Coronary artery bypass graft (CABG) which is integral to the treatment of cardiovascular
disease, may resulting in fragile recovery, and decreased self-confidence in doing activities of daily life , in
order to reduce the complications and further re-admission the individuals must develop the knowledge and
skills for self-management at home to prolong their survival Aim of the study: To evaluate the effectiveness of
planned discharge instructions on patients’ recovery following CABG surgery. Aquasi-experimental design
was used to conduct the current study in cardiothoracic surgical unit and outpatient clinics, at Nasser institute
during the period from beginning of August 2017 till beginning of June 2018. Subjects: A purposive sample of
214 patients recruited according to the study formula based on the total number of patients who admitted to the
study settings during 2016, were randomly assigned into 109 patients in control group and 105 in intervention
group. Tools: Three tools were utilized for data collection, 1) Structured interviewing questionnaire sheet, 2)
Structured Knowledge questionnaire and 3) Cardiac self efficacy scale. Results: Showed that mean score
regarding knowledge and self efficacy after CABG among intervention group were significantly higher after
implementing intervention than among control group with a lower incidence of complications as well as there
was a highly significant association between knowledge and self efficacy among the studied groups.
Conclusion: The planned discharge instructions was effective in improving knowledge, self efficacy as well as
reducing incidence of complications after surgery among the studied patients. Besides, the knowledge was
significantly correlated with self efficacy. Recommendation: Assuring the importance of implementing the
planned instructions for patients with CABG before and after operation as well as during recovery period.
Besides, Reinforcement of receiving specific discharge instructions after CABG rather than disease knowledge. |
