The effect of tele nursi̇ng to care results after di̇scharged to pati̇ent wi̇th coronary arter bypass graft

Nowadays, heart disease is one of the most common health problems due to social habits, intense smoking and stress. Coronary Artery Bypas Graft (CABG) surgery is one of the most common and costly medical procedures. After CABG, important complications can be seen which may threaten life or quality of life. Prevention of these complications or early diagnosis is possible with good nursing care. A planned nursing care includes a good discharge training. The patient's requirements can be determined by tele-nursing at home after being discharged. The aim of this study was to determine the effect of monitoring of the patients who had undergone coronary artery bypass graft surgery on the results of care after discharge, to determine the learning needs, to determine and prevent the complications. This study was done one group quasi-experimentally on 60 patients who were hospitalized and discharged at the Cardiovascular Surgery Department of SANKO University Sani Konukoğlu Hospital Health Application and Research Center. The patient diagnosis form was completed before patient discharge. After discharge, the patients were contacted by telephone, and the Patient Requirements Determination Questionnaire which was prepared by the researcher, completed. 11,7% (7 patients) of the patients who participated in the study were 50 years and under, 73,3% (43 patients) were between 51-70 years, 15% (10 patients) were 71 years or older, 63,3% (38 patients) were male and 36,7% (22 patients) were female. While 96,7% of the patients (58 patients) were found to have relatives to care after discharge, 3,3% (2 patients) were absent. An average of 41,2±5,4 minutes of conversation was achieved during the telephone follow-up of the patients. As a result of the interviews; 75% of the patients reported related about wound problems, 56,7% related pain problems and 41,7% had respiratory problems. Telephone counseling was provided to patients who reported problems by the researcher. The patients were satisfied with the interviews. In conclusion, it was observed that the determination of patient requirements by telephone had positive effects on patient care results.