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Abstract SUMMARY In recent years, new ways of doing heart surgeries have been developed. One new way is off-pump, or beating heart, surgery. This is like traditional open-heart surgeries, but it doesn’t use a heart-lung bypass machine. Minimally invasive heart surgery uses smaller incisions (cuts) than traditional open heart surgeries. Some types of minimally invasive heart surgery use a heart-lung bypass machine and others don’t. The results of heart surgeries often are excellent. For very ill people who have severe heart problems, heart surgery can reduce symptoms, improve quality of life, and increase lifespan (Chandler, 2010). Health-related quality of life (HRQOL) is the subjective perception of either the effect of a disease or its treatment on one’s health and overall quality of life. HRQOL measurements convey important information about the patients, which is accessible through neither traditional clinical nor conventional laboratory assessment (Mucsi, 2008). Aim of the Study: The aim of this study was to assess health-related quality of life issues for patients after open heart surgery. Research Questions: Does open heart surgery affect patients’ health-related quality of life issues? Methodology: Research design: A descriptive design was followed to achieve the aim of this study. Summary 88 Research Setting: This study was conducted at the Out-patient cardiothoracic surgery Clinic in Ain Shams University Hospital. Subjects: A purposive sample of 100 adult patients who had open heart surgeries after six months, participated in the study, they represented 65 female and 35 male patients with different educational levels. Tools for Data Collection: Data for this study were collected using the following two tools: I- Patient Structured Interview Questionnaire: Designed by the researcher, it was based on recent literature to assess sociodemographic characteristics. II- RAND 36-Items Health Survey Questionnaire (Version 1.0). It is a standardized tool developed by (Al abdulmohsin, Coons, Draugalis, and Hays, 1997). Results The main results of study revealed that: · The mean age for the patients included in the study was 41 + 11.47, less than two thirds of study subjects (65%) were females, 86% were married, more than two fifths of them (42%) were illiterates and more than half of them (55%) were living in urban areas. · There was a highly statistically significant relation between physical functioning dimension of QOL and age. There were statistically significant relations between physical functioning, energy and fatigue, emotional wellbeing, pain, general health Summary 89 dimensions of quality of life and gender. There were statistically significant relations between all dimensions of QOL and family role. There were also statistically significant relations between dimensions of QOL and income cover expenditure except in emotional wellbeing, as well as between energy and fatigue, social wellbeing, general health dimensions of quality of life and occupation. · Patients’ marital status had no effect on open heart surgery patients’ physical functioning, emotional wellbeing, social wellbeing and general health dimensions of QOL. Patients’residence and education had no effect on QOL of patients with OHS. Patients’ occupation had no effect on their physical functioning, limitation due to physical health, limitation due to emotional health, and emotional wellbeing and pain dimensions of QOL. · The highest affected dimension was for social wellbeing with a mean of 71.47 + 30.00; while the least affected dimension was role limitation due to emotional health with a mean of 37.67 + 47.50. Conclusion The present study concluded that: Related to the research question the present study revealed that open heart surgery affects on HRQOL, in which the highest affected dimensions were for social wellbeing, pain, physical functioning, emotional wellbeing, energy/Fatigue, general health, and role limitation due to physical health, while the least affected dimension was role limitation due to emotional health. Summary 90 Recommendations Based on the previous results, the following recommendations are suggested: · Improving patient’s quality of life should be the main objective for nurses during their care of a patient with open heart surgeries. · Developing further research about the factors that affect quality of life for patients after open heart surgery on a large probability sample in a various settings in order to generalize the resu |