The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial
Background and Aim: Transferring a patient from the intensive care unit to the general ward is an anxiety-inducing process that is associated with feelings of insecurity, discomfort, dependency, and increased need. The most important goal of any care program is to satisfy the patient's needs an...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | fas |
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Kurdistan University of Medical Sciences
2023-12-01
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| Series: | مجله علمی دانشگاه علوم پزشکی کردستان |
| Subjects: | |
| Online Access: | http://sjku.muk.ac.ir/article-1-7493-en.pdf |
| _version_ | 1797285598332977152 |
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| author | Sahar Khoshkesht Shahrazad Ghiyasvandian Maryam Esmaeili Mitra Rahimzadeh Mehrzad Rahmanian Masoumeh Zakerimoghadam |
| author_facet | Sahar Khoshkesht Shahrazad Ghiyasvandian Maryam Esmaeili Mitra Rahimzadeh Mehrzad Rahmanian Masoumeh Zakerimoghadam |
| author_sort | Sahar Khoshkesht |
| collection | DOAJ |
| description | Background and Aim: Transferring a patient from the intensive care unit to the general ward is an anxiety-inducing process that is associated with feelings of insecurity, discomfort, dependency, and increased need. The most important goal of any care program is to satisfy the patient's needs and create a feeling of comfort. The aim of this study was to determine the effect of designed transitional care program on anxiety and general comfort of the patients undergoing coronary artery bypass graft during transfer from open-heart surgery intensive care unit to general ward.
Materials and Methods: This study was a non-randomized clinical trial with a control group which included 62 patients who were candidates for transfer from the open-heart surgery intensive care unit of Imam Khomeini Hospital in Tehran to the general ward in 2021. The patients were selected by convenient method. The control group received the routine care and were followed up. The experimental group pursued the designed transitional care program in addition to routine care. This program had 4 dimensions: 1-waiting for transfer, 2-support, gradually reducing dependence and increasing independence, 3-communication and strengthening the care triad, and 4-continuity of integrated and need-based care which was implemented by selected and trained nurses in cooperation with the researcher, physician, patients and families for 5-7 days. Spielberger's anxiety Questionnaires and general comfort scale were completed before the transfer and on the day of the patient's discharge. Using SPSS version 26, the results were analyzed by Fisher's exact, Chi-square, paired and independent t-tests at a significance level of 0.05.
Results: The results showed that the designed transitional care program could significantly reduce anxiety and increase the general comfort of the patients undergoing coronary artery bypass graft (p≤0.000).
Conclusion: Considering the impact of the intervention on the variables under study, use of the designed program as a suitable care program during patient transfer can be suggested. |
| first_indexed | 2024-03-07T18:05:30Z |
| format | Article |
| id | doaj.art-52a212375aa24b02b9aa7b98be904e24 |
| institution | Directory Open Access Journal |
| issn | 1560-652X 2345-4040 |
| language | fas |
| last_indexed | 2024-03-07T18:05:30Z |
| publishDate | 2023-12-01 |
| publisher | Kurdistan University of Medical Sciences |
| record_format | Article |
| series | مجله علمی دانشگاه علوم پزشکی کردستان |
| spelling | doaj.art-52a212375aa24b02b9aa7b98be904e242024-03-02T09:28:15ZfasKurdistan University of Medical Sciencesمجله علمی دانشگاه علوم پزشکی کردستان1560-652X2345-40402023-12-01285108121The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical TrialSahar Khoshkesht0Shahrazad Ghiyasvandian1Maryam Esmaeili2Mitra Rahimzadeh3Mehrzad Rahmanian4Masoumeh Zakerimoghadam5 Department of Medical- Surgical nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences. Tehran, Iran. Department of Medical-Surgical nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences. Tehran, Iran Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Department of Epidemiology and Biostatistics, School of Health, Alborz University of Medical Sciences, Karaj, Iran. Department of cardiovascular surgery, Imam Khomeini hospital complex, Tehran University of Medical Sciences, Tehran, Iran. Departments of Medical- Surgical nursing. School of Nursing & Midwifery, Tehran University of Medical Sciences. Tehran, Iran. Background and Aim: Transferring a patient from the intensive care unit to the general ward is an anxiety-inducing process that is associated with feelings of insecurity, discomfort, dependency, and increased need. The most important goal of any care program is to satisfy the patient's needs and create a feeling of comfort. The aim of this study was to determine the effect of designed transitional care program on anxiety and general comfort of the patients undergoing coronary artery bypass graft during transfer from open-heart surgery intensive care unit to general ward. Materials and Methods: This study was a non-randomized clinical trial with a control group which included 62 patients who were candidates for transfer from the open-heart surgery intensive care unit of Imam Khomeini Hospital in Tehran to the general ward in 2021. The patients were selected by convenient method. The control group received the routine care and were followed up. The experimental group pursued the designed transitional care program in addition to routine care. This program had 4 dimensions: 1-waiting for transfer, 2-support, gradually reducing dependence and increasing independence, 3-communication and strengthening the care triad, and 4-continuity of integrated and need-based care which was implemented by selected and trained nurses in cooperation with the researcher, physician, patients and families for 5-7 days. Spielberger's anxiety Questionnaires and general comfort scale were completed before the transfer and on the day of the patient's discharge. Using SPSS version 26, the results were analyzed by Fisher's exact, Chi-square, paired and independent t-tests at a significance level of 0.05. Results: The results showed that the designed transitional care program could significantly reduce anxiety and increase the general comfort of the patients undergoing coronary artery bypass graft (p≤0.000). Conclusion: Considering the impact of the intervention on the variables under study, use of the designed program as a suitable care program during patient transfer can be suggested.http://sjku.muk.ac.ir/article-1-7493-en.pdfanxietypatient comforttransitional careclinical trial |
| spellingShingle | Sahar Khoshkesht Shahrazad Ghiyasvandian Maryam Esmaeili Mitra Rahimzadeh Mehrzad Rahmanian Masoumeh Zakerimoghadam The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial مجله علمی دانشگاه علوم پزشکی کردستان anxiety patient comfort transitional care clinical trial |
| title | The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial |
| title_full | The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial |
| title_fullStr | The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial |
| title_full_unstemmed | The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial |
| title_short | The Effect of Designed Transitional Care Program on Anxiety and General Comfort of the Patients Undergoing Coronary Artery Bypass Graft during Transfer from Open Heart Surgery Intensive Care Unit to General Ward: A Clinical Trial |
| title_sort | effect of designed transitional care program on anxiety and general comfort of the patients undergoing coronary artery bypass graft during transfer from open heart surgery intensive care unit to general ward a clinical trial |
| topic | anxiety patient comfort transitional care clinical trial |
| url | http://sjku.muk.ac.ir/article-1-7493-en.pdf |
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