Volume 25, Number 4 (12-2015)                   J Holist Nurs Midwifery 2015, 25(4): 81-90 | Back to browse issues page


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RezaMasoule S, Ahmadi N, Monfared A, Rezasefat A, Kazemnezhad Leili E, Ziaei T. Electrolyte disorders after coronary artery bypass grafting surgery. J Holist Nurs Midwifery. 2015; 25 (4) :81-90
URL: http://hnmj.gums.ac.ir/article-1-582-en.html

, masouleh@gums.ac.ir
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Electrolyte disorders after coronary artery bypass grafting surgery

and its related factors

By: RezaMasoule Sh1, Ahmadi  N2, Monfared  A3,  Rezasefat A4,

Kazemnezhad Leili E5, Ziaei T6

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

2- Special Care Nursing, Emergency Center, Msc Zanjan University of  Medical Sciences, Zanjan, Iran

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

4- Pediatrics Nursing(MSc), 17 Shahrivar Hospital Medical Educational Center, Guilan University of  Medical Sciences, Rasht, Iran

5- Bio-statistics, Associate professor, Social Determinants of Health Research Center (SDHRC), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

6- Department of  Midwifery, Instructor, School of Nursing and Midwifery, Guilan University of  Medical Sciences, Rasht, Iran

Received: 2015/01/13

Accepted:2015/06/09

Abstract

چمقدمه : نحوه ارتباط والدین با فرزندان با سبک فرزندپروری آنان ارتباط دارد.سبکهای فرزندپروری نقش مهمی در شکل گیری شخصیت بهنجار و نابهنجار در کودکان داشته و در صورت بکار گیری سبکهای ناکارآمد در تربیت کودکان می تواند منجر به پیامدهای منفی متعددی از جمله مشکلات رفتاری در آنان گردد.Introduction: Coronary artery bypass grafting surgery is a common therapeutic intervention in patients with coronary artery disease. This surgery has various complications. Electrolyte disorders are among common important complications among these patients.

Objective: purpose of this study was to determine the level of electrolyte disorders and related factors in patients  after coronary artery bypass grafting  surgery hospitalized in cardiac care units.

Methods: In this descriptive cross–sectional study, 288 Coronary Artery By Pass Graft (CABG) patients admitted to educational hospital were selected by gradual sampling. Data were collected by a three part researcher made questionnaire covering  demographics,  past medical history and levels of sodium and potassium through patients’ medical records. Statistical analyses were performed using appropriate tests (chi square test, fisher exact test and logistic regression).

Rیافته ها: نتایج نشان داد که سبک فرزندپروری مقتدرانه هم با نمره کل مشکلات رفتاری درونی سازی (003/RResults: Findings showed that 16.7% of patients undergoing coronary artery bypass grafting were hyponatremia, 4.9% hypernatremia, 14.2% hypokalemia and 3.8% hyperkalemia. The results also indicated that there was a significant relationship between the factors such as body mass index, history of drug use, the number of vessels involved, the number of grafts, the length of time connected to mechanical ventilation, duration of artificial heart-lung machine use, aortic clamping time, and amount of intraoperative hypothermia, hemoglobin and hematocrit and postoperative electrolyte disorders (P<0.05). According to Logestic regression model, these factors were not associated to electrolyte abnormalities.

Conclusion: The findings showed that many factors such as individual medical history and condition during surgery can affect electrolyte abnormalities after coronary artery bypass graft.  Identifying these factors can be useful in planning for prevention, diagnosis and early treatment of possible complications which in turn may result in promotion of quality care.

Keywords: Electrolytes, Postoperative Complications, Coronary Artery Bypass, Intensive Care Units

*Corresponding Author: Shadman RezaMasoule, Rasht, School of Nursing and Midwifery

Email: masouleh@gums.ac.ir

Type of Study: Research | Subject: Special
Received: 2015/12/5 | Accepted: 2015/12/5 | Published: 2015/12/5

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