experimental research design was used in the study. Setting: The study was conducted in the department of Cardiothoracic Surgery and were completed in Outpatients Cardiothoracic Surgical Follow up Clinics at Zagazig University Hospital. Subject: A purposive sample of 60 patients were randomly recruited in this study, which divided into two equal groups, study and control (30 patients in each). Tools: Four tools were utilized for data collection, knowledge assessment questionnaire, Cardiac Symptoms' Survey, Exercise of Self-Care Agency Scale and lab investigation of lipid profile. Results: The mean scores of knowledge, post-operative symptoms' severity, and self-care ability at one month and at three months later of the study group were significantly higher than those of the control group (p <0 .001). Also there were a statistically significant difference of the mean score of all lipid profile variables between control and study group. Conclusion: implementing a discharge plan was effective in improving patients' clinical outcomes including knowledge, post-operative symptoms severity, self-care ability and lipid profile. Recommendation: Discharge plan for patient undergoing CABG surgery should be implemented in pre and post surgery, as well as during follow up. | ||||
Keywords | ||||
CABG surgery; Discharge plan; patient’s outcomes | ||||
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