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:: Volume 28, Issue 5 (Scientific Journal of Kurdistan University of Medical Sciences 2023) ::
SJKU 2023, 28(5): 108-121 Back to browse issues page
The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial
Sahar Khoshkesht1 , Shahrazad Ghiyasvandian2 , Maryam Esmaeili3 , Mitra Rahimzadeh4 , Mehrzad Rahmanian5 , Masoumeh Zakerimoghadam 6
1- Department of Medical- Surgical nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences. Tehran, Iran.
2- Department of Medical-Surgical nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences. Tehran, Iran
3- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Epidemiology and Biostatistics, School of Health, Alborz University of Medical Sciences, Karaj, Iran.
5- Department of cardiovascular surgery, Imam Khomeini hospital complex, Tehran University of Medical Sciences, Tehran, Iran.
6- Departments of Medical- Surgical nursing. School of Nursing & Midwifery, Tehran University of Medical Sciences. Tehran, Iran. , mzakerimo@sina.tums.ac.ir
Abstract:   (1429 Views)
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 the patients undergoing coronary artery bypass graft during transfer 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 which included 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. The patients were selected by convenient method. The control group received the routine care and were followed up. The experimental group pursued the designed transitional care program in addition to routine care. This program had 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 which was implemented by selected and trained nurses in cooperation with the 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. Using SPSS version 26, the results were analyzed by 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 could significantly reduce anxiety and increase the general comfort of the patients undergoing coronary artery bypass graft (p≤0.000).
Conclusion: Considering the impact of the intervention on the variables under study, use of the designed program as a suitable care program during patient transfer can be suggested.
Keywords: Anxiety, Patient comfort, Transitional care, Clinical trial
Full-Text [PDF 739 kb]   (184 Downloads)    
Type of Study: Original Research | Subject: Nursing
Received: 2022/08/15 | Accepted: 2022/12/21 | Published: 2023/12/6
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Ethics code: IR.TUMS.FNM.REC.1398.020
Clinical trials code: IRCT20100531004062N2



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Khoshkesht S, Ghiyasvandian S, Esmaeili M, Rahimzadeh M, Rahmanian M, Zakerimoghadam M. The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial. SJKU 2023; 28 (5) :108-121
URL: http://sjku.muk.ac.ir/article-1-7493-en.html


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Volume 28, Issue 5 (Scientific Journal of Kurdistan University of Medical Sciences 2023) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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