Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Effects of Discharge Training and Counseling Service on Self-Efficacy, Care Behaviors and the Problems Experienced in Patients Who Have Undergone Coronary Artery By-Pass Grafting Surgery: An Experimental Study
Koroner Arter Baypas Greft Ameliyatı Geçiren Bireylere Verilen Taburculuk Eğitimi ve Danışmanlık Hizmetinin Öz-Etkililik, Bakım Davranışları ve Yaşanan Sorunlar Üzerine Etkisi: Deneysel Bir Çalışma
Sevcan AVCI IŞIKa, Süreyya KARAÖZb
aDepartment of Nursing, Başkent University Faculty of Health Sciences, Ankara, Türkiye
bDepartment of Nursing, Bilgi University Faculty of Health Sciences, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(3):627-37
doi: 10.5336/nurses.2021-86250
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this experimental study was to examine the effects of discharge training and counseling services on self-efficacy, care behaviors, and problems experienced by patients who have undergone coronary artery bypass grafting. Material and Methods: The study was conducted with 100 patients (50 control, 50 experimental group), hospitalized in the adult cardiovascular surgery in a university hospital. Apart from the routine nursing care given to the control group, the patients in the experimental group were given discharge training and telephone counseling services. The patients in both groups were monitored twice after discharge: first and fourth weeks. In the study, Barnason Efficacy Expectation Scale (BEES) cardiac surgery version, forms of selfcare behaviors, experienced problems, and telephone counseling were used. Results: At the end of the first and fourth weeks after discharge, it was found that the experimental group had more self-care behaviors (salt usage in meals p=0.001, exercising/walking p=0.001, performing activities that required physical movement p=0.002, and walking at least 2 to 3 days a week for 25 minutes p=0.001), the control group had more problems, and fewer patients being able to solve the problems experienced (p<0.05). At the end of the first and fourth weeks of BEES, total and subscale mean scores were found to be higher in the experimental group than in the control group (p<0.05). Conclusion: The study findings indicate that discharge training and counseling services positively affect patients' care behaviors, decrease the problems experienced after discharge, and increase self-efficacy.

Keywords: Coronary artery bypass grafting; self-efficacy; nursing; discharge planning
ÖZET
 Amaç: Bu deneysel araştırmanın amacı, koroner arter baypas greft ameliyatı geçiren bireylere verilen taburculuk eğitiminin ve danışmanlık hizmetinin öz-etkililik, bakım davranışları ve yaşanan sorunlar üzerine etkisinin incelenmesidir. Gereç ve Yöntemler: Araştırma, bir vakıf üniversite hastanesinde erişkin kalp damar cerrahi servisinde yatan 100 hasta (50 kontrol ve 50 deney grubunda) ile yürütülmüştür. Deney grubundaki hastalara, kontrol grubuna uygulanan rutin hemşirelik bakımı dışında, taburculuk eğitimi ve telefon ile danışmanlık hizmeti verilmiştir. Her iki gruptaki hastalar taburculuktan 1 hafta ve 4 hafta sonra olmak üzere 2 kez izlenmiştir. Çalışmada Barnason Etkililik Beklenti Ölçeği (BEBÖ) Kardiyak Cerrahi Versiyonu, bakım davranışları, yaşanılan sorunlar ve telefonla danışmanlık almaya ilişkin formları kullanılmıştır. Bulgular: Taburculuk sonrası birinci ve dördüncü haftaların sonunda, deney grubunun daha fazla öz-bakım davranışına sahip olduğu (yemeklerde tuz kullanma p=0.001, egzersiz/yürüyüş yapma p=0.001, fiziksel hareket gerektiren işleri yapma p=0.002 ve haftada en az 2-3 gün 25 dakika yürüme p=0.001), kontrol grubunun daha çok sorun yaşadığı ve daha az hastanın sorunları çözebildiği bulunmuştur (p<0.05). BEBÖ birinci ve dördüncü haftaların sonunda toplam ve alt ölçek puanları deney grubunda kontrol grubuna göre daha yüksek bulunmuştur (p<0.05). Sonuç: Araştırma sonucunda; taburculuk eğitimi ve danışmanlık hizmetinin bireylerin bakım davranışlarını olumlu etkilediği, taburculuk sonrası yaşanan sorunlarını azaltmada ve öz-etkililik düzeyini artırmada etkili olduğu belirlenmiştir.

Anahtar Kelimeler: Koroner arter baypas greftleme; öz-yeterlik; hemşirelik; taburculuk eğitimi
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