The study about effect of self care on systemic nursing instruction to discharge patient with post coronary artery bypass surgery

• Main Authors: Li Ting-Ju, 林婷茹
• Other Authors: Nai-Ping Ku
• Format: Others
• Language: zh-TW
• Published: 1998
• Online Access: http://ndltd.ncl.edu.tw/handle/69548390521223669822

碩士 === 國防醫學院 === 護理學研究所 === 87 === The purpose of this study was to understand about the effect of self-care on systemic nursing instruction to the patient who was discharged with post coronary artery bypass surgery and explore the effective factor of self-care and the relationship on physical symptoms , knowledge, attitude and behavior. This is a longitudinal, descriptive and relative study. By way of quasi-experi-mental design and purposive sampling, 38 CABG patients were selected from an educational hospital. The patients were assigned to two groups according to the time sequence of admission. The 19 patients in the control group received traditional nursing instruction by the staff nurse, and the other 19 patients in the experimental group received systemic instruction by researcher and her corporater. Data was collected by interviews or questionnaires before nursing instruction, 1 week after discharge and 8 weeks after ischarge. The following tools were used : individual demographic; physical symptom questionnaire ; self-care questionnaire. The test instruments in this study use jury opinion of content validity, Cronbach*s alpha reliability and Kuder-Richardson reliability for the scale. Data was statistically analyzed by SPSS/PC , percentage, means, median, quartiles, Chi-square test,non-parametric test, Pearsons correlation and multiple regression. The results were as follow: 1. The most frequent and distressing symptoms for CABG patients before nursing instruction were : chest pain , respiratory distress and fatigue. 1 week after discharge were respiratory distress, wound pain and fatigue. 8 week after dis-charge were wound pain, respiratory distress, chest pain, insomnia, fatigue. 2. The behavior of self-care has negative relationship with physical distress. The change amount of self-care knowledge has positive relationship with the changing amount of self-care behavior 1 week after discharge and the changing amount of self-care attitude after 8 after discharge. 3. Systemic nursing instruction has good effectiveness in increasing self-care attitude and self-care behavior for post coronary artery bypass surgery. 4. Systemic nursing instruction has better effectiveness in increasing self-care attitude on female;retired or unemployed ; shorter hospital duration ; shorter postoperative duration.The research bring forth some suggestions for the reference with the respectof study design, nursing practice, nursing education, and nursing research.