EFFECTS OF PRE-OPERATIVE EDUCATION ON POST-OPERATIVE PAIN, ANXIETY AND PATIENT’S SATISFACTION AFTER CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY
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Keywords
Pre-Operative Education, Post-Operative Pain, Patient Satisfaction.
Abstract
Background: Coronary artery disease (CAD) occurs when the coronary arteries become narrowed or blocked, and Coronary Artery Bypass Graft (CABG) surgery is performed to restore blood flow and relieve angina. This study aims to compare the impact of pre-operative education on post-operative outcomes in patients undergoing CABG surgery. Aim of the study: The aim of the study was to compare the impact of pre-operative education on post-operative outcomes in patients undergoing Coronary Artery Bypass Graft (CABG) surgery. Methods: This randomized clinical trial was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from January 2015 to June 2015. Fifty patients aged ≥30 years scheduled for elective CABG were randomly assigned to Group I (control, n=25) or Group II (pre-operative education, n=25). Data were collected using structured interviews, the State-Anxiety Questionnaire, VAS, and VRS, and analyzed with SPSS 17.0 (Student’s t-test and Chi-square, p<0.05. Results: Most patients were middle-aged (41–60 years) and male (Group I: 96%; Group II: 88%). Post-operative anxiety (41.44 ± 4.73 vs. 56.20 ± 3.30, p < 0.001) and VAS pain scores (0–4 POD: 5.72–0.32 vs. 6.28–0.68, p < 0.05) were lower, while satisfaction (7.00 ± 0.0 vs. 5.60 ± 0.50, p < 0.001) and hospital stay (10.56 ± 0.50 vs. 12.68 ± 0.74 days, p < 0.001) improved in Group II. Conclusion: In this study, pre-operative education significantly reduced post-operative pain and anxiety and improved patient satisfaction following CABG surgery.
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Dr. Md. Hasanuzzaman
Consultant, Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Dr. Imrul Kaies
Medical Officer, Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Dr. Mohammad Mominul Haque
Medical Officer, Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Dr. Md. Nuruzzaman
Register, Department of Anaesthesia, Evercare Hospital, Dhaka, Bangladesh
Dr. Md. Hassnul Alam
Medical Officer, Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Dr. Sohel Ahmed
Medical Officer, Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Dr. Most. Lubna Mariom
Consultant, Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
Dr. Mohammad Musfiqur Rahman
Research Assistant, Department of Anaesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh