The The Development of Nursing Care Model for Patients Undergoing Coronary Artery Bypass Graft
Nursing Care for Patients Undergoing Coronary Artery Bypass Graft
Keywords:
development, nursing care model, coronary artery bypass graft patientsAbstract
Coronary artery bypass surgery is a major life-threatening surgery. This is a model development study to evaluate the outcomes of new nursing care model for coronary bypass graft patients comparing to the old one. The study was conducted at the Thoracic Surgery Unit and Thoracic Intensive Care Unit, Buddhachinaraj Phitsanulok Hospital during May 2021 to December 2021. This study comprised of four phases: 1) studied the current situation, 2) developed the nursing care model for patients undergoing coronary artery bypass graft, 3) utilized the nursing care model for patients undergoing coronary artery bypass graft and 4) evaluated outcomes of nursing care model for patients undergoing coronary artery bypass graft. The data were analyzed with frequency, percentage, mean, standard deviation, median (Q1, Q3), McNemar test, paired t-test, Wilcoxon signed ranks test, chi-square test, Mann Whitney U test and independent t-test statistics with significant level at 0.05. The research results showed that after utilizing the developed nursing care model, the scores of abilities to provide nursing care to patients before surgery, preparing for surgery, nursing care in the critical phase and after surgery and knowledge of nursing practice were higher than those before utilizing the developed nursing care model. Also, the average of total length of stay in the hospital decreased significantly. Thus, administration nurses should apply this developed nursing care model for patients undergoing coronary artery bypass graft for patients who have undergone surgery in the hospital in order to keep patients' safety regarding complications of surgery
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