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Journals / Balkan Sağlık Bilimleri Dergisi / 2026 / Cilt: 3 Sayı: 2

POSTOPERATIVE COMPLICATIONS AFTER THORACIC AND CARDIAC SURGERY AND THEIR IMPACT ON PATIENTS' PERCEPTION OF NURSING CARE QUALITY

Göğüs ve Kalp Cerrahisi Sonrası Komplikasyonlar ve Bu Komplikasyonların Hemşirelik Bakım Kalitesi Algısı Üzerindeki Etkisi

Ümmü Yıldız Fındık(TRAKYA ÜNİVERSİTESİ)0000-0003-4120-394X
Duygu Soydaş(TRAKYA ÜNİVERSİTESİ)0000-0001-6276-2930
Ayşe Gökce Işıklı(TRAKYA ÜNİVERSİTESİ)0000-0003-3785-1020
Pages
69–80
Publication Date
2024-12-27
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Results: It was found that postoperative complications developed in 49.5% of the patients, most commonly heart rhythm disorders and pressure injuries.

📌 3 Key Takeaways

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Objective & Hypothesis:Abstract Background: Nurses ensure patient safety during the perioperative period.
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Key Findings & Data:Methods: The present work was performed as a cross-sectional study with 103 patients in Türkiye between May 2017 and May 2019.
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Conclusion & Impact:Results: It was found that postoperative complications developed in 49.5% of the patients, most commonly heart rhythm disorders and pressure injuries.
🔬Design:Araştırma Makalesi
📍Scope:2017 Verileri
⚙️Variables:ameliyat sonrası komplikasyonlar · bakım kalitesi algısı · göğüs cerrahisi

Abstract

Abstract Background: Nurses ensure patient safety during the perioperative period. However, there is a risk of complications after surgery, and postoperative complications have negative effects on many issues, such as the recovery process. Objectives: This study aims to determine complications after thoracic and cardiac surgery and the impact of these complications on the perceptions of nursing care quality by patients. Methods: The present work was performed as a cross-sectional study with 103 patients in Türkiye between May 2017 and May 2019. Data were collected on postoperative day 4 or 5 using a patient information form, a complication control form, and the Caring Behaviors Inventory-24 (CBI-24). Results: It was found that postoperative complications developed in 49.5% of the patients, most commonly heart rhythm disorders and pressure injuries. The mean CBI-24 scores of patients who experienced complications were statistically significantly higher than those of patients who did not experience any complications. Conclusions: The results show that approximately 50 percent of the patients experienced complications; the most common complications were heart rhythm disorders and pressure injury, and perception of nursing care quality of patient with complication was higher than other patients. There is a need for improvements in the care and treatment of patients and scientific studies on this subject to reduce complications after thoracic and cardiac surgeries. We recommend that nurses take patient-specific precautions to prevent complications after thoracic and cardiac surgery.

Özet

Arka plan: Hemşireler perioperatif dönemde hasta güvenliğini sağlar. Ancak, ameliyat sonrası komplikasyon riski vardır ve ameliyat sonrası komplikasyonların iyileşme süreci gibi birçok konuda olumsuz etkileri vardır. Amaçlar: Bu çalışma, göğüs ve kalp cerrahisi sonrası komplikasyonları ve bu komplikasyonların hastaların hemşirelik bakım kalitesi algıları üzerindeki etkisini belirlemeyi amaçlamaktadır. Yöntemler: Bu çalışma Bu çalışma, Mayıs 2017-Mayıs 2019 tarihleri arasında Türkiye'de 103 hasta ile kesitsel bir çalışma olarak gerçekleştirildi. Veriler ameliyat sonrası 4. veya 5. günde hasta bilgi formu, komplikasyon kontrol formu ve Bakım Davranışları Envanteri-24 (CBI-24) kullanılarak toplandı. Bulgular: Hastaların %49,5'inde ameliyat sonrası komplikasyon geliştiği, bunların en sık kalp ritim bozuklukları ve basınç yaralanmaları olduğu tespit edilmiştir. Komplikasyon yaşayan hastaların ortalama CBI-24 skorları, komplikasyon yaşamayan hastalarınkinden istatistiksel olarak anlamlı derecede yüksekti. Sonuçlar: Sonuçlar, hastaların yaklaşık yüzde 50'sinin komplikasyon yaşadığını; en sık görülen komplikasyonların kalp ritim bozuklukları ve basınç yaralanması olduğunu ve komplikasyon yaşayan hastaların hemşirelik bakım kalitesi algısının diğer hastalara göre daha yüksek olduğunu göstermektedir. Göğüs ve kalp ameliyatları sonrası komplikasyonların azaltılması için hastaların bakım ve tedavilerinde iyileştirmelere ve bu konuda bilimsel çalışmalara ihtiyaç vardır. Hemşirelerin göğüs ve kalp cerrahisi sonrası komplikasyonları önlemek için hastaya özgü önlemler almalarını öneriyoruz.

