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Symptom Management Strategies Used by Elderly Patients After Coronary Artery Bypass Surgery

Overview
Journal Appl Nurs Res
Specialty Nursing
Date 2010 Oct 27
PMID 20974054
Citations 4
Authors
Paula S Schulz
Lani Zimmerman
Bunny Pozehl
Sue Barnason
Janet Nieveen
Affiliations
Soon will be listed here.
Abstract

The purpose of this secondary analysis was to describe symptom management strategies used by elderly patients (n = 236) 3 and 6 weeks after coronary artery bypass surgery (CABS). Three weeks after surgery, the most frequently used strategies were rest to manage shortness of breath (53%) and fatigue (53%), medications for incision pain (24%), and repositioning for swelling (35%) and sleep disturbance (18%). Overall, fewer patients experiencing sleep disturbances (39%), incision pain (39%), swelling (46%), and appetite problems (17%) reported using a strategy to manage their symptom. Nurses must assist patients in symptom identification and problem solving to accomplish effective symptom management.

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References
1.
Watt-Watson J, Stevens B, Katz J, Costello J, Reid G, David T . Impact of preoperative education on pain outcomes after coronary artery bypass graft surgery. Pain. 2004; 109(1-2):73-85. DOI: 10.1016/j.pain.2004.01.012. View
2.
Barnason S, Zimmerman L, Nieveen J, Schulz P, Miller C, Hertzog M . Influence of a symptom management telehealth intervention on older adults' early recovery outcomes after coronary artery bypass surgery. Heart Lung. 2009; 38(5):364-76. PMC: 2900787. DOI: 10.1016/j.hrtlng.2009.01.005. View
3.
Kleinpell R, Avitall B . Integrating telehealth as a strategy for patient management after discharge for cardiac surgery: results of a pilot study. J Cardiovasc Nurs. 2007; 22(1):38-42. View
4.
James Rubin G, Hardy R, Hotopf M . A systematic review and meta-analysis of the incidence and severity of postoperative fatigue. J Psychosom Res. 2004; 57(3):317-26. DOI: 10.1016/S0022-3999(03)00615-9. View
5.
Dodd M, Janson S, Facione N, Faucett J, Froelicher E, Humphreys J . Advancing the science of symptom management. J Adv Nurs. 2001; 33(5):668-76. DOI: 10.1046/j.1365-2648.2001.01697.x. View