The Effect of Care Bundle in Heart Surgery

This study is a quasi-experimental (non-randomized) design study with control and study group patients undergoing open heart surgery. The main purpose of the research to examine the effect of the care bundle application on the quality of recovery and respiratory patterns (respiratory rate, presence of dyspnea, oxygen saturation, etc.) in patients with open heart surgery. The other purpose is examine the compliance rates of nurses in the implementation of the cardiac surgery care bundle on patients. In the study, nurses working in the cardiovascular surgery clinic and surgical intensive care unit in a training and research hospital in southeast Turkey voluntarily applied the care bundle created by the researcher to the patients in the study group. When the data of the study were examined, it was seen that the respiratory patterns and recovery status of the patients who received the care bundle were better. However, it was determined that the compliance rate of the nurses to the care bundle was not at the desired level.

Inclusion Criteria:Inclusion Criteria for Patients18 years and older,Elective AKC plannedThose who will undergo cardiac surgery for the first timeExtubated after cardiac surgery and not given sedating drugsNo communication barrier (including hearing and vision problems),Does not have a musculoskeletal disease or neurological problem that will prevent walking after surgery,Does not have any respiratory disease,Psychiatric, not diagnosed with mental illness,Those who volunteered to participate in the researchPatients who are 18 years of age or older who volunteer to participate in the research.Inclusion Criteria for NursesWorking as a nurse in cardiovascular surgery clinic or surgical intensive care clinic,It is the nurses who volunteer to participate in the research.Exclusion Criteria:Exclusion Criteria for PatientsPatients with active bleeding after surgeryDeveloping neurological complicationsComplications that prevent the patient from standing up after surgeryThose with respiratory problems that will delay weaning from the mechanical ventilatorRe-operated due to the development of any complicationThose who want to leave the research during the pre- or post-surgical research processThese are the patients who develop a situation where they cannot continue to accompany the patient while they are accompanying the patient, or who are the relatives of the patients who want to leave the research during the research process.Exclusion Criteria for NursesAssigned to another clinic during the research process,Resigned from his job during the research process,Nurses who want to leave the study during any phase of the study.