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Cite This Article

Fındık, Ü. Y., Soydaş, D., Işıklı, A. G. (2024). POSTOPERATIVE COMPLICATIONS AFTER THORACIC AND CARDIAC SURGERY AND THEIR IMPACT ON PATIENTS' PERCEPTION OF NURSING CARE QUALITY. Balkan Sağlık Bilimleri Dergisi, Cilt: 3 Sayı: 2, 69–80. https://doi.org/10.61830/balkansbd.1478637

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References (25)

  1. World Health Organisation. Cardiovascular diseases (CVDs). 11 June 2021. Accessed 23 May 2023. https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
  2. World Health Organisation. Investing 1 dollar per person per year could save 7 million lives in low- and lower-middle-income countries. 13 December 2021. Accessed 23 May 2023. https://www.who.int/news/item/13-12-2021-investing-1-dollar-per-person-per-year-could-save-7-million-lives-in-low-and-lower-middle-income-countries
  3. Meara JG, Leather AJ, Hagander L, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386:569-624. https://doi.org/10.1016/j.ijoa.2015.09.006
  4. Onat A, Can G. Erişkinlerimizde kalp hastalıkları prevalansı, yeni koroner olaylar ve kalpten ölüm sıklığı [Prevalence of heart diseases, new coronary events, and frequency of cardiac death in our adults]. In: Onat A, editor. TEKHARF 2017 tıp dünyasının kronik hastalıklara yaklaşımına öncülük. Istanbul, Türkiye: Logos Yayıncılık; 2017:20-25.
  5. Rodgers JL, Jones J, Bolleddu SI, et al. Cardiovascular Risks Associated with Gender and Aging. J Cardiovasc Dev Dis. 2019;6(2):19. Published 2019 Apr 27. https://doi.org/10.3390/jcdd6020019
  6. Ohira T, Eguchi E, Hayashi F, Kinuta M, Imano H. Epidemiology of cardiovascular disease in Japan: An overview study. J Cardiol. 2024;83(3):191-200. https://doi.org/10.1016/j.jjcc.2023.08.006
  7. Fernandez FG, Shahian DM, Kormos R, et al. The society of thoracic surgeons national database 2019 annual report. Ann Thorac Surg. 2019;108:1625-1632. https://doi.org/10.1016/j.athoracsur.2019.09.034 8. Committee for Scientific Affairs, The Japanese Association for Thoracic Surgery; Shimizu H, Okada M, Tangoku A, et al. Thoracic and cardiovascular surgeries in Japan during 2017. Annual report by the Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2020;68(4):414-449. https://doi.org/10.1007/s11748-020-01298-2
  8. Biancari F, Ruggieri VG, Perrotti A, et al. European multicenter study on coronary artery bypass grafting (E-CABG registry): study protocol for a prospective clinical registry and proposal of classification of postoperative complications. J Cardiothorac Surg. 2015;10:90. https://doi.org/10.1186/s13019-015-0292-z
  9. Dindo D, Demartines N, Clavien P-A. Classification of surgical complications. Ann Surg. 2004;240(2):205-213. https://doi.org/10.1097%2F01.sla.0000133083.54934.ae 11.Akyolcu N. Ameliyat sonrası hemşirelik bakımı [Postoperative nursing care]. In: Aksoy G, Kanan N, Akyolcu N, eds. Cerrahi Hemşireliği I. 3th ed. İstanbul, Türkiye: Nobel Tıp Kitapevleri; 2019:335-366.
  10. Nepogodiev D, Martin J, Biccard B, Makupe A, Bhangu A. Global burden of postoperative death. Lancet. 2019;393(10170):401. https://doi.org/10.1016/s0140-6736(18)33139-8
  11. İzveren AÖ, Dal Ü. Abdominal cerrahi girişim uygulanan hastalarda görülen erken dönem sorunları ve bu sorunlara yönelik hemşirelik uygulamaları [The early period complications in patients who were performed abdominal surgery intervention and the nursing practices for these complications]. Hacettepe University Faculty of Health Sciences Nursing Journal. 2011;18(2):36-46.
  12. Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19:2185-2195. https://doi.org/10.1111/j.1365-2702.2010.03250.x
  13. Dal Ü, Bulut H, Demir SG. Cerrahi girişim sonrası hastaların evde yaşadıkları sorunlar [The problems experienced by the patients at home after surgery]. Medical Journal of Bakırköy. 2012;8(1):34-40. 16.Gemici K, Okuş A, Yıldız M, Şahin M, Bilgi M. Bir cerrahın kabusu: Komplikasyonlar [A surgeon’s nightmare: Complications]. Turk J Surg. 2015;31:90-91.
