Abstract
The purpose of this study was to investigate the correlation between the knowledge and educational needs
related to recurrent in coronary artery bypass graft patients as a basis to provide an individual nursing
education for the population.
The subjects consisted of 110 patients who had coronary artery bypass graft(CABG) at Asan Medical
Center in Seoul and Sechong hospital in Buchon.
Data was obtained from a knowledge questionnaire and a learning needs questionnaire between November
1998 and February 1999. Data were analyzed using SAS program for Wilcoxon rank sum test and Spearman
correlation coefficient.
The results were as follows :
1. With regard to the 18 items to measure knowledge, the mean (median) of items 'don't know' was 4.9(4)
items. The mean (median) of items answered wrong was 3.2(3) items. The number of items answered 'don't
know' tend to show higher in those who had less education, blue color jobs and myocardiac infarction history
than in their counter parts.
2. With regard to the level of knowledge by questionnaire about CABG, The most "I dont know"
(59.1%) highly response was 'He has to be treated with anticoagulant drug to prevent revasculized
vessel from obstructing.' The seond highest response (56.4%) was 'If you were hypotensive, the
coronary attack would collapse. 'During the hospitalized day, the patient has complete bedrest.'
The highest error probability was cholesterol has not to intake.', 'After surgery, the sexual life is
need controlled for 1 year.
3. The mean of educational needs was 3.38. With regard to the level of learning needs by sentence
about CABG, 'Food that benefit heart disease', 'Recurrence possibility of heart disease', 'Management
method of operation site', 'Risk symptom that visit hospital or report immediately' were higher
than other sentenses. With regard to the level of learning needs by factor 'food(5 items)',
'disease(9 items)' and 'exercise(3 items)' showed the highest than other factors. The educational
needs by patients characteristics tend to show higher in males, under the age of 49, middle or
high school degree, previous experience of admission with coronary artery disease, history of
myocardial infarction, expierience of PTCA, history of cerebro-vascular accident, previous expierience of
smoking than in their counter parts.
4. The number of items answered 'don't know', wrong and correct weren't correlated with the level
educational needs.
As the results, the number of items answered 'don't know' tend to show higher in those who had less
educated, blue color jobs and myocardiac infarction history than in their counter parts. There were higher
frequency of items answered 'don't know' in those who had no hypertension .
There were higher frequency of items answered 'don't know' on anti-thrombolitic theraphy,
hypotension and pain relief. Also there were higher frequency of items answered wrong on bed rest period,
cholesterol intake, and sexual life. Educational needs were higher in young age group, had previous
experience of procesure and history of other disease. And when we educate CABG patients, education for
diet, recurrence possibility of disease, management methods of operation site and risk symptom should be
emphasized.
There were higher frequency of items answered 'don't know' in those who had no hypertension.