Sensations During Removal of Epicardial Pacing Wires Following Coronary Artery Bypass Graft Surgery

Sunday, November 1, 2009: 11:20 AM

Marlene H. Mullin, DNP, APRN, BC
School of Nursing, Wayne State University, Detroit, MI

Learning Objective 1: to identify the sensations commonly experienced by patients during removal of epicardial pacing wires following coronary artery bypass surgery.

Learning Objective 2: identify methods for utilizing ensory information to prepare patients for epicaridal pacing wire removal following coronary artery bypass surgery.

ABSTRACT

Research has clearly demonstrated that psycho-educational information interventions which include sensory information help reduce anxiety and promote coping.  There is currently a paucity of information in the literature regarding the sensations most commonly experienced by patients during epicardial pacing wire (EPW) removal.  Due to the importance of providing accurate sensory information to patients undergoing EPW removal, the purpose of this study was to extend what was currently known in the literature by determining the sensations most commonly experienced by patients during EPW removal.  A secondary analysis was performed on data sets from two previous research studies to determine the sensations most commonly experienced by patients during EPW removal.  The current study used self-regulation theory as its theoretical foundation.  The convenience sample consisted of 144 subjects who had undergone EPW removal following coronary artery bypass graft (CABG) surgery at two teaching hospitals.  Frequency distributions of the sensory information obtained from the subjects were examined to determine what sensations were most commonly reported by subjects during the procedure.  Frequency scores were then tabulated and analyzed using chi-square statistics for the reported sensations.  Additional relevant variables were also analyzed utilizing these statistics.  The results demonstrated that the most commonly reported sensation was a “mild to moderate pulling” sensation.  This sensory information could be incorporated into a psycho-educational information intervention to prepare future patients for EPW removal.