Symptoms and Care Satisfaction in Patients Who Underwent Coronary Artery Bypass Graft Surgery

Year 2021, Volume: 11 Issue: 3, 481 - 486, 27.09.2021

Tuğçe Bozkurt

https://doi.org/10.33808/clinexphealthsci.817535

Cited By: 2

Abstract

Objective: This study was conducted to investigate of symptoms and care satisfaction in patients who had a coronary artery bypass graft (CABG) surgery.
Method: The study population consisted of patients who had a coronary artery bypass graft surgery in a public and a foundation hospital in Istanbul between December 2018 and May 2019 and the study sample 176 patients who met the inclusion criteria and agreed to take part in the study. The study data were collected using the self-report method with the help of a Patient Description Form, the Heart Surgery Symptom Inventory (HSSI) and the Newcastle Satisfaction with Nursing Care Scale (NSNS). The data were analysed on the SPSS version 22.0 software. The data were analysed using numbers, percentages, minimum and maximum values, means and standard deviations, t-test, variance analysis and Pearson correlation analysis.
Results: The patients were found after their CABG surgery to experience pain, shortness of breath, fatigue, lack of appetite, nausea and wound-related symptoms. The most common complaint of the patients after the surgery was sleep problems and the least common wound-related symptoms. The mean HSSI score of the participating patients was 71.22±31.39 and the mean NSNS score 52.87±22.54, which meant that the severity of their post-surgery symptoms and their satisfaction with care were at a moderate level. Post-surgery pain, lack of appetite, nausea and wound-related symptoms were found to have a statistically significant moderate negative correlation with care satisfaction (p<0.05) and shortness of breath, fatigue and insomnia to have a statistically significant strong negative correlation with care satisfaction (p<0.05).
Conclusion: The results of this study revealed that patients who experienced less symptoms of pain, shortness of breath, fatigue, sleep disorders, lack of appetite, nausea, vomiting, and wound infection after a CABG surgery were more satisfied with the nursing care.

