Pain Interference with Daily Living Activities and Dependency Level of Patients Undergoing CABG Surgery

Tüfekçi, Hatice; Akansel, Neriman; Sivrikaya, Sibel Karaca

doi:10.1016/j.pmn.2021.03.002

Cited by 9 publications

(11 citation statements)

References 17 publications

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“…Similar to the bidirectional relationship between distress and CVD, pain acts as both a symptom and an aggravator [49]. Specifically, increases in pain can reduce adherence to prescribed medical treatments, which in turn decreases QOL, increases symptom burden, fosters greater dependency on health care services, increases functional and role impairment, and increases the risk of depression among post-operative cardiac patients [7,[50][51][52][53][54]. Longitudinal research highlights the bidirectional link between pain and elevated distress.…”

Section: Resultsmentioning

confidence: 99%

Predictors of Psychological Distress among Post-Operative Cardiac Patients: A Narrative Review

McCann,

Hou,

Stolic

et al. 2023

Healthcare

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Following surgery, over 50% of cardiac surgery patients report anxiety, stress and/or depression, with at least 10% meeting clinical diagnoses, which can persist for more than a year. Psychological distress predicts post-surgery health outcomes for cardiac patients. Therefore, post-operative distress represents a critical recovery challenge affecting both physical and psychological health. Despite some research identifying key personal, social, and health service correlates of patient distress, a review or synthesis of this evidence remains unavailable. Understanding these factors can facilitate the identification of high-risk patients, develop tailored support resources and interventions to support optimum recovery. This narrative review synthesises evidence from 39 studies that investigate personal, social, and health service predictors of post-surgery psychological distress among cardiac patients. The following factors predicted lower post-operative distress: participation in pre-operative education, cardiac rehabilitation, having a partner, happier marriages, increased physical activity, and greater social interaction. Conversely, increased pain and functional impairment predicted greater distress. The role of age, and sex in predicting distress is inconclusive. Understanding several factors is limited by the inability to carry out experimental manipulations for ethical reasons (e.g., pain). Future research would profit from addressing key methodological limitations and exploring the role of self-efficacy, pre-operative distress, and pre-operative physical activity. It is recommended that cardiac patients be educated pre-surgery and attend cardiac rehabilitation to decrease distress.

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Section: Resultsmentioning

confidence: 99%

Predictors of Psychological Distress among Post-Operative Cardiac Patients: A Narrative Review

McCann,

Hou,

Stolic

et al. 2023

Healthcare

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show abstract

“…It has also been emphasized in the literature that many patients and their families have prejudices towards opioid analgesic use because it can be addictive 34 . In addition, multimodal analgesia and non‐drug interventions are also effective in pain management 43,46 . In a meta‐analysis study, it was reported that massage was effective in reducing post‐operative pain 49 .…”

Section: Discussionmentioning

confidence: 99%

“…43,45 The three groups in our study agreed that pain restricted mobilization. In a study conducted in Türkiye, Tüfekçi et al 46 reported that after cardiac surgery, patients' pain increased during breathing and coughing and that they experienced sleep problems due to pain. Our study results are consistent with those in the literature.…”

Section: Effect Of Pain On Activities Of Daily Livingmentioning

confidence: 99%

“…Improved analgesia, minimum opioids and patient-specific care are recommended for post-operative pain management. 46 It has also been emphasized in the literature that many patients and their families have prejudices towards opioid analgesic use because it can be addictive. 34 In addition, multimodal analgesia and non-drug interventions are also effective in pain management.…”

Section: Expectations In Painful Conditionsmentioning

confidence: 99%

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Perspectives of patients, families and nurses on pain after cardiac surgery: A qualitative study

Dağcan Şahin,

Gürol Arslan

2023

Nursing in Critical Care

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BackgroundPost‐cardiac surgery pain affects patients, family caregivers and nurses. The pain experiences of patients, caregivers and nurses remain largely unknown. Therefore, it is important to examine the experiences of patients, caregivers and nurses in depth to ensure effective pain management.AimThe aim of this study is to examine post‐cardiac surgery pain from the perspectives of patients, caregivers and nurses.Study DesignA descriptive qualitative research design was used. The study was carried out in the cardiovascular surgery ward of a tertiary hospital in Türkiye between June and December 2022. The data‐driven triangulation method was used in the research. The study sample consisted of eight patients who had undergone cardiac surgery in the tertiary hospital, eight family caregivers and nine nurses who provided care for these individuals. A ‘semi‐structured interview form’ was used to collect data through face‐to‐face and in‐depth interviews. The data were analysed using the thematic analysis method. The COREQ checklist was used for reporting the study.ResultsAs a result of the interviews, six themes were elicited from the data. These themes were ‘explaining pain’, ‘assessment of pain’, ‘responses to pain’, ‘effect of pain on activities of daily living’, ‘expectations in painful situations’ and ‘pain management’.ConclusionsThis study revealed the differences between pain perceptions and coping processes of patients who experienced pain after cardiac surgery, their caregivers and nurses.Relevance to Clinical PracticeConsidering the experiences of patients, caregivers and nurses in pain management after cardiac surgery, applications that will ensure joint participation in care practices should be planned.

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“…With regard to the experience of pain, it is known to be present since incisions are made in the thorax (sternotomy), the saphenous vein region (saphenectomy), and the places where the monitoring lines and invasive devices are inserted, such as the endotracheal tube and the thoracic tube (5,33,74). In this case, the individual needs to be guided on measures to relieve pain, which can be through intravenous or oral medications, usually opioids and antiinflammatory drugs (75,76).…”

Section: Discussionmentioning

confidence: 99%

Learning Needs and Educational Strategies for Adult Patients in the Preoperative Period of Myocardial Revascularization: Scoping Review

et al. 2022

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Objective: To identify and map learning needs and educational strategies for adult patients in the preoperative period of myocardial revascularization. Materials and method: Scoping review conducted between March and April 2021 in national and international databases to identify records published in scientific journals and gray literature, without period. Results: The selected sample consisted of 35 records, composed mostly of articles (32; 91.42 %) published from 1990 to 2021. The learning needs of patients before surgery were categorized into cardiovascular system and coronary artery disease; procedures and routines before, during, and after surgery. In addition, several educational strategies implemented in the studies were identified. Conclusions: The learning needs identified can contribute to planning and implementing patient-centered educational strategies before surgery.

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Pain Interference with Daily Living Activities and Dependency Level of Patients Undergoing CABG Surgery

Cited by 9 publications

References 17 publications

Predictors of Psychological Distress among Post-Operative Cardiac Patients: A Narrative Review

Predictors of Psychological Distress among Post-Operative Cardiac Patients: A Narrative Review

Perspectives of patients, families and nurses on pain after cardiac surgery: A qualitative study

Learning Needs and Educational Strategies for Adult Patients in the Preoperative Period of Myocardial Revascularization: Scoping Review

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