THE EFFECT OF TELENURSING (TELEPHONE FOLLOW UP) FTER DISCHARGE ON READMISSION DUE TO COMPLICATIONS AFTER CORONARY ARTERY BYPASS GRAFT SURGERY

Improving access to health care is a priority of international health systems. The
purpose of this study is determine of the effect of telenursing (telephone follow up) after discharge on
Readmission due to complications after Coronary artery bypass graft surgery in rajaee hospital in 2015.
Materials & Methods: This clinical trial study was performed on 128 patients undergoing coronary
artery bypass surgery in 2015 in Shahid Rajaee Hospital in Tehran. Patients were randomly divided into
intervention and control groups.The intervention group received one telephone call by nurse in third and
fifth day after discharge for evaluation of theirs recovery condition.The control group dident receive this
telephone call.Then 2 groups had been follow at the 30 days for rate of readmission and complication
of heart surgery. Data were analyzed by SPSS software (version 19), descriptive statistics (mean and
standard deviation), and analytical (Mann-Whitney, T-test, Chi-square test).
Results: Results from Chi-square showed a variety of postoperative complications in the two groups,
although not statistically significant (07/0> p). But clinical observation showed that the number of
referrals for complications, especially for infection after surgery in the control group compared to the
intervention group was significant (7/66% vs. 0%). The chi-square statistical test did not show
significant difference between two groups from readmission rate (p<0.56).
Conclusion: Follow-up telephoning (tele nersing) is effective on the number of visits due to postoperative complications of coronary artery bypass grafting and is recommended as one of the methods
used to educate patients