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Clinical and health promotion partnerships support cardiothoracic surgical patient recovery

The Heart Foundation's Cardiac Cough Pillow provides effective support for patients recovering from cardiothoracic surgery, helping them with deep breathing and coughing exercises. This initiative also raises awareness about the Heart Foundation Helpline for additional support.

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Clinical and health promotion partnerships support cardiothoracic surgical patient recovery

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  1. Clinical and health promotion partnerships support cardiothoracic surgical patient recovery Brittany Marsh, Simon Renshaw, Casey Nottage, Carolyn Astley, Rachel McKay, Imelda Lynch Brittany Marsh Clinical Project Officer Heart Foundation

  2. Background After cardiac surgery, deep breathing and coughing exercises are encouraged to restore lung functions back to normal. Doctors and physiotherapists suggest applying pressure to the sternum during such exercises to alleviate pain and discomfort. This is usually done by using a normal bed pillow or rolled up/folded towels.

  3. Background

  4. Background Cardiothoracic surgery commonly includes coronary artery bypass grafting and heart valve repair and replacement. In SA this is approximately 1,500 patients per year. Nationally it is 21,270 patients per year.

  5. Objectives Support cardiothoracic surgical patients in their recovery with a Heart Foundation heart shaped pillow to support their sternum when doing deep breathing and coughing exercises. Raise awareness of the Heart FoundationHelpline, with cardiothoracic surgical patients as an organisation that can support them and their families in their recovery.

  6. Heart Foundation Helpline

  7. Method The Heart Foundation designed and produced a Cardiac Cough Pillow with the Heart Foundation’s Helpline phone number printed on the cover. These pillows are single patient use, washable and compliant with hospital infection control policies.

  8. Methods

  9. Methods

  10. Methods

  11. Results

  12. Results

  13. Results

  14. Results 87% of patients reported the pillow was is effective in helping with their recovery from surgery. 81% of patients reported they would call the Heart Foundation Helpline. 51% of patients requested a call from the Heart Foundation Helpline after they returned home.

  15. Results 60% patients provided comments / feedback / suggestions • 75% positively described the design and physical and psychological impact of the pillow • 8% provided suggestions for improvements

  16. Outcomes Common positive comments… “Found little pillow extremely comfortable. These days nurses don’t seem to be able to hold your hand, or wipe your brow, like they could years ago. The pillow helps with this comfort” “The cardiac cough pillow has been an extremely valuable piece of recovery. Highly recommend this pillow” “Having the heart pillow gives invaluable support and back up during your worst times”

  17. Outcomes Suggested improvements… “I would like to see different colours” “Perhaps a small grip/handle would be helpful in accessing a pillow from difficult patient position” “Could be a little longer”

  18. Implications for practice The Heart Foundation Cardiac Cough pillow provides effective support to patients post cardiothoracic surgery. The Heart Foundation Cardiac Cough pillow is an impactful way to engage cardiothoracic surgical patients with the Heart Foundation and the Heart Foundation Helpline.

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