Cent Eur J Nurs Midw 2021, 12(1):225-234 | DOI: 10.15452/cejnm.2020.11.0037

A randomized controlled study on the effectiveness of discharge training in patients following cardiac surgery

Yesim Yaman Aktas1, Hacer Gok Uğur2, Oya Sevcan Orak3
1 Department of Surgical Nursing, Faculty of Health Sciences, Giresun University, Giresun, Turkey
2 Department of Public Health Nursing, Faculty of Health Sciences, Ordu University, Ordu, Turkey
3 Department of Psychiatric Nursing, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey

Aim:  The aim of the current study was to determine the effectiveness of discharge training on self-efficacy and post-discharge problems after cardiac surgery. Design: A randomized controlled trial. Methods: Patients undergoing cardiac surgery (n = 66) were randomly assigned to either control or discharge training groups. Patients received training from the first day they were hospitalized until the day they were discharged. The self-efficacy scores and post-discharge problems were assessed prior to the surgery, at 10 days and 30 days post-discharge. Results: Concerning self-efficacy scores, no statistically significant difference was noted between the two groups (group: F = 1.856; p = 0.178). A statistically significant difference was found between the two groups in terms of kinetophobia, fatigue, and edema in the legs at 10 days and 30 days of post-discharge (p < 0.05). Conclusion: These study findings have shown that both groups experience at least one post-discharge problem and these problems gradually decrease at 4 weeks of post-discharge. It is recommended to set up units in hospitals that can systematically give discharge training and home care services to patients and their families.

Keywords: cardiac patients, discharge training, nurse, post-discharge problems, self-efficacy

Received: July 25, 2020; Revised: November 22, 2020; Accepted: December 25, 2020; Prepublished online: January 18, 2021; Published: March 5, 2021  Show citation

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Yaman Aktas Y, Gok Uğur H, Sevcan Orak O. A randomized controlled study on the effectiveness of discharge training in patients following cardiac surgery. Central European Journal of Nursing and Midwifery. 2021;12(1):225-234. doi: 10.15452/cejnm.2020.11.0037.
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