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 July 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. 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. |
