الفهرس 
I IntroductionOnly 14 pages are availabe for public view
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Abstract
Coronary artery disease (CAD), the arteries that supply blood and
oxygen to the heart muscle grow hardened and narrowed. It can be treated by
treatments such as lifestyle changes, medicines, and angioplasty. If these
treatments don’t help, the patient become candidate for coronary artery bypass
graft (CABG) (NIH U.S. National library of medicine, 2019).
Coronary artery bypass graft (CABG) surgery is indicated for patients
with coronary artery disease to relieve symptoms, improve quality of life,
and/or prolong life. It creates a new path to facilitate blood flow to the heart.
Post-operative outcomes depends on the healthy lifestyle practices and
appropriate control of risk factors (Bayomi, 2015).
The aim of this study was to determine effect of perioperative protocol
of nursing care on clinical outcome among patients undergoing coronary artery
bypass graft.
Setting: The study was carried out at National Heart Institute in Cairo
and in open heart surgical intensive care unit in Shebin El Kom Teaching
Hospital at menoufia governerate.
Subjects: A purposive sample of 100 who were planned for coronary
artery bypass graft .They were divided randomly and assigned alternatively into
two equal groups, 50 patients for each group:
Study group (I).They were exposed to the perioperative protocol
of care along with routine hospital care.
Control group (II). They were exposed to routine hospital care
only
Instruments of the study: four instruments were utilized for data collection
Instruments 1: Interviewing questionnaire.
Instruments 2: Nutritional Assessment sheet.
Instruments 3:Biophysiological measurement instrument
Instruments 4: Compliance Assessment sheet.
The main findings of the present study were
There was a significant improvement clinical outcomes among study group
than control group who undergoing CABG.
There was a significant improvement in the total knowledge score among
study group than control group after application of perioperative protocol
of care.
Conclusion
The clinical outcomes of CABG and total knowledge scores were
significant improved among CABG patients who followed perioperative
protocol of care (study group) than those who exposed only to the routine
hospital care (control group).
Recommendation
perioperative protocol of care should be carried out to all CABG patients
at open heart surgical unit to help them improve their clinical outcomes .