A Study to Assess the Quality of Life among CABG [Coronary Artery Bypass Grafting] patients

 

Mrs. B. Sasirekha1, Dr. Mrs. S. Kamala2

1Tutor in Nursing Rani, Meyyammai College of Nursing, Annamalai University, Annamalainagar

2Professor of Nursing, Rani Meyyammai College of Nursing, Annamalai University. Annamalainagar

*Corresponding Author’s Email: sasirekhanm@gmail.com

 

ABSTRACT:

According to World Health Report 2002, cardiovascular diseases (CVDs) will be the largest cause of death and disability by 2020 in India. Evidence based studies reviewed the education, counseling or behavioral interventions demonstrated favorable outcome.  The efficacy of cardiac rehabilitation in men and women with coronary heart disease was illustrated in a 2004 systematic review and meta-analysis of 48 trials of 8940 patients with coronary disease who were assigned to exercise-based cardiac rehabilitation or usual care. Hammill et al (2010) stated that for patients with coronary heart disease, exercise-based cardiac rehabilitation improves survival rate and has beneficial effects on risk factors for coronary artery disease.   A study was conducted to assess the quality of life1 among CABG [Coronary Artery Bypass Grafting] patients and evaluate the effectiveness of educational intervention programme on knowledge regarding strategies to improve the quality of life among the clients undergone CABG surgery.

 

The study revealed that in physical dimension out of 40 samples 25 (63%) had moderate quality of life and 15(37%) of  them  had a poor quality of life. In psychosocial dimension out of 40 samples, 20 (50%) had moderate quality of life, 20(50%) of them had poor quality of life. In posttest, out of 40 samples, 10(25%) had  moderately adequate knowledge and 30(75%]of them had adequate knowledge on strategies to improve the quality of life after CABG surgery.    

 

KEYWORDS: CABG-Coronary artery bypass grafting; CVD-Cardiovascular disorders; QOL-Quality of life

 

 


INTRODUCTION:

“A healthy body is the best container for a healthy mind”;

A healthy heart is the temple of god, so have a healthy                                                 heart and there by live longer;

It is widely acknowledged that heart disease and stroke are the leading cause of death and disability in the developing countries. We are in the midst of a true global cardiovascular disease epidemic. Cardiovascular disease is responsible for approximately 30% of all deaths worldwide every year.

 

Evidence based studies reviewed the education, counseling or behavioral interventions demonstrated favorable outcome.  The efficacy of cardiac rehabilitation in men and women with coronary heart disease was illustrated in a 2004 systematic review and meta-analysis of 48 trials of 8940 patients with coronary disease who were assigned to exercise-based cardiac rehabilitation or usual care. Cardiac rehabilitation was associated with a significant reduction in all-cause mortality and cardiac mortality.Meta analysis of data from random controlled studies indicates a 20% to 25% reduction in mortality in patients participating in cardiac rehabilitation following myocardial infarction as compared to controls.

 

STATEMENT:

Artery Bypass Grafting] patients and evaluate the effectiveness of educational intervention programme on knowledge regarding strategies to improve the quality of life among the clients undergone CABG surgery in Neyveli.

 

OBJECTIVES OF THE STUDY:

·        To assess the quality of life [physical, psychosocial] among the clients who had undergone CABG.

·        To evaluate the effectiveness of educational intervention programme regarding strategies to improve the quality of life among the clients after CABG surgery.   

 

RESEARCH DESIGN AND METHOD:

A pre- experimental study was used to evaluate the effectiveness of educational intervention Programme on knowledge regarding strategies to improve the quality of life among the clients undergone CABG surgery in Neyveli.  A self-administered unstructured and structured questionnaire was used to assess QOL and the knowledge on strategies to improve quality of life among 40 patients after CABG surgery.

 

DESCRIPTION OF THE INTERVENTION:

LCD teaching programme and booklet was provided to patients regarding strategies to improve quality of life. The booklet included knowledge about general health, physical activities, nutrition, importance of follow-up, prevention of complications and divisional  activities to improve the psychosocial dimension of life. The teaching module was developed by reviewing literature and by obtaining expert opinion. The planned LCD teaching was held for 30 mts .

 

DATA ANALYSIS:

 

 
The obtained data were interpreted as follows:

Section I: Frequency and percentage distribution of demographic and clinical variables.

Section II:  Distribution of level of knowledge regarding several aspects of physical dimension in pretest and post test about strategies to improve the quality of life among CABG patients.

Section III: Comparison of mean and standard deviation between pretest and posttest score of patients with CABG.

