Usefulness of a Symptom Management Telehealth Intervention for Elderly Coronary Artery Bypass Graft (CABG) Surgery Patients With High Coronary Artery Disease Burden

2.50
Hdl Handle:
http://hdl.handle.net/10755/161255
Type:
Presentation
Title:
Usefulness of a Symptom Management Telehealth Intervention for Elderly Coronary Artery Bypass Graft (CABG) Surgery Patients With High Coronary Artery Disease Burden
Abstract:
Usefulness of a Symptom Management Telehealth Intervention for Elderly Coronary Artery Bypass Graft (CABG) Surgery Patients With High Coronary Artery Disease Burden
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Barnason, Susan, PhD, RN
P.I. Institution Name:University of Nebraska Medical Center
Contact Address:, 7687 Phares Dr., Lincoln, NE, 68516, USA
Co-Authors:L. Zimmerman, J. Nieveen, P. Schulz, C. Miller, M. Hertzog, and D. Rasmussen, College of Nursing, University of Nebraska Medical Center, Lincoln, NE
Poor outcomes following CABG surgery are more prevalent among patients at higher risk based on preoperative health status. A subanalysis was conducted on subjects (N = 40) with preexisting, high coronary artery disease (CAD) burden, who had been enrolled in a larger randomized clinical trial (RCT). The parent study tested the effect of a symptom management telehealth intervention, delivered over 6 weeks using the Health Buddy« on recovery outcomes of elderly (> 65 years old) CABG subjects in at 3 and 6 weeks, and 3 and 6 months after surgery. The purpose of this subanalysis was to examine the intervention's impact on psychosocial, physiological functioning and physical activity factors associated with increased morbidity and mortality following cardiac surgery. High CAD burden was determined as a score of >12 on the RISKO tool. The weighted score was based on BP, body weight, serum cholesterol, and tobacco use; and was risk adjusted for diabetes. Using a RM ANOVA, there was a significant [F (1,18) = 5.97, p<.05] group effect for self efficacy. Subjects with high CAD burden (n = 16) in the experimental group had higher perceived self-efficacy, or increased confidence, in their ability to manage their self-care pertaining to surgery recovery as compared to the control group (n = 24) using the Barnason Efficacy Expectation Scale (BEES). There was a significant group effect [F(1, 26) = 4.17, p<.05] related to depression, as measured by the Hospital Anxiety and Depression Scale (HADS); with less depression reported by the treatment group. Using one-way ANOVA, the experimental group had significantly [F (1, 26) = 4.81, p<.05] higher average kcal/kg of energy expended per day, as measured by an activity diary. The intervention group had a higher mean number of minutes exercised/day at both 3 and 6 weeks, although not significantly different. Physiological functioning, as measured by the physical and role-physical functioning subscales of the MOS SF-36, was higher for subjects in the intervention group, although not significantly different. Study findings support the potential benefit of an early recovery symptom management telehealth intervention, following CABG surgery, to improve the status for patients at high risk related to their preoperative level of CAD burden.
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.titleUsefulness of a Symptom Management Telehealth Intervention for Elderly Coronary Artery Bypass Graft (CABG) Surgery Patients With High Coronary Artery Disease Burdenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161255-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Usefulness of a Symptom Management Telehealth Intervention for Elderly Coronary Artery Bypass Graft (CABG) Surgery Patients With High Coronary Artery Disease Burden</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">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barnason, Susan, PhD, RN</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-address"><td class="label">Contact Address:</td><td class="value">, 7687 Phares Dr., Lincoln, NE, 68516, USA</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">L. Zimmerman, J. Nieveen, P. Schulz, C. Miller, M. Hertzog, and D. Rasmussen, College of Nursing, University of Nebraska Medical Center, Lincoln, NE</td></tr><tr><td colspan="2" class="item-abstract">Poor outcomes following CABG surgery are more prevalent among patients at higher risk based on preoperative health status. A subanalysis was conducted on subjects (N = 40) with preexisting, high coronary artery disease (CAD) burden, who had been enrolled in a larger randomized clinical trial (RCT). The parent study tested the effect of a symptom management telehealth intervention, delivered over 6 weeks using the Health Buddy&laquo; on recovery outcomes of elderly (&gt; 65 years old) CABG subjects in at 3 and 6 weeks, and 3 and 6 months after surgery. The purpose of this subanalysis was to examine the intervention's impact on psychosocial, physiological functioning and physical activity factors associated with increased morbidity and mortality following cardiac surgery. High CAD burden was determined as a score of &gt;12 on the RISKO tool. The weighted score was based on BP, body weight, serum cholesterol, and tobacco use; and was risk adjusted for diabetes. Using a RM ANOVA, there was a significant [F (1,18) = 5.97, p&lt;.05] group effect for self efficacy. Subjects with high CAD burden (n = 16) in the experimental group had higher perceived self-efficacy, or increased confidence, in their ability to manage their self-care pertaining to surgery recovery as compared to the control group (n = 24) using the Barnason Efficacy Expectation Scale (BEES). There was a significant group effect [F(1, 26) = 4.17, p&lt;.05] related to depression, as measured by the Hospital Anxiety and Depression Scale (HADS); with less depression reported by the treatment group. Using one-way ANOVA, the experimental group had significantly [F (1, 26) = 4.81, p&lt;.05] higher average kcal/kg of energy expended per day, as measured by an activity diary. The intervention group had a higher mean number of minutes exercised/day at both 3 and 6 weeks, although not significantly different. Physiological functioning, as measured by the physical and role-physical functioning subscales of the MOS SF-36, was higher for subjects in the intervention group, although not significantly different. Study findings support the potential benefit of an early recovery symptom management telehealth intervention, following CABG surgery, to improve the status for patients at high risk related to their preoperative level of CAD burden.</td></tr></table>en_GB
dc.date.available2011-10-26T23:18:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:18:24Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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