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Açık Kalp Ameliyatı Sürecinde Yaşanan Psikososyal Sorunlara Yönelik Uygulanan Kanıt Temelli Müdahaleler

Yıl 2024, Cilt: 5 Sayı: 1, 33 - 44, 25.10.2024
https://doi.org/10.70479/thdd.1401780

Öz

Kardiyovasküler hastalıklar (KVH) dünya çapında en yaygın başlıca ölüm nedenlerindendir. Yetişkin ve ileri yaşlardaki bireylerde sık rastlanan kalp hastalıklarının tedavi yöntemleri arasında cerrahi tedavi önemli bir yer tutmaktadır. Açık kalp ameliyatı süreci, bakım ve izlemi yoğun bakım süreci, taburculuk ve evde bakımı kapsayan yoğun bir süreçtir. Bu süreç içerisinde bireyde anksiyete, stres, depresyon, deliryum, uyku bozuklukları ve yetersiz sosyal destek, rol karmaşası gibi psikososyal sorunlar görülebilmektedir. Cerrahi girişim öncesi, sonrası yoğun bakım ünitesinde hastalarda yaşanabilecek bu sorunlara yönelik, bireye özgü bakımın planlanması ve uygulanması durumunda bu sorunlar önemli düzeyde önlenebilmektedir. Hemşirelerin kalp damar cerrahisi öncesi ve sonrasında oluşabilecek sorunlar hakkında farkındalığı olmalıdır. Bu sorunlara yönelik hemşirelerin kanıt temelli müdahaleleri bakım planlarına dahil etmesi önem taşımaktadır. Bu derlemenin amacı, açık kalp ameliyatı sürecinde bireyin yaşadığı psikososyal sorunlara yönelik uygulanan kanıt temelli müdahaleleri gözden geçirmek ve bu konu hakkında hemşireleri bilgilendirmektir.

