Gilliss, C. L. and Gortner, S. R. and Hauck, W. W. and Shinn, J. A. and Sparacino, P. A. and Tompkins, C., A randomized clinical trial of nursing care for recovery from cardiac surgery.,
Heart & lung : the journal of critical care, vol. 22 no. 2
(April, 1993),
pp. 125-33, ISSN 0147-9563
(last updated on 2011/01/30)
Abstract:
OBJECTIVE: To determine the efficacy of a psychoeducational nursing intervention in patients who receive coronary artery bypass graft and valve repair surgery. DESIGN: A cluster-randomized controlled trial design. SETTING: Two hospitals in the western United States--a large community hospital with an active cardiovascular surgery practice and a health-sciences research center. SUBJECTS: 156 patients between 25 and 75 years of age, 125 (81.1%) men, and 31 (19.9%) women, all with primary care givers. OUTCOME MEASURES: Self-efficacy expectations, activities (behavior performance), quality of life, mood state. INTERVENTION: Supplemental in-hospital education followed by telephone contact from discharge to eighth week after discharge. RESULTS: Patients in the experimental group reported significantly greater self-efficacy expectations for walking and behavior performance for walking, lifting, climbing stairs, general exertion and, where applicable, for working. CONCLUSION: This trial suggests that a low-intensity psychoeducational nursing intervention can promote self-efficacy expectations for walking in recovery and is associated with more self-reported walking and lifting behavior after cardiac surgery.
Keywords:
Activities of Daily Living • Adult • Affect • Aged • Cardiac Surgical Procedures • Clinical Nursing Research • Female • Humans • Male • Middle Aged • Patient Discharge • Patient Education as Topic • Perioperative Nursing • Quality of Life • Regression Analysis • Self Care • Treatment Outcome • methods • nursing* • psychology • rehabilitation • standards*
