Parvan Kobra, Zamanzadeh Vahid, Lak Dizaji Sima, Mousavi Shabestari Mitra, Safaie Nasser
Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
J Cardiovasc Thorac Res. 2013;5(3):113-7. doi: 10.5681/jcvtr.2013.024. Epub 2013 Oct 5.
Cardiac surgery, due to being associated with stressors, has many physiological, psychological, emotional, growths, and spiritual potential consequences. However, few studies have been conducted about identifying the stressors. Therefore, the objective of the study was to determine patients' perceptions of stressors associated with coronary artery bypass surgery.
In this descriptive study during the two-month investigation, qualified patients for participation in the study (68 persons) undergoing coronary artery bypass graft surgery on the third to fifth postoperative day were selected and with using of Revised Cardiac Surgery Stressors Scale (RCSSS), interpersonal, intrapersonal, and extra personal stressors were determined.
The findings showed that intrapersonal stressors are perceived more than interpersonal and extra personal stressors by patients. In the analysis of data, the highest stressors were "pain and discomfort", "the need to have heart surgery", "death due to illness or surgery", "being away from home and work", "having chest tube".
In this study the intrapersonal stressors were perceived more than interpersonal and extra personal stressors by patients, which nurses should put emphasis on identification and elimination of intrapersonal stressors based on the needs of patients.
心脏手术因与多种应激源相关联，会产生许多生理、心理、情绪、成长及精神方面的潜在后果。然而，针对确定这些应激源的研究却很少。因此，本研究的目的是确定患者对冠状动脉搭桥手术相关应激源的认知。
在这项为期两个月的描述性研究中，选取了符合条件参与研究的患者（68人），这些患者在术后第三至第五天接受冠状动脉搭桥手术，并使用修订后的心脏手术应激源量表（RCSSS）确定人际、个人内及个人外应激源。
研究结果表明，患者感知到的个人内应激源多于人际和个人外应激源。在数据分析中，最高的应激源是“疼痛与不适”“需要进行心脏手术”“因病或手术死亡”“远离家庭和工作”“留置胸管”。
在本研究中，患者感知到的个人内应激源多于人际和个人外应激源，护士应根据患者需求着重识别和消除个人内应激源。
