Effect of a Symptom Management Telehealth Intervention for Older Adults on Early Recovery Outcomes after Coronary Artery Bypass Surgery (CABS)

2.50
Hdl Handle:
http://hdl.handle.net/10755/159979
Type:
Presentation
Title:
Effect of a Symptom Management Telehealth Intervention for Older Adults on Early Recovery Outcomes after Coronary Artery Bypass Surgery (CABS)
Abstract:
Effect of a Symptom Management Telehealth Intervention for Older Adults on Early Recovery Outcomes after Coronary Artery Bypass Surgery (CABS)
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Barnason, Susan, PhD
P.I. Institution Name:UNMC College of Nursing
Contact Address:P.O. Box 880220, Lincoln, NE, 68588-0220, USA
Contact Telephone:(402) 472-7359
Co-Authors:S. Barnason, L. Zimmerman, P. Schulz, Lincoln Division, University of Nebraska Medical Center College of Nursing, Lincoln, NE;
Older adults often do not achieve the beneficial outcomes that can be realized from cardiac revascularization due to preexisting comorbidities and impaired functioning. The purpose of this study was to examine the effect of a symptom management (SM) telehealth intervention for elderly patients (> 65 years old) on early recovery outcomes (physical activity, physiological and psychosocial functioning). A total of 232 subjects were enrolled in a randomized clinical trial (RCT) comparing the SM intervention to usual care. The SM telehealth intervention was delivered daily, for 6-weeks after CABS using the Health Buddy. Physical activity was measured at baseline using the Modified 7-Day Activity Interview; and at follow-up times by the RT3; accelerometer and an Activity Diary. The Medical Outcomes Study Short-Form 36 (MOS SF-36) measured physiological and psychosocial functioning. Data was collected at baseline, prior to hospital discharge, and at 3- and 6-weeks and 3- and 6-months after CABS. Subjects had a mean age of 71.2 (+ 4.7) years. There were no significant interactions or main effects by group using two-way analysis of covariance with repeated measures, with preoperative physical activity and functioning used as covariates. There were significant time effects [F(3,459)=17.3, p<.01] for average daily activity counts and increased levels of moderate or greater intensity physical activity [F(3,531)=12.9, p<.01]. Although not significantly different, the SM intervention group achieved higher levels of engaging in moderate or higher intensity levels of physical activity earlier in recovery, specifically at the 3-weeks after CABS. Both groups had significantly (p<.01) increased role-physical, vitality and mental functioning over time. Subjects were able to return to preoperative levels of functioning between 3- to 6-months after CABS; albeit they had impaired physiological functioning prior to CABS. Physical activity increased over time for both groups; although most had not achieved recommended levels of exercise by the 6-months. Further study using the SM telehealth intervention is warranted, specifically targeting patients who could benefit from early recovery interventions (e.g., patients at risk for delayed recovery or poor outcomes).
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.titleEffect of a Symptom Management Telehealth Intervention for Older Adults on Early Recovery Outcomes after Coronary Artery Bypass Surgery (CABS)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/159979-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effect of a Symptom Management Telehealth Intervention for Older Adults on Early Recovery Outcomes after Coronary Artery Bypass Surgery (CABS)</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barnason, Susan, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">UNMC College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">P.O. Box 880220, Lincoln, NE, 68588-0220, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(402) 472-7359</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sbarnaso@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">S. Barnason, L. Zimmerman, P. Schulz, Lincoln Division, University of Nebraska Medical Center College of Nursing, Lincoln, NE;</td></tr><tr><td colspan="2" class="item-abstract">Older adults often do not achieve the beneficial outcomes that can be realized from cardiac revascularization due to preexisting comorbidities and impaired functioning. The purpose of this study was to examine the effect of a symptom management (SM) telehealth intervention for elderly patients (&gt; 65 years old) on early recovery outcomes (physical activity, physiological and psychosocial functioning). A total of 232 subjects were enrolled in a randomized clinical trial (RCT) comparing the SM intervention to usual care. The SM telehealth intervention was delivered daily, for 6-weeks after CABS using the Health Buddy. Physical activity was measured at baseline using the Modified 7-Day Activity Interview; and at follow-up times by the RT3; accelerometer and an Activity Diary. The Medical Outcomes Study Short-Form 36 (MOS SF-36) measured physiological and psychosocial functioning. Data was collected at baseline, prior to hospital discharge, and at 3- and 6-weeks and 3- and 6-months after CABS. Subjects had a mean age of 71.2 (+ 4.7) years. There were no significant interactions or main effects by group using two-way analysis of covariance with repeated measures, with preoperative physical activity and functioning used as covariates. There were significant time effects [F(3,459)=17.3, p&lt;.01] for average daily activity counts and increased levels of moderate or greater intensity physical activity [F(3,531)=12.9, p&lt;.01]. Although not significantly different, the SM intervention group achieved higher levels of engaging in moderate or higher intensity levels of physical activity earlier in recovery, specifically at the 3-weeks after CABS. Both groups had significantly (p&lt;.01) increased role-physical, vitality and mental functioning over time. Subjects were able to return to preoperative levels of functioning between 3- to 6-months after CABS; albeit they had impaired physiological functioning prior to CABS. Physical activity increased over time for both groups; although most had not achieved recommended levels of exercise by the 6-months. Further study using the SM telehealth intervention is warranted, specifically targeting patients who could benefit from early recovery interventions (e.g., patients at risk for delayed recovery or poor outcomes).</td></tr></table>en_GB
dc.date.available2011-10-26T22:30:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:30:47Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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