الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 180 |  |  |
| | | from | 180 | | |
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