| Abstrakt: |
Background: Open heart surgery is one of the most important surgical interventions that can resolve many cardiac problems. Aim: is to assess the effect of nursing procedures related pain on post open heart surgery patient's clinical outcomes. Design: This descriptive correlational study Setting: This study was conducted in the Cardiothoracic Intensive Care Unit at Tanta International Teaching Hospital at Tanta city, Gharbia governorate. Subjects: 60 post open heart surgery patients aged from 21 to 60 years old of both sex. Tools: Three tools were used in this study Tool I:- A Structured Interview Schedule for Open Heart Surgery; it included the following parts:- Part (A) Patient's Socio demographic Characteristics and Part (B): Patient' Clinical Data, tool II: Nursing Procedures related pain Assessment Sheet, tool (III): Post Open Heart Surgery Patient's Clinical Outcomes: Part (A): Critical-care Pain Observation Tool (CPOT), Part (B): Hemodynamics Parameters Assessment Sheet, and Part (C): Face Anxiety Scale (FAS). Results: There were statistically significant differences regarding all items of CPOT, and FAS for suction, deep breathing and coughing, and positioning procedure, while p= 0.000. There were statistically significance differences regarding all hemodynamic parameters with p= 0.000. For positioning procedure, there were statistically significance differences regarding systolic, diastolic blood pressure and mean arterial pressure while p< 0.05. Statistical significance difference was observed throughout three periods of the study with p < 0.05. In relation to gender, Statistical significance difference was observed during suctioning procedure regarding CPOT with (p= 0.032). Conclusions: CPOT tool is a sensitive due to having multiple items and evaluating different behavioral indicators for pain in intubated patients Moreover, CPOT is more consistent with physiologic changes due to pain in patients. Recommendation: Routine pre and postoperative assessment of patients who are undergoing open heart surgeries. [ABSTRACT FROM AUTHOR] |