 

 

 

DISTRIBUTION OF LEVEL OF KNOWLEDGE ABOUT STRATEGIES TO IMPROVE THE QUALITY OF LIFE [PHYSICAL AND PSYCHOSOCIAL DIMENSION] AMONG CABG PATIENTS IN PRETEST AND POSTTEST.

N = 40

 
 N=40

 

Pretest

Posttest

Knowledge level

NO

%

NO

%

Inadequate

33

83

-

-

Moderately adequate

7

17

10

25

Adequate

-

-

30

75

Total

40

100

40

100

                   

COMPARISON OF MEAN AND STANDARD DEVIATION BETWEEN PRETEST AND POSTTEST SCORE OF PATIENTS WITH CABG.

 

Mean

S.D

Paired T test

P- value

Pretest

14.525

2.602

24.937

< 0.001**

(S)

Posttest

26.800

2.366

S-Significant

 

DISTRIBUTION OF LEVEL OF KNOWLEDGE ABOUT STRATEGIES TO IMPROVE THE QUALITY OF LIFE [PHYSICAL AND PSYCHOSOCIAL DIMENSION] AMONG CABG PATIENTS IN PRETEST AND POSTTEST

 

MAJOR FINDINGS OF THE STUDY:

1.      The pretest showed that in physical dimension, 25 (62%) of them had moderate quality of life, 15(38%) of them had poor quality of life.

2.      In posttest, out of 40 samples, 10(25%) had moderately adequate knowledge and 30(75%] of them had adequate knowledge and none of them had inadequate knowledge. It showed that there was an improvement in the level of knowledge in post-test when compared to pre-test score.

 

CONCLUSION:

There was a statistically significant increase in knowledge, regarding strategies to improve the quality of life among CABG patients to lead a good quality of life.

 

 

REFERENCES:

Text Book:

1.       Smeltzer.C.Suzanne, Bare.G. Brenda. (2003). Brunner and Suddarths Text book of Medical Surgical Nursing, 10th Edn, Philadelphia: J.B. Lippincott company.

2.       Lewis S.M.(2000). Medical Surgical Nursing. 6th Edn. Missouri: Mosby.

3.       Black. M. Joyce, Hawks. J. Hokanson .(2005). Medical Surgical Nursing. 7th Edn. New Delhi: Elsevier (Volume I&II)

 

Journal references:

1.       Lie, I., Arnesen, H .Predictors for physical and mental health 6 months after coronary artery bypass grafting A cohort study. Eur J Cardiovasc Nurs, 9 (4), 2010; 238-43.

2.       Ten Brinke, E.A.et al. Long-term effects of surgical ventricular restoration with additional restrictive mitral annuloplasty and/or coronary artery bypass grafting on left ventricular function: Six-month follow-up by pressure-volume loops. J Thorac Cardiovasc Surg, 140(6); 2010;1338-44.

3.       Banner, D. (2010). Becoming a coronary artery bypass graft surgery patient: a grounded theory study of women's experiences. J Clin Nurs, 19(21-22) ; 2010; 3123-33.

4.       Brooks, M.M., Chung, S.C., et al. Health status after treatment for coronary artery disease and type 2 diabetes mellitus in the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial. Circulation, 122(17); 2010; 1690-9.

5.       Folkmann, S., Gorlitzer, M., et al. Quality-of-life in octogenarians one year after aortic valve replacement with or without coronary artery bypass surgery. Interact Cardiovasc Thorac Surg, 2010 Sep

6.       Chen, Y.C.,et.al. Quality of life and related factors in metabolic syndrome patients who underwent coronary artery bypass grafting surgery. Hu Li Za Zhi, 57(4); 2010; 40-9.                

7.       Dannemann, S., et al. Is type-D a stable construct? An examination of type-D personality in patients before and after cardiac surgery. J Psychosom Res, 69(2); 2010;101-9.

8.       Van Straten Ah., Tan, E.M., Hamad, M.A., Martens, E.J., & van Zundert, A.A. (2010). Evaluation of the Euro SCORE risk scoring model for patients undergoing coronary artery bypass graft surgery: a word of caution. Neth Heart J. 18(7-8), 355-9.

9.       Brown, D.L. (2010) Measuring outcomes of coronary artery bypass surgery: what is important and to whom?. Arch Intern Med. 170 (14), 1189-90.

10.     Tung, H.H.,et.al. Food pattern and quality of life in metabolic syndrome patients who underwent coronary artery bypass grafting in Taiwan. Eur J Cardiovasc Nurs. 2010 Jul 6. [Epub ahead of print].

 

 

 

Received on 29.07.2015           Modified on 13.11.2015

Accepted on 20.02.2016           © A&V Publication all right reserved

Int. J. Adv. Nur. Management. 2016; 4(3): 183-185.

DOI: 10.5958/2454-2652.2016.00042.1