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Modifying Stressors Using Betty Neuman System Modeling in Coronary Artery Bypass Graft: a Randomized Clinical Trial
Elham Akhlaghi1, Sima Babaei2, Shahla Abolhassani1
1Department of Adult Health Nursing, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
The Neuman Systems Model effectively reduced stress in patients undergoing coronary artery bypass grafting (CABG). This low-cost intervention moderated stressors, improving patient well-being during recovery.
Area of Science:
- Cardiology
- Nursing Theory
- Health Psychology
Background:
- Coronary artery disease (CAD) is a leading global cause of mortality.
- Coronary artery bypass grafting (CABG) is a critical treatment for CAD.
- CABG procedures significantly increase patient stress levels.
Purpose of the Study:
- To evaluate the effectiveness of the Neuman Systems Model in mitigating stressors for patients undergoing CABG.
- To assess the impact of a Neuman-based intervention on patient stress levels post-CABG.
Main Methods:
- A randomized clinical trial involving 64 patients undergoing CABG.
- Intervention group received Neuman Model-based stressor management.
- Stressors were assessed using the Revised Cardiac Surgery Stressor Scale (RCSSS).
Main Results:
- No significant difference in stressor scores between groups before intervention.
- The intervention group showed significantly lower stressor scores immediately post-intervention and before discharge compared to the control group.
Conclusions:
- A Neuman-based intervention program is an effective, low-cost method to moderate stressors in CABG patients.
- The Neuman Systems Model provides a valuable framework for guiding health services and patient care in the community.
Abstract:
Introduction: Coronary artery disease (CAD) is one of the major causes of mortality all over the world. In this relation, coronary artery bypass grafting (CABG) is one of the most important treatments for CAD patients. However, it leads to a lot of stress in the patient. The aim of this study was to use the Neuman model to moderate the stressors in patients undergoing coronary artery bypass graft. Methods: This study was a randomized clinical trial of two groups performed on patients admitted to the coronary artery bypass graft; and the study completed with 64 patients. The intervention was performed by the researcher according to the format of the Neuman Model, which included the investigation of the stressors, and the determination of the goals and strategies for the actions. Intrapersonal, interpersonal, and extra personal factors were evaluated using a Revised Cardiac Surgery Stressor Scale (RCSSS). The intervention program was designed by the researcher based on prevention levels using scientific resources. The collected data were analyzed in SPSS ver. 13 using descriptive and inferential statistics. Results: Before the intervention, the mean score of the stressors was not significantly different between the two groups. But immediately after the intervention and before discharging the intervention group, it was significantly less than the control group. Conclusion: Using a Neuman-based program as an effective and low-cost intervention can moderate the stressors and reduce the stress of patients awaiting coronary artery bypass graft. This theory can be a good guide to offering the roles needed to provide health services in the community.
