Abass, R., Soliman, H., Shebl, A. (2017). EFFECTS OF IMPLEMENTING CLINICAL PATHWAY ON PAIN AND ANXIETY FOR PATIENTS UNDERGOING CARDIAC SURGERY. test, 4(2), 13-23. doi: 10.21608/mnj.2017.176517
Rasha Hassan Abass; Hanan Mohamed Soliman; Amany Mohamed Shebl. "EFFECTS OF IMPLEMENTING CLINICAL PATHWAY ON PAIN AND ANXIETY FOR PATIENTS UNDERGOING CARDIAC SURGERY". test, 4, 2, 2017, 13-23. doi: 10.21608/mnj.2017.176517
Abass, R., Soliman, H., Shebl, A. (2017). 'EFFECTS OF IMPLEMENTING CLINICAL PATHWAY ON PAIN AND ANXIETY FOR PATIENTS UNDERGOING CARDIAC SURGERY', test, 4(2), pp. 13-23. doi: 10.21608/mnj.2017.176517
Abass, R., Soliman, H., Shebl, A. EFFECTS OF IMPLEMENTING CLINICAL PATHWAY ON PAIN AND ANXIETY FOR PATIENTS UNDERGOING CARDIAC SURGERY. test, 2017; 4(2): 13-23. doi: 10.21608/mnj.2017.176517

EFFECTS OF IMPLEMENTING CLINICAL PATHWAY ON PAIN AND ANXIETY FOR PATIENTS UNDERGOING CARDIAC SURGERY

Mansoura Nursing Journal
Article 2, Volume 4, Issue 2, July 2017, Pages 13-23    PDF (533.49 K)
Document Type: Original Article
DOI: 10.21608/mnj.2017.176517
Authors
Rasha Hassan Abass; Hanan Mohamed Soliman; Amany Mohamed Shebl
Medical Surgical Nursing, Faculty of Nursing, Mansoura University
Abstract
Background :Vulvular heart replacement surgery is an increasingly important in cardiac valve disease management .VHRS tends to be suitable for clinical pathway development because high volume , high cost of the surgery and predictable course of events that occur during hospitalization .The aim of this study was to determine the effects of implementing clinical pathway on pain and anxiety for patients undergoing cardiac surgery . Subject and methods, this is a randomized controlled design was utilized . This study was carried out in cardiothoracic surgery unit at the Mansoura University Hospital . A Purposeful sample of
50 adult patients of both sexes scheduled for vulvular heart replacement surgery was included in the study (25 clinical path group and 25 control group ). Two tools used for data collection pain scale tool and State trait anxiety inventory .The clinical pathway for cardiac surgery patients conducted in four phases : Phase one : patients assessment , Phase two
:cardiac valve surgery clinical pathway establishment and jury . Phase three: implementation and tracking variances . Phase four :Evaluation .The main results of study demonstrated no statistical significant differences in basic data on admission ,.the CP group had significantly lower level of anxiety and pain than the control group before and after surgery . All of the patients in CP group had no variance from VHRS pathway which prove the preset hypothesis of the study .

Keywords
Key words: Clinical pathways; Cardiac valve Surgery; Anxiety; Pain
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