Impact of a Home Communication Intervention to Augment Home Health Care for Elderly Coronary Artery Bypass Graft Patients on Functional Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/161283
Type:
Presentation
Title:
Impact of a Home Communication Intervention to Augment Home Health Care for Elderly Coronary Artery Bypass Graft Patients on Functional Outcomes
Abstract:
Impact of a Home Communication Intervention to Augment Home Health Care for Elderly Coronary Artery Bypass Graft Patients on Functional Outcomes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Barnason, Susan, PhD, RN
Title:Research Associate
Contact Address:CON, Fairfield Hall, P.O. Box 880620, Lincoln, NE, 68588-0620 , USA
Co-Authors:Zimmerman Lani, PhD, RN; Nieveen Janet, PhD, RN
Changes in health care technology and care delivery allow Coronary Artery Bypass Graft (CABG) patients to be discharged within a few days after surgery. Although CABG patients are clinically stable at the time of discharge, elderly CABG patients are often at increased risk for postoperative problems (that may impede increased levels of functioning) and have needs for self-care assistance necessitating home health care (HHC). The purpose of this pilot study was to examine the effect of an innovative telehealth home communication intervention (HCI) on functional outcomes of elderly CABG patients (> 65 years) who receive HHC after hospital discharge. A randomized 2-group (N=50) repeated measures design with measurements at baseline, 6 weeks and 3 months postoperatively was used. Both groups (HCI and control) received HHC after discharge, with the experimental group also receiving a 12-week HCI using a telehealth device, which attaches to the patient’s telephone line, called the Health Buddy (HB). Daily scripts (assessments, symptom management strategies and educational information) were sent via HB; and the research nurse was able to view HB data entered by the subjects via a secure Internet website. Subjects had a mean age of 75.3 (+ 5.1) years and each group was comprised of 64% males and 36% females. The Medical Outcome Study Short Form-36 (MOS SF-36) was used to measure functioning. HCI subjects had significantly higher mean general health functioning score [F (1,39)=8.41, p<.006], using RM ANCOVA with total number of HHC visits as the covariate. There were also significant (p<.05) time effects for the physical, role physical, and mental functioning subscales. Findings from this pilot study will be used to strengthen the HCI intervention for elderly CABG patients receiving HHC to further prevent postoperative problems thus enhance functioning beyond the duration of HHC.
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 to Augment Home Health Care for Elderly Coronary Artery Bypass Graft Patients on Functional Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161283-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of a Home Communication Intervention to Augment Home Health Care for Elderly Coronary Artery Bypass Graft Patients on Functional Outcomes</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">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barnason, Susan, PhD, RN </td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Associate</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CON, Fairfield Hall, P.O. Box 880620, Lincoln, NE, 68588-0620 , USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Zimmerman Lani, PhD, RN; Nieveen Janet, PhD, RN </td></tr><tr><td colspan="2" class="item-abstract">Changes in health care technology and care delivery allow Coronary Artery Bypass Graft (CABG) patients to be discharged within a few days after surgery. Although CABG patients are clinically stable at the time of discharge, elderly CABG patients are often at increased risk for postoperative problems (that may impede increased levels of functioning) and have needs for self-care assistance necessitating home health care (HHC). The purpose of this pilot study was to examine the effect of an innovative telehealth home communication intervention (HCI) on functional outcomes of elderly CABG patients (&gt; 65 years) who receive HHC after hospital discharge. A randomized 2-group (N=50) repeated measures design with measurements at baseline, 6 weeks and 3 months postoperatively was used. Both groups (HCI and control) received HHC after discharge, with the experimental group also receiving a 12-week HCI using a telehealth device, which attaches to the patient&rsquo;s telephone line, called the Health Buddy (HB). Daily scripts (assessments, symptom management strategies and educational information) were sent via HB; and the research nurse was able to view HB data entered by the subjects via a secure Internet website. Subjects had a mean age of 75.3 (+ 5.1) years and each group was comprised of 64% males and 36% females. The Medical Outcome Study Short Form-36 (MOS SF-36) was used to measure functioning. HCI subjects had significantly higher mean general health functioning score [F (1,39)=8.41, p&lt;.006], using RM ANCOVA with total number of HHC visits as the covariate. There were also significant (p&lt;.05) time effects for the physical, role physical, and mental functioning subscales. Findings from this pilot study will be used to strengthen the HCI intervention for elderly CABG patients receiving HHC to further prevent postoperative problems thus enhance functioning beyond the duration of HHC.</td></tr></table>en_GB
dc.date.available2011-10-26T23:18:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:18:51Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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