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The Effect of Designed Transitional Care Program on Anxiety and General Comfort of Patients Undergoing Coronary Artery Bypass Graft in Transferring from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial
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Sahar Khoshkesht1  , Shahrazad Ghiyasvandian1 , Maryam Esmaeili1 , Mitra Rahimzadeh2 , Mehrzad Rahmanian3 , Masoumeh Zakerimoghadam 4 |
1- School of Nursing & Midwifery, Tehran University of Medical Sciences
2- ,School of Health, Alborz University of Medical Sciences
3- Imam Khomeini hospital complex, Tehran University of Medical Sciences
4- School of Nursing & Midwifery, Tehran University of Medical Sciences , mzakerimo@sina.tums.ac.ir |
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Abstract: (215 Views) |
ABSTRACT
Background and Aim: Transferring a patient from the intensive care unit to the general ward is an anxiety-inducing process that is associated with feelings of insecurity, discomfort, dependency, and increased need. The most important goal of any care program is to satisfy the patient's needs and create a feeling of comfort. The aim of this study was to determine the effect of designed transitional care program on anxiety and general comfort of patients undergoing coronary artery bypass graft in transferring from open-heart surgery intensive care unit to general ward.
Materials and Methods: This study was a non-randomized clinical trial with a control group on 62 patients who were candidates for transfer from the open-heart surgery intensive care unit of Imam Khomeini Hospital in Tehran to the general ward in 2021, who were selected by convenient method. The control group received the routine care and were followed up. The experimental group received the designed transitional care program in addition to routine care. This program is in 4 dimensions: 1-waiting for transfer, 2-support, gradually reducing dependence and increasing independence, 3-communication and strengthening the care triad, and 4-continuity of integrated and need-based care was implemented by selected and trained nurses in cooperation with researcher, physician, patients and families for 5-7 days. Spielberger's anxiety Questionnaires and general comfort scale were completed before the transfer and on the day of the patient's discharge. The results were analyzed using SPSS version 26 and Fisher's exact, Chi-square, paired and independent t tests at a significance level of 0.05.
Results: The results showed that the designed transitional care program was able to significantly reduce anxiety and increase the general comfort of patients undergoing coronary artery bypass graft (p≤0.000).
Conclusion: Considering the impact of the intervention on the variables under study, it can be suggested to use the designed program as a suitable care program during patient transfer.
Keywords: Anxiety, Patient comfort, Transitional care, Clinical trial
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| Keywords: Anxiety, Patient comfort, Transitional care, Clinical trial |
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Type of Study: Original Research |
Subject:
Nursing
Received: 2022/08/15 | Accepted: 2022/12/21
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