THE EFFECT OF PAIN ACCEPTANCE-BASED SELF-MANAGEMENT TRAINING ON PAIN INTENSITY IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFT SURGERY

Shakorzadeh, S and Khadem Vatani, K and Tizfahm, T (2021) THE EFFECT OF PAIN ACCEPTANCE-BASED SELF-MANAGEMENT TRAINING ON PAIN INTENSITY IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFT SURGERY. Nursing and Midwifery Jouranl, 18 (10). pp. 806-812.

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Abstract

There is no self-management to control the pain of heart patients, and these patients perform self-management using their own resources after coronary artery bypass graft surgery. The aim of this study was to determine the effect of acceptance-based self-management training on pain intensity in patients undergoing coronary artery bypass graft surgery. Materials & Methods: This study is a clinical trial that was performed on 60 patients who were candidates for coronary artery bypass graft surgery. The samples were randomly divided into control and intervention groups. All patients received pain management self-management training immediately after hospitalization and were re-evaluated on the day of discharge. Data collection tools included demographic characteristics and Data analysis was performed using paired and independent t-test using SPSS software at a significant level of p <0.05. Results: Independent group t-test showed that the difference in postoperative pain scores of patients undergoing coronary artery bypass graft surgery before the intervention between the control and intervention groups was not significant (t = -0.678 and p = 0.50). However, the scores of postoperative pain in patients undergoing coronary artery bypass graft surgery after the intervention were significantly different between the control and intervention groups (t = 2.28 and p = 0.02). Conclusion: Psychological aspects of pain acceptance interventions as a complement to selfmanagement training can accelerate the patient's adaptation to new painful conditions and subsequent behavioral changes desired by medical staff.

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