  14. Seese L, Sultan I, Gleason TG, et al. The impact of major postoperative complications on long-term survival after cardiac surgery. Ann Thorac Surg. 2020;110(1):128-135. https://doi.org/10.1016/j.athoracsur.2019.09.100 18.Balcı E, Aykut A, Demir A, Sabuncu Ü, Koçulu R, Karadeniz Ü. In-Hospital mortality and complications following coronary artery bypass surgery; is it possible to predict with preoperative values? JARSS. 2019:27(1):56-62. https://doi.org/10.5222/jarss.2019.32042 19.Wang S, Li X, Li Y, et al. The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer. J Thorac Dis.2017;9(12):5143-5152. https://doi.org/10.21037/jtd.2017.10.144 20.Liddle C. Principles of monitoring postoperative patients. Nurs Times. 2013;109(22):24-26.
  15. Kurşun Ş, Kanan N. Bakım Davranışları Ölçeği-24’ün Türkçe formunun geçerlik ve güvenirlik çalışması [Validity and reliability study of the Turkish Version of Caring Behaviors Inventory-24]. Journal of Anatolia Nursing and Health Sciences. 2012;15(4):229-235.
  16. Gürkan A, Aydın YD, Aldemir K. Cerrahi hastaların hemşirelik bakım kalitesi algıları ve bakımdan memnuniyetleri [Surgical patients' perceptions of nursing care quality and their satisfactions with nursing care]. Turkiye Klinikleri J Nurs Sci. 2020;12(3):329-336. https://doi.org/10.5336/nurses.2020-74985 23.Calvache JA, Guzmán EL, Buitrago LMG, et al. Evidence-based clinical practice manual: Postoperative complications management. Colombian Journal of Anesthesiology. 2015;43: 51-60. https://doi.org/10.1016/j.rcae.2014.10.010
  17. Lapp L, Bouamrane MM, Roper M, Kavanagh K, Schraag S. Definition and classification of postoperative complications after cardiac surgery: pilot Delphi study. JMIR Perioper Med. 2022;5(1):e39907. https://doi.org/10.2196/39907 25.Esin MN. Veri toplama yöntem ve araçları & Veri toplama araçlarının güvenirlik ve geçerliği [Data collection methods and tools & reliability and validity of data collection tools]. In: Erdoğan S, Nahcivan N, Esin MN, eds. Hemşirelikte araştırma, süreç, uygulama ve kritik. 2nd ed. İstanbul, Türkiye: Nobel Tıp Kitabevleri; 2015:193-233.
  18. Wolf ZR, Giardino ER, Osborne PA, Ambrose MS. Dimensions of nurse caring. Image J Nurs Sch. 1994;26(2):107-111. https://doi.org/10.1111/j.1547-5069.1994.tb00927.x 27.Wu Y, Larrabee JH, Putman HP. Caring behaviors inventory: A reduction of the 42-item instrument. Nurs Res. 2006;55:18-25. https://doi.org/10.1097/00006199-200601000-300003
  19. Ohsawa M, Tsutani Y, Fujiwara M, Mimae T, Miyata Y, Okada M. Predicting severe postoperative complication in patients with lung cancer and interstitial pneumonia. Ann Thorac Surg. 2020;109:1054-1060. https://doi.org/10.1016/j.athoracsur.2019.11.012
  20. Mavili İ, Şahutoğlu C, Pestilci Z, Kocabaş S, Aşkar FZ. Koroner arter baypas greftleme cerrahisi sonrası erken dönemde gelişen komplikasyonlar ve ilişkili etiyolojik faktörler [Etiological factors concerning the early complications that occur following coronary artery bypass graft surgery]. The Journal of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care Society. 2016;22(1):16-23. https://doi.org/10.5222/GKDAD.2016.016
  21. Speir AM, Kasirajan V, Barnett SD, Fonner Jr E. Additive costs of postoperative complications for isolated coronary artery bypass grafting patients in Virginia. Ann Thorac Surg. 2009;88(1):40-46. https://doi.org/10.1016/j.athoracsur.2009.03.076
  22. Iribarne A, Chang H, Alexander JH, et al. Readmissions after cardiac surgery: experience of the National Institutes of Health/Canadian Institutes of Health research cardiothoracic surgical trials network. Ann Thorac Surg. 2014;98:1274-1280. https://doi.org/10.1016/j.athoracsur.2014.06.059
  23. Katran BH. Bir cerrahi yoğun bakım ünitesinde bası yarası görülme sıklığı ve bası yarası gelişimini etkileyen risk faktörlerinin irdelenmesi [The Research on the incidence of pressure sores in a surgical intensive care unit and the risk factors affecting the development of pressur sores]. JAREN. 2015;1:8-14. https://doi.org/10.5222/jaren.2015.008
  24. Chen HL, Chen XY, Wu J. The incidence of pressure ulcers in surgical patients of the last 5 years: a systematic review. Wounds. 2012;24:234-241.
  25. Ayazoglu TA, Karahan A, Gun Y, Onk D. Determination of risk factors in the development and prevalence of pressure sores in patients hospitalized in a cardiovascular and thoracic surgery intensive care unit. EJMI. 2018;2:12–17. https://doi.org/10.14744/ejmi.2018.43153