Effects of discharge teaching and counselling on anxiety and depression level of CABG patients

Amaç: Bu çalışmada taburculuk eğitimi ve danışmanlık hizmetinin koroner arter bypass greftleme ameliyatı geçiren hastaların anksiyete ve depresyon düzeylerine olan etkileri değerlendirildi. Çalışma planı: Bu yarı deneysel anket çalışmasına toplam 109 hasta dahil edildi ve hastalar müdahale (n=57) ve kontrol (n=52) olmak üzere iki gruba ayrıldı. Müdahale grubundaki hastalara hastaneye yattıkları günden itibaren araştırma hemşiresi tarafından taburculuk eğitimi ve danışmanlık hizmeti verildi. Kontrol grubundaki hastalar ise rutin klinik uygulamalar dışında planlı bir eğitim ve danışmanlık almadı. Hasta verileri, “Kişisel Bilgi Formu” ile Hastane Anksiyete ve Depresyon Ölçeği kullanılarak toplandı. Müdahale ve kontrol grubundaki hastaların anksiyete ve depresyon seviyeleri hastaneye yattıkları gün, taburcu oldukları gün ve taburcu olmalarından bir hafta ve bir ay sonra Hastane Anksiyete ve Depresyon Ölçeği kullanılarak ölçüldü.Bulgular: Müdahale grubundaki hastaların ortalama anksiyete ve depresyon skorlarının taburcu oldukları sırada ve taburcu olmalarından bir hafta ve bir ay sonra kontrol grubundakinden düşük olduğu bulundu.Sonuç: Müdahale grubundaki hastalara verilen taburculuk eğitimi ve danışmanlık hizmeti, hastaların anksiyete ve depresyonunun hafifletilmesi açısından pozitif bir etki göstermiştir. Bu nedenle, kurumların araştırmadaki yöntemler kullanılarak multidisipliner hasta eğitim ve danışmanlık faaliyetlerini desteklemeleri önerilebilir.

Taburculuk eğitimi ve danışmanlık hizmetinin KABG hastalarının anksiyete ve depresyon düzeylerine etkisi

Background: In this study we evaluate the effect of discharge teaching and counselling on anxiety and depression levels of patients undergoing coronary artery bypass graft surgery. Methods: Hundred and nine patients were included in this quasi-experimental survey study and divided into two groups as; the intervention group (n=57) and the control group (n=52). Patients in the intervention group were given planned discharge teaching and counselling by the research nurse beginning from hospitalization while the patients in the control group did not receive planned discharge teaching and counselling other than the routine clinical procedures. The patient data were collected using the “Personal Information Form” and the Hospital Anxiety and Depression Scale. The anxiety and depression levels of the patients in the control and intervention groups were measured on the day of their admission to the hospital, on the day of discharge and one week and one month after discharge using the Hospital Anxiety and Depression Scale.Results: It was found that the mean anxiety and depression scores of the patients in the intervention group were lower than in the control group at the time of discharge and one week and one month after discharge.Conclusion: Discharge training and counselling service given to patients in the intervention group had a positive impact on alleviating the anxiety and depression they had. Therefore, the institutions may be recommended to support multidisciplinary patient training and counselling activities using the methods decribed in this study.

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