Tele-Nursing Counseling in Coronary Artery Bypass Graft Surgery

The Effect of Tele-Nursing Counseling on Symptom Control and Self Care Strength in Patients Undergoing Coronary Artery Bypass Graft Surgery

It was planned as randomized controlled experimental study to examine the effect of post discharge telenursing counseling on symptom control and self-care in patients who undergoing coronary artery bypass graft surgery.

The research was carried out between July 2022 and July 2023, Istanbul Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Cardiovascular Surgery (CVS) Clinic. The sample of the study consisted of patients, 36 intervention and 36 control. In the study, ethics committee approval, institutional permissions and written consent were obtained from the patients. Data were collected with the Personel Information Form, Cardiac Surgery Symptom Inventory and Self-Care Strength scale.Cardiac Surgery Symptom Inventory and Self-Care Scale were administered to the control group in the first 24 hours of discharge and in the 3rd week after discharge. The Cardiac Surgery Symptom Inventory and Self-Care Scale were evaluated in the intervention group by applying a telephone call protocol in the first 24 hours, first week, second week and third week of discharge.Data were evaluated with Kolmogorov-Smirnov test, ANAOVA (variance) test, Tukey test, Chi-Square tests, Pearson correlation test and Cronbach alpha reliability coefficients using SPPS software version 26 (IBM Corp, Armonk, NY,USA). All analyzes were performed with a 95% confidence interval.

Inclusion Criteria:

• Being the first patient to undergo open heart surgery,
• Not having undergone any other surgical procedures during heart surgery,
• Being able to read and write Turkish,
• Being able to communicate by telephone,
• Volunteering to participate in the research.

Exclusion Criteria:

• Having hearing, comprehension, vision, and speech problems;
• Having neurological diseases such as dementia or Alzheimer's;
• Developing complications after discharge and deciding on a second surgical intervention;
• Not having a phone and not being able to communicate regularly.