Kaynakça

  • 1. World Health Organization. World Health Statistics 2021: Monitoring health for the SDGs, sustainable development goals, Switzerland Erişim adresi: https://apps.who.int/iris/bitstream/handle/10665/342703/9789240027053-eng.pdf (Erişim tarihi: 10.10.2023).
  • 2. Türkiye İstatistik Kurumu. Ölüm Nedeni İstatistikleri. 2022. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679 (Erişim tarihi: 25.03.2024).
  • 3. Onat A, Can G, Yüksel H, Ademoğlu E, Erginler-Ünaltuna N, Kaya A. ve Altay, S. Tıp dünyasının kronik hastalıklara yaklaşımına öncülük. Tekharf İstanbul:Lodos Yayıncılık; 2017.
  • 4. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Fleisher, et al. AHA/ACC Focused update of the 2014 aha/acc guideline for the management of patients with valvular heart disease: a report of the american college of cardiology/american heart association task force on clinical practice guidelines”. Circulation, 2017; 135 (25), 1159-1195. https://doi.org/10.1161/CIR.0000000000000503.
  • 5. Badır A, Demir KF. Koroner arter hastalıkları.In: Eti Aslan, F., Karadakovan, A. (Ed.), Dahili ve cerrahi hastalıklarda bakım içinde (ss. 431–473). Ankara: Akademisyen Tıp Kitabevi; 2014.
  • 6. Esmaili M, Salehi-Tali S, Mazaheri E, Hasanpour-Dehkordi A, Kheiri S. The effect of the nursing care based on the roy adaptation model on the level of the quality of life and fatigue in the patients undergoing coronary artery bypass graft surgery. Crit Care Nurs Q. 2022; 01;45(1):35-41. https://doi.org/10.1097/CNQ.0000000000000386.
  • 7. Salzmann S, Salzmann-Djufri M, Wilhelm M, Euteneuer, F. Psychological preparation for cardiac surgery. Curr Cardiol Rep. 2020; 22, 172. https://doi.org/10.1007/s11886-020-01424-9.
  • 8. Tigges-Limmer K, Sitzer M, Gummert J. Perioperative Psychological ınterventions in heart surgery–opportunities and clinical benefit. Dtsch Arztebl Int. 2021; 17,118(19):339-345. doi: 10.3238/arztebl.m2021.0116.
  • 9. Amaravathi E, Ramarao NH, Raghuram N, Pradhan B. Yoga-based postoperative cardiac rehabilitation program for ımproving quality of life and stress levels: fifth-year follow-up through a randomized controlled trial. Int J Yoga 2018; 11(1), 44–52. doi.org/10.4103/ijoy.IJOY_57_16.
  • 10. Kashif M, Hamid M, Raza A. Influence of preoperative anxiety level on postoperative pain after cardiac surgery. Cureus. 2022; 14(2), e22170. https://doi.org/10.7759/cureus.22170.
  • 11. Guo P. Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: A review of randomised controlled trials. J Clin Nurs. 2015; 24(1–2),34–46. https://doi.org/10.1111/jocn.12618
  • 12. Adib-Hajbaghery M, Miranzadeh S, Tahmouresi M, Azizi-Fini I. Body image before and after coronary artery bypass graft surgery: comparison and its contributing factors.” BMC Psychol. 2020; 3;8(1),78. https://doi.org/10.1186/s40359-020-00451-z.
  • 13. Younes O, Amer R, Fawzy H, Şama C. Psychiatric disturbances in patients undergoing open-heart surgery. Middle East Curr Psychiatry. 2019; 26, 4. https://doi.org/10.1186/s43045-019-0004-9.
  • 14. Shorofi SA, Jannati Y, Moghaddam HR, Yazdani-Charati J. Psychosocial needs of families of intensive care patients: Perceptions of nurses and families. Nigerian Medical Journal: Journal of the Nigeria Medical Association. 2016; 57(1), 10–18. https://doi.org/10.4103/0300-1652.180557.
  • 15. Koyuncu A, Yava A, Yamak B, Orhan N. Effect of family presence on stress response after bypass surgery. Heart Lung. 2021; 50(2),193-201. https://doi.org/10.1016/j.hrtlng.2020.11.006.
  • 16. Hajalizadeh A, Ahmadinejad M, Dehghan M, Arab M. The educational needs of family of patients discharged from the ıntensive care units: the viewpoints of nurses and the patients' families. Crit Care Res Pract. 2021; 9956023. https://doi.org/10.1155/2021/9956023
  • 17. Protogerou C, Fleeman N, Dwan K, Richardson M, Dundar Y, Hagger MS. “Moderators of the effect of psychological interventions on depression and anxiety in cardiac surgery patients: A systematic review and meta-analysis. Behav Res Ther. 2015; 73, 151–164. https://doi.org/10.1016/j.brat.2015.08.004.
  • 18. Smith G. An introduction to psychological interventions. Smith G. (Ed.), Psychological Interventions in Mental Health Nursing (pp. 1–23). Open University Press; 2012.
  • 19. Willemsen D, Cordes C, Bjarnason-Wehrens B, Knoglinger E, Langheim E, Marx R, et al. Rehabilitationsstandards für die Anschlussheilbehandlung und allgemeine rehabilitation von patienten mit einem herzunterstützungssystem (VAD). Clin Res Cardiol Suppl 11(Suppl 1). 2016; 2–49. https://doi.org/10.1007/s11789-015-0077-x.
  • 20. Aksoy, G. Ameliyat öncesi hemşirelik bakımı içinde Ed. Akyolcu N., Kanan N., Aksoy, G. Cerrahi Hemşireliği II içinde (s. 255-297). İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti; 2017.
  • 21. Zhang QL, Xu N, Huang ST, Lin ZW, Chen LW, Cao H, et al. Music therapy for early postoperative pain, anxiety, and sleep in patients after mitral valve replacement. Thorac Cardiovasc Surg. 2020; 68(6),498-502. https://doi.org/10.1055/s-0040-1713352.
  • 22. Awaludin S, Nurachmah E, Soetisna TW, Umar J. The effect of a smartphone-based perioperative nursing intervention: prayer, education, exercise therapy, hypnosis, and music toward pain, anxiety, and early mobilization on cardiac surgery. J Public Health Res. 2022; 11(2), 2742. doi: 10.4081/jphr.2021.2742.
  • 23. Bagheri H, Moradi-Mohammadi F, Khosravi A, Ameri M, Khajeh M, Chan SW,et al. Effect of Benson and progressive muscle relaxation techniques on sleep quality after coronary artery bypass graft: A randomized controlled trial. Complement Ther Med. 2021; 63, 102784. https://doi.org/10.1016/j.ctim.2021.102784.
  • 24. Chandrababu R, Nayak BS, Pai VB, NR, George LS, Devi ES, et al. Effects of foot massage and patient education in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2020; 40, 101215. https://doi.org/10.1016/j.ctcp.2020.101215
  • 25. Narimani M, Ansari Jaberi A, Negahban Bonabi T, Sadeghi T. Effect of acupressure on pain severity in patients undergoing coronary artery graft: A randomized controlled trial. Anesth Pain Med. 2018; 8(5), e82920. https://doi.org/10.5812/aapm.82920.
  • 26. Kanan N. Kalp ve damar sisteminin cerrahi hastalıkları ve bakımı. Cerrahi Hemşireliği II içinde (s. 65-153). Ed. Akyolcu N., Kanan N., Aksoy, G. İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti; 2017.
  • 27. Karahan A. Kalp damar cerrahisi ve hemşirelik bakımı. Cerrahi Hastalıkları Hemşireliği Akıl Notları içinde (s. 41-59). Ed. Özhan Elbaş N. Ankara: Güneş Tıp Kitabevleri; 2016.
  • 28. Pehlivan K. Açık kalp cerrahisi sonrası tele-hemşirelik yoluyla verilen eğitim ve danışmanlığın ameliyat sonrası anksiyete ve komplikasyonlar üzerine etkisinin incelenmesi, Yüksek lisans tezi, Gaziantep Üniversitesi; 2021.
  • 29. Doering LV, McGuire A, Eastwood JA, Chen B, Bodán RC, Czer LS, et al. Cognitive behavioral therapy for depression improves pain and perceived control in cardiac surgery patients. Eur J Cardiovasc Nurs, 2016; 15(6), 417–424. https://doi.org/10.1177/1474515115592292.
  • 30. Johansson P, Westas M, Andersson G, Alehagen U, Broström A, Jaarsma T, et al. An Internet-based cognitive behavioral therapy program adapted to patients with cardiovascular disease and depression: randomized controlled trial. JMIR Mental Health. 2019; 6(10). https://doi.org/10.2196/14648.
  • 31. Doğan A, Saritaş S. The effects of neuro-linguistic programming and guided imagery on the pain and comfort after open-heart surgery. J Card Surg. 2021; 36(7),2389-2397. https://doi.org/10.1111/jocs.15505.
  • 32. Yoo HJ, Shim J. The effect of a multifaceted family participation program in an adult cardiovascular surgery ICU. Crit Care Med. 2021; 1;49(1):38-48. https://doi.org/10.1097/CCM.0000000000004694.
  • 33. Koçaşlı S. Kanan N. Açık kalp cerrahisi sonrası hastaların fiziksel ve psikososyal iyileşme durumları. Genel Sağlık Bilimleri Dergisi. 2020; 2(3), 146-158.
  • 34. Bahramnezhad F, Sanaie N, Jackson AC, Shariati E, Atashzadeh-Shoorideh F. The of effect of partnership-based education on adherence to the treatment plans in open heart surgery. J Edu Health Promot.2021; 10,353. https://doi.org/10.4103/jehp.jehp_1463_20.
  • 35. Aktas Y, Gok UH, Orak OS. Discharge education ıntervention to reduce anxiety and depression in cardiac surgery patients: A randomized controlled study. J Perianesth Nurs. 2020; 35(2),185-192. https://doi.org/10.1016/j.jopan.2019.08.012.
  • 36. Dalirirad H, Najafi T, Seyedfatemi N. Effect of an educational support programme on caregiver burden among the family members of patients undergoing coronary artery bypass graft surgery. Sultan Qaboos University Medical Journal. 2021; 21(2), e266–e274. doi: 10.18295/squmj.2021.21.02.016.
  • 37. Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study.” Int J Afr Nurs Sci.2017; 7, 31-36.
  • 38. Lin CY, Yaseri M, Pakpour AH, Malm D, Broström A, Fridlund B. Can a multifaceted ıntervention ıncluding motivational ınterviewing ımprove medication adherence, quality of life, and mortality rates in older patients undergoing coronary artery bypass surgery? A multicenter, randomized controlled trial with 18-month follow-up. Drugs & Aging, 2017; 34(2), 143–156. doi.org/10.1007/s40266-016-0429-3.
  • 39. Zhang W, Sun Y, Liu Y, Qiu W, Ye X, Zhang G, et al. A nursing protocol targeting risk factors for reducing postoperative delirium in patients following coronary artery bypass grafting: Results of a prospective before-after study. Int J Nurs Sci. 2017; 4(2), 81–87. doi.org/10.1016/j.ijnss.2017.02.002
  • 40. Hwang B, Eastwood JA, McGuire A, Chen B, Cross-Bodán R, Doering LV. Cognitive behavioral therapy in depressed cardiac surgery patients: role of ejection fraction. J Cardiovasc Nurs 2015; 30(4), 319–324. doi: 10.1097/JCN.000000000000015.
  • 41. Lai VKW, Ho KM, Wong WT, Leung P, Gomersall CD, Underwood M J,et al. Effect of preoperative education and ICU tour on patient and family satisfaction and anxiety in the intensive care unit after elective cardiac surgery: A randomised controlled trial. BMJ Quality & Safety. 2021; 30(3), 228–235. https://doi.org/10.1136/bmjqs-2019-010667.
  • 42. Rousseaux F, Dardenne N, Massion PB, Ledoux D, Bicego A, Donneau AF, et al. Virtual reality and hypnosis for anxiety and pain management in intensive care units: A prospective randomised trial among cardiac surgery patients. European Journal of Anaesthesiology. 2022; 39(1), 58–66. doi.org/10.1097/EJA.0000000000001633.

Evidence-Based Interventions for Psychosocial Problems During Open Heart Surgery

Yıl 2024, Cilt: 5 Sayı: 1, 33 - 44, 25.10.2024
https://doi.org/10.70479/thdd.1401780

Öz

Cardiovascular diseases (CVD) are the most common leading causes of death worldwide. Surgical treatment has an important place among the treatment methods of heart diseases that are common in adults and elderly individuals. Open heart surgery is an intense process that includes care and follow-up, intensive care, discharge and home care. During this process, the individual may experience psychosocial problems such as anxiety, stress, depression, delirium, sleep disorders, inadequate social support and role confusion. These problems, which may be experienced by patients in the intensive care unit before and after surgery, can be prevented to a significant extent if individual-specific care is planned and implemented. Nurses should be aware of the problems that may occur before and after cardiovascular surgery. It is important for nurses to include evidence-based interventions for these problems in their care plans. The aim of this review is to review the evidence-based interventions applied to the psychosocial problems experienced by the individual during the open heart surgery process and to inform nurses about this subject.

Kaynakça

  • 1. World Health Organization. World Health Statistics 2021: Monitoring health for the SDGs, sustainable development goals, Switzerland Erişim adresi: https://apps.who.int/iris/bitstream/handle/10665/342703/9789240027053-eng.pdf (Erişim tarihi: 10.10.2023).
  • 2. Türkiye İstatistik Kurumu. Ölüm Nedeni İstatistikleri. 2022. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679 (Erişim tarihi: 25.03.2024).
  • 3. Onat A, Can G, Yüksel H, Ademoğlu E, Erginler-Ünaltuna N, Kaya A. ve Altay, S. Tıp dünyasının kronik hastalıklara yaklaşımına öncülük. Tekharf İstanbul:Lodos Yayıncılık; 2017.
  • 4. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Fleisher, et al. AHA/ACC Focused update of the 2014 aha/acc guideline for the management of patients with valvular heart disease: a report of the american college of cardiology/american heart association task force on clinical practice guidelines”. Circulation, 2017; 135 (25), 1159-1195. https://doi.org/10.1161/CIR.0000000000000503.
  • 5. Badır A, Demir KF. Koroner arter hastalıkları.In: Eti Aslan, F., Karadakovan, A. (Ed.), Dahili ve cerrahi hastalıklarda bakım içinde (ss. 431–473). Ankara: Akademisyen Tıp Kitabevi; 2014.
  • 6. Esmaili M, Salehi-Tali S, Mazaheri E, Hasanpour-Dehkordi A, Kheiri S. The effect of the nursing care based on the roy adaptation model on the level of the quality of life and fatigue in the patients undergoing coronary artery bypass graft surgery. Crit Care Nurs Q. 2022; 01;45(1):35-41. https://doi.org/10.1097/CNQ.0000000000000386.
  • 7. Salzmann S, Salzmann-Djufri M, Wilhelm M, Euteneuer, F. Psychological preparation for cardiac surgery. Curr Cardiol Rep. 2020; 22, 172. https://doi.org/10.1007/s11886-020-01424-9.
  • 8. Tigges-Limmer K, Sitzer M, Gummert J. Perioperative Psychological ınterventions in heart surgery–opportunities and clinical benefit. Dtsch Arztebl Int. 2021; 17,118(19):339-345. doi: 10.3238/arztebl.m2021.0116.
  • 9. Amaravathi E, Ramarao NH, Raghuram N, Pradhan B. Yoga-based postoperative cardiac rehabilitation program for ımproving quality of life and stress levels: fifth-year follow-up through a randomized controlled trial. Int J Yoga 2018; 11(1), 44–52. doi.org/10.4103/ijoy.IJOY_57_16.
  • 10. Kashif M, Hamid M, Raza A. Influence of preoperative anxiety level on postoperative pain after cardiac surgery. Cureus. 2022; 14(2), e22170. https://doi.org/10.7759/cureus.22170.
  • 11. Guo P. Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: A review of randomised controlled trials. J Clin Nurs. 2015; 24(1–2),34–46. https://doi.org/10.1111/jocn.12618
  • 12. Adib-Hajbaghery M, Miranzadeh S, Tahmouresi M, Azizi-Fini I. Body image before and after coronary artery bypass graft surgery: comparison and its contributing factors.” BMC Psychol. 2020; 3;8(1),78. https://doi.org/10.1186/s40359-020-00451-z.
  • 13. Younes O, Amer R, Fawzy H, Şama C. Psychiatric disturbances in patients undergoing open-heart surgery. Middle East Curr Psychiatry. 2019; 26, 4. https://doi.org/10.1186/s43045-019-0004-9.
  • 14. Shorofi SA, Jannati Y, Moghaddam HR, Yazdani-Charati J. Psychosocial needs of families of intensive care patients: Perceptions of nurses and families. Nigerian Medical Journal: Journal of the Nigeria Medical Association. 2016; 57(1), 10–18. https://doi.org/10.4103/0300-1652.180557.
  • 15. Koyuncu A, Yava A, Yamak B, Orhan N. Effect of family presence on stress response after bypass surgery. Heart Lung. 2021; 50(2),193-201. https://doi.org/10.1016/j.hrtlng.2020.11.006.
  • 16. Hajalizadeh A, Ahmadinejad M, Dehghan M, Arab M. The educational needs of family of patients discharged from the ıntensive care units: the viewpoints of nurses and the patients' families. Crit Care Res Pract. 2021; 9956023. https://doi.org/10.1155/2021/9956023
  • 17. Protogerou C, Fleeman N, Dwan K, Richardson M, Dundar Y, Hagger MS. “Moderators of the effect of psychological interventions on depression and anxiety in cardiac surgery patients: A systematic review and meta-analysis. Behav Res Ther. 2015; 73, 151–164. https://doi.org/10.1016/j.brat.2015.08.004.
  • 18. Smith G. An introduction to psychological interventions. Smith G. (Ed.), Psychological Interventions in Mental Health Nursing (pp. 1–23). Open University Press; 2012.
  • 19. Willemsen D, Cordes C, Bjarnason-Wehrens B, Knoglinger E, Langheim E, Marx R, et al. Rehabilitationsstandards für die Anschlussheilbehandlung und allgemeine rehabilitation von patienten mit einem herzunterstützungssystem (VAD). Clin Res Cardiol Suppl 11(Suppl 1). 2016; 2–49. https://doi.org/10.1007/s11789-015-0077-x.
  • 20. Aksoy, G. Ameliyat öncesi hemşirelik bakımı içinde Ed. Akyolcu N., Kanan N., Aksoy, G. Cerrahi Hemşireliği II içinde (s. 255-297). İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti; 2017.
  • 21. Zhang QL, Xu N, Huang ST, Lin ZW, Chen LW, Cao H, et al. Music therapy for early postoperative pain, anxiety, and sleep in patients after mitral valve replacement. Thorac Cardiovasc Surg. 2020; 68(6),498-502. https://doi.org/10.1055/s-0040-1713352.
  • 22. Awaludin S, Nurachmah E, Soetisna TW, Umar J. The effect of a smartphone-based perioperative nursing intervention: prayer, education, exercise therapy, hypnosis, and music toward pain, anxiety, and early mobilization on cardiac surgery. J Public Health Res. 2022; 11(2), 2742. doi: 10.4081/jphr.2021.2742.
  • 23. Bagheri H, Moradi-Mohammadi F, Khosravi A, Ameri M, Khajeh M, Chan SW,et al. Effect of Benson and progressive muscle relaxation techniques on sleep quality after coronary artery bypass graft: A randomized controlled trial. Complement Ther Med. 2021; 63, 102784. https://doi.org/10.1016/j.ctim.2021.102784.
  • 24. Chandrababu R, Nayak BS, Pai VB, NR, George LS, Devi ES, et al. Effects of foot massage and patient education in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2020; 40, 101215. https://doi.org/10.1016/j.ctcp.2020.101215
  • 25. Narimani M, Ansari Jaberi A, Negahban Bonabi T, Sadeghi T. Effect of acupressure on pain severity in patients undergoing coronary artery graft: A randomized controlled trial. Anesth Pain Med. 2018; 8(5), e82920. https://doi.org/10.5812/aapm.82920.
  • 26. Kanan N. Kalp ve damar sisteminin cerrahi hastalıkları ve bakımı. Cerrahi Hemşireliği II içinde (s. 65-153). Ed. Akyolcu N., Kanan N., Aksoy, G. İstanbul: Nobel Tıp Kitabevleri Tic. Ltd. Şti; 2017.
  • 27. Karahan A. Kalp damar cerrahisi ve hemşirelik bakımı. Cerrahi Hastalıkları Hemşireliği Akıl Notları içinde (s. 41-59). Ed. Özhan Elbaş N. Ankara: Güneş Tıp Kitabevleri; 2016.
  • 28. Pehlivan K. Açık kalp cerrahisi sonrası tele-hemşirelik yoluyla verilen eğitim ve danışmanlığın ameliyat sonrası anksiyete ve komplikasyonlar üzerine etkisinin incelenmesi, Yüksek lisans tezi, Gaziantep Üniversitesi; 2021.
