EFFECT OF GUIDED REFLECTION ON SELF-CARE IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFT SURGERY: A RANDOMIZED CONTROLLED TRIAL

ELAHE MOUSAVI, MALİHE AMERI, ALİ MORAD HEIDARI GORJI, SEYEDEH SOLMAZ TALEBI, SEYEDMOHAMMAD MIRHOSSEINI, HOSSEİN EBRAHIMI

Archives of Health Science and Research - 2024;11(1):8-13

Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran

 

Objective: This study aimed to evaluate the effect of guided reflection on self-care of patients undergoing coronary artery bypass graft surgery (CABG). METHODS: This randomized clinical trial study was conducted on 94 eligible participants who underwent CABG with a convenience sampling technique in northern Iran. Participants were divided into guided reflection and control groups based on block randomization. In the intervention group, guided reflection steps were per formed for participants. Participants selected were evaluated using a self-care questionnaire. Routine training was provided for the control group. Using a self-care questionnaire, data collection was done. Data were analyzed using descriptive and inferential statistics (i.e., independent t-test and chi-squared test) at a significance level of .05 by Statistical Package for the Social Sciences Statistics software. Results: A comparison of the 2 groups showed no significant difference in the self-care of participants at the baseline (P=.24), but after the intervention, the mean self-care score in the guided reflection group compared to the control group showed a significant increase (P < .001). Conclusion: It is recommended to perform the training based on the guided reflection method to improve the self-care behaviors in patients undergoing CABG. This kind of patient education, as a novel approach, significantly impacted self-care behavior improvement.