Effect of Education Guidelines on Health Outcomes and Satisfactions for Patients Undergoing Cardiac Surgery

Document Type : Original Article

Authors

1 Port. Said

2 Medical-Surgical Nursing Department faculty of nursing Mansoura University

3 Medical-Surgical Nursing Department faculty of nursing Port Said University

4 Medical-Surgical Nursing faculty of nursing Damietta University

Abstract

Background: Applying standardized perioperative guidelines for cardiac surgery helps to improve patient satisfaction, and quality of care, improve staff education and decrease organizational costs also promotes the outcome of patients undergoing surgery during their entire perioperative trip. Aim of the study: Effect of education guidelines on health outcomes and satisfaction for patients undergoing cardiac surgery. Design: A quasi-experimental design was a charity for this study. Setting: This study was shown in the cardiothoracic surgery department and also in the outpatients’ clinic at the cardiothoracic and vascular surgeries center at Mansoura University. Subjects: Purposive sample patients undergoing cardiac surgery including all adult patients who were admitted for 6 months nearly 120cardiac patients. Tools: Three tools were used for data gathering, demographic characteristics and perioperative knowledge tool for cardiac surgery patients, Rand Patients' Health Outcomes Scale tool, and Theresa Bucco- Satisfaction scale tool. The results: Before applying educational guidelines, there were no significant differences between studied patients in perioperative knowledge, health outcome, and satisfaction. However, after applying health education guidelines the perioperative knowledge, health outcome, and satisfaction improved. Conclusion: Applying health education guidelines have a significant positive impact on patients’ knowledge, and health outcome as promotes quality of care, decrease organizational costs, also the satisfaction of patients undergoing surgery. Recommendation: Training the cardiac patients should be existing for preoperative assessment nurses who are training patients to be prepared for their surgical pathway.
 

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Abdel Maqsood, A., Oweis, A., and Hasna, F. (2018): Differences between Patients’ Expectations and Satisfaction with Nursing Care in a private hospital in Jordan. International Journal of Nursing Practice; Vol. 18: 140–6.
Ahmed, M., Shehadeh, A., and Collins, M. (2018): Quality of Nursing Care in Community Health Centers: Clients' Satisfaction. HEALTH SCIENCE JOURNAL; Vol. (7) 2: Pp.
Aiken, L., Sermeus, W., Van den, K., (2019): Patient safety, satisfaction, and quality of hospital care: cross-sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ; 344: e1717
 Aldaqal, S., Alghamdi1, H., AlTurki1, H. (2018): Determinants of Patient Satisfaction in the surgical ward at a University Hospital in Saudi Arabia. Life Science Journal; Vol.9 (1), Pp. 277-80.
Almanaseer, Y., Mukherjee, D., Kline-Rogers, E., Kesterson, S. (2018): Implementation of the ACC/AHA guidelines for preoperative cardiac risk assessment in a general medicine preoperative clinic: Improving efficiency, preserving outcomes. Cardiology; 103:24–29.
Alomari, H., Abd Allah, K., William, A. (2016): Assessment of Nurses Performance for Patients on Mechanical Ventilator. The new Egyptian Journal of Medicine; Vol. (46) 5, Pp. 373.
American Heart Association, (2020): Guidelines Update for Cardiopulmonary     Resuscitation and Emergency Cardiovascular Care. JAMA, Vol. 132(18): Pp. 319-518.
Antonia, K., Georgios, G., Altoz, K. (2016):  The Impact of Preoperative Education in Satisfaction and Postoperative Outcomes of Patients Undergoing Cardiac Surgery. Health and Research Journal HRJ; Vol. 2(1): Pp. 48-53.
Camm, J., Kirchhof, P., Lip, H. (2020):  Guidelines for the Management of Atrial Fibrillation. ESC Guidelines. European Heart Journal; Vol. 3: Pp. 2369–429.
Canet, J. (2020): Prediction of Postoperative Pulmonary Complications in A population-Based Surgical Cohort. Anesthesiology, Vol. 113 (6): Pp. 1338-50.
Carl M., Alms, A., and Braun, J. (2020): S3 Guidelines for Intensive Care in CardiacSurgery Patients: Hemodynamic Monitoring and Cardio-circulatory System. GMS Ger Med Sci., Vol (8)12, Pp.3-17.
Frazier, M., East, L., and Arthur, A. (2020):  A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: A randomized controlled trial. Int J Nurs Stud; 49(7):129-137.
Johnson, A., Sanford, J. (2019). Written and verbal information versus verbal information only for patients being discharged from acute hospital settings to home: A systematic review. Health Education Research, 20(4), 423-429.
Kucia, A. and Quinn, T. (2020): Acute Cardiac Care, a Practical Guide for Nurses. (1st)    edition, India, Blackwell Publishing Ltd; Pp. 70-90.
Lee, R. (2019): Early Readmission for Congestive Heart Failure Predicts Late Mortality after Cardiac Surgery, J Thoracic Cardiovasc Surg.; 144(3): 671-6.
Mchorney, C., Ware, J., and Sherburne, C. (2019):  The MOS 36-Item Short-Form Health Survey tests data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 32(4):40-66.
National Heart, Lung, and Blood Institute. (2018): Part of the National Institutes of Health and the U.S. Department of Health and Human Services. Available at: http://www.nhlbi.nih.gov/index.htm. Accessed at 15/5/2018
Navidian, A., Mobaraki, H., & Shakiba, M. (2017). The effect of education through motivational interviewing compared with conventional education on self-care behaviors in heart failure patients with depression. Patient Education and Counseling, 100(8), 1499-1504.
Ramesh, C., Nayak, B., Pai, V., Patil, N., and George, A. (2018):  Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis. J Perianesth Nurs. Dec; 32(6):518-529.e2. DOI: 10.1016/j.jopan.2016.11.011. E pub 2017.
Rand. Stephen Coons, Anita Stewart, Ron D. Hays. (1994): Short form 36-items survey for measuring health outcomes. Rand journal of Santa Monica, California 19- 23 or available at Rand Health Care @ rand. Org. accessed on 26/2/1994.
 Sorlie, T., Sexton, H., Busund, R., Sorlie, D. (2018):  Predictors of satisfaction with surgical treatment. International Journal of Quality of Health Care; 12(1):31-40
Theresa Bucco (2015): the relationships between patient’s perceptions of nurse caring behaviors, nurse’s perceptions of nurse caring behaviors, and patient satisfaction in the emergency department. Seton Hal university dissertations and theses (ETDs). 2048. HTTPS:// scholarship. Shu. Edu/ dissertations/ 2048. Accessed on 11 /2015.
Zhang, Y., Jiang, Y., and Yin, Y. (2015): Impact of Nurse-Initiated Preoperative Education on Postoperative Anxiety Symptoms and Complications after Coronary Artery Bypass Grafting. J Cardiovasc Nurs; Vol. 27(1): Pp. 84-8.
Zuhlke L, Engel ME, Karthikeyan G, Rangarajan S, Mackie P, Cupido B. (2018): Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: the global rheumatic heart disease registry (the REMEDY study). Eur Heart J; 36(8):1115-22.