Discharge training and counselling increase self-care ability and reduce postdischarge problems in CABG patients

J Clin Nurs. 2008 Feb;17(3):412-20. doi: 10.1111/j.1365-2702.2007.01952.x. Epub 2007 Nov 30.

Abstract

Aims and objectives: The aim of this study was to determine how discharge training and counselling provided to patients, who had undergone coronary artery bypass graft (CABG) surgery, had effects on patients' self-care ability and on the problems encountered after discharge. The objectives were to help patients develop self-care behaviour to deal more comfortably with the problems caused by the disease and, hopefully, to reduce the number of problems they may encounter.

Background: CABG surgery patients needing to manage various aspects of their self-care at home often find these tasks very difficult to carry out effectively. Discharge training and counselling services help patients undergoing CABG to develop self-care behaviours.

Design: The study was prospective and quasi-experimental.

Methods: The intervention and control groups consisted of 57 patients who were given discharge training and counselling by a researcher and 52 patients who were given routines by a nurse, respectively. The intervention group began receiving discharge training and counselling on the day of hospitalization. These were provided according to their individual knowledge needs and patients were given a booklet developed for training purposes. Data were collected by researcher using the Personal Information Form, the Self-Care Agency Scale.

Results: It was found that the intervention group had a higher mean self-care score than the control group and experienced fewer problems following discharge compared with patients in the control group.

Conclusion: The discharge training and counselling services given to patients in the intervention group had a positive impact on the self-care ability of these patients and on alleviating the problems they encountered.

Relevance to clinical practice: As discharge training and counselling services had a positive impact on the self-care and alleviation of the problems that patients encounter after being discharged, we recommend application of these services and the usage of the training booklet for CABG patients.

Publication types

  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Aftercare
  • Aged
  • Attitude to Health
  • Coronary Artery Bypass / adverse effects
  • Coronary Artery Bypass / education
  • Coronary Artery Bypass / psychology
  • Coronary Artery Bypass / rehabilitation*
  • Counseling / organization & administration
  • Female
  • Humans
  • Male
  • Middle Aged
  • Morbidity
  • Nursing Assessment
  • Nursing Evaluation Research
  • Patient Discharge / standards*
  • Patient Education as Topic / organization & administration*
  • Problem Solving
  • Program Evaluation
  • Prospective Studies
  • Self Care / psychology
  • Self Care / standards
  • Surveys and Questionnaires
  • Turkey / epidemiology