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约旦男性和女性冠状动脉搭桥手术后出现的症状。

Symptoms Experienced by Jordanian Men and Women After Coronary Artery Bypass Graft Surgery.

作者信息

Ammouri Ali Ahmad, Al-Daakak Zaher Mohammed, Isac Chandrani, Gharaibeh Huda, Al-Zaru Ibtisam

机构信息

Ali Ahmad Ammouri, RN, MSN, PhD, is an associate professor at the College of Nursing in Hashemite University. He earned his PhD degree from the University of Kansas. His research interest includes cardiovascular nursing care and rehabilitation. Zaher Mohammed Al-Daakak, RN, MSc, is a medical instructor at the Department of Emergency and public Safety, Ministry of Interior General Head Quarters. He earned his master's degree from the Jordan University of Science and Technology in Jordan. His research interest is primary health and cardiovascular disease. Chandrani Isac, RN, MSc, is a lecturer at the College of Nursing in Sultan Qaboos University. She earned her master's degree from Dr. MGR Medical University in India. Her research interest is nursing education. Huda Gharaibeh, PhD, RN, is an associate professor at the College of Nursing at Jordan University of Science and Technology. Ibtisam Al-Zaru, PhD, RN, is an associate professor at the College of Nursing at Jordan University of Science and Technology.

出版信息

Dimens Crit Care Nurs. 2016 May-Jun;35(3):125-32. doi: 10.1097/DCC.0000000000000175.

Abstract

BACKGROUND

Patients who undergo coronary artery bypass graft (CABG) surgery experience a wide spectrum of physical and psychological symptoms after surgery. Studies have shown that symptoms usually decline over time; however, some can persist up to months after discharge.

OBJECTIVES

This study aims to assess symptoms experienced by patients after CABG surgery and any associations with demographic variables.

METHODS

A descriptive, cross-sectional design was used. A convenience sample of 100 Jordanian post-CABG surgery patients was selected from 5 hospitals in Jordan. Patients were surveyed using the Cardiac Symptom Survey. To examine the associations between the symptoms experienced and selected demographic variables, χ(2) analyses were used.

RESULTS

Chest incisional pain (65%) was the most frequently perceived symptom by the participants. Leg swelling (60%) was also reported by a nearly equivalent number of respondents. Symptoms like fluttering (15%), angina (8%), and depression (3%) were reported by a handful of participants. Three symptoms (poor appetite, sleeping problem, and fatigue) had significant associations with demographic variables.

DISCUSSION

The identification of frequently perceived symptoms among post-CABG patients enables health care providers to focus their assessments in identifying and alleviating them. The demographic associations identified facilitate nurses to forecast certain specific symptoms in targeted populations, like women are more prone to experience poor appetite and sleeping difficulties and strengthen these groups with strategies to prevent themselves from these distressing symptoms.

摘要

背景

接受冠状动脉旁路移植术(CABG)的患者术后会出现各种各样的身体和心理症状。研究表明,这些症状通常会随着时间推移而减轻;然而,有些症状在出院后可持续数月。

目的

本研究旨在评估冠状动脉旁路移植术患者术后出现的症状以及与人口统计学变量的任何关联。

方法

采用描述性横断面设计。从约旦的5家医院选取了100名约旦冠状动脉旁路移植术后患者作为便利样本。使用心脏症状调查问卷对患者进行调查。为了检验所经历的症状与选定的人口统计学变量之间的关联,采用了χ²分析。

结果

胸部切口疼痛(65%)是参与者最常感觉到的症状。几乎相同数量的受访者还报告了腿部肿胀(60%)。少数参与者报告了如心悸(15%)、心绞痛(8%)和抑郁(3%)等症状。三种症状(食欲不振、睡眠问题和疲劳)与人口统计学变量有显著关联。

讨论

确定冠状动脉旁路移植术后患者中经常感觉到的症状,使医疗保健提供者能够将评估重点放在识别和缓解这些症状上。所确定的人口统计学关联有助于护士预测特定人群中的某些特定症状,如女性更容易出现食欲不振和睡眠困难,并通过策略加强这些群体预防这些困扰症状的能力。

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