Student Research Committee, Department of Operating Room, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Operating Room, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran.
J Perianesth Nurs. 2021 Aug;36(4):393-397. doi: 10.1016/j.jopan.2020.09.018. Epub 2021 Mar 10.
Patients after coronary artery bypass grafting (CABG) require special care at home, and not being aware of this need before surgery can result in anxiety. This study aimed to determine the effect of home care training on the level of anxiety and vital signs in CABG patients.
The study was a randomized clinical trial study.
The study included 80 patients undergoing CABG surgery in January 2020. Samples were selected by convenience sampling and were randomly divided into intervention and control groups. The control group received only routine training, whereas the intervention group received two additional training sessions on home care. Data were collected using the Spielberger situational anxiety questionnaire and a checklist of vital signs, and then analyzed using descriptive and inferential statistics.
Results showed that before the intervention, the mean anxiety scores, heart rate, respiratory rate, temperature, and systolic and diastolic blood pressure between the two groups were not significantly different (P > .05). However, after the intervention, the mean anxiety score, heart rate, respiratory rate, and systolic and diastolic blood pressure in the intervention group was significantly (P < .05) lower than the control group, but the mean temperature of the two groups showed no significant difference (P > .05).
Home care training before surgery reduces anxiety and improves vital signs. The use of home care training before surgery is recommended for this patient population.
冠状动脉旁路移植术（CABG）后的患者需要特别的家庭护理，如果在手术前没有意识到这一需求，可能会导致焦虑。本研究旨在确定家庭护理培训对 CABG 患者焦虑水平和生命体征的影响。
这是一项随机临床试验研究。
该研究纳入了 2020 年 1 月接受 CABG 手术的 80 例患者。采用便利抽样法选取样本，并随机分为干预组和对照组。对照组仅接受常规培训，而干预组则接受两次额外的家庭护理培训。使用 Spielberger 情境焦虑问卷和生命体征检查表收集数据，并采用描述性和推断性统计方法进行分析。
结果显示，干预前两组的平均焦虑评分、心率、呼吸频率、体温、收缩压和舒张压均无显著差异（P＞.05）。然而，干预后，干预组的平均焦虑评分、心率、呼吸频率和收缩压、舒张压显著低于对照组（P＜.05），但两组的平均体温无显著差异（P＞.05）。
术前家庭护理培训可降低焦虑水平并改善生命体征。建议对这类患者群体采用术前家庭护理培训。
