Investigation of the effect of nurse leading rehabilitative interventions on patient care outcomes in patients undergoing coronary artery bypass graft surgery

In the short and long term, the following are observed in patients undergoing coronary artery bypass graft surgery: infection, pain, respiratory and circulatory disorders, inability to adapt to the disease, anxiety, depression, inability to cope with stress, fatigue, insomnia, dependence in daily life activities, and role changes in family processes. While evidence for individuals with coronary heart disease increases with the rehabilitative interventions implemented, the effectiveness of the nurse-led cardiac surgery rehabilitation program for CABG patients was evaluated for the first time. This study was conducted to examine the effects of nurse-led rehabilitative interventions implemented in patients undergoing CABG surgery and to evaluate the patient's impression. The study was conducted on 111 patients at KSÜ Health Practice and Research Hospital. While the cardiac surgery rehabilitation program was applied to the Study Group (SG) (n=51) in addition to clinical standard care, standard clinical care was continued in the Control Group (CG) (n=60). Perceived stress scale, Beck Depression Inventory, Chalder Fatigue Scale, Cardiac Rehabilitation Barriers Scale, Richard-Campbell Sleep Scale, Quality of Life Scale and Post-Discharge Recovery Scale were used to collect data. The measurements were made preoperatively (T0) and postoperatively (T1). At T1; The mean of perceived stress scale was found to be 44.18±9.13 in CG and 40.03±8.12 in SG. While high level of stress was measured in 70% of CG patients, moderate level of stress was measured in 52.9% of SG patients (p<0.05). At T1; The mean of Beck Depression Inventory was found to be 15.88±9.70 in CG and 8.86±8.87 in SG. While moderate depression was measured in 45% of CG patients, minimal depression was measured in 58.8% of SG patients. (p<0.05). At T1; The mean of Cardiac Rehabilitation Barriers Scale was; The mean score of CG was 47.43±7.65 and SG was 42.47±6.18, moderate perceived barriers (p<0.05). It was determined that external and informational factors prevented rehabilitation for both groups. The mean score of Richard-Campbell sleep scale was 47.66±31.85 in CG and SG was 64.47±22.96, while CG (%46.9) stated the sleep quality as poor, while SG (%13.9) found the sleep quality to be poor (p<0.05). At T1 time; it was seen that there was a statistically significant difference between the mental subscale of the quality of life scale in CG (43.12±20.04), SG (51.37±14.09) (p<0.05). At T1 time; The mean score of Recovery after Discharge Scale was; A moderate improvement percentage was determined as 55.29±12.04 in CG and 63.27±12.59 in SG. When the groups were compared, the differences (7.98%) were found to be statistically significant (p<0.05). As a result, it is revealed that as a result of the implemented cardiac surgery rehabilitation program, patients reduce stress and depression, improve sleep, quality of life, accelerate recovery after discharge, and increase their perception and satisfaction with cardiac surgery rehabilitation.