A Study to Evaluate Effectiveness of Nursing Intervention in The Prevention of Complications of ICD In CABG Patients in Selected Hospitals

Abstract

Objective: To evaluate the effectiveness of nursing interventions in preventing complications of intercostal drainage (ICD) and to assess the association of ICD complications with demographic variables. Hypotheses: H1: There will be significant differences in the post-test values of nursing interventions regarding the prevention of complications from intercostal drainage. H2: There is a significant association between complications of intercostal drainage and demographic variables (age, gender, educational qualification, type of surgery). Methods: A quantitative research approach with a post-test quasi-experimental single-group design was employed. A non-probability purposive sampling technique was used. Thirty post-operative CABG (coronary artery bypass grafting) patients who met the designated criteria during the data collection period were included. Tools used included a demographic variables form, an observational checklist to assess complications of intercostal drainage, and a nursing intervention protocol for the prevention of ICD complications. Findings: On the 1st day: 19.7% of post-operative CABG patients reported mild pain, 35.7% reported moderate pain, and 44.6% reported severe pain. On the 2nd day: 44.7% of post-operative CABG patients reported mild pain, 28% reported moderate pain, and 27.3% reported severe pain. On the 3rd day: 61% of post-operative CABG patients reported mild pain, 24.3% reported moderate pain, and 14.7% reported severe pain. The findings indicate statistically significant differences in the mean post-test levels of nursing intervention between samples. Therefore, H1 was accepted, and H0(1) was rejected. Conclusion: The results demonstrate that nursing interventions were effective in preventing complications of ICD among post-operative CABG patients.