Date Approved

1998

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

Abstract

The purpose of this study was to evaluate the effectiveness of a cardiac home care program in promoting self-care through supportive-educative nursing. Orem's self-care model served as the conceptual model for this study. Self-care was measured in this study by evaluating the patient's level of cardiac knowledge and functional ability.

This study was conducted at a home care agency in Midwest Michigan. A convenience sample of seven was obtained from patients admitted to a cardiac home care program following coronary artery bypass grafting surgery (CABO).

A descriptive design with a one group paired t-test was used to analyze the differences between the patient’s knowledge score and dependence score on a pre-test and post-test. A statistical significant improvement in the patient's knowledge level (p=.002) was demonstrated. The improvement in patients' functional status at the time of discharge from home care was also statistical significant (p=0.000).

The results of this study support the role that home care plays in providing supportive-educative care and promoting self-care in the recovery period post CABG surgery.

Comments

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