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Showing 4 results for Coronary Artery Bypass Grafting

Mohammadreza Heidari, Alireza Soltanpour2, Mohsen Naseri, Anooshirvan Kazemnezhad,
Volume 4, Issue 2 (9-2015)
Abstract

Aim. This study was conducted to determine the effect of Lemon Balm (Melissa Officinalis) on depression in patients after coronary artery bypass graft.

Background. Coronary artery bypass grafting (CABG) is the most common operation among patients with coronary artery disease. Many of these patients are faced with depression after cardiac surgery.

Method. In this randomized clinical trial, 80 patients undergoing coronary artery bypass graft were randomly assigned to treatment and placebo groups. Data collection tools included demographic and clinical sheet and the Hospital Anxiety and Depression Scale (HADS). Each patient randomly received either a capsule containing 500 mg lemon balm or a placebo, 3 times a day. After 7 days, depression in both groups was measured and compared. Data analysis was performed using SPSS (version 16).

Findings. After the intervention, herbal balm decreased depression more in intervention group compared with the placebo group (P=0.008).

Conclusion. According to findings , Lemon balm may reduce depression after coronary artery bypass graft.


Masoumeh Zakeri Moghadam, Nesa Mousavi Malek, Maryam Esmaeeli, Anoushiravan Kazem Nejad,
Volume 4, Issue 4 (3-2016)
Abstract

Abstract

Aim. The purpose of the present study was to examine the effect of supportive educational intervention on quality of sleep before coronary artery bypass grafting surgery.

Background. Patients who are waiting for surgery, experience high levels of stress and anxiety due to invasive nature of the procedure. This experience may influence their sleep quality. Disturbed sleep could lead to worsening the disease condition and reduces the process of recovery. Using non-pharmacological methods such as Benson muscle relaxation, deep breathing and guided imagery could be safe and useful for solving patients’ sleep problems before surgery.

Method. The present study was a quasi-experimental clinical trial in which 160 patients undergoing coronary artery bypass grafting surgery who hospitalized in cardiac surgery wards and cardiac intensive care units of selected hospitals of Tehran University of Medical Science were recruited and divided into two experimental (n=80) and control (n=80) group. Demographic data questionnaire was given to the patients at the first day of hospital admission. The control group received routine care. The intervention group received routine care and supportive educational intervention for at least two days between 4 and 6 p.m. All of the patients filled Groningen sleep quality scale in the day of surgery. Data analyzed by SPSS version 16.

Findings. Before surgery, the mean score of sleep quality was 4.6±5.50 in intervention group and 10.76±1.27 in control group.  There was a statistically significant difference between the experimental and control group in terms of sleep quality as the experimental group reported higher quality sleep than control group (P<0.0001).

Conclusion. Implementation of non-pharmacological methods such as relaxation, deep breathing, and guided imagery could be a good alternative method for hypnotic and sedative drugs. This could be one of the nursing interventions before coronary artery bypass grafting surgery as a safe, available and useful method.


Faezeh Soltani, Meysam Chahqui, Mansoor Arab, Seyed-Fakhraldin Hosseini, Fatima Dabbagh,
Volume 5, Issue 4 (3-2017)
Abstract

Abstract
Aim. This research aims to investigate the effects of spiritual care on pain in patients undergoing coronary artery bypass grafting (CABG) surgery.
Background. Pain as a significant problem in patients undergoing CABG requires nursing care. Because of side effects from opioids, it is important to use non-pharmacological approaches such as spiritual care to control pain in these patients.
Method. This clinical trial was performed on 70 patients after CABG. Data collection tools included a demographic questionnaire, and McGill Pain questionnaire. The patients were randomly assigned into two groups of experimental and control. Spiritual care program in the experimental group included supportive presence, supporting patient’s rituals, and using supportive systems for 3 days. Pain levels were measured before and after intervention for both groups. The control group did not receive any intervention. Data were analyzed in SPSS version 20.
Findings. There was no statistically significant difference between the two groups in terms of in demographic characteristics. Before intervention, no statistically significant difference was found between the pain scores of the groups, however, after the intervention, pain scores were significantly lower in the experimental group than in the control group. There was also a statistically significant difference between the pain scores of the experiment group before and after the intervention. Such a difference was not found in the control group.
Conclusion. Spiritual care program reduced pain in patients undergoing CABG. With regard to the results of the present study, it is suggested that nurses include religious-spiritual care in nursing care plan as a helpful way to control pain in these patients.

, , , , ,
Volume 9, Issue 1 (3-2020)
Abstract

Abstract
Aim. This study was conducted to examine the relationship between magnesium blood levels and postoperative bleeding in patients undergoing elective Coronary Artery Bypass Grafting (CABG) Surgery.
Background. Decline in Serum magnesium following cardiac surgery is an important issue and postoperative bleeding is among concerns associated with postoperative care in open heart surgery. It seems that coagulation disorders related to magnesium are dose-related.
Method.  In this descriptive correlational study, 120 patients undergoing CABG surgery using cardiopulmonary bypass machine were enrolled. All the patients were similar regarding the process of anesthesia and surgery. After surgery, when transferring to the intensive care unit, a blood sample was obtained from patient and sent to the laboratory to measure the magnesium blood levels. The amount of blood drainage in chest bottle of patient was recorded. The data were analyzed in SPSS version 20 using descriptive and inferential statistics.
Findings. There was a statistically significant inverse correlation between magnesium blood levels and postoperative blood drainage (r=-0.17, P=0.046). There was also a statistically significant correlation of Prothrombin Time (PT) and Partial Thromboplastin Time (PTT).
Conclusion. Magnesium blood level is influential on blood drainage in postoperative period as well as antiarrhythmic effect. It seems there is no concern about increasing blood drainage following infusing magnesium for patients under CABG surgery.

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فصلنامه پرستاری قلب و عروق Iranian Journal of Cardiovascular Nursing
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