Impact of a Home Communication Intervention on Postoperative Recovery Outcomes in CABG Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/158578
Type:
Presentation
Title:
Impact of a Home Communication Intervention on Postoperative Recovery Outcomes in CABG Patients
Abstract:
Impact of a Home Communication Intervention on Postoperative Recovery Outcomes in CABG Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Zimmerman, Lani, PhD
P.I. Institution Name:University of Nebraska Medical Center
Title:Professor
Contact Address:College of Nursing, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA
Contact Telephone:402.559.6627
This pilot study examined the effect of a home communication intervention (HCI) on recovery outcomes (evaluation of symptoms, postoperative problems, and functioning) of CABG patients, using a randomized, 2 group (N=50) repeated measures design with measurements at 2, 4, 6 weeks and 3 months postoperatively in elderly patients (> 65 years). Both control and experimental groups received home health care, with the experimental group also receiving HCI. Health Buddy was a home communication device used to implement the HCI by attaching to a telephone line and providing daily scripts for subjects. Subjects had a mean age of 75.34 years. Evaluation of Symptoms was measured using Cardiac Symptom Scale (CSS), which assesses 10 symptoms of CABG patients. Although not significant, the HCI group had lower mean scores (average of severity and frequency) on shortness of breath, fatigue, depression, sleep difficulty and anxiety and higher CSS scores on incisional pain and swelling in legs. Postoperative problems reported were: chest pain, myocardial infarction, reocclusion, pulmonary embolus, fluid in the lungs, pneumonia, pericarditis, heart failure, incisional infection, rhythm problems, venous thrombosis, and gastrointestinal problems. Both groups had similar distributions of problems. Regarding physiological functioning, HCI group had greatest improvements from baseline to 3 months on Physical (improved 25 points versus 13 for control group) and Role-Physical subscales (improved 40 points versus 14 for control group). Modest improvements in psychosocial functioning were noted for HCI group on Role-emotional (improved 9 points versus 4 point decrease by control group), Social (improved 24 points versus 13 points for control group) and Vitality subscales (improved 27 points compared to 23 points for control group). Control subjects improved slightly more on Mental subscale (6 points) compared to HCI (2 points). Findings from this study will be used to enhance the HCI intervention for CABG patient early recovery.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpact of a Home Communication Intervention on Postoperative Recovery Outcomes in CABG Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158578-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of a Home Communication Intervention on Postoperative Recovery Outcomes in CABG Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Zimmerman, Lani, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">402.559.6627</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lzimmerm@unmc.edu</td></tr><tr><td colspan="2" class="item-abstract">This pilot study examined the effect of a home communication intervention (HCI) on recovery outcomes (evaluation of symptoms, postoperative problems, and functioning) of CABG patients, using a randomized, 2 group (N=50) repeated measures design with measurements at 2, 4, 6 weeks and 3 months postoperatively in elderly patients (&gt; 65 years). Both control and experimental groups received home health care, with the experimental group also receiving HCI. Health Buddy was a home communication device used to implement the HCI by attaching to a telephone line and providing daily scripts for subjects. Subjects had a mean age of 75.34 years. Evaluation of Symptoms was measured using Cardiac Symptom Scale (CSS), which assesses 10 symptoms of CABG patients. Although not significant, the HCI group had lower mean scores (average of severity and frequency) on shortness of breath, fatigue, depression, sleep difficulty and anxiety and higher CSS scores on incisional pain and swelling in legs. Postoperative problems reported were: chest pain, myocardial infarction, reocclusion, pulmonary embolus, fluid in the lungs, pneumonia, pericarditis, heart failure, incisional infection, rhythm problems, venous thrombosis, and gastrointestinal problems. Both groups had similar distributions of problems. Regarding physiological functioning, HCI group had greatest improvements from baseline to 3 months on Physical (improved 25 points versus 13 for control group) and Role-Physical subscales (improved 40 points versus 14 for control group). Modest improvements in psychosocial functioning were noted for HCI group on Role-emotional (improved 9 points versus 4 point decrease by control group), Social (improved 24 points versus 13 points for control group) and Vitality subscales (improved 27 points compared to 23 points for control group). Control subjects improved slightly more on Mental subscale (6 points) compared to HCI (2 points). Findings from this study will be used to enhance the HCI intervention for CABG patient early recovery.</td></tr></table>en_GB
dc.date.available2011-10-26T21:11:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:11:37Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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