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Subject Area

Surgery

Article Type

Original Study

Abstract

Background

Exploring patient’ s expectations before coronary artery bypass graft (CABG) surgery provides clinicians with important insights into their service population.

Objectives

The objective of this study is to describe the expectations of patients before CABG surgery and its associated factors.

Patients and methods

A cross-sectional study was conducted in the Outpatient Clinic of an Egyptian Cardiac Surgery Unit during the period from May 2017 to April 2018. A total of 446 patients who underwent CABG surgery were included. The socio-demographic and clinical data were collected from patients and their medical records. The Cardiac Surgery Patient Expectations questionnaire was used to describe the CABG patient’s expectations before surgery. A Student t test was used for testing significance between groups.

Results

The mean total negative expectation score was 31.30±6.36. In total, 64.3 and 42.4% of patients disagreed with having more heart problems and suffering sleep problems after surgery, respectively. The highest mean negative expectation score was in patients expressed life style suffering (2.11). Multiple linear regression showed that male (β=-3.75, PP=0.001) were significant independent predictors of lower preoperative negative expectations.

Conclusion

Lower preoperative negative expectations were observed in males, employed, and those without chronic diseases. So, further longitudinal studies are required to examine the risk factors associated with preoperative CABG patient’s expectations.

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