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


METHODS
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.


CONCLUSIONS
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.


CONCLUSIONS
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.
Antalya School of Health, Akdeniz University, Campus/Antalya, Turkey.
Fatma
F
Cebeci
Sevilay Senol
SS
Celik
D000223:Adaptation, Psychological; D000359:Aftercare; D000368:Aged; D001294:Attitude to Health; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000193:education / Q000523:psychology / Q000534:rehabilitation*; D003376:Counseling / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D010351:Patient Discharge / Q000592:standards*; D010353:Patient Education as Topic / Q000458:organization & administration*; D011340:Problem Solving; D015397:Program Evaluation; D011446:Prospective Studies; D012648:Self Care / Q000523:psychology / Q000592:standards; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology