تأثير پيگيري تلفني پس از ترخيص بر علائم، عوارض و بستري مجدد بيماران پس از جراحي پيوند عروق كرونري در شهر همدان

THE EFFECT OF POST-DISCHARGE TELEPHONE FOLLOW-UP (TELENURSING) ON SYMPTOMS, COMPLICATIONS, an‎d READMISSION OF PATIENTS AFTER CORONARY ARTERY BYPASS GRAFT SURGERY IN HAMADAN

پيش زمينه و هدف يكي از روش هاي آموزش در پرستاري، تله نرسينگ يا پرستاري از راه دور است. بيشترين كاربرد تله نرسينگ مربوط به مراقبت در منزل است. مطالعه حاضر با هدف تعيين تاثير پيگيري تلفني پس از ترخيص بر علايم، عوارض و بستري مجدد بيماران پس از جراحي پيوند عروق كرونر در شهر همدان طراحي گرديد. مواد و روش ها اين مطالعه از نوع نيمه تجربي در سال 1398 بر روي 70 بيمار پس از جراحي پيوند عروق كرونري در بيمارستان قلب فرشچيان همدان انجام شد. بيماران به دو گروه 35 نفري در گروه آزمون و كنترل بر اساس بلوك بندي تصادفي تخصيص يافتند. بيماران گروه مداخله به طور هفتگي تا 4 هفته تماس تلفني برقرار شد و علايم و عوارض بعد از عمل از طريق پرسشنامه تكميل و آموزشهاي لازم داده شد. ابزار پژوهش شامل چك ليست اطلاعات دموگرافيك، بستري مجدد و ابزار ارزيابي علايم قلبي بود. جهت تجزيه و تحليل داده از نرم افزار SPSS 16 و آزمونهاي آمار توصيفي، تي زوجي و آزمون من ويتني استفاده شد. يافته ها نتايج نشان داد كه كاهش علايم و عوارض در گروه آزمون در پايان هفته چهارم از نظر آماري معني دار بود (p

Background & Aims: One of the methods of training in nursing is telenursing. The most common use of telenursing is for home care. The purpose of this study is to determine the effect of telephone follow-up after discharge on symptoms, complications, and readmission in the patients after coronary artery bypass graft surgery in Hamadan. Materials & Methods: This quasi-experimental study was performed in 2019 on 70 patients after coronary artery bypass graft surgery in Farshchian Heart Hospital in Hamadan, Iran. Patients were divided into two groups of 35 and they were labeled as intervention and control groups based on random blocking. Patients in the intervention group received telephone calls weekly for up to 4 weeks. The follow-ups included postoperative symptoms and complication checking through questionnaires; additionally, necessary training instructions were given. Research tools included a demographic information checklist, readmission, and a cardiac symptom survey. Data were analyzed by SPSS 16 software, and descriptive statistical tests, paired t-test, and Mann-Whitney test were used for data analysis. Results: The results showed that there was a statistically significant decrease in symptoms and complications in the experimental group at the end of the fourth week (p <0.001). Also, there was no significant difference in symptoms and complications in the experimental and control groups after one month, despite the decrease in the mean score in the experimental group (p <0.05). There was no significant difference in postoperative readmission between the two groups, but the findings of the study showed that patients in the control group were hospitalized longer to improve the complications. Conclusion: Post-discharge telephone follow-up is effective in reducing the incidence of postoperative symptoms and complications of the coronary artery bypass grafting and it is recommended to use telephone follow-up as one of the training methods to provide services to patients.