The Clinical Nursing Practice Guideline for Patients with Coronary Artery Bypass Grafting: Research Synthesis for Application

Abstract

Clinical Nursing Practice Guideline (CNPG) for patients with Coronary Artery Bypass Grafting (CABG) was evolved from research synthesis which was developed by Cooper and Hedges (2007). It is composed of 1) determining to create CNPG 2) gathering 34 documents and researches published between the year 2003-2015. There were 4 articles related to systematic review, 7 articles related to randomized controlled trial, 1 article related to controlled trial without randomized, 2 articles related to case controlled & cohort studies, 16 articles related to case controlled & cohort studies, and 4 articles related to systemic review from descriptive and qualitative study 3) evaluating the quality of researches 4) Synthesis for finding results related to nursing care for patients with CABG and 5) Creating CNPG. The CNPG which created from the research analysis and synthesis composed of pre-operative phase, intra-operative phase, and post-operative phase. The pre-operative phase comprised of 1) health education for individualized patient and family, and 2) body and mind preparation before operation. The intra-operative phase comprised of 1) assessment of hemodynamics 2) following laboratory results, and 3) referring patients to the intensive care unit. The post-operative phase comprised of 1) caring for respiratory tract 2) assessment hemodynamic status 3) management bleeding 4) monitoring neurological status 5) caring for urinary tract 6) caring for gastrointestinal tract 7) pain management and 8) physical rehabilitation.