Keywords

Care Satisfaction, Nursing, Coronary Artery Bypass Graft, Symptoms

References

• World Health Organization (2014). Global status report on noncommunicable diseases. Available from http://apps.who.int/iris/ bitstream/10665/148114/1/9789241564854_eng.pdf?ua=1.
• Wilkins E, Wilson L, Wickramasinghe K, et al. European Cardiovascular Disease Statistics 2017. European Heart Network, Brussels.
• Şencan İ, Keskinkılıç B, Ekinci B, et al. Turkey Cardiovascular Diseases Prevention and Control Program Action Plan 2015-2020. Ankara: T.C. Ministry of Health (In Turkish).
• Badır A, Demir Korkmaz F. Coronary Diseases Karadakovan A, Aslan Eti, F (Ed.). Care in Internal and Surgical Diseases. Academician Medical Bookstore, 431479; 2014 (In Turkish).
• Alexander JH, Peter K, Smith, MD. Coronary artery bypass grafting. The New England. J Med 2016; 374 (20):1954-64.
• Demirkıran G, Uzun Ö. Post-dıscharge learnıng needs of patıents who had undergone coronary artery bypass graftıng surgery. Ege University Faculty of Nursing Journal 2012; 28 (1): 1-12 (In Turkish).
• Konuralp C, İdiz M. Systematic approach on postoperative care of the cardiac surgical patients. Anatolia J Cardiol 2003; 3 (1): 156-161 (In Turkish).
• Tromp F, Vandulmen S, Weert J. Inter disciplinary preoperative patient education in cardiac surgery. J Adv Nurs 2004; 47 (2): 212-222.
• Yorke J, Cardiothor GD, Wallis M, Cert C, Mclean B, Cert G. Patients’ perceptions of pain management after cardiac surgery in, Australian critical care unit. Heart Lung 2004; 33(1):33-41.
• Barnason S, Zimmerman L, Anderson A, Mohr-Burt, S, Nieveen, J. Functional status outcomes of patients with a coronary artery bypass graft over time. Heart Lung 2000; 29 (1): 33-46.
• Yıldırım N, Atalay M. Evaluation of the quality of life of patients with coronary artery bypass surgery. J Res Dev Nurs 2002; 4 (1): 64-52 (In Turkish).
• Avcı Işık S. Coronary artery diseases surgery and nursing care. Clin J Turkey, 2018; 4(1): 8-19 (In Turkish).
• Ozcan H, Findik UY, Sut N. Information level of patients in discharge training given by nurses following open heart surgery. Int J Nurs Pract 2010 16: 289–294 (In Turkish).
• Hillis LD, Smith PK, Anderson JL, Bittl JA. Guideline for coronary artery bypass graft surgery: executive summary a report of the american college of cardiology foundation/american heart association task force on practice guidelines developed. Circulation 2011; (124):2610–2642a.
• Şendir M, Büyükyılmaz F, Yazgan G, Bakan N, Mutlu A, Tekin F.. Evaluation of experience and satisfaction with nursing care in orthopedic and traumatology patients. Florence Nightingale Journal Nursing 2012; 20(1): 35-42 (In Turkish).
• Workman, ML., Ignatavıcıus, DD. Medical surgical nursing critical thinking for collabrative care, 4th ed. 38. philadelphia: wb saunders company; 2001.
• Sillero A, Zabalegui A. Satisfaction of surgical patients with perioperative nursing care in a Spanish tertiary care hospital. SAGE Open Med 2018; 6:1-9.
• Aydın Z, Özer N. Evaluations of nursing care of patients hospitalized during the postoperative period,"J Sci Technol-Monte Carlo 2015 (In Turkish).
• Woldehaimanot TE, Eshetie TC, Kerie MW. Postoperative pain management among surgically treated patients in an ethiopian hospital. Plos One 2014; 9 (7): E102835.
• Acar K, Acar H, Demir F, Eti Aslan, F. Determining the satisfaction level of patients after postsurgical pain treatment. Anatolia J Nurs Health Sci 2016; 19: 2 (In Turkish).
• Acaroğlu R., Savcı C, Bilir A et al. Evaluation of nursing care provided at night ın the neurosurgery clinic. Maltepe University J Nurs Sci and Art 2007;( 2): 1 (In Turkish).
• Yoon S, Bae S, Namgung H, Park D. Clinical Trial on the ıncidence of wound ınfection and patient satisfaction after stoma closure: Comparison of Two Skin Closure Techniques. Ann Coloproctol 2015; 31(1): 29–33.
• LaPier TK, Jung C. Development and content validity of the Heart Surgery Symptom Inventory. Acute Care Perspectives 2002; 11(2):5-12.
• Altınok D, Sağlam R, Valıdıty and relıabılıty of the heart surgery symptom ınventory ın Turkısh language. Maltepe University, Health Sciences Institute, Master Thesis. 2018 (In Turkish).
• Thomas LH, McColl E, Priest J, Bond S, Boys J. Newcastle Satisfaction with Nursing Scales: and Instrument for Quality Assessments of Nursing Care. J Qual Health Care 1996; 5: 67–72.
• Akın S, Erdoğan S. The Turkish version of the newcastle satisfaction with nursing care used on medical and surgical patients. J Clin Nurs 2007; 16: 646-653 (In Turkish).
• Melly L, Torregrossa G, Lee T, Jansens JL, Puskas JD. Fifty years of coronary artery bypass grafting. J Thorac Dis 2018; 10(3): 1960–1967.
• Üstündağ H, Eti Aslan F. The comfort and nursing care of patients who underwent coronary artery bypass graft surgery. J Intensiv Care Nurs 2011; 15 (1): 22-8 (In Turkish).
• Eti Aslan F, Demir Korkmaz F, Karabacak Ü. Pain in cardiac surgery and the nursing approach. J Thorac Cardiovas Sur 2012; 20(1): 172-176 (In Turkish).
• Cogan, J, Ouimette MF , Vargas Schaffer G, Yegin Z. Deschamps A, Denault A. Patient attitudes and beliefs regarding pain medication after cardiac surgery: barriers to adequate pain management. Pain Manag Nurs 2014; 15(3):574-579.
• Mathaiv AT, Samsv LM. Assessment of quality of pain and contributing factors affecting level of pain among patients who had undergone cardiac surgery in selected hospitals, Mangalore. Asian Pac Nurs J 2015; 2(1): 8-11.
• Gürler H, Yılmaz M. Nursing approaches toward postoperative pain of patients: Patients’ options. J Pain 2011; 23(2): 71-79 (In Turkish).
• Devecel Akkuş G, Şenturan L. Examining the relationship between atelectasis may develop in the postoperative period of open heart surgery before the breathing exercises. Halic University. Health Sciences Institute, Master Thesis. 2015 (In Turkish).
• Treat DJ, Lindquist, R. Exercise, quality of life, and symptoms in men and women five to six years after coronary artery bypass graft surgery. Heart Lung 2007; 36(6):387-97.
• Bakalım T. Common complications after open heart surgery. Keçeligil, HT. (Ed.), 1st Edition. Istanbul, Capa Medical Bookstore, 1162- 1151; 2004 (In Turkish).
• Yılmaz M. Effect of the planned pre-operative teaching on the occurence of postoperative complications and patient satisfaction. J Nurs Res 2002;4 (1): 40-51 (In Turkish).
• Roy SC. Roy Adaptation Model. Third Edition, Upper Saddle River, NJ: Prentice hall health. Nurs Sci Q 2009; 22 (3): 209-211.
• Greve, H., Pedersen, P. (2016). Improving sleep after open heart surgery: effectiveness of nursing interventions. J Nurs Educ Pract 6 (3): 15–25.
• An H, Bronson R, Richard W, Valentina B, Idiris M. New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate. J Community Hosp Intern Med Perspect 2017; 7 (5):309-313.
• Aktaş Y, Gürçayır D, Atalay C. Evidence based practices in postoperative nausea vomiting management. Dicle Med J 2018; 45 (3): 341-351 (In Turkish).
• Sung Uk C. Is postoperative nausea and vomiting still a big "minor" problem? Korean J Anesthesiol 2016; 69(1):1-2.
• Royse CF, Chung F, Newman S, Stygall J, Wilkinson DJ. Predictors of patient satisfaction with anaesthesia and surgery care: a cohort study using the postoperative quality of recovery scale. Eur J Anaesthesiol 2013; 30 (3): 106-10.
• Kos M, Dziewa A, Ksykiewicz A, Drop B. Nursing care quality and postoperative wound infections. Pol J Public Health 2016; 126(1): 13-18.
• Qahtani SA, Critchley KA, Ngwakongnwi E. Patient satisfaction with aninterprofessional approach to wound care in Qatar. Public Health Open J 2017; 2 (2): 46-52.
• Xin Y, Heng Z, Zhe Z. et al. Trends in mortality and major complications for patients undergoing coronary artery bypass grafting among Urban Teaching Hospitals in China: 2004 to 2013. Eur Heart J Qual Care Clin Outcomes 2017; 3 (4): 312-318.
• Aldemir K, Gürkan A, Yılmaz F, Karabey G. (2018). Examination of satisfaction from nursing care of ınpatients in the surgical clinics. J Health Nurs Manag 5(3): 155-163 (In Turkish).
• Velanovich, V. Using quality-of-life measurements to predict patient satisfaction outcomes for antireflux surgery. J Arch Surg 2004; 139(6): 621-62.