  • 29. Doering LV, McGuire A, Eastwood JA, Chen B, Bodán RC, Czer LS, et al. Cognitive behavioral therapy for depression improves pain and perceived control in cardiac surgery patients. Eur J Cardiovasc Nurs, 2016; 15(6), 417–424. https://doi.org/10.1177/1474515115592292.
  • 30. Johansson P, Westas M, Andersson G, Alehagen U, Broström A, Jaarsma T, et al. An Internet-based cognitive behavioral therapy program adapted to patients with cardiovascular disease and depression: randomized controlled trial. JMIR Mental Health. 2019; 6(10). https://doi.org/10.2196/14648.
  • 31. Doğan A, Saritaş S. The effects of neuro-linguistic programming and guided imagery on the pain and comfort after open-heart surgery. J Card Surg. 2021; 36(7),2389-2397. https://doi.org/10.1111/jocs.15505.
  • 32. Yoo HJ, Shim J. The effect of a multifaceted family participation program in an adult cardiovascular surgery ICU. Crit Care Med. 2021; 1;49(1):38-48. https://doi.org/10.1097/CCM.0000000000004694.
  • 33. Koçaşlı S. Kanan N. Açık kalp cerrahisi sonrası hastaların fiziksel ve psikososyal iyileşme durumları. Genel Sağlık Bilimleri Dergisi. 2020; 2(3), 146-158.
  • 34. Bahramnezhad F, Sanaie N, Jackson AC, Shariati E, Atashzadeh-Shoorideh F. The of effect of partnership-based education on adherence to the treatment plans in open heart surgery. J Edu Health Promot.2021; 10,353. https://doi.org/10.4103/jehp.jehp_1463_20.
  • 35. Aktas Y, Gok UH, Orak OS. Discharge education ıntervention to reduce anxiety and depression in cardiac surgery patients: A randomized controlled study. J Perianesth Nurs. 2020; 35(2),185-192. https://doi.org/10.1016/j.jopan.2019.08.012.
  • 36. Dalirirad H, Najafi T, Seyedfatemi N. Effect of an educational support programme on caregiver burden among the family members of patients undergoing coronary artery bypass graft surgery. Sultan Qaboos University Medical Journal. 2021; 21(2), e266–e274. doi: 10.18295/squmj.2021.21.02.016.
  • 37. Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study.” Int J Afr Nurs Sci.2017; 7, 31-36.
  • 38. Lin CY, Yaseri M, Pakpour AH, Malm D, Broström A, Fridlund B. Can a multifaceted ıntervention ıncluding motivational ınterviewing ımprove medication adherence, quality of life, and mortality rates in older patients undergoing coronary artery bypass surgery? A multicenter, randomized controlled trial with 18-month follow-up. Drugs & Aging, 2017; 34(2), 143–156. doi.org/10.1007/s40266-016-0429-3.
  • 39. Zhang W, Sun Y, Liu Y, Qiu W, Ye X, Zhang G, et al. A nursing protocol targeting risk factors for reducing postoperative delirium in patients following coronary artery bypass grafting: Results of a prospective before-after study. Int J Nurs Sci. 2017; 4(2), 81–87. doi.org/10.1016/j.ijnss.2017.02.002
  • 40. Hwang B, Eastwood JA, McGuire A, Chen B, Cross-Bodán R, Doering LV. Cognitive behavioral therapy in depressed cardiac surgery patients: role of ejection fraction. J Cardiovasc Nurs 2015; 30(4), 319–324. doi: 10.1097/JCN.000000000000015.
  • 41. Lai VKW, Ho KM, Wong WT, Leung P, Gomersall CD, Underwood M J,et al. Effect of preoperative education and ICU tour on patient and family satisfaction and anxiety in the intensive care unit after elective cardiac surgery: A randomised controlled trial. BMJ Quality & Safety. 2021; 30(3), 228–235. https://doi.org/10.1136/bmjqs-2019-010667.
  • 42. Rousseaux F, Dardenne N, Massion PB, Ledoux D, Bicego A, Donneau AF, et al. Virtual reality and hypnosis for anxiety and pain management in intensive care units: A prospective randomised trial among cardiac surgery patients. European Journal of Anaesthesiology. 2022; 39(1), 58–66. doi.org/10.1097/EJA.0000000000001633.
Toplam 42 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ruh Sağlığı Hemşireliği
Bölüm Derlemeler
Yazarlar

Firdevs Ebru Özdemir 0000-0002-5081-5115

Mualla Yılmaz 0000-0003-2685-4306

Erken Görünüm Tarihi 7 Kasım 2024
Yayımlanma Tarihi 25 Ekim 2024
Gönderilme Tarihi 9 Aralık 2023
Kabul Tarihi 3 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 5 Sayı: 1

Kaynak Göster

Vancouver Özdemir FE, Yılmaz M. Açık Kalp Ameliyatı Sürecinde Yaşanan Psikososyal Sorunlara Yönelik Uygulanan Kanıt Temelli Müdahaleler. THDD. 2024;5(1):33-44.