Comparison of Pain Levels in Patients Experiencing Coronary Artery Bypass Graft Surgery With or Without Cardiopulmonary Bypass

2.50
Hdl Handle:
http://hdl.handle.net/10755/147495
Type:
Presentation
Title:
Comparison of Pain Levels in Patients Experiencing Coronary Artery Bypass Graft Surgery With or Without Cardiopulmonary Bypass
Abstract:
Comparison of Pain Levels in Patients Experiencing Coronary Artery Bypass Graft Surgery With or Without Cardiopulmonary Bypass
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Boston, Gail, RN, MSN, CCRN
P.I. Institution Name:Nebraska Methodist Hospital
Title:Clinical Nurse Educator
The purpose of this descriptive comparative study is to determine if there is a difference in pain levels between patients experiencing off-pump coronary artery bypass surgery (CABG) and CABG with cardio-pulmonary bypass (on-pump), and to determine if postoperative pain levels experienced by CABG patients are self-determined as reasonable. Seventy-two patients participated in this study: 45 patients had off-pump CABG surgery and 27 patients had on-pump CABG surgery. The Numerical Rating Scale (NRS) was used to measure pain. Patients rated their pain at four time intervals postoperatively: (a) the operative day, 1-hour post-extubation, (b) first postoperative day at 8:00am and 4:00pm, and (c) second postoperative day at 12:00 noon. Data were analyzed using descriptive statistics and paired t-tests. The average postoperative pain ratings were compared between the two groups. No significant differences in pain ratings were found between the groups. The average preoperative reasonable pain ratings were compared to the average postoperative pain ratings of the entire group. The pain levels were significantly higher than were determined preoperatively as reasonable at the one-hour post-extubation assessment. At the subsequent three pain rating measurements, the pain levels were significantly lower. Nursing practice regarding pain management based on the evidence provided by research, results in improved patient outcomes. The findings of this study provides nurses with needed information about the pain experience.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of Pain Levels in Patients Experiencing Coronary Artery Bypass Graft Surgery With or Without Cardiopulmonary Bypassen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147495-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of Pain Levels in Patients Experiencing Coronary Artery Bypass Graft Surgery With or Without Cardiopulmonary Bypass</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Boston, Gail, RN, MSN, CCRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Nebraska Methodist Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Educator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gail.boston@nmhs.org</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this descriptive comparative study is to determine if there is a difference in pain levels between patients experiencing off-pump coronary artery bypass surgery (CABG) and CABG with cardio-pulmonary bypass (on-pump), and to determine if postoperative pain levels experienced by CABG patients are self-determined as reasonable. Seventy-two patients participated in this study: 45 patients had off-pump CABG surgery and 27 patients had on-pump CABG surgery. The Numerical Rating Scale (NRS) was used to measure pain. Patients rated their pain at four time intervals postoperatively: (a) the operative day, 1-hour post-extubation, (b) first postoperative day at 8:00am and 4:00pm, and (c) second postoperative day at 12:00 noon. Data were analyzed using descriptive statistics and paired t-tests. The average postoperative pain ratings were compared between the two groups. No significant differences in pain ratings were found between the groups. The average preoperative reasonable pain ratings were compared to the average postoperative pain ratings of the entire group. The pain levels were significantly higher than were determined preoperatively as reasonable at the one-hour post-extubation assessment. At the subsequent three pain rating measurements, the pain levels were significantly lower. Nursing practice regarding pain management based on the evidence provided by research, results in improved patient outcomes. The findings of this study provides nurses with needed information about the pain experience.</td></tr></table>en_GB
dc.date.available2011-10-26T09:33:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:33:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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