Effects of discharge teaching and counselling on anxiety and depression level of CABG patients

Abstract

Amaç: Bu çalışmada taburculuk eğitimi ve danışmanlık hizmetinin koroner arter bypass greftleme ameliyatı geçi-ren hastaların anksiyete ve depresyon düzeylerine olan etkileri değerlendirildi. Ça lış ma pla nı: Bu yarı deneysel anket çalışmasına toplam 109 hasta dahil edildi ve hastalar müdahale (n=57) ve kontrol (n=52) olmak üzere iki gruba ayrıldı. Müdahale grubundaki hastalara hastaneye yattıkları günden itibaren araştırma hemşiresi tarafından taburculuk eğitimi ve danışmanlık hizmeti verildi. Kontrol grubundaki hastalar ise rutin klinik uygulamalar dışın-da planlı bir eğitim ve danışmanlık almadı. Hasta verileri, "Kişisel Bilgi Formu" ile Hastane Anksiyete ve Depresyon Ölçeği kullanılarak toplandı. Müdahale ve kontrol grubundaki hastaların anksiyete ve depresyon seviyeleri hastaneye yattıkları gün, taburcu oldukları gün ve taburcu olmalarından bir hafta ve bir ay sonra Hastane Anksiyete ve Depresyon Ölçeği kullanılarak ölçüldü. Bul gu lar: Müdahale grubundaki hastaların ortalama anksiyete ve depresyon skorlarının taburcu oldukları sırada ve taburcu olmalarından bir hafta ve bir ay sonra kontrol grubundakinden düşük olduğu bulundu. So nuç:Müdahale grubundaki hastalara verilen taburculuk eğitimi ve danışmanlık hizmeti, hastaların anksiyete ve depresyonunun hafifletilmesi açısından pozitif bir etki göstermiştir. Bu nedenle, kurumların araştırmadaki yön-temler kullanılarak multidisipliner hasta eğitim ve danış-manlık faaliyetlerini desteklemeleri önerilebilir.Anah tar söz cük ler: Anksiyete; koroner arter bypass; danışman-lık; depresyon; taburculuk eğitimi. Background:In this study we evaluate the effect of discharge teaching and counselling on anxiety and depression levels of patients undergoing coronary artery bypass graft surgery. Methods: Hundred and nine patients were included in this quasi-experimental survey study and divided into two groups as; the intervention group (n=57) and the control group (n=52). Patients in the intervention group were given planned discharge teaching and counselling by the research nurse beginning from hospitalization while the patients in the control group did not receive planned discharge teaching and counselling other than the routine clinical procedures. The patient data were collected using the "Personal Information Form" and the Hospital Anxiety and Depression Scale. The anxiety and depression levels of the patients in the control and intervention groups were measured on the day of their admission to the hospital, on the day of discharge and one week and one month after discharge using the Hospital Anxiety and Depression Scale. Results:It was found that the mean anxiety and depression scores of the patients in the intervention group were lower than in the control group at the time of discharge and one week and one month after discharge. Conclusion: Discharge training and counselling service given to patients in the intervention group had a positive impact on alleviating the anxiety and depression they had. Therefore, the institutions may be recommended to support multidiscipl...

Person‐centred discharge education following coronary artery bypass graft: A critical review

“…Interestingly, readmission rates were reported in only one paper (Bates et al., ). The effect of education on anxiety and depression as outcomes was explored in three of the studies (Cebeci & Celik, ; Sørlie, Busund, Sexton, Sexton, & Sørlie, ; Yıldız et al., ) who found that discharge and counselling may have a positive effect on decreasing anxiety and depression scores by building patients’ self‐confidence in continuing their care at home. Sørlie et al.…”

“…The effect of individualised education on anxiety and depression as outcomes was explored in three of the studies (Ahmad, Ellins, Krelle, & Lawrie, ; Cebeci & Celik, ; Sørlie et al., ; Yıldız et al., ). Cebeci and Celik () identified the effect on planned discharge teaching combined with counselling appeared to reduce levels of anxiety and depression. Similarly, Sørlie et al.…”

“…Interestingly, readmission rates were reported in only one paper (Bates et al, 2014). The effect of education on anxiety and depression as outcomes was explored in three of the studies (Cebeci & Celik, 2011;Sørlie, Busund, Sexton, Sexton, & Sørlie, 2007;Yıldız et al, 2014)…”

Postoperative problems experienced by patients undergoing coronary artery bypass graft surgery and their self-care ability after discharge

“…These issues can be explained by the fact that the patients had experienced difficulties with their hospitalization such as an unfamiliar environment, separation from loved ones, dependency on others, and a lack of specific information about CABG surgery. [8,9,20] The mean self-care ability score was 108.5±17, indicating a moderate level of self-care ability among the patients (Table 2). Similar to the findings of our study, Cebeci and Çelik [1] also found that the mean selfcare score for patients who underwent a CABG surgery was moderate.…”

Effect of Implementing Clinical Pathway Guidelines on Patients' Clinical Outcomes with Acute Coronary Syndrome

“…This finding was supported by Psychiat (2014) [58] who found that discharge plan helps to provide a continuous care with the least amount of stress for patients. Similarly Cebeci and Çelik (2011) [59] their findings suggested that the stress and anxiety of the intervention group on discharge decreased significantly compared with those of the control group. Moreover Astin et al (2005) [60] added that nurses usually do not mention essential issues about treatment because of workload and forgetfulness, or they might be reminded at the very last moments of the patients' discharge which hardly ever provide the continuance of the care.…”