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Showing 25 results for Coronary Artery Bypass Graft
, , , , ,
Volume 1, Issue 2 (9-2012)
Abstract
Aim. The aim of this study was to assess the effect of anti-embolism stocking in preventing lower limb edema following saphenous vein harvesting in patients undergoing coronary artery bypass graft surgery (CABG).
Zahra Shafiee, Sima Babaee, Abdollah Nazari, Vajihe Atashi,
Volume 2, Issue 2 (9-2013)
Abstract
Abstract Aim. The aim of this study was to examine the effect of massage therapy on sleep quality of patients after coronary artery bypass surgery (CABG). Background. Poor sleep quality is common among patients following CABG and has been noticeable for more than 30 years. Method. In this quasi-experimental study, 72 patients, who had undergone CABG in Isfahan Chamran Hospital were were recruited. The patients were randomly assigned to the two experimental and control groups. The patients of the experimental group received light pressure stroking massage for 20 minutes in four sessions after the surgery. The patients in control group received only the routine care. The patients› sleep quality was measured before and after the intervention with St Mary›s Hospital Sleep Questionnaire. Data were analyzed by SPSS software, version 18 and descriptive and inferential statistical methods were used for data analysis. Findings. Mean scores for sleep quality before the intervention in the experimental and control groups were 22.5±3.6 and 22±3.8, respectively, and no statistically significant difference seen between them. After the intervention, there was a statistically significant difference between mean scores for sleep quality of the experimental and control groups (11.8±2.8 vs 15.5±4.7) (P<0.001). Conclusion. The use of massage therapy can promote sleep quality of patients after CABG and due to low cost and simplicity it can be used as a complement to drug therapy and postoperative interventions implemented in these patients.
Zahra Poshtchaman, Maryam Jadid Milani, Foroozan Atashzadeh Shoorideh, Alireza Akbarzadeh Bagheban,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Background. One of the most important aspects of care and follow-up after coronary artery bypass graft surgery is treatment adherence program. As the long term success of the surgery depends on the treatment of adherence plan. Aim. The purpose of this study was to evaluate the efficacy of phone and SMS follow-up care on patients' treatment adherence after coronary artery bypass graft. Method. This clinical trial was performed on patients undergoing coronary artery bypass graft surgery in the heart surgery unit in Tehran hospitals in 2014. In this study, 90 patients were selected purposively and allocated into telephone follow-up group (n=30), SMS follow-up group (n=30) and control group (n=30). Demographic and treatment adherence questionnaire were completed twice (before intervention and two months after the intervention). The telephone follow-up and SMS follow-up groups were given training and booklet before discharge. In telephone follow-up intervention, three calls a week was made for two months and the SMS follow-up group received text messages daily for two months. To analyze the data, Chi-square test, Fisher exact test, t-test and ANOVA, ANCOVA, and Bonferroni test were used. Findings. There was no statistically significant difference between the telephone follow-up and SMS follow-up groups in terms of treatment adherence scores, before and after intervention. A statistically significant difference was seen between telephone follow-up and control groups (p<0.0001), and SMS follow-up and control groups (p<0.0001) in terms of treatment adherence scores, before and after the intervention. Conclusion. Both SMS and telephone follow-up are effective to improve treatment adherence in patients after coronary artery bypass graft. It is suggested to use these interventions for patient following coronary artery bypass graft.
