Factors Affecting Post Open-Heart Surgery Outcomes for Hospitalized patients | ||||
| Egyptian Journal of Health Care | ||||
| Article 4, Volume 11, Issue 1, March 2020, Page 41-58 PDF (729.93 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.72593 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mohamed Mousa Elsaed; Asmaa Hamdi Mohamed; Mona Nadr Ebrahim | ||||
| Medical Surgical Nursing-Faculty of Nursing Ain Shams University. | ||||
| Abstract | ||||
| Background: Open heart surgery plays an important role in the management of cardiovascular diseases. A number of preoperative predictive factors for complicated Intensive Care Unit (ICU) stay were identified. Postoperative outcomes are dependent on the type of these predictive factors. Aim: study aims to assess factors affecting post open-heart surgery outcomes for hospitalized patients. Research question: What are the factors affecting post open-heart surgery outcomes for hospitalized patients?. Study design: descriptive explanatory research design was selected to fulfill the aim of the study. Setting: Post Cardiothoracic ICU at Cardiothoracic and Vascular Surgery Hospital, Ain Shams University. Subjects: 120 patients who undergone open heart surgery (CABG / Valve Replacement). Data collection tools: 1) Patients‟ assessment questionnaire including: demographic characteristics of patients and medical history data 2) open heart surgery assessment questionnaire, 3) European system for cardiac operative risk evaluation (EURO score II), 4) Patient‟s self-care knowledge assessment questionnaire, 5) Patient‟s self-care practice observational checklist. Result: The results of this study revealed that mean age of the studied patients was above fifty and slightly less than three quarters of them were males, less than three quarters were overweight, most of them had hypertension and diabetes mellitus, three quarters of the studied patients were at low risk of death according to EURO Score II, and the majority of them had satisfactory level of self-care practices and knowledge. Conclusion: The current study concluded that preoperative vital signs and use of preoperative and intraoperative use of cardiac inotroptic drugs in addition to postoperative delay of regaining consciousness and postoperative ICU stay; were the most significant factors affecting outcomes. Recommendation: Educational program and instructions to follow after the surgery is needed to improve the outcomes. | ||||
| Keywords | ||||
| factors; Patient's Outcomes; Open heart surgery | ||||
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