Modifying a generic postoperative recovery profile instrument to an instrument specifically targeting coronary artery bypass grafting
CABG is a major surgical procedure with the risk of potential complications, such as myocardial infarction, stroke, gastrointestinal bleeding and renal failure. The perioperative mortality is 1.5% 3. During the procedure, the patients are intubated and the heart is bypassed by a heart–lung machine. The sternum is opened. The vascular grafts are taken from the saphenous veins or the radial arteries, meaning that the patients usually have surgical wounds on chests as well as on legs or arms. After an isolated CABG, patients are usually discharged from the hospital within 10 days 4.
It is essential that nurses are able to inform the patients of which symptoms they may experience after CABG, as well as what they can and should do themselves to improve the outcome and reduce the risk of complications 5. However, Dunckley et al. 6 reported that patients lacked information about the normal recovery after CABG, which symptoms they could expect as part of the normal healing process and which may be associated with a potentially serious complication. This is of concern, not least because the patients are at home during most of the recovery process.