Abstract
Objective: Patients with coronary artery bypass grafting
require special care at home, and not being aware of this care before
surgery can cause anxiety. This study aimed to determine the effect of
home care training on anxiety and vital signs levels in CABG patients.
Methods: This clinical trial study was performed on 80 patients
undergoing CABG surgery in Farshchian Hospital in Hamadan, Iran, in
January 2020. Samples were selected by convenience sampling and were
randomly divided into intervention and control groups. The control group
received only routine training, but the intervention group also received
two-session training of home care. Data were collected using the
Spielberger situational anxiety questionnaire and the vital signs
checklist, then analyzed using descriptive and inferential statistics in
SPSS software version 16.
Results: The results showed that before the intervention, the
mean scores of anxiety, heart rate, respiratory rate, temperature,
systolic blood pressure, and diastolic blood pressure of the two groups
were not significantly different(P>0/05). However, after
the intervention, the mean score of anxiety, the heart rate, respiratory
rate, systolic blood pressure, and diastolic blood pressure of the
intervention group was lower than the control group
significantly(P<0/05), But the mean temperature of the two
groups showed no significant difference(P>0/05).
Conclusions: Home care training before surgery reduces anxiety
and vital signs, therefore the use of home care training before surgery
is recommended in this group of patients.
Clinical trial registry: IRCT20181211094132N1
Keywords: Anxiety, Coronary Artery Bypass Grafting, Home-care,
Vital signs