Perceived learning needs of Yemeni patients after coronary artery bypass graft surgery

Abstract

Aims and objectives. To explore the information needs of Yemeni patients who have undergone coronary artery bypass graft surgery before hospital discharges and to examine the differences in the patients’ learning needs according to age, gender, level of education and working condition. Background. Postcoronary artery bypass graft (CABG) patients need more information before their discharge from the hospital. This need of information must be assessed and provided for them before their discharge from hospital to help them with adequate care and recovery at home. Design. A descriptive, correlational design. Methods. Data were collected from 120 CABG patients before their discharge from Al‐ Thawra Hospital, Sana’a, Yemen, by using modified Cardiac Patients Learning Needs Inventory (CPLNI) instrument. The Statistical Package for the Social Sciences was used to analyse the collected data. Results. The information about chest and leg wound care, medication information, other pertinent information and complications were indicated to be the most valued by CABG patients prior to discharge. There was a statistically significant difference between patients’ total learning needs according to their socio‐demographic characteristics. Male patients needed more information than female patients (p = 0·004). Younger (p = 0·021) and middle‐aged (p = 0·032) patients needed more information than older ones. Highly educated (p = 0·000) and school‐level (p = 0·002) patients needed more information than those in the uneducated group. Working patients needed more information than non‐working ones (p = 0·000). Conclusion. This study suggests that CABG patients have high information needs within 24–48 hours before hospital discharge. In addition, the results of this study showed that there are statistically significant differences in patients’ learning needs according to their demographic characteristics. Relevance to clinical practice. Assessment of CABG patients’ information needs before their discharge from hospital helps in developing effective educational programme that will help these patients in their recovery at home.

Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan

“…This is congruent with several other studies which indicated that patients usually seek information that is more relevant to their current challenging circumstances (Alkubati et al. ; Kilonzo & O'Connell ). In this study, rating wound care as the top priority might be a result of Jordanian patients who had undergone PCI or open‐heart surgery realizing that once they have been discharged, their first follow‐up visit will not be until four to six weeks after discharge.…”

“…Such concern could be addressed using a formalized conceptual coping framework to help the individual cope with immediate stressful issues such as dealing with the surgical wound upon their discharge from hospital (Alkubati et al. ; Maillard et al. ; Veronovici et al.…”

Most Frequent and Severe Symptoms and Learning Needs among CABG Patients

“…Permission from both the Arabic and English authors had been taken. Al-Kubati et al (2012) made some modifications to the original learning needs of CABG patients by adding two subscales related to CABG patients complications (3 items); chest and leg wound care (3 items) (Alkubati, et al, 2012) (with the original authors' permission), and excluding some subscale and items as they were inappropriate for CABG patients, so Al-Kubati et al final tool consist of 44 items. In this study, introduction to CCU items (three items) were deleted as this study is dealing with CABG patients post-discharge, so final number of items for this tool in this study was 41 items.…”

Learning Needs of Adult Patients Surgery

“…12 Şendir et al 13 reported that the most important learning needs were about treatment and complications, activities of living, and enhancing quality of life who patients total hip and knee arthroplasty. In a study recently 20 , examined learning needs who have undergone coronary artery bypass graft (CABG) surgery before hospital discharges found that ranked by patients as most important were chest and leg woundet care, medication information, other pertinent information and complications. In other a study examined patients' learning needs after colorectal cancer surgery raported that the most important information was about illness-related knowledge, improvements in the quality of life and surgical treatment and complications 21 .…”

“…Therefore, women patients view the need for information about illness and treatment to be of greater importance than males and generally receive more information than male patients 23 . But, Alkubati et al 20 reported that, after CABG surgery patients who men, younger and middle-aged patients, highly educated and were working reported more information needs. Fredericks 24 similarly found that after CABG patients men need more information than women and the relationships between learning needs and sociocultural characteristics (education, gender and age).…”