A study to evaluate nurse led intervention on knowledge and practice regarding rehabilitation programme for post operative cabg patient in ctvs department at pt. B.d. sharma, pgims rohtak.

Volume: 08 | Issue: 01 | Year 2025 | Subscription
International Journal of Medical Surgical Nursing
Received Date: 12/22/2024
Acceptance Date: 02/08/2025
Published On: 2025-02-13
First Page: 7
Last Page: 37

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By: ANKIT AHLAWAT, Hemwati Malik, and Sandeep Singh

Abstract

Background: Coronary Artery Bypass Graft (CABG) is a commonly performed surgery for treating cardiovascular disease and is recognized as a life-saving intervention. However, the initial recovery phase presents several challenges for patients, caregivers, and healthcare providers. This recovery period is often seen as a particularly stressful and critical time, with patients facing a range of both physical and emotional difficulties. Objectives: The main objective of the study to to evaluate nurse led intervention on knowledge and practice regarding rehabilitation programe for post operative CABG patient in CTVS department at Pt. B.D Sharma PGIMS Rohtak. Methods: A pre experimental study recruited 60 patients of post operative CABG by using non probablity convenient sampling technique. The Socio-demographic profile, Self Structured Knowledge Questionnaire, Structured interview schedule knowledge on practice regarding cardiac rehabilitation (Checklist) were used as tool for data collection. Variables under study dependent variables such as knowledge and practice regarding rehabilitation programme for post operative CABG patient , Independent variables such as Nurse led interventions and Demographic variables such as Age, Sex, Occupation, Weight, POST op day, Nutritional status. Results: CABG was more common in Males 66.7%,Pre-Knowledge Score with an average score of 7.717. The scores are moderately dispersed around the mean with a standard deviation of 2.3728. Post-Knowledge Score with an average score of 14.017. The scores are less dispersed compared to pre-test scores with a standard deviation of 2.1901. Pre-Practice Level and Skill Level with an average score of 4.183.The scores are moderately dispersed around the mean with a standard deviation of 1.6312. Post-Practice Level and Skill Level with an average score of 7.400. The scores are less dispersed compared to pre-practice scores with a standard deviation of 1.5093. The paired samples test results indicate a statistically significant difference between post- knowledge scores and pre-knowledge scores (mean difference = 6.3, t(59) = 19.064, p < .001, 95% CI [5.6387, 6.9613]). The paired samples test results indicate a statistically significant difference between post-practice level and skill level scores and pre-practice level and skill level scores (mean difference = 3.2167, t(59) = 28.162, p < .001, 95% CI [2.9881, 3.4452]). Conclusion: However there is statistically significant difference between post-knowledge scores and pre-knowledge scores statistically significant difference between post-practice level and skill level scores and pre-practice level and skill level scores.

KEYWORDS: Coronary Artery bypass grafting, post operative, cardiac rehabilitation, cardio thoracic vascular surgery.

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Citation:

How to cite this article: ANKIT AHLAWAT, Hemwati Malik, and Sandeep Singh, A study to evaluate nurse led intervention on knowledge and practice regarding rehabilitation programme for post operative cabg patient in ctvs department at pt. B.d. sharma, pgims rohtak.. International Journal of Medical Surgical Nursing. 2025; 08(01): 7-37p.

How to cite this URL: ANKIT AHLAWAT, Hemwati Malik, and Sandeep Singh, A study to evaluate nurse led intervention on knowledge and practice regarding rehabilitation programme for post operative cabg patient in ctvs department at pt. B.d. sharma, pgims rohtak.. International Journal of Medical Surgical Nursing. 2025; 08(01): 7-37p. Available from:https://journalspub.com/publication/ijmsn/article=15152

Refrences:

1. Auxilia A. Effectiveness of preoperative planned teaching programme on postoperative recovery and follow-up care among patients undergoing CABG surgery (Doctoral dissertation, Arvinth College of Nursing, Namakkal).

2. Mohamed Elesawy F, Ramadan Abouzied W, Dahi Mohamed Ahmed R, Hemed Hamad A. Effect of Implementing Discharge Plan on Patient’s Outcomes Post Coronary Artery Bypass Graft Surgery. Egyptian Journal of Health Care. 2019 Sep 1;10(3):517-34.

3. Dankner R, Geulayov G, Ziv A, Novikov I, Goldbourt U, Drory Y. The effect of an educational intervention on coronary artery bypass graft surgery patients’ participation rate in cardiac rehabilitation programs: a controlled health care trial. BMC Cardiovascular Disorders.

4. Arthur HM, Daniels C, McKelvie R, Hirsh J, Rush B. Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery: a randomized, controlled trial. Annals of internal medicine. 2000 Aug 15;133(4):253-62.

5. Elsayed ER, Gaballah SH, Taha NM. Effect of an Educational Intervention on Knowledge, and Self-Efficacy for Post Coronary Artery Bypass Graft Surgery patients.

