Abstract

ARIZA, Claudia. Nursing care of the patient in early postoperative myocardial revascularization. Rev. Colomb. Cardiol. [online]. 2013, vol.20, n.6, pp.372-380. ISSN 0120-5633.

Postoperative early stage after grafting of coronary artery bypass, remains one of the most critical phases for the patients undergoing heart surgery. We intended to design a nursing proposal based on the problems presented by patients at this stage of the recovery process (48-96 hours), from the description and interpretation of clinical events requiring nursing care (CERNC) and situations that require nursing care (SRNC). The CERNC included quantitative data on the neurological, cardiovascular and respiratory systems and in the skin. These data were collected through Record Sheet Information (RSI), medical history and general information, diagnostics and surgery-related data. Secondly, qualitative data, which include welfare, achievements, reasoning, benefit, complacency, beliefs and values, suffering, anxiety and grief were investigated through in-depth semi-structured interviews. Quantitative data (CERNC) were analyzed using the Rasch model, descriptive statistics and multiple correspondence analysis and classification method (cluster analysis). Qualitative data (SRNC) were coded and grouped into categories, and then analyzed and interpreted accordingly. The analysis showed that the changes that occur immediately after surgery remain along the whole recovery process. The identification of these led to the drafting of a proposed nursing care to patients during CABG.

Keywords : adults; care; coronary bypass surgery.

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