Model of an Integrated Psychotherapeutic Approach to the Heart Surgery Patient

Aim: The aim of this study was to determine if an individual’s country of origin influenced performance of self-care behaviours after heart surgery. Background: Patients are required to perform self-care behaviours following cardiovascular surgery. Usual care encompasses a patient education initiative that addresses self-care behaviour performance. Within Canada, current heart surgery patient education efforts have been designed and evaluated using homogenous samples that self-identify their country of origin as England, Ireland, or Scotland. However, approximately, 42.6% of Canadian cardiovascular surgical patients self-identify their country of origin as India or China. Thus, current cardiovascular surgery patient education initiatives may not be applicable to all patients undergoing heart surgery, which may result in decreased patient outcomes such as performance of self-care behaviours. Design and methods: This descriptive study included a convenience sample of ninety patients who underwent heart surgery at one of two university affiliated teaching hospitals, representing individuals of diverse backgrounds. Point-biserial correlational analysis was conducted to determine the relationship between country of origin and performance of self-care behaviours. Results and conclusion: Findings indicate individuals who self identified their country of origin as England or Ireland were associated with a higher score on the number of self-care behaviours performed (p < .05) than individuals who self-identified other countries of origin. Self-care behaviours were taught using patient education materials that were designed based on feedback obtained from individuals whose country of origin was England or Ireland. Thus, this study provides preliminary evidence to suggest country of origin influences the amount of self-care behaviours individuals will perform. Relevance to clinical practice: Patient education initiatives should incorporate the values, beliefs, attitudes, and customs reflective of an individual’s country of origin to enhance the likelihood of producing desired outcomes.

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Jurnal Medika Cendikia ◽

10.33482/medika.v6i2.112 ◽

2019 ◽

Vol 6 (2) ◽

pp. 120-125

Author(s):

Bambang Aditya Nugraha ◽

Sandra Pebrianti ◽

Hesti Platini ◽

Gusgus Ghraha Ramdhanie

Keyword(s):

Quality Of Life ◽

Cardiac Surgery ◽

Heart Surgery ◽

Recovery Process ◽

Hemodynamic Instability ◽

Inclusion Criteria ◽

Anxiety Management ◽

Surgery Patient ◽

Surgical Recovery

Anxiety is a problem that found in patients with heart disease. Anxiety will increase when the patient has to undergo the cardiac surgery procedure. Anxiety management must be conducted to prevent postoperative hemodynamic instability and neurohormonal deterioration. Thus it becomes important to formulate the anxiety management to improving the recovery process after surgery and patients quality of life of. The purpose of this literature review is to identify anxiety management on cardiac surgery patient. The search method uses Google Scholar databases using inclusion criteria proposed in consideration management that support heart surgery procedures, the year of publication between 2010-2020, containing the full article, in bahasa and english. Search results found 62 articles, 27 met the criteria of the year and 13 represented the complete article. And finally found as many as 6 articles that match the focus of the search. There are to type anxiety management e.g educational supportive and relaxation technique. Relaxation and supportive educative technique interventions can be used to manage anxiety to improve the post-surgical recovery process and quality of life.

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