The Effect of Telephone Nursing Education and Counseling Services Given to Satisfaction Level and Self-Care Strength
Condition: Postoperative Complications
MeSH terms: Postoperative Complications
Study type: Interventional

Summary: 
      In the post-discharge period, it is important to follow the patients from home by telephone
      and to provide the necessary nursing education and counseling services, increasing the
      self-care powers of the patients, increasing their quality of life, adapting to the social
      life after discharge and facilitating the patient's adaptation to the post-discharge process.

      When the literature is examined, it can be said that the study is original since there are no
      studies on this subject. The aim of this study is to determine the effect of nursing
      education and counseling service given to patients who have undergone CABG, on the level of
      discharge satisfaction and self-care power of patients.
    

Detailed description: 
      Cardiovascular diseases are one of the leading causes of death globally, with an alarming
      prevalence. The World Health Organization (WHO) stated that 17.9 million people died from
      cardiovascular diseases in 2019, and this number constituted 32% of the death rates worldwide
      At the same time, it is emphasized that 14.2% of all deaths by 2030 may be caused by coronary
      heart diseases There are multiple approaches to the treatment of coronary heart diseases.
      Healthy lifestyle behaviors form the basis of these approaches. However, in cases where these
      approaches are not sufficient, surgical treatment is required. In this case, one of the
      surgical procedures applied is Coronary Artery Bypass Graft (CABG). CABG procedure is a risky
      and important surgical procedure applied all over the world After CABG, life-threatening
      complications can be seen after CABG due to reasons such as sternotomy wound, ventilator
      support lasting 12-24 hours after surgery, hospital stay of 5-10 days on average, and
      recovery period lasting 6-8 weeks.

      In a study, it is stated that more than 200,000 CABG surgeries are performed annually in the
      United States, and approximately 14% of these patients present to the emergency department
      with postoperative complications within 30 days of discharge. The golden rule in centers
      where cardiac surgery is performed in England is the patient's 6-7th postoperative day. day
      discharge. However, 6-7 days after surgery. It has been reported that the patient's
      sternotomy wound has not fully healed on the same day, and life-threatening complications may
      occur if appropriate care is not provided. It is possible to prevent these complications or
      to ensure their early diagnosis with good nursing care. Good nursing care includes a planned
      discharge training.

      Today, the purpose of health services; In addition to prolonging the life span, it is to help
      the individual cope with his problems, to increase his self-care power and self-efficacy
      perception, to improve his independence and quality of life by strengthening his knowledge
      and skills. Quality/effective care and education to be applied by healthcare professionals to
      the patient and their relatives undergoing CABG; It plays an important role in preventing
      repeated hospitalizations, increasing self-care power and self-confidence, and gaining
      independence of the patient.

      Self-care is the continuous participation of an adult in activities aimed at maintaining and
      maintaining their own health and well-being. Self-care disability occurs when there is an
      imbalance between caring power and the need for therapeutic self-care. When there is an
      imbalance between the individual's self-care abilities and needs, the need for nursing
      intervention arises. Investigation of Self-Care Behaviors in Patients with Chronic Heart
      Failure After CABG surgery, in addition to physical problems such as pain in the incision
      area in the chest or leg, weight loss, respiratory distress, sleep disorders, fatigue,
      exhaustion, loss of appetite, constipation, difficulty in bathing and limitation of body
      movements, unhappiness, difficulties in coping with stress, Psychosocial problems such as
      anxiety, even depression, role complexity in the family, decrease in physical activities,
      changes in work life, changes in social relations and sexual life are observed. These
      physical and psychosocial problems reduce the self-care power of patients. In the studies,
      while the surgical patients were discharged, the most; It has been determined that they need
      information about incision/wound care, pain control, activities of daily living, drug use,
      possible complications and excretion. In the study of Yılmaz and Çiftçi, it was found that
      all of the patients experienced activity, 95.6% nutrition, 88.9% sleep and 86.7% excretion
      problems within a week after discharge.

      The nurse has an important role in preparing the patient and family of patients undergoing
      surgery for discharge and helping them to accept the current situation. Within the scope of
      discharge planning, the nurse should provide information that can help patients increase
      their self-care power at home after discharge, adapt to the new situation and prevent
      possible complications. In the studies conducted, the patients who were given discharge
      training; It is stated that the recovery processes accelerate, their self-confidence
      increases in parallel with their self-care abilities, the number of repeated admissions to
      the hospital/outpatient clinic decreases, and accordingly, patient care costs decrease and
      the quality of care increases.

      In the post-discharge period, it is important to follow the patients from home by telephone
      and to provide the necessary nursing education and counseling services, increasing the
      self-care powers of the patients, increasing their quality of life, adapting to the social
      life after discharge and facilitating the patient's adaptation to the post-discharge process.

      When the literature is examined, it can be said that the study is original since there are no
      studies on this subject. The aim of this study is to determine the effect of nursing
      education and counseling service given to patients who have undergone CABG, on the level of
      discharge satisfaction and self-care power of patients.
    

Intervention name(s): Nursing Education and Counseling Service Provided to Patients by Video Calling on the Phone
Intervention type(s): Other
Intervention description(s): Nursing Education and Counseling Services were provided to the patients by video calling on the phone for the problems they may encounter in the postoperative period.
Other intervention name(s): İntervention Group
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: surgical site infection; coronary artery bypass graft; constipation; sleep disorders; pain