scholarly journals The Effect of a Training Program Based on Roy’s Adaptation Model on the Adaptation of Patients Undergoing Coronary Artery Bypass Graft in Intensive Care Units

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Azadeh Rezaei ◽  
Abdolali Shariati ◽  
Shahram Molavynejad ◽  
Saeed Ghanbari Chah Anjiri
Keyword(s):  
Intensive Care ◽  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Training Program ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
The Mean ◽  
Roy's Adaptation Model ◽  
Adaptation Model

Background: One of the effective nursing measures for enhancing the quality of life (QOL) and adaptation of patients undergoing coronary artery bypass graft (CABG) is the use of Roy’s adaptation model (RAM). Objectives: This study aimed to determine the effect of a training program based on Roy’s adaptation model on the adaptation of patients undergoing CABG. Methods: This quasi-experimental study was performed on 60 patients admitted to the intensive care units (ICUs) of Imam Khomeini Hospital and Golestan Hospital in Ahvaz, southwest of Iran, in 2020. Patients were selected based on inclusion criteria and randomly assigned into intervention and control groups. A four-session training program based on RAM was held for the intervention group. Data were analyzed using SPSS ver. 22. Results: The mean scores of physiological, self-concept, role function, and independence and interdependence dimensions in the experimental group before the intervention were 48.76 (6.36), 23.76 (4.10), 19.60 (2.93), and 25.60 (3.54), respectively. After the intervention, the mean scores in the mentioned dimensions were 101.26 (5.23), 50.80 (3.82), 39.10 (4.15), and 25.47 (3.99), respectively, indicating an upward trend (P < 0.05). Also, the mean score of total adaptation before the intervention was 117.73 (12.00), which rose to 216.63 (7.88) after the intervention (P < 0.05). Conclusions: The results showed that RAM plays an important role in the adaptation of patients undergoing CABG surgery. Thus, this model can provide a suitable framework for examining and providing care for patients undergoing CABG in ICUs.

scholarly journals Post-operative ventilatory nursing regime of research coronary artery bypass graft patients

1999 ◽  
Vol 4 (4) ◽  
pp. 29-36
Author(s):  
H Potgieter ◽  
H Uys ◽  
W E Nel
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Full Text ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Artery Bypass Graft ◽  
Independent Practitioner

The nurse working in the intensive care unit functions as an independent practitioner under the Nursing Act and arising SANC regulations. OpsommingDie doel van hierdie navorsing is om die invloed van 'n pre-operatiewe bloedgasanalise op die post-operatiewe ventilatoriese verplegingsregime van 'n koronere vatomleidingspasient te bepaal. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Prevalence of depression and its associated factors in patients post-coronary artery bypass graft surgery

2017 ◽  
Vol 23 (1) ◽  
pp. 76-88 ◽  
Author(s):  
Issa M Hweidi ◽  
Besher A Gharaibeh ◽  
Salwa M Al-Obeisat ◽  
Ahmed M Al-Smadi
Keyword(s):  
Intensive Care ◽  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Depression Scale ◽  
Artery Bypass Graft ◽  
Convenience Sample ◽  
Cardiac Intensive Care

This research aimed to determine the depression level and its correlation experienced by post-coronary artery bypass graft patients after being discharged from cardiac intensive care units. A cross-sectional design was employed for assessing variables. The Self-rating Depression Scale, as proposed by Zung, was used by the researchers on a convenience sample of Jordanian patients ( N = 143) who were approached soon after their discharge from the targeted units. The results suggested that the level of depression among Jordanian patients was relatively high ( M = 62.7, SD = 5.6). Moreover, depression was significantly higher among female, unmarried and unemployed patients. Patients who received their information about coronary artery bypass graft surgery from nurses had a lower level of depression. Age, length of stay in the cardiac intensive care unit and hospital type significantly predicted the level of depression. The research concluded that the post-coronary artery bypass graft patients who experienced an early onset depression required more attention to highlight the importance of supportive interventions.

Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial

2021 ◽  
Author(s):  
Maasoumeh Barkhordari-Sharifabad ◽  
Fatemeh Zerang
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Deep Breathing ◽  
Artery Bypass Graft ◽  
Breathing Exercises ◽  
The Mean ◽  
Incentive Spirometry

Abstract Background Hemodynamic changes are among the common complications after coronary artery bypass graft (CABG) surgery. Incentive spirometry and deep breathing exercises are widely used in patients undergoing coronary artery bypass graft surgery. The aim of the present study was to compare the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery. Methods This is a clinical trial that was performed on 40 heart patients who were candidates for coronary artery bypass graft surgery. Participants were selected using convenience sampling and then randomly divided into two groups. One day before surgery, one group was taught how to perform deep breathing exercises (DBE) and the other group was taught how to use incentive spirometry in practice. Hemodynamic indices were measured and recorded before the intervention, the first, second, and the third day after the intervention. Data analysis was carried out using SPSS ver.16 and descriptive and inferential statistical tests. Findings: The mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) on the first day after the intervention in patients undergoing the incentive spirometry group was significantly higher than the DBE group (p < 0.05). On the third day after the intervention, the mean arterial SaO2 in patients of the incentive spirometry group was significantly higher than the DBE group and the mean respiratory rate (RR) in patients in the incentive spirometry group was significantly lower than the DBE group (p < 0.05). However, there was no significant difference between the two groups in terms of other indices (p > 0.05). Conclusion The results showed that incentive spirometry has a greater effect on hemodynamic indices of patients undergoing CABG compared to DBE, so, it is recommended to use incentive spirometry to improve hemodynamic indices in these patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20191028045267N1. Registered 12 March 2020, https://www.irct.ir/trial/43365

Is Preoperative Eosinopenia an Independent Predictor of Early Mortality for Coronary Artery Bypass Surgery?

2016 ◽  
Vol 19 (2) ◽  
pp. 088 ◽  
Author(s):  
Özge Korkmaz ◽  
Hakki Kaya ◽  
Osman Beton ◽  
Ali Zorlu ◽  
Sabahattin Göksel ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Stress Hormones ◽  
Bypass Graft ◽  
Postoperative Mortality ◽  
Cardiovascular Death ◽  
Artery Bypass Graft ◽  
The Mean

<strong>Objective:</strong> Coronary artery bypass graft surgery in one of the most effective and widely used methods employed in the treatment of ischemic heart disease, but many factors to various degrees are directly associated with perioperative and postoperative problems. In this study, we evaluated the relationship between preoperative eosinophil count and postoperative mortality in patients who underwent coronary artery bypass graft operation. <br /><strong>Methods:</strong> A total of 241 patients (157 males, 84 females) who underwent isolated on-pump coronary artery bypass graft operation between 2011 and 2013 in two centers were evaluated retrospectively. The mean age of patients was 64 ± 11 years. After the mean 6.2 ± 0.8 month follow-up period, <br />36 (15%) of the 241 patients experienced cardiovascular death. Patients were classified into two groups as those who survived versus those who died. <br /><strong>Results:</strong> Eosinophil levels were lower among the patients who died compared to the patients who survived (0.8 [0-3.8] versus 1.7 [0-9.4] ×1000 cells/mm3; P &lt; .001). Optimal cut-off level of eosinophils for predicting mortality was determined as ≤1.6 ×1000 cells/mm3, with a sensitivity of 85.7% and specificity of 51.0% (area under curve, 0.703; 95% CI, 0.641-0.760).<br /><strong>Conclusion:</strong> Eosinopenia was used as the predictor of mortality in pediatric and adult patients in the intensive care units. Eosinopenia after coronary artery bypass graft can be related to the endogenous stress hormones, and insufficiency of the existing cardiac status. Eosinophil levels can assist and facilitate risk stratification for patients with coronary artery bypass graft.

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