Touraj Babaee, Roghaye Sadeghi, Hooman Bakhshandeh,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.The purpose of this study was to examine the effect of patient education on postoperative pain perception in patient undergoing Coronary Artery Bypass Graft (CABG). Background.Pain is a common complication after CABG surgery. Non-pharmacological methods are more favorable than pharmacological agents. Method.In this quasi-experimental study, 72 patients who were scheduled for elective CABG surgery were randomized to experimental (n=36) and control group (n=36). Experimental group received educational intervention about pain control, one day before surgery (20-30 minutes duration), while control group received no intervention. Following transferring to the ICU and 2 hours after extubation, patients’ pain intensity wasmeasured by Johnson’s numerical scale. The measurements wererepeated twice withanintervalof threehours. The type and dosage of pain medication administered during ICU stay were recorded. To analyse the data, descriptive(mean and standard deviation, frequency distribution and percentage) and analytical statistics (Chi-square and Mann-Whitneytest) were used. Findings.There was no statistically significant difference between two groups in terms of demographic characteristics. Two hours after extubation, there were no statistically significant difference between experimental and control group in the intensity of pain (P=0.313). Pain intensity was significantly lower in experimental group than control group, 5 hours (P=0.015) and 8 hours (P=0.006) after surgery. The results also showedthat the amount ofanalgesics used to relieve post-operativepain was significantly lower in experimental group than control group (P=0.046). Conclusion.Patient education about pain control may have positive effects on postoperative pain in patients undergoing CABG surgery. This intervention could serve as an effective strategy for nurses to improve pain management among these patients.
Alireza Ghavidel, Pouya Farokhnezhad-Afshar, Hooman Bakhshandeh, Fatemeh Ghorbanpour,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. This study was conducted to examine the effect of family-centered education on the quality of life patients after coronary artery bypass graft surgery.
Background. Following coronary artery bypass graft surgery, the patients face many physical, mental and social problems, which reduce their quality of life. Teaching the patient's family provides an opportunity for family members to cooperate actively in taking care and supporting patient, thereby, improve patients' quality of life.
Method. This was an experimental study in which 96 patients with their active family members were recruited according to inclusion criteria and randomly allocated to experimental (n=48) and control group (n=48). Before intervention, SF-12 Quality of Life Questionnaire (QOL) was completed by participants in both groups. Then, experimental group received family-centered education in three sessions and control group received only hospital routine educational program. Quality of life was again measured one month later. The data were analyzed by SPSS version 22.
Findings. There were no statistically significant differences between the two groups regarding demographic characteristics. Based on Mann-Whitney test, a statistically significant increase was observed in scores of QOL dimensions after intervention in the experimental group as compared with control group (P<0.0001).
Conclusion: Family-centered education in patients under coronary artery bypass graft can improve quality of life in these patients.
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.
Hosein Feizi, Hiwa Mohammadi, Ahmadreza Yazdannik, Mohsen Mir Mohammad Sadeghi, Pariya Zamani,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of incentive spirometry and deep breathing exercises on arterial blood gas parameters after coronary artery bypass graft (CABG) surgery.
Background. After CABG, pulmonary complications and oxygenation disorders are common and play an important role in post-operative mortality and morbidity. The different methods are being used for improvement of pulmonary function and oxygenation after CABG.
Method. In this clinical trial study, 75 patients who were candidate for CABG surgery were recruited and randomly allocated to two intervention groups (incentive spirometry group and deep breathing exercise group) and control group. The groups were compared in terms of arterial blood gas parameters (PaO2, PaCO2 and SaO2) before surgery, and on the first day, the second day, and the third day after surgery.
Findings. The study findings showed that in the third postoperative day, there was a statistically significant difference between intervention groups and control group in terms of the mean of arterial blood gas parameters (PaO2, PaCO2 and SaO2).
Conclusion. Incentive spirometry and deep breathing exercise are both significantly effective on improvement of arterial blood gas parameters (PaO2, PaCO2 and SaO2).
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.
Rasoul Heshmati,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Mindfulness-Based Stress Reduction (MBSR) on depression and anxiety in people with coronary artery disease (CAD) treated with coronary artery bypass graft (CABG) surgery.
Background. Depression and anxiety are common in people with CAD treated with CABG. Therefore, it is important to investigate if effective therapeutic models can influence the negative emotions of these patients.
Method. The research method was single-subject and the statistical population of this study included all people with coronary artery disease who referred to Shahid Madani Hospital in Tabriz, Iran, during the second six months of the year 2016 for rehabilitation after surgery. The study sample consisted of four available people with CAD who received eight sessions of MBSR training by the researcher. The subjects were assessed before and after receiving the MBSR training by Beck Depression Inventory, and Beck anxiety Inventory. The data were analyzed through recovery percentage, percent of non-overlapping data (PND), standardized mean difference (SMD) and visual analysis of the charts.
