Emine Çatal, Aklime Sarıkaya
Perspectives in Palliative & Home Care - 2025;4(2):67-81
Background/ Object ive: Globally, coronary artery bypass graft surgery is increasing in parallel with the increase in coronary artery disease, and home care management of patients after this major surgery is becoming more important. To examine the impact of nursing care provided to patients undergoing coronary artery bypass graft surgery on discharge learning needs, meeting these needs, perception of recovery, coping and adaptation levels, and quality of life. Material and Methods: The study was conducted using a quasi-experimental, prospective, and longitudinal research design. The study sample consisted of 80 patients, 40 intervention and 40 control. Data were collected in the cardiovascular surgery clinics and outpatient clinics of a university and a training and research hospital in Antalya Province. Data were collected via face-to-face interviews, including initial preoperative measurements and repeated measurements at the first and third months. The control group received routine clinical care. Results: In the intervention group patients undergoing coronary artery bypass graft surgery, the level of discharge learning needs met, perception of recovery, coping and adaptation levels, and quality of life levels were significantly higher than in the control group across all subscales and measurements (p<0.05). The highest priority for discharge learning needs was reported in the "Activities of living" subscale in both the intervention and control groups. At discharge, in all measurements at one and three months, intervention group patients reported their learning needs as "fully met", while patients receiving routine clinical care reported their needs as "neither more nor less met". Conclusion: Nursing care provided to patients undergoing coronary artery bypass graft surgery was found to improve the level of discharge learning needs met, perception of recovery, coping and adaptation levels, and quality of life.
