Outcomes of Home Communication Intervention on CAD Risk Modification and Functioning of CABG Patients with Ischemic Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/161417
Type:
Presentation
Title:
Outcomes of Home Communication Intervention on CAD Risk Modification and Functioning of CABG Patients with Ischemic Heart Failure
Abstract:
Outcomes of Home Communication Intervention on CAD Risk Modification and Functioning of CABG Patients with Ischemic Heart Failure
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Barnason, Susan
Contact Address: Adult Health,, 201 Fairfield Hall, PO Box 880620, Lincoln, NE, 68588-0620, USA
Co-Authors:Lani Zimmerman; Janet Nieveen
Coronary artery disease (CAD) can be manifested as ischemic heart failure (HF), and coronary revascularization, is one of the primary treatments for ischemic HF. Increasing numbers of patients undergo CABG surgery, with more than 355,000 CABG procedures performed annually (AHA, 2002), and have concomitant ischemic HF which entails management of chronic progressive disease processes (HF and CAD). A randomized clinical trial with repeated measures design was used in this pilot study to determine outcomes of a home communication intervention (HCI) for CABG patients > 65 years with ischemic heart failure (HF) on coronary artery disease (CAD) risk factor modification and functioning (physiological and psychosocial) in the early recovery period after surgery (2, 4, 6 weeks and 3 months post discharge). A subset of CABG patients with concomitant ischemic HF (N=35), with a mean age of 73.2 years, were analyzed separately. The HCI was delivered using a Health Buddy (HB) device, which attached to the subjects telephone line and delivered daily scripts to educate and reinforce CABG surgery recovery and CAD risk modification for 6 weeks. Ischemic HF CABG subjects in HCI group (n=18) had significantly higher exercise duration (t=2.64, p<.01) and exercise adherence (t=3.09, p<.01) at 6 weeks after CABG surgery, and lower stress at 3 months after surgery (t=3.77, p<.01). Significantly higher levels of physical (t=2.13, p<.05) and general health (t=2.11, p<.05) functioning were found at 6 weeks postdischarge. The HCI group also had significantly higher mental functioning scores at 6 weeks postoperatively (t=2.91, p<.01). The uniqueness of the intervention used in this pilot study provides clinicians with an alternative telehealth option to remain in contact with patients and to further enhance outcomes for this vulnerable subgroup of CABG patients. AN: MN030251
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.titleOutcomes of Home Communication Intervention on CAD Risk Modification and Functioning of CABG Patients with Ischemic Heart Failureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161417-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Outcomes of Home Communication Intervention on CAD Risk Modification and Functioning of CABG Patients with Ischemic Heart Failure </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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barnason, Susan</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value"> Adult Health,, 201 Fairfield Hall, PO Box 880620, Lincoln, NE, 68588-0620, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lani Zimmerman; Janet Nieveen</td></tr><tr><td colspan="2" class="item-abstract">Coronary artery disease (CAD) can be manifested as ischemic heart failure (HF), and coronary revascularization, is one of the primary treatments for ischemic HF. Increasing numbers of patients undergo CABG surgery, with more than 355,000 CABG procedures performed annually (AHA, 2002), and have concomitant ischemic HF which entails management of chronic progressive disease processes (HF and CAD). A randomized clinical trial with repeated measures design was used in this pilot study to determine outcomes of a home communication intervention (HCI) for CABG patients &gt; 65 years with ischemic heart failure (HF) on coronary artery disease (CAD) risk factor modification and functioning (physiological and psychosocial) in the early recovery period after surgery (2, 4, 6 weeks and 3 months post discharge). A subset of CABG patients with concomitant ischemic HF (N=35), with a mean age of 73.2 years, were analyzed separately. The HCI was delivered using a Health Buddy (HB) device, which attached to the subjects telephone line and delivered daily scripts to educate and reinforce CABG surgery recovery and CAD risk modification for 6 weeks. Ischemic HF CABG subjects in HCI group (n=18) had significantly higher exercise duration (t=2.64, p&lt;.01) and exercise adherence (t=3.09, p&lt;.01) at 6 weeks after CABG surgery, and lower stress at 3 months after surgery (t=3.77, p&lt;.01). Significantly higher levels of physical (t=2.13, p&lt;.05) and general health (t=2.11, p&lt;.05) functioning were found at 6 weeks postdischarge. The HCI group also had significantly higher mental functioning scores at 6 weeks postoperatively (t=2.91, p&lt;.01). The uniqueness of the intervention used in this pilot study provides clinicians with an alternative telehealth option to remain in contact with patients and to further enhance outcomes for this vulnerable subgroup of CABG patients. AN: MN030251</td></tr></table>en_GB
dc.date.available2011-10-26T23:21:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:21:00Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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