Findings. The findings showed that MBSR training reduced anxiety and depression in people with CAD following treatment with CABG.
Conclusion. Based on these findings, it be can concluded that MBSR is an effective treatment for management of negative emotions of people with CAD treated with CABG.
Shahnaz Pooladi, Fatemeh Dehghan-Azad, Mohammadreza Yazdankhahfard, Rahim Tahmasbi, Abdolreza Ahmadi,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Background. Self-care behaviors in cardiac patients are one of the essential factors in their treatments. The failure to apply proper self-care behaviors reduces their recovery and imposes high costs on the health care system.
Aim. This study aimed for design and psychometric measurement of the questionnaire on attitude, knowledge and utilization of self-care for patients undergoing coronary artery bypass graft surgery based on Waltz model
Method. In this methodological study, the following four steps were conducted for design and psychometric measurement of the questionnaire: 1) defining the theoretical and practical self-care concept for patients undergoing coronary artery bypass graft surgery in the domains of physical activity, sexual activity, social activity, mental state, and smoking; 2) designing the items of the questionnaire using other instruments which are being used in heart diseases; 3) determining the face validity (the assessment of facility, difficulty, and ambiguity of the items and their importance for patients) and content validity of the questionnaire (the assessment of appropriateness and necessity of items by experts opinions and measuring CVR and CVI; 4) the internal consistency of the questionnaire was evaluated by determining the Cranach's alpha coefficient.
Findings. The first version of this questionnaire was produced with 56 items, of which 15 items were deleted during the process of validity and reliability confirmation. The final version of the questionnaire was provided with 41 items in three domains; knowledge domain with 14 items, attitude domain with 7 items and utilization domain with 20 items. The results of the psychometric procedure for the questionnaire was the content validity index of 0.99, the content validity ratio of 0.96 and the internal consistency of the questionnaire with Cronbach's alpha coefficient of 0.7 representing appropriate validity and reliability of the questionnaire.
Conclusion. This 41-item questionnaire can be utilized in the assessment process of these patients. Measuring construct validity is recommended for the validity of the domains of the present questionnaire.
Anolin Aslan, Maryam Esmaeili,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The purpose of this study was to review the patient– and family-centered care studies in coronary artery bypass graft surgery.
Background. Nowadays, the length of hospital stay after cardiac surgery is reduced, and the most of the patients recover at home with their families without usual nursing and medical care. It is necessary to provide the care based on the same needs.
Methods. This is a comprehensive review of literature published between 1990-2018 about patient- and family-centered care interventions and patient/family important outcomes in adult ICUs that was conducted through searching out databases and search engines Medline, Ovid, Science Direct, PubMed and Google scholar, including English and Persian papers. In total, 73 English papers and 46 Persian papers were found, out of which 25 papers were included in this review.
Findings. Engaging families in patient care can profoundly influence clinical decision making and patient outcomes. Yet in many hospitals and health care systems, outdated visiting policies separate families and other loved ones during hospital stays.
Conclusion. Patient– and family-centered care is associated with better clinical outcomes. The clinical benefits that have been identified through a family partnership approach in these settings include decreased mortality, increased satisfaction, improved adherence to treatment regimens, and decreased readmission rates. Although high-quality interventional studies are needed to further evaluate the effectiveness of patient- and family-centered care in coronary artery bypass surgery, it is obvious this movement in healthcare is making a huge impact on family satisfaction and patient outcomes.
Mohamad Oraki, Masud Janbozorgi, Ahmad Alipor , Fateme Nequee,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. This study was conducted to determine the effect of cognitive-behavioral rehabilitation based on stress immunization training on anxiety, stress and depression in patients with coronary artery bypass graft surgery.
Background. Stress, anxiety and depression that play an important role in coronary artery disorders, are being considered as a hindrance to recovery after CABG. Providing the patient with correct coping strategies with stress seems to be helpful in preventing the recurrence.
