Koroner Arter Bypass Greft Ameliyat� Ge�iren Hastalar�n Taburculuk Sonras� Tele-Sa�l�k �zlemi ile �z Etkililik ve Memnuniyet Durumunun De�erlendirilmesi

D��rak, Ebru; Savsar, Adile; ��ce Akta�, Filiz; Ayg�ler, M�ge

15/38Son Say� Erken Bask� Ar�iv Pop�ler Makaleler

H�zl� Arama

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Koroner Arter Bypass Greft Ameliyat� Ge�iren Hastalar�n Taburculuk Sonras� Tele-Sa�l�k �zlemi ile �z Etkililik ve Memnuniyet Durumunun De�erlendirilmesi [Turk J Card Nur]

Turk J Card Nur. 2024; 15(38): 156-162 | DOI: 10.5543/khd.2024.34366

Koroner Arter Bypass Greft Ameliyat� Ge�iren Hastalar�n Taburculuk Sonras� Tele-Sa�l�k �zlemi ile �z Etkililik ve Memnuniyet Durumunun De�erlendirilmesi

Ebru D��rak¹, Adile Savsar¹, Filiz ��ce Akta�¹, M�ge Ayg�ler²
¹Hem�irelik B�l�m�, Sa�l�k Bilimleri Fak�ltesi, �zmir Ekonomi �niversitesi, �zmir, T�rkiye
²�zmir Ekonomi �niversitesi, Medical Point Hastanesi, �zmir, T�rkiye

Ama�: Bu �al��ma koroner arter bypass ameliyat� (KABG) ge�iren hastalar�n taburculuk sonras� tele-sa�l�k izlemi ile �z etkililik ve memnuniyet durumunun de�erlendirilmesi amac�yla yap�ld�.

Y�ntem: Tan�mlay�c� ve kesitsel tipte yap�lan bu ara�t�rman�n �rneklemini bir �niversite hastanesinin kalp ve damar cerrahisi klini�inde Temmuz 2022-Nisan 2023 tarihleri aras�nda KABG ameliyat� ge�iren 102 hasta olu�turdu. Verilerin toplanmas�nda ki�isel bilgi formu, 15. g�n ve 30. g�n hasta kontrol formu ile Barnason Etkililik Beklenti �l�e�i (BEB�)�nin Kardiyak Cerrahi Versiyonu kullan�ld�.

Bulgular: Hastalar�n ya� ortalamas� 63,97 � 9,75 ve %75,7�si erkekti. Hastalar�n %95,1�inin yan�nda bakmakla y�k�ml� oldu�u bir ki�i oldu�u, %96,1�inin ziyaret�i k�s�tlamas� yapt��, %85,4�� diyet �nerilerine uydu�u, %85,4�� i� ve d�� mekan y�r�y��leri yapt��, %97,1�i evde ila�lar�n� uygun �ekilde ald��, %99�unun diki�leri belirtilen zamanda ald�rd�� ve tamam�n�n tele-sa�l�k hizmeti taraf�ndan sa�lanan aramalardan memnun oldu�u bulundu. Hastalarda KABG ameliyat� sonras� s�rt �st� uyuma, g��s korsesini kullanma, yataktan kalmadan �nce varis �orab�n� giyme ve triflo topunu kullan�m� 15. g�nden 30. g�ne geldi�inde anlaml� olarak azald�� bulundu (P < 0,05). �al��maya al�nan hastalar�n �z etkililik d�zeylerinin orta d�zeyde oldu�u ve hastalar�n tamam�n�n tele sa�l�k hizmeti ile aranmaktan memnun oldu�u belirlendi.

Sonu�: Elde edilen veriler sonucunda KABG ameliyat� ge�iren hastalar�n taburculuk sonras� �z etkilili�in yetersiz oldu�u ve tele-sa�l�k ile izlemden memnun olduklar� tespit edildi. Bu nedenle hem�irelerin taburculuk sonras� tele sa�l�k izlem say�s�n�n art�r�larak, hastalar�n �z etkililiklerini geli�tiren bilgilere a��rl�k verilmesi �nerilebilir.

Anahtar Kelimeler: Koroner arter bypass greft, hem�irelik, memnuniyet, �z etkililik, tele-sa�l�k

Evaluation of Self-Efficacy and Satisfaction with Post-Discharge Tele-Health Monitoring of Patients Undergoing Coronary Artery Bypass Graft Surgery

Ebru D��rak¹, Adile Savsar¹, Filiz ��ce Akta�¹, M�ge Ayg�ler²
¹Department of Nursing, Faculty of Health Sciences, Izmir University of Economics, Izmir, T�rkiye
²Izmir University of Economics, Medical Point Hospital, Izmir, T�rkiye

Objective: This study aimed to evaluate the self-efficacy and satisfaction with post-discharge tele-health follow-up of patients after coronary artery bypass graft (CABG) surgery.

Methods: This descriptive, cross-sectional study included a sample of 102 patients who underwent CABG surgery in the cardiovascular surgery clinic of a university hospital between July 2022 and April 2023. Data were collected using a personal information form, 15th-day and 30th-day patient control forms, and the Cardiac Surgery Version of the Barnason Efficacy Expectation Scale (BEES).

Results: The mean age of the patients was 63.97 � 9.75 years, and 75.7% were male. In terms of disease management, 95.1% had a dependent, 96.1% restricted visitors, 85.4% adhered to nutritional recommendations, 85.4% engaged in indoor and outdoor walks, 97.1% took their medication appropriately at home, 99% had their stitches removed on time, and all were satisfied with the tele-health service. There was a significant decrease in behaviors such as sleeping on the back, using the chest corset, wearing compression stockings before getting out of bed, and using the triflo ball from the 15th to the 30th day after surgery (P < 0.05). Patients demonstrated moderate self-efficacy levels, and all were satisfied with the tele-health service.

Conclusion: The study revealed two main findings: patients who underwent CABG surgery had moderate self-efficacy and were satisfied with post-discharge tele-health follow-up. Therefore, it is recommended to increase the frequency of tele-health follow-ups by nurses after discharge and to place a greater emphasis on education to improve patients� self-efficacy.

Keywords: Coronary artery bypass graft, nursing, satisfaction, self-efficacy, tele-health

Sorumlu Yazar: Ebru D��rak
Makale Dili: �ngilizce

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