Document Type : Original Article
Authors
1
Demonstrator of critical Care and Emergency Nursing Department, Faculty of Nursing, Kafrelsheikh University. Researcher of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University.
2
Professor of critical Care and Emergency Nursing Department, Faculty of nursing, Tanta University
3
Professor of Cardio thoracic Surgery Department, Faculty of Medicine, Tanta University.
4
Lecturer of Medical Surgical Nursing Department, Faculty of nursing, Kafrelsheikh University
Abstract
Background: Open heart surgery is one of the most important surgical interventions that can
resolve many cardiac problems. Aim: is to assess the effect of nursing procedures related
pain on post open heart surgery patient’s clinical outcomes. Design: This descriptive
correlational study Setting: This study was conducted in the Cardiothoracic Intensive Care
Unit at Tanta International Teaching Hospital at Tanta city, Gharbia governorate. Subjects:
60 post open heart surgery patients aged from 21 to 60 years old of both sex. Tools: Three
tools were used in this study Tool I:- A Structured Interview Schedule for Open Heart
Surgery; it included the following parts:- Part (A) Patient’s Socio demographic
Characteristics and Part (B): Patient' Clinical Data, tool II: Nursing Procedures related
pain Assessment Sheet, tool (III): Post Open Heart Surgery Patient's Clinical Outcomes:
Part (A): Critical-care Pain Observation Tool (CPOT), Part (B): Hemodynamics Parameters
Assessment Sheet, and Part (C): Face Anxiety Scale (FAS). Results: There were
statistically significant differences regarding all items of CPOT, and FAS for suction, deep
breathing and coughing, and positioning procedure, while p= 0.000. There were statistically
significance differences regarding all hemodynamic parameters with p= 0.000. For
positioning procedure, there were statistically significance differences regarding systolic,
diastolic blood pressure and mean arterial pressure while p< 0.05. Statistical significance
difference was observed throughout three periods of the study with p < 0.05. In relation to
gender, Statistical significance difference was observed during suctioning procedure
regarding CPOT with (p= 0.032).Conclusions: CPOT tool is a sensitive due to having
multiple items and evaluating different behavioral indicators for pain in intubated patients
Moreover, CPOT is more consistent with physiologic changes due to pain in patients.
Recommendation: Routine pre and postoperative assessment of patients who are undergoing
open heart surgeries.
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