Impact of Comprehensive Discharge Program on Patients' Outcomes after Open Heart Surgery | ||
| Journal of Nursing Science Benha University | ||
| Volume 4, Issue 1, January 2023, Pages 474-487 PDF (771.52 K) | ||
| Document Type: Scientific peer reviewed journal | ||
| DOI: 10.21608/jnsbu.2023.277734 | ||
| Authors | ||
| Esraa Mahmoud Abdallah* 1; Marwa Moustafa Hegazy2; Rasha Fathy Mohamed2 | ||
| 1Assistant lecture of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, Egypt | ||
| 2Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt | ||
| Abstract | ||
| Background: The discharge program for cardiac surgery patients is a key element in the care of patients. Aim: This study aimed to evaluate the impact of comprehensive discharge program on patients' outcomes after open heart surgery. Design: Quasi-experimental research design. Setting: This study was conducted in Cardiovascular Surgery Unit and Outpatient Clinic at Benha University Hospital & Nasser Institute. Study subjects: 150 patients were scheduled for open heart surgery. Data collection tools: It was involved three tools. I: Patients’ assessment questionnaire to assess patients’ socio-demographic characteristics, medical history, patient knowledge regarding open heart surgery and nursing discharge instructions. II: Patient' outcomes assessment to assess patients’ outcomes and consists two parts (patient’ outcomes record & activity of daily living). III: The perceived stress scale to evaluate how different situations affect patients’ feelings and the thoughts. Results: 13.3% of studied patients had satisfactory total knowledge regarding open heart surgery preprogram implementation whenever, improved to 88 % post program implementation and slightly decreased to 85.3% Follow-up program implementation, concerning total stress level for patients,52.0 % of studied patients had a high total stress level pre-program implementation whenever, 55.3 % and 52% of them had a moderate and low total stress level post program and follow-up program implementation respectively, concerning total out-comes for the patients, 14 % of studied patients had satisfactory total out-comes pre-program implementation whenever, improved to 84.0 % post program implementation and slightly decreased to 83.3 % follow up program implementation. Conclusion: Implementation of the educational program has highly significant positive effect on total knowledge, total stress scale and clinical outcomes for the patients undergoing open heart surgery, which support the study hypothesis. Recommendations: The effective education and information are required to enhance understanding of pre & post-operative care and equip the open-heart care unit and at outpatient clinic with simple illustrated guidelines protocol or program covering the comprehensive discharge instructions for open heart surgery patient's. | ||
| Keywords | ||
| Discharge program; Open heart surgery; Patients' outcomes | ||
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