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Effects of Early Showering after Coronary Artery Bypass Surgery on Pain and Patient Comfort: A Clinical Trial
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Mohsen Safarabadi   , Mohammad Reza Heydari * , Shima Haghani |
| Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran , mheidari@shahed.ac.ir |
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Abstract: (48 Views) |
Background & aim: Showering after coronary artery transplant surgery is a procedure that the way and time of doing it is one of the problems of patients. Taking a shower or bathing early causes the patient to move early, which prevents deep vein thrombosis, and on the other hand, encourages the patient to take deep breaths, which can prevent chest infection. This study aims to reveal the effects of early showering after coronary artery bypass surgery on pain and patient comfort.
Methods: This research is a randomized clinical trial study in which 88 patients who underwent coronary artery bypass surgery and were hospitalized in the special care department of Valiasr Hospital were divided into two control and experimental groups using a block randomization method. Three patients from the intervention group due to tamponade, radial artery thrombosis and delirium and three from the control group (two patients due to prolongation of chest tube removal time more than 72 hours and one patient because of death due to heart failure and cardiorespiratory arrest) were excluded from the study. As the patients in the control group did not take a shower until they were in the hospital, but their showering time was at home on the day of discharge and on a daily basis. According to the protocol, the test group took a shower once a day from 48 to 72 hours after the operation, and the bathing process and evaluations continued daily until discharge. At the time of discharge, the patients were asked to continue bathing daily and on the 14th day after the operation (one week after the discharge), they were asked to visit their surgeon at the clinic for follow-up wound examination, adjustment of medications and continuation of treatment. The first evaluation of pain and comfort was done 48 to 72 hours after the operation and then daily 30 minutes after showering by the researcher. Pain was assessed using a Visual Analogue Scale (VAS).
Results: There was a significant relationship between early showering and the level of pain and comfort of the patients. Pain was lower in all evaluations in the intervention group than in the control group. Comfort was higher in all evaluations in the intervention group than in the control group.
Conclusion: Early showering after coronary artery bypass surgery has a direct effect on patient pain and comfort. The results showed that early showering after coronary artery bypass surgery reduces pain and increases patient comfort. |
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| Keywords: Coronary Artery Bypass, Pain, Patient Comfort, Taking an Early Shower |
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Full-Text [PDF 1340 kb]
(25 Downloads)
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Type of Study: Applicable |
Subject:
Special
Received: 2024/09/1 | Accepted: 2025/02/1 | Published: 2025/08/13
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