SELECTED FACTORS RELATED TO NEEDS OF PERSONS AFTER CORONARY ARTERY
Keywords:
needs, persons after coronary artery bypass graft surgery, related factorsAbstract
Purpose: This to investigate needs of persons after coronary artery bypass graft surgery [CABG] discharge hospital and to identify factors related to needs of persons after CABG discharge hospital based on aged, comorbidity, symptom distress, activities of daily living, social support and pain.
Design: Correlational research
Methods: The participants were 94 persons after CABG discharge hospital, both male and female, aged over 18 years, They were followed up for a period ranging from 2 weeks to 1 year at the Cardiothoracic Surgery Outpatient Clinics of three tertiary hospitals in Bangkok. They were recruited using a multistage sampling technique. The instruments are composed of 1) MMSE-Thai 2002 (for ≥ 60 years old) 2) Demographic questionnaire 3) Needs of patient questionnaire 4) Charlson comorbidity index 5) Symptom distress questionnaire 6) Barthel ADL index 7) Social support questionnaire and 8) Numeric rating scale. 5 experts validated all instrument, the CVI of the 3, 5 and 7 instrument were 0.80, 1.00 and 0.88, respectively. Instrument of the 4, 5 and 8 is gold standard. Reliability of the 3 - 7 instruments were 0.89, 0.81, 0.92, 0.80, 0.85, and 0.97, respectively. The data analyzed using descriptive statistics, Spearman rank-order correlation.
Result: 1) The overall needs score of persons after CABG discharge hospital was at a medium level (Mean = 104.32, S.D. = 13.56). When considering each aspect, Information needs score was at a high level (Mean = 31.71, S.D. = 4.49), Spiritual needs score were at a high level (Mean = 24.67, S.D. = 3.34), Physiological needs score were at a medium level (Mean = 20.73, S.D. = 3.45), and Emotional needs score were at a medium level (Mean = 27.20, S.D. = 4.24). 2) Comorbidity, symptom distress, and pain were positive lower score and significantly related to needs of persons after CABG discharge hospital at the 0.05 level. (Spearman rho = 0.207, Spearman rho = 0.222, and Spearman rho = 0.203, respectively) 3) Activities of daily living were negative lower score and significantly related to needs of persons after CABG discharge hospital at the 0.05 level. (Spearman rho = - 0.243) 4) Aged and social support not related between needs of persons after CABG discharge hospital.
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