التفاصيل البيبلوغرافية
| العنوان: |
НА ПАЦИЕНТИ СЛЕД СЪРДЕЧНА ОПЕРАЦИЯ. (Bulgarian) |
| العنوان البديل: |
NEED FOR HOME CARE TRAINING FOR PATIENTS AFTER HEART SURGERY. (English) |
| المؤلفون: |
Иванова, Д. |
| المصدر: |
Medical Review - Cardiovascular Diseases; 2021, Vol. 52 Issue 1, p30-35, 6p |
| مصطلحات موضوعية: |
MEDICAL personnel, HOSPITAL admission & discharge, SURGICAL site, PATIENT aftercare, POSTOPERATIVE period, HOME nursing, PREOPERATIVE risk factors, CARDIAC intensive care |
| مصطلحات جغرافية: |
SOFIA (Bulgaria) |
| مستخلص: |
The postoperative period in patients who have undergone heart surgery requires good preparation of the patient and his active participation in the treatment process, which continues at home. The postoperative period includes the time from the operation to the discharge of the patient from the hospital. Postoperative care is performed mainly during hospitalization, but the observation of the patient and care for his full recovery continue after discharge from the hospital ward. The main goal of the postoperative period is prevention and treatment of the pain syndrome, infusion therapy, adequate nutrition, care for the surgical wound, if necessary, fight the infection. In order to fully restore the patient's capacity, it is necessary to conduct rehabilitation, which aims to restore the physical, psychological and socio-economic functions of the patient. In this rehabilitation process, it is important to determine the place and importance of nursing care. Achieving good results in the postoperative period is possible by conducting a nursing assessment of care needs, developing a care plan and its implementation. The role of the nurse is primarily related to informing the patient about the risk factors and helping him to improve the quality of life. After hospitalization, it is important that a nurse with the appropriate professional qualification is actively involved in the care of the patient's home. The aim of the present study was to identify patients' need for training for care after cardiac surgery at home, their self-assessment in terms of adaptation and awareness, and the need for care after hospitalization. Material and methods: A questionnaire was developed and an anonymous survey of 100 patients who were hospitalized for cardiac surgery at the Hospital "Lozenets" -- Sofia, took place. The survey was conducted before their discharge from the hospital in the period 2019 -- 2020. In questioning of patients students majoring in "nurse" at the Faculty of Medicine, Sofia University „Sv. Kliment Ohridski", were included. Results: According to the data obtained, the survey included 60.00% of men and 40.00% of women who underwent surgical treatment at the Clinic of Cardiac Surgery of Hospital "Lozenets" -- Sofia. The average age of the surveyed men is 64 years, and of women -- 59 years. These results show that patients are almost equal in both sexes, with men predominating over women. Patient responses regarding the patient awareness of the risks and complications show that nearly half of the respondents were not informed about the risks and complications in the postoperative period. These results clearly indicate the need for training to inform patients in more detail and detail about the postoperative period in cardiac surgery. Patients find it difficult to adapt to the regimen that they are required to follow during the postoperative period. Only a quarter of the respondents indicated that they were fully informed about the care they had to take at home. At home, there are too many risk factors for the patient after heart surgery and he must be well prepared to cope with daily activities without disrupting the healing process and the rehabilitation process. Almost all patients accept the idea of consultation and care from a nurse at home. Discussion: The study confirms the need for training in home care for patients after heart surgery and the important role of nurses in this process. The health professional trains and helps the patient to acquire new skills for independent and dignified life during the treatment and after. An important element of training should be the different situations, in which the patient is trained in the decisions he has to make and in the behaviors and care that must be followed to avoid complications of a different nature. Patients find it difficult to adapt to the regimen they need to follow after heart surgery. The patient must have a positive attitude in order to mobilize and direct his efforts towards the proper conduct of the recovery. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
