| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 106 === Background: Cardiovascular disease is the leading cause of global deaths, accounting for 31% of all deaths, and coronary artery bypass graft surgery is a gold treatment rule of over 70% of coronary artery occlusion in the body. Objectives: The purpose of this study aimed to evaluate the utility of the protective coat with sternal regulator for postoperative patients with coronary artery bypass graft surgery to reduce postoperative acute wound pain as well as chest wound infection, and improve sleep quality. Methodology: The study adopted a quasi-experimental research and collected study cases at a medical center in northern Taiwan for convenient collection. A total of 84 patients were collected by using a structured questionnaire. The questionnaire included the materials as follows: Basic Data Sheet, Numeric Rating Scale (NRS), Brief Pain Inventory-Taiwanese version (BPI-T), ASEPSIS Wound Score for Wound Infection, and VSH Sleep Scale in Chinese version. The research results were obtained through SPSS 22.0 and made statistical analysis with generalized estimating equation (GEE) and descriptive data. Results: The study found that the average age of patients was 61.4 years old, accounting for 77.4% of men. Further, it has no significant difference between the two groups in all basic data. The intervention showed significant differences in the improvement of pain (p < .05) for NRS at 9:00 AM on the fifth day after surgery, at 1:00 PM on the fourth day after surgery, at 5:00 PM on the third day after surgery, while the same situation for BPI-T on the fifth day and on the seventh day after surgery (p < .05). Sleeping problems are common in patients after coronary artery bypass grafts surgery. Regarding the sleeping quality of the intervention group to compare with the control group, no significant difference was recognized for the change extent between before intervention and after any postoperative measurements. The results of VSH Sleep Scale in Chinese version for the two group were 700 scores, which showed that poor postoperative sleeping quality. Moreover, no significant difference was shown in the intervention group for the change extent with ASEPSIS on the third day, fifth day and seventh day as the postoperative measurements, comparing with the control group. According to the results of the study, nurses shall actively assess the condition of pain and sleeping problems of patients with coronary artery bypass graft surgery, timely provide relevant information, and assist patients to recover their physical, psychological, and social functions to the best status through accurate pain assessment and pain control.
|
|---|
