• RATHWA PRAGNABEN RAGHUBHAI
• Ms. Chandrika Dharajiya
• Mrs. Swapna Suhas Kadukkat

Background World Health Organization (WHO) reported that cardiovascular diseases (CVD) are one of the most important reasons for death worldwide . cardiovascular diseases are the leading cause of death globally, In 2019 17.9 million people died from CVDs, comprising 32% of global mortality. (World Health Organization, 2021) More than 75% of CVD related deaths occur in low- and middle-income countries. The Global Burden of Disease Study and the WHO reported that Coronary Heart Disease (CHD) has become one of the important causes of disability adjusted life and growing trends in ages of life lost in India. The annual number of deaths from CVD India is projected to rise from 2.26 million (1990) to 4.77 million ( 2020 ) .Coronary heart disease prevalence rates in India have been estimated over the past several decades and ranged from 1.6% to 7.4% in rural population and from 1% to 13.2% in urban population. Out of the 17 million premature deaths (under the age of 70) due to no communicable diseases in 2019, 38% were caused by CVDs. Approximately 20.1 million U.S. adults have coronary artery disease, and 805,000 Americans have a heart attack each year. (Centers for Disease Control and Prevention, 2022.). The prevalence Rate of CAD in Indians living in India is 21.4% . Aims This study aims to "A study to evaluate the Effect of Nurse led Interventions on pain, anxiety and Health related quality of life Among patients under going Coronary artery bypass Graft surgery at Selected hospitals Of Ahmedabad City" Objectives of the studies were 1. To Assess the pre-test level of Pain , Anxiety, and Health Related Quality of life Among Patients Undergoing Coronary Artery Bypass Graft Surgery At Selected Hospitals Of Ahmedabad City. 2. To Assess the Post- test level of Pain , Anxiety, and Health Related Quality of life Among Patients Undergoing Coronary Artery Bypass Graft Surgery At Selected Hospitals Of Ahmedabad City. 3. To evaluate the effect of Nurse led interventions on pain , Anxiety, and Health Related Quality of life Among Patients Undergoing Coronary Artery Bypass Graft Surgery At Selected Hospitals Of Ahmedabad City. 4. To find out association between pre- test Level of Pain , Anxiety and Health Related Quality of life with selected demographic variable Among Patients Undergoing Coronary Artery Bypass Graft Surgery At Selected Hospitals Of Ahmedabad City. Methods Quantitative research approach was used with pre experimental (one group pre-test post-test ) research design . the investigator used Non-Probability- Purposive sampling technique will be used in this study. for 30 patients who are Undergoing Coronary Artery Bypass Graft Surgery . Tool is divided into three section tool of Numeric pain rating scale , tool of state -trait anxiety inventory scale, and quality of life index survey form 36 . getting permission from the author, the investigator used the tool for the study purpose. Tools were developed under expert guidance to make the clarity of each item. The content validity of the tool was obtained from several experts in the fields of M.Sc. Reliable instrument obtains consistent results when reused. Test having a high coefficient of reliability, The reliability of tool was using test-retest method ( Karl Pearson formula). Result Present study identified that, the before the nurse led intervention of Foot reflexology , 19(63.33%) samples had severe pain and 11(36.66%) had worst pain . According to Pre -test of state -trait an After given nurse led intervention of 21( 70%) had moderate pain 7(23.33%) had Mild pain and 2(6.66%) had severe pain . post-test level of state anxiety 19(63%) had Moderate anxiety 9(30%) had Mild anxiety and 1(3.33%) had severe anxiety .anxiety 25(83.33%) had severe anxiety 5(16.6%) had Moderate anxiety. Level of pain among patients undergoing coronary artery bypass graft surgery. The mean pre- test score was 9.03 and the mean post-test score was 4.50 with the mean difference of 4.53 . The table also represents that the standard deviation of pre-test score was 0.88 and standard deviation of post-test score was 1.19 . The calculated 't' was 22.45 and the tabulated 't' was 2.05 at 0.05 level of significant. State -Trait anxiety score the mean Pre -test score was 57.36 and the post-test score was 38.93 with the mean difference of 18.43 . The table also represents that the standard deviation of pre-test score was 8.97 and standard deviation of post-test score was 3.68 . The calculated 't' was 15.21 and the tabulated 't' was 2.05 at 0.05 level of significant. Pre-test and Post-test score of samples obtained by Quality of life index survey form 36 on level of health related quality of life Mean , mean percentages gain and mean differences and "t" test of pre test and post test score of sample on quality of life index survey form 36. According to Physical Health score The calculated 't' was 23.57 and the tabulated 't' was 2.05 at 0.05 level of significant. According to Role limitation due to physical health. The calculated 't' was 12.10 and the tabulated 't' was 2.05 at 0.05 level of significant According Role limitation due to emotional health. calculated 't' was 8.06 and the tabulated 't' was 2.05 at 0.05 level of significant. According to above table the energy /fatigue. The calculated 't' was 19.74 and the tabulated 't' was 2.05 at 0.05 level of significant. According to emotional wellbeing . The calculated 't' was 28.34 and the tabulated 't' was 2.05 at 0.05 level of significant. Social function. The calculated 't' was 18.85 and the tabulated 't' was 2.05 at 0.05 level of significant. According to pain The calculated 't' was 17.40 and the tabulated 't' was 2.05 at 0.05 level of significant. According to General health The calculated 't' was 31.96 and the tabulated 't' was 2.05 at 0.05 level of significant. According to health changes The calculated 't' was 15.70 and the tabulated 't' was 2.05 at 0.05 level of significant . The association of the socio- demographic and numeric pain rating scale, state –trait anxiety scale , quality of life index survey form 36. was tested using the chi square test . Thus, it can be inferred that Physical activity and Habit had significant with Numeric pain rating scale . Religion had significant with state -trait anxiety inventory and Education qualification and Habit significant with physical function domains , Occupation and family income had significant with role limitation due to physical health domains , religion significant with energy /fatigue domains ,Physical activity had significant with emotional wellbeing domains , Gender and physical activity significant associate with health changes. Conclusion Descriptive and inferential statistics methods were used to analyse the data. The calculated T value is more than table value so that means the null hypothesis is rejected and My Research Hypothesis is accepted . Hence it was proved that the Nurse led Interventions on pain, anxiety and Health related quality of life Among patients under going Coronary artery bypass Graft surgery at Selected hospitals Of Ahmedabad City.".

• Effect ,nurse led interventions ,pre- operative education, foot reflexology, self-care booklet (scb), pain ,anxiety ,health related quality of life, patient with CABG, selected hospitals

"", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 7, page no.h449-h464, July-2024, Available :http://www.jetir.org/papers/JETIR2407758.pdf

"", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 7, page no. pph449-h464, July-2024, Available at : http://www.jetir.org/papers/JETIR2407758.pdf