6. Eldin TS, Wehaida SM, Basal AA, Elatafy EM, Ibrahim RA. Effect of Implementing a Self- Management Educational Program on Clinical Outcomes of Patients Post Coronary Artery Bypass Graft Surgery. International Journal of Novel Research in Healthcare and Nursing. 2021;8(2):199-216.

7. Saboula NE, Hussein AA, Habouh AG. Effect of home-based-nursing intervention on knowledge, daily living activities and pain for patients after coronary artery bypass graft. Tanta Scientific Nursing Journal. 2020 May 1;18(1):134-59.

8. Rathi M. A study to evaluate the Effectiveness of Focused Teaching Programme on Knowledge regarding Home Care Management among patients undergone heart valve replacement in Cardio Thoracic Surgery Post-operative Wards, Rajiv Gandhi Government General Hospital, Chennai- 03 (Doctoral dissertation, College of Nursing, Madras Medical College, Chennai).

9. Olsson LE, Jakobsson Ung E, Swedberg K, Ekman I. Efficacy of person‐centred care as an intervention in controlled trials–a systematic review. Journal of clinical nursing. 2013 Feb;22(3- 4):456-65.

10. Ahmed AA, Hassan MS, Mohamed YS, Gamal LM. Applying Cardiac Rehabilitation Exercise Protocol to Reduce Post-operative Cardio-Pulmonary Complications among Open Heart Surgery Patient’s. Minia Scientific Nursing Journal. 2019 Dec 30;6(1):45-55.

11. Bhutiani E. A Protocol Guided Inpatient Cardiac Rehabilitation Program in Patients Following Coronary Artery Bypass Graft Surgery to Reduce Post-Operative Complications and Improve Functional Capacity (Doctoral dissertation, Weill Medical College of Cornell University)

12. Ngaage D, Mitchell N, Dean A, Hirst C, Akowuah E, Doherty PJ, Fairhurst C, Flemming K, Hewitt C, Hinde S, Mitchell A. Feasibility study of early outpatient review and early cardiac rehabilitation after cardiac surgery: mixed-methods research design—a study protocol. BMJ open. 2019 Dec 1;9(12):e035787.

13. Colella TJ, King-Shier K. The effect of a peer support intervention on early recovery outcomes in men recovering from coronary bypass surgery: A randomized controlled trial. European Journal of cardiovascular nursing. 2018 Jun 1;17(5):408-17.

14. Fredericks SM. Self-care in the CABG population: an evaluation of the most appropriate time for delivering individualized patient education. 2006 Jul 19.
15. Nasrawi D, Latimer S, Massey D, Gillespie BM. Delivery, barriers, and enablers to patient participation in inpatient cardiac rehabilitation following cardiac surgery: An integrative review. Australian Critical Care. 2023 May 1;36(3):420-30.

16. Shuldham CM, Fleming S, Goodman H. The impact of pre-operative education on recovery following coronary artery bypass surgery. A randomized controlled clinical trial. European heart journal. 2002 Apr 1;23(8):666-74.

17. Kalogianni A, Georgiadis G, Katselou O, Kadda O, Sotiropoulou A, Argiriou M. The impact of preoperative education in satisfaction and postoperative outcomes of patients undergoing cardiac surgery. Health & Research Journal. 2016;2(1):46-62.

18. Cebeci F, Çelik SŞ. Discharge training and counselling increase self‐care ability and reduce postdischarge problems in CABG patients. Journal of clinical nursing. 2008 Feb;17(3):412-20.

19. Ronco M, Iona L, Fabbro C, Bulfone G, Palese A. Patient education outcomes in surgery: a systematic review from 2004 to 2010. JBI Evidence Implementation. 2012 Dec 1;10(4):309-23.

20. Lin HH, Tsai YF, Lin PJ, Tsay PK. Effects of a therapeutic lifestyle‐change programme on cardiac risk factors after coronary artery bypass graft. Journal of clinical nursing. 2010 Jan;19(1‐2):60-8.

21. Nawaz R, Sarwar H, Masih S. Effects Of Nursing Interventions On Self Care And Wound Management Among Post-Coronary Artery Bypass Grafting Patients. Biological And Clinical Sciences Research Journal. 2023 Nov 6;2023(1):515-.

22. Matysek M, Wójcicki K, Tokarek T, Dziewierz A, Rakowski T, Bartuś S, Dudek D. Knowledge and prevalence of risk factors for coronary artery disease in patients after percutaneous coronary intervention and coronary artery bypass grafting. InHealthcare 2022 Jun 20 (Vol. 10, No. 6, p. 1142). MDPI.

23. El Baz N, Middel B, Van Dijk JP, Boonstra PW, Reijneveld SA. Coronary artery bypass graft (CABG) surgery patients in a clinical pathway gained less in health‐related quality of life as compared with patients who undergo CABG in a conventional‐care plan. Journal of evaluation in clinical practice. 2009 Jun;15(3):498-505.

24. Ghavami H, Safarzadeh F, Asl RG. Effect of self-care interventions on sleep quality in post- coronary artery bypass grafting patients: A single-center, randomized-controlled study. Turkish Journal of Thoracic and Cardiovascular Surgery. 2018 Oct;26(4):550.