Determınatıon of The Effects of Dıscharge Traınıng and Counselıng on Qualıty of Lıfe and Post Dıscharge Problems in Patıents Undergoıng Coronary Artery Bypass Graft Surgery

Abstract

The present study was carried out as semi-experimentally study to determine the effects of discharge training and counseling on quality of life and post discharge problems in CABG patients. The study population was chosen among the patients who have undergone a coronary artery bypass graft operation in the surgery department of Seyed-al-Shohada Cardiology Subspecialty Hospital affiliated with Urmia University Medical Sciences, Iran. Sample of study consisted of 100 patient undergoing coronary artery bypass graft surgery between April 1, 2013 and September 30, 2013. "Personal Information Form", "The Home Follow-Up Form after Discharge" and "Iranian Version SF-36 Health Survey" forms were used for data collection. Patients in the intervention group were provided discharge training and counselling with a booklet before surgery and until six week after discharge while the patients in the control group did not receive planned discharge training and counselling other than the routine clinical procedures. The data were analyzed using SPSS Inc., version 23.0 software package. Frequency and distribution were used to describe the data, and the paired sample t- test, and Variance analysis, Tukey, chi-squared tests were used and p<0.05 margin of error was accepted as significant. Comparing intervention group to the control one, as a result of this education programs, problems were found fewer in intervention group than control group (p<0.05). Investigating quality of life, significant difference was found between the mean scores of patients in the general health perception before surgery (p<0.05). Obtained life quality scores in all cases of SF-36 scale before and six weeks after surgery in intervention group were found significantly different (p<0.05). Finally, discharge training and counselling service given to patients in the intervention group had a positive impact on decreasing the problems they had and increasing their quality of life. Therefore, the institutions may be recommended to support multidisciplinary patient training and counselling activities using the methods described in this study.