ABSTRACT
By means of a literature review of nursing articles, the authors aim to evaluate the importance of educational programmes before and after cardiac surgery, to assess the advantages and drawbacks of these programmes and to evaluate the need for following-up patients and their carers after being discharged from hospital. Health Education and cardiac surgery: Delivering information following cardiac surgery is an essential task, not only to achieve a behavioural change and the development of patients' self-care attitudes but also to reduce their anxiety. It is also essential to educate family members as they are the most importance source of physical and emotional support following surgery. Issues about in-hospital teaching programmes: Despite the numerous benefits of in-hospital teaching programmes, the actual tendency to shorten hospitalisation length in association with the high levels of anxiety, impede patients and carers' learning. Some studies suggest that these educational programmes have not completely achieved the task of preparing patients and their families to face the early recovery. Education during the early recovery: The authors highlight those studies that have focused on patients and their carers' needs for information following discharge from hospital. Results from these studies show the need for following-up patients and their carers at this period. Educational programmes can extent and reinforce the information provided at hospital.
Subject(s)
Cardiac Surgical Procedures/nursing , Patient Education as Topic , Home Nursing , Hospitalization , Humans , Program EvaluationABSTRACT
OBJECTIVE: Describe the expectations and the experiences which patients who undergo saphenactomy in outpatient surgery (CMA) have regarding their recuperation and to ascertain if their knowledge about this process corresponds with reality. MATERIAL AND METHODS: A descriptive-comparative survey with one part being quantitative and the other qualitative. A consecutive sample by 25 patients who completed 8 questionnaires. Data obtained was analyzed with the Chi-squared test and content analysis procedures. RESULTS: The majority of these patients received health education, 100% had postoperative symptoms but their recuperation was good along general lines. Their expectations were precise since there were no significant differences between the recuperation they expected and that which they underwent. Previous experiences in CMA had a very significant influence in the perceptions patients held, (p < 0.01). CONCLUSIONS: Saphenactomy in outpatient wards obtained satisfactory results although there are aspects which need be researched in greater detail, mainly those related to Health Education.
Subject(s)
Ambulatory Surgical Procedures , Saphenous Vein/surgery , Varicose Veins/surgery , Adult , Aged , Female , Humans , Male , Middle Aged , Patient Education as Topic , Patient Satisfaction , Surveys and QuestionnairesABSTRACT
Mediante una extensa revisión bibliográfica se evalúa el rol de la educación sanitaria en la cirugía cardiaca, las ventajas e inconvenientes de los programas de educación intrahospitalaria y la necesidad de instaurar programas de educación sanitaria después del alta hospitalaria. La educación sanitaria es esencial para proporcionar información a los pacientes antes de una cirugía cardiaca y durante el período postoperatorio, no sólo para conseguir una pronta recuperación y adaptación a un nuevo estilo de vida, sino también para reducir la ansiedad y los efectos adversos que de ella se derivan. La información a la familia puede desempeñar un rol clave en la recuperación de los pacientes ya que la familia constituye la principal fuente de soporte físico y emocional tras la cirugía. A pesar de los numerosos beneficios de la educación sanitaria intrahospitalaria, se analizan dos factores que dificultan el aprendizaje del paciente y/o familia: la ansiedad y el acortamiento del tiempo de ingreso. Los estudios aquí descritos sugieren que la información intrahospitalaria no es suficiente para preparar al paciente y familia a afrontar su recuperación y los cambios en el estilo de vida. La educación extrahospitalaria es pues una necesidad. Se muestran estudios sobre las necesidades de información y los problemas que surgen tras el alta hospitalaria, demostrando la conveniencia de programas de educación extrahospitalaria que extiendan y refuercen la información proporcionada (AU)
