ประสิทธิผลของการส่งเสริมการฟื้นสภาพผู้ป่วยหลังผ่าตัดทำทางเบี่ยงหลอดเลือดหัวใจ โรงพยาบาลมหาราชนครเชียงใหม่

Abstract

Adverse symptoms during the recovery period after coronary artery bypass surgery (CABG) are very common. Adverse symptoms impact physical function, psychosocial and economic well-being. Evidence-based interventions are needed to enhance recovery of patients at home. The objective of this study was to promote recovery and determine the effectiveness of promoting recovery among patients after CABG, at the Maharaj Nakorn Chiang Mai Hospital. The subjects were patients after CABG treated at the Maharaj Nakorn Chiang Mai Hospital, during September 2013 to February 2014. The subjects consisted of two groups; 46 subjects after CABG who were confined before implementation of the promoting recovery program, during September 2013 to November 2013 and 44 subjects who were confined after the implementation of the program, during December 2013 to February 2014. The instruments used in this study were the Audiotape Information Program (Utriyaprasit et al., 2010) and an outcome evaluation form consisting of Symptoms Inventory Interview Form (Artinian, 1993).The study was based on the framework of the Stetler Model of Research Utilization (Stetler, 2001). Data were analyzed using descriptive statistics. The findings revealed that: 1. On the day before discharge from the hospital, the mean scores of adverse symptoms among the subjects group who were confined before the implementation of the promoting recovery Program was 52.67 (SD = 11.02), while the subjects group who were confined after the implementation of the program had a mean scoreof50.45 (SD = 9.07) 2. Two weeks after CABG, the mean score of adverse symptoms among the subjects group confined before implementation of the promoting recovery program was 41.74 (SD=6.57), while the subjects group confined after implementation had a mean score of only36.86 (SD = 5.88). 3. Four weeks after CABG, the mean score of adverse symptoms among the subjects group confined before implementation of the program was 33.59 (SD = 4.86), while the group confined after implementation had a mean scoreof only27.18 (SD = 3.72) The findings of the study show thatpromotion of recovery afterCABGis able to reduce adverse events.The results should be presented to relevant administrative committees in order to guide quality improvement.