Effectiveness of Nursing Care on Children who Underwent Cardiac Surgery

Grace Leeda, P (2010) Effectiveness of Nursing Care on Children who Underwent Cardiac Surgery. Masters thesis, Adhiparasakthi College of Nursing, Melmaruvathur.


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Evaluative research design was adopted to evaluate the nursing care of children with who underwent cardiac surgery. Individualized nursing care was provided to children those who met the inclusion criteria. The study was conducted at Life Line Hospital, Perungudi, Chennai. The simple random sampling technique was administered and sample size was determined as thirty. Ongoing assessment was done with the rating scale prepared to analyse the health condition of the children who underwent cardiac surgery and standard nursing care plan was prepared to render care to promote rest and comfort, to maintain the vital parameter, monitoring of drain and output, maintenance of personal hygiene, chest physiotherapy and exercises, nebulization, early mobilization, suture removal, daily dressing, maintenance of hydration and nutritional status, prevention of spread of infection, administration of medication and health education regarding post operative diet and exercise. Nursing care given for children who underwent cardiac surgery, promoted easy recovery postoperatively. NURSING IMPLICATION Nursing care is the core of any disease. Holistic nursing care for children focus on helping the child, parents family members and community to achieve the optimal health. 1. The present study can help nurses to enrich their knowledge on postoperative nursing care. 2. Help nurses to identify the underlying pathology of conditions by monitoring the vital parameters like arterial blood gas analysis, ventilator setting and cardiac monitor. 3. Understanding the needs of children post operatively may help nurse to plan and provide appropriate nursing care to children. Nursing service 1. Nurses working in pediatric ward unit should have special training about pediatric intensive care unit. 2. Nurses working in pediatric ward should have enough knowledge about care of children they should be keen observer since the children cannot verbalize their needs. 3. Nurses should never fail to assess the children before starting care so that they can plan the nursing care accordingly. 4. Not only nurses but all the other health care providers like physiotherapist, radiologist, laboratory and ward assistances should be also given in service education regarding aseptic technique. 5. Rewards can be given to the outstanding nurses in each year in all institutions which will boost the nurses. 6. Facilitation and all required monitors and equipments to be made available for managing children who underwent cardiac surgery in all hospitals. Nursing education 1. Nursing curriculum can be modified with increased emphasis of medical and surgical management. 2. Recommendation for short term courses in relation to pediatric intensive care unit. 3. Students can also be trained to work in pediatric intensive care unit and pediatric ward under proper guidance. Nursing administration 1. People at the administration position can be make necessary policies to implement the concept of child health nursing. 2. The ideal set up of the pediatric ward and pediatric intensive care unit should be beneficial for the better care. 3. Administration can organize in service education programs. 4. Adequate staffing in pediatric ward to be given as per norms. Nursing research 1. This study shows the awareness about the congenital heart disease management among public. 2. The study reveals the sound knowledge of the nurse in using advanced equipment. 3. The study is preliminary step for exploring the concept of nursing and involved nursing care with respect to the involvement of the children. 4. Further investigator can use this study as a reference material. 5. The study provides awareness for further studies among the student in this area. RECOMMENDATION 1. The study can be done in comparing with other cardiac problems or any associated problems with congenital heart disease. 2. Descriptive analysis with congenital heart disease, pediatric cancer and congenital heart disease with Down syndrome can be done. 3. Comparative study between the sign and symptoms in pre and post operative period in congenital heart disease can be done. 4. The study can be done in large samples. 5. The study can be conducted in children in a particular region or area to find out the influence of environmental factors for congenital heart disease. 6. A comparative study can be done between the rural and urban children. 7. A descriptive study to assess the knowledge, attitude and practice regarding various aspects of congenital heart disease.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Effectiveness, Nursing Care, Children, Underwent Cardiac Surgery.
Subjects: NURSING > Paediatric Nursing
Depositing User: Subramani R
Date Deposited: 18 Aug 2020 17:42
Last Modified: 18 Aug 2020 17:42
URI: http://repository-tnmgrmu.ac.in/id/eprint/12875

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