Symptoms and Care Satisfaction in Patients Who Underwent Coronary Artery Bypass Graft Surgery

Abstract

Objective: This study was conducted to investigate of symptoms and care satisfaction in patients who had a coronary artery bypass graft (CABG) surgery. Methods:The study population consisted of patients who had a coronary artery bypass graft surgery in a public and a foundation hospital in Istanbul between December 2018 and May 2019 and the study sample 176 patients who met the inclusion criteria and agreed to take part in the study. The study data were collected using the self-report method with the help of a Patient Description Form, the Heart Surgery Symptom Inventory (HSSI) and the Newcastle Satisfaction with Nursing Care Scale (NSNS). The data were analysed on the SPSS version 22.0 software. The data were analysed using numbers, percentages, minimum and maximum values, means and standard deviations, t-test, variance analysis and Pearson correlation analysis. Results:The patients were found after their CABG surgery to experience pain, shortness of breath, fatigue, lack of appetite, nausea and woundrelated symptoms. The most common complaint of the patients after the surgery was sleep problems and the least common wound-related symptoms. The mean HSSI score of the participating patients was 71.22±31.39 and the mean NSNS score 52.87±22.54, which meant that the severity of their post-surgery symptoms and their satisfaction with care were at a moderate level. Post-surgery pain, lack of appetite, nausea and wound-related symptoms were found to have a statistically significant moderate negative correlation with care satisfaction (p<0.05) and shortness of breath, fatigue and insomnia to have a statistically significant strong negative correlation with care satisfaction (p<0.05). Conclusion:The results of this study revealed that patients who experienced less symptoms of pain, shortness of breath, fatigue, sleep disorders, lack of appetite, nausea, vomiting, and wound infection after a CABG surgery were more satisfied with the nursing care.

Analysis of sociodemographic and clinical factors determining experience and satisfaction with nursing care among cardiosurgical unit patients

“…Similar findings were presented by Sayin et al The satisfaction evaluation was lower in patients who underwent a serious surgery, experienced pain, and movement or nutrition limitations [29]. Post-surgical pain, lack of appetite, nausea, and post-CABG wound symptoms also correlated negatively with satisfaction in Bozkurt and Saglam [31]. Similarly, Sillero and Zabalegui, who measured the satisfaction of surgical patients with perioperative nursing care, also showed that patients with high levels of pain had lower satisfaction with nursing care, and the recovery process of pain slowed down [27].…”

“…However, clinical hospital patients achieved higher scores for satisfaction (79.86 ±19.31), and a statistically significant difference was reported between the average satisfaction score and level of education, chronic diseases, type of hospitalization, or the number of patients in a room [30]. The average satisfaction score among CABG patients was at a moderate level (52.87 ±22.54) [31]. Higher scores were achieved by Gezer and Arslan researching one-day clinic patients, who graded satisfaction at 82.4 ±19.2 and experience at 84.4 ±18.1 on average.…”

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

“…According to the literature, patients undergoing cardiac surgery experience pain-related movement constraints, 32 insomnia, 43 loss of appetite, 44 and difficulty breathing. 32 In parallel with the literature, patients, caregivers and nurses in our study agreed that patients' daily living activities were restricted after surgery.…”