Method. The study was a quasi-experimental with control group with pretest-posttest design. The statistical population of this study included patients who had coronary artery bypass graft surgery and referred to the Rehabilitation center of Tehran Heart Hospital, Tehran, Iran. Thirty subjects were selected by continuous sampling method and randomly assigned into experimental and control group. The instruments for data collection were “Depression, Anxiety and Stress Scale” (DASS-21), which completed before and after the intervention. The experimental group was exposed to stress immunization training in 10 sessions of 90 minutes. To analyze the data, multivariate covariance analysis, and one-variable covariance analysis were used in SPSS software.
Findings. Stress immunization training significantly influenced the anxiety (p≤0.0001; F=0.39), stress (p≤0.0001; F=0.35), and depression (p≤0.0001; F=0.68) scores of the experimental group compared to the control group.
Conclusion. Stress immunization training plays an important role in reducing negative emotions (anxiety, stress and depression) in patients with coronary artery bypass graft surgery. It is recommended to use this intervention for patients undergoing CABG.
Shiva Khaleghparast, Sadegh Heydarpoor, Mahmud Salesi, Mohamadziae Totonchi, ,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of peer education on the anxiety - of post Coronary Artery Bypass Graft patients and caregivers
Background. Patients undergoing coronary artery bypass surgery experience moderate to high anxiety, which has also been reported among their family members. Studies have shown that educating patients and their family caregivers has in many cases reduced their anxiety. Peer education and research on the effect of peers is of great importance in promoting therapeutic and caring goals.
Method. This randomized clinical trial study was performed in year 2018 in surgery wards of Rajaee Cardiovascular Medical and Research center. In this study, 60 family caregivers of patients undergoing coronary artery bypass graft surgery and their respective patients were recruited at the time of discharge from intensive care unit and entering into the surgical ward. The subjects were randomly assigned to experimental and control group. Data collection tools included demographic information questionnaire and Spielberger's "State and trait anxiety" form. Initially, patients' family caregivers who were selected as peers were trained by the researcher in three stages. Before visiting the patients by family caregivers, their anxiety and also, patients' anxiety was measured in both groups. Thereafter, the patients’ family caregivers in the control group received routine training, and the patients' family caregivers in the experimental group received peer training in two sessions by their peers. In the third step, the anxiety of patients and their family caregivers in both groups were measured on the second and fifth days after intervention. The data were analyzed in SPSS 20 software.
Findings. Before intervention, the mean scores of anxiety in the experimental and control groups were not statistically different in both patients and their family caregivers, and the mean anxiety scores in both groups were moderate to high. After intervention, the mean score of anxiety in the experimental group was significantly lower than the control group (P≤0.0001). Also, in the second and fifth days after the intervention, there was a significant difference between the experimental and control groups in the mean score of anxiety of the patients and their family caregivers (P≤0.0001).
Conclusion. Peer education seems to reduce anxiety in patients and their family caregivers after discharge from ICU. It is suggested that peer education be used as effective and low cost education to reduce patient and family caregiver anxiety.
Behnam Yari-Bajelani, Shiva Khaleghparast, Mohammad Imanipour, Ziae Totonchi, Ali Gholami, Sana Shahrabadi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to examine the effect of open visiting hours on sleep quality, anxiety, and satisfaction of patients undergoing coronary artery bypass graft surgery (CABG).
Background. The importance of visiting patients after CABG has been emphasized in various studies, but there is insufficient evidence to confirm whether restricted /open visits may have more positive or negative effects than each other.
Method. In this clinical trial study, 60 post-CABG patients, admitted to Shahid Rajaei Cardiovascular, Medical and Research center, were randomly selected and divided into experimental (n=30) and control group (n=30). Patients in experimental group received an open visiting schedule (free visiting) and those in control group experienced a regular visiting schedule (restricted visiting). Anxiety was measured on the second and fourth days of hospitalization by the Spielberger Anxiety Inventory (STAI), sleep quality was measured by Richard Campbell and satisfaction was assessed through researcher-made questionnaire on the fourth day of hospitalization. Data were analyzed using independent t-test in SPSS-20 software.
