Volume 24, Number 4 (1-2015)                   J Holist Nurs Midwifery 2015, 24(4): 20-29 | Back to browse issues page


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Jafroudi S, Mehdizadeh Attar M, Farmanbar R, Kazem Nejad Leili E, Paryad E. Predictors' issues of intubation time after coronary artery bypass graft surgery. J Holist Nurs Midwifery. 2015; 24 (4) :20-29
URL: http://hnmj.gums.ac.ir/article-1-362-en.html

, Mahdimahdizadehattar@gmail.com
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Predictors' issues of intubation time after coronary artery bypass graft surgery

BY: Jafroudi Sh1 , Mehdizadeh Attar  M2*, Farmanbar R3, Kazemnezhad Lili E4, Paryad E5

1)Department of Nursing (medical-surgical), Instructor, School of Nursing and Midwifery, Guilan University of Medical Sciences,
Rasht, Iran

2)MSc Special Care Nursing, Shahid Ansari Hospital, Roudsar, Iran

3)Department of Health, Associate Professor, Social Determinants of Health Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran

4)Bio-Statistics, Assistant professor, Social Determinants of Health Research Center, School of Nursing and Midwifery, Guilan
   University of Medical Sciences, Rasht, Iran

5)Department of Nursing (medical-surgical), Instructor, Social Determinants of Health Research Center, School of Nursing and
   Midwifery, Guilan University of Medical Sciences, Rasht, Iran

Received: 2013/01/21

Accepted: 2013/09/30

Abstract

Introduction: Cardiovascular illness is the common disease in developed countries. Among of these illnesses the coronary artery failure significantly counted as a high rate of heart disease in the world. The main treatment for this condition is replacing coronary artery bypass graft (CABG) heart pump under surgical crew including skilled nurses.

Objective: This study aimed to determine prognostic factors during intubation of patients after coronary artery bypass graft surgery.

Methods: This study is cross–sectional descriptive-analytical survey.  136 patients with coronary artery disease, who referred to intensive care unit in Heshmat hospital for CABG, were selected using consecutive sampling method. The data collection method were consists of three-parts; personal character, factors associated with disease and surgery.

Statistical tests such as Spearman, Chi-square and Multiple Logistic Regressions were used to analyze the relationship between dependent and independent variables and determined predicting factors of intubation time after CABG.

Results: results showed that the time of keeping endotracheal tube in most cases were more than 8 hours in patients with body mass index (p=0.023) and Arterial oxygen pressure (p=0.003) of postoperative intubation time after CABG.

Conclusion: in spite of prognostic factors during intubation of patients after coronary artery bypass graft surgery, it is obvious that for patients with low body mass index and arterial oxygen pressure,

a team of healthcare professionals needed to systematize mechanical ventilation time.

Coronary artery bypass graft surgery should be comprehensive and always needed high-quality of nursing management, reliable authoritative source of information and quickly plan changing depending to the patient’s circumstances.

Keywords: Intubation, Coronary Artery Bypass, Heart-Assist Devices

*Corresponding Author: Mehdi Mehdizadeh Attar, Roudsar, Shahid Ansari Hospital

Email:Mahdimahdizadehattar@gmail.com  

Type of Study: Research | Subject: Special
Received: 2014/12/9 | Accepted: 2014/12/9 | Published: 2014/12/9

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