Angelin Ponmani, M (2017) Assess the impact of preoperative comprehensive nursing interventions on post operative outcome among patients undergoing cardiac surgery at selected hospital in Madurai. Masters thesis, C.S.I. Jeyaraj Annapackiam College of Nursing, Madurai.
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Abstract
INTRODUCTION : The WHO estimated that 60% of the World’s cardiac patient was Indian by 2010. Recent studies showed that heart disease is a leading cause of morbidity and mortality in India. Significant heart disease has a national prevalence of 2.5% and affects 13% of patients with 75 years old. To estimate the preoperative levels of anxiety and functional ability in patients awaiting heart surgery and to identify the risk factors of post-operative outcome. Pre-operative comprehensive nursing intervention is very essential to improve the postoperative functional ability and the reducing the anxiety level of the patients. STATEMENTS OF THE PROBLEM : A study to assess the impact of pre-operative comprehensive nursing interventions on post- operative outcome among patients undergoing cardiac surgery at selected hospitals in Madurai 2017. OBJECTIVES : 1. To assess the post-operative outcome among patients undergoing cardiac surgery in the control and experimental group. 2. To determine the effectiveness of comprehensive nursing intervention on post-operative outcome among patients undergoing cardiac surgery between the control group and experimental group. 3. To associate the post-operative outcome of patient undergoing cardiac surgery with their demographic variable. METHODOLOGY : The research design adopted for the study was quasi experimental posttest control group design. The study was conducted at Apollo Multispecialty hospital, Madurai as Control Group and Vadamalayan Multispecialty Hospital as Experimental Group. Using Purposive Sampling techinique, the samples selected were 60, in which 30 samples were in the experimental group and the remaining 30 were in the control group. The Samples were recognized based on the inclusion criteria. Modified structured scale was a tool for data collection. Selected relaxation technique and exercises was demonstrated to the experimental group for 30 minutes twice a day for week in both morning and evening. The data obtained were analyzed and interpreted using descriptive and inferential statistics. RESULTS : The present research findings shows that the posttest 2nd mean % score is reduced to 38% from the post operative 3rd mean score of 32% with the mean difference of 6%. Therefore the pre-operative nursing intervention has impact in reducing the postoperative outcome among patients undergoing cardiac surgeries. elucidate the mean score difference between control 3rd and experimental 3rd post test scores in the post-operative outcome. The finding shows that with the mean score difference of 39, the post-test score in experimental 2nd was (47.57± 2.33) and experimental 3rd score was (21.47±1.96) with the difference of 39% post-test mean score. Therefore the pre-operative nursing intervention has impact in reducing the postoperative outcome among patients undergoing cardiac surgeries. Thus the research hypothesis (H1) is accepted. The comparison of mean post test scores regarding post-operative outcome between experimental 2nd and 3rd group [t =8.49 p < 0.001]. Thus the pre-operative comprehensive nursing interventions were effective among patients undergoing cardiac surgeries in the experimental group. Thus the research hypothesis (H2) is accepted. Reveals the comparison of mean post test scores regarding post-operative outcome between control 3rd and experimental 3rd group. The findings showed the obtain overall ‘t’ value 46.95 which is statistically significant at (p< 0.001). Thus the research hypothesis (H2) is accepted. DISCUSSION : The finding reveals that all over all unpaired ‘t’ values was 46.95, which showed a highly statistical significant at p<0.001 level. Here, it was inferred that the comprehensive nursing intervention highly significant effective in improving the post operative outcome among cardiac undergoing patients in experimental group compared to the control group. CONCLUSION : This present study concluded that preoperative comprehensive nursing interventions as a holistic care can be used as an effective tool on post-operative outcome to provide holistic care among patients undergoing cardiac surgeries this study recommends that the findings to generalize and to use other alternative educational strategies to improve postoperative outcome among patients undergoing cardiac surgeries.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | preoperative comprehensive nursing interventions ; post operative outcome ; patients undergoing cardiac surgery ; selected hospital ; Madurai. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Kambaraman B |
| Date Deposited: | 01 Mar 2018 03:31 |
| Last Modified: | 01 Mar 2018 03:31 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5927 |
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