Findings. There was a statistically significant difference between control and experimental groups in terms of anxiety mean score (43.97±6.76 against 35.90±4.31, respectively) (p≤0.0001). There was also a statistically significant difference between control and experimental groups in terms of mean score of patient satisfaction (46.13±7.15 vs 32.23±4.67, respectively) (p≤0.0001). A statistically significant difference was found between control and experimental groups in terms of sleep quality mean score (2.33±0.8 vs 3.33±0.75, respectively) (p≤0.0001).
Conclusion. Open visiting can reduces anxiety, and improves sleep quality and patients' satisfaction after CABG.
Hedieh Salehpour, Samaneh Parchebafieh, Mohammad Saheb Al-Zamani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effect of cardiac rehabilitation training on patients' quality of life after coronary artery bypass grafting at Dr. Lavasani Hospital in Tehran.
Background. Coronary artery disease is the most common and serious chronic life-threatening disease. This disease affects many aspects of people's lives and reduces the quality of life. In many cases, coronary artery bypass graft surgery is needed to treat cardiac problems. Improving the quality of life is one of the important goals of participating in a cardiac rehabilitation program.
Method. In this one-group quasi-experimental study, 45 patients under coronary artery bypass graft surgery, hospitalized in Dr Lavasani Heart Hospital in Tehran, Iran, were selected by simple random sampling and were studied in a before-after design. Data collection tools included demographic questionnaire and Macnew Heart Disease Health-Related Quality of Life questionnaire. Cardiac rehabilitation training program was implemented in two sessions of 30 to 45 minutes with an interval of at least 24 hours at the time of hospitalization. Quality of life was measured in two stages, before the intervention and one month after the second training session. Data were analyzed in SPSS software version 25 using descriptive and inferential statistics.
Findings. The highest percentage of samples was male (57.8 percent), married (95.7 percent) and had primary education (47.8 percent). The mean age of women was 60.32±9.73 years, and the mean age of men was 60.50±12.60 years. After intervention, the mean quality of life score (128.71±4.95) increased significantly compared to the mean quality of life score before intervention (96.66±9.30) (p≤0.0001).
Conclusion. Cardiac rehabilitation in patients undergoing coronary artery bypass graft surgery can increase their quality of life. Nurses can play an important role in improving the quality of life of these patients through implementing cardiac rehabilitation training.
Banafsheh Ghorbani, Fatemeh Bahramnezhad, Mohammad-Hossein Mandegar, Phd Zohrehsadat Mirmoghtadaie,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to review the importance of cardiac rehabilitation and physical activity training in the second phase of rehabilitation.
Background. Cardiac rehabilitation is defined as a comprehensive long-term program consisting of medical assessment, exercise program administration, correction of cardiovascular risk factors, training and counseling. Familiarizing nurses with the area of cardiac rehabilitation and providing necessary education to patients will have a significant effect on reducing complications and improving quality of life.
Method. This review study was carried out by library and internet searches in the years 2018-2019 using the keywords “coronary artery bypass graft surgery”, “adherence to treatment”, “cardiovascular disease”, “physical activity”, “exercises at home”, “cardiac rehabilitation” and their Persian equivalents. The search was carried out in databases, search engines PubMed, SID, MagIran, Web of Sciences, Cochrane Library, CINHAL, OVID, Google Scholar, Up-to-date, and Scopus without time limit. A total of 51 articles were found in relation to the subject under study, of which, 4 articles were excluded because of duplication and 10 articles were excluded because their full texts were not available. Finally, 37 articles were included in the study.
Findings. The role of the nurse in training cardiac patients for rehabilitation is of great importance. By educating patients about the principles of rehabilitation for prevention and management of complications, an important role can be played in improving the quality of life of patients and increasing their survival.
Conclusion. Nurses' acquaintance with the principles of cardiac rehabilitation is of particular importance. It is suggested that nurses consider rehabilitation education as one of the supportive therapeutic and preventive approaches and should always be familiar with the latest guidelines in this area.
