Nurse's knowledge Regarding Preoperative Preparation ot' Patient Undergoing Coronary Artery Bypass Graft in Governmental Hospitals at Khartoum State 20l4

Abstract

Background: Preoperative preparation for coronary artery bypass graft surgery assists with recovery and decrease postoperative complications so that the preoperative condition of the patient should be considered in preoperative care. lt is essential for the nurse to anticipate the possible complications, so as to provide appropriate preoperative preparation in order to ensure positive outcome for the patient W Objective: This study aimed to assess nurses‘ knowledge regarding preoperative preparation of patient undergoing CABG in Ahmed (Jasim and Alshaab teaching hospitals. Methodology: This is a descriptive cross sectional hospital- based study, it involved (50) nurses (total coverage). Data were collected by using structured interviewing open ended questionnaire and analyzed by Statistical Package of Social Sciences (SPSS) program vcrsion( I9), data were presented in form of figures, tables and cross tabulation which correlate between level ofqualilications and nurses‘ knowledge regarding preoperative medications, investigations and preoperative teaching. ard correlation between workshops and training courses and nurses knowledge regarding preoperative medications, investigations and teaching and used chi squire to test if the relation is significant and the P. value was accepted if less than 0.05 that mean strong association between variables. if more than 0,05 indicate no association between variables. Results: They have poor knowledge regarding patient who need special preparation, (32%) for elderly, (46%) for diabetic patient, regarding indications for coronary artery bypass graft surgery, (26%) for unstable angina, (56%) for main coronary artery blockage more than 60% regarding preoperative investigations (54%) for blood investigation regarding postoperative complications(l8%) stroke, (52%) bleeding, (14%) infection, regarding preoperative medications,

(26%) warfarin, (24%) aspirin. They have excellent knowledge regarding immediatey preoperative preparation (84%), and (96%) regarding essential preoperative physical preparation and (90%) regarding medication that needs to be adjusted before surgery. They have good knowledge regarding sign informed consent(64%) and regarding preoperative teaching(74%) Recommendation: Nurses should be encouraged to improve their knowledge in some essential aspects such as preoperative investigations, medications and preoperative preparations so as to provide proper preoperative preparation for coronary artery bypass graft surgery .