Mohsen Ziyaeifard, Rasool Ferasatkish, Nahid Aghdaii, Ali Sadeghi, Mehrdad Haghazali, Fatemeh Barati, Sudabeh Rafiee,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of protocol of weaning from mechanical ventilation on the gastrointestinal function in people undergoing CABG.
Background. The most common problems after cardiac surgery in the intensive care unit are change in vital signs, respiratory problems, unsuccessful separation from mechanical ventilation, and gastrointestinal problems. Due to the numerous effects that gastrointestinal problems have on the patient after cardiac surgery and also the economic burden that these complications impose on the patient and the health care system, choosing the best technique to prevent and control these problems is critical for the health care team.
Method. The present study was a randomized clinical trial conducted on 100 people undergoing CABG. They were allocated to control and experimental group based on permuted block randomization. The control group received routine way and experimental group received protocol of weaning. The groups were compared in terms of nausea and vomiting, the time of beginning oral diet, defecation and bowel sounds before weaning 2, 6, and 12 hours after weaning from mechanical ventilation. Data were analyzed In SPSS version 23 using chi-square, Mann–Whitney U and Fisher tests.
Findings. In experimental group, there was a faster onset of bowel sounds and movements and earlier beginning of oral diet.
Conclusion. Patients who were under the protocol of weaning from mechanical ventilation had better gastrointestinal functional status compared to those who were under routine weaning.
Miss Banafsheh Ghorbani, Fatemeh Bahramnezhad,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this literature review was to investigate the importance of adherence to diet in and nutritional recommendations for patient after coronary artery bypass graft surgery.
Background. Nutritional patterns after heart surgery are among the most important aspects of care that is provided by the nurse. Due to the importance of this issue, various studies have been conducted to focus on principles of proper nutrition after coronary artery bypass graft surgery and the necessary recommendations.
Method. The present review study was conducted through searching out databases and search engines Pub Med, SID, MagIran, Web of Sciences, Cochrane Library, CINHAL, OVID, Up-to-date, and Scopus without time limit using the keywords Coronary artery bypass graft surgery, Adherence to nutrition therapy, Cardiovascular disease, Survival rate, Complications of heart disease and nursing care, Diet, and Nutritional support. Out of a total of 103 articles, 65 articles with accessible full text entered the qualitative review stage, of which 51 articles entered the literature review.
Findings. The use of appropriate dietary approach such as consumption of fruits and vegetables, nuts and nuts, consumption of dairy products, fish and cooked and steamed foods should be the first priority of patients after coronary artery bypass graft surgery. They should avoid of fried and processed materials as much as possible.
Conclusion. Nurses' familiarity with the principles of nutrition and providing nutritional solutions, based on the latest guidelines published, to patients after coronary artery bypass graft surgery plays an important role in reducing complications and readmission of patients.
Behnaz Barbod, yasser yasser Rezapour Mirsaleh, Azadeh Choobfroushzadeh, Jalil Mirhosseini, Fahimeh Koohestani,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The present study aimed to investigate the effect of spousal support and companionship intervention on quality of life, marital intimacy and stress of cardiovascular patients.
Background. Supportive care and attention to the psychological factors along with medical care in people with heart disease can help therapies to be more effective. Providing an appropriate emotional atmosphere in the family, along with attention to medical care such as medication and diet control, is one of the supports that people with heart disease can receive after coronary artery bypass graft surgery (CABG).
Method. This study was a semi-experimental research which was based on multiple baseline single-case study. The sample included 2 married male patients who had CABG and their wives which were selected among those referred to cardiac rehabilitation centers of Yazd City, Iran. The participants received 8 sessions of spousal support and companionship intervention. The participants answered to the questionnaires quality of life; stress, anxiety and depression; and marital intimacy, before, during, at the end and one month after intervention. The data were analyzed using visual analysis, improvement percentage and reliable change index.
Findings. Spousal support and companionship intervention increased the quality of life and decreased stress of patients, after intervention and in follow-up phases, but the patients’ marital intimacy did not change significantly after intervention.
Conclusion. The quality of life and stress of patients may be improved if the wives appropriately support and accompany their husbands after CABG.
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