Impact of a Home Communication Intervention on Self-Efficacy, Cad Risk Factor Modification and Functioning among CABG Patients with Ischemic Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/161641
Type:
Presentation
Title:
Impact of a Home Communication Intervention on Self-Efficacy, Cad Risk Factor Modification and Functioning among CABG Patients with Ischemic Heart Failure
Abstract:
Impact of a Home Communication Intervention on Self-Efficacy, Cad Risk Factor Modification and Functioning among CABG Patients with Ischemic Heart Failure
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Barnason, Susan
P.I. Institution Name:University of Nebraska Medical Center
Title:Associate Professor
Contact Address:College of Nursing, 113 Fairfield Hall, PO Box 880620, Lincoln, NE, 68588-0620, USA
Contact Telephone:402.472.7359
The purpose of this pilot study was to determine the impact of a home communication intervention (HCI) for CABG patients > 65 years with ischemic heart failure (IHF) on self-efficacy, coronary artery disease (CAD) risk factor modification and functioning (physiological and psychosocial) in the early recovery period (2, 4, 6 weeks and 3 months post discharge). Cardiac surgery is a major intervention to manage heart disease, with over 336,000 procedures performed per year (American Heart Association, 2001) and concurrent comorbid conditions can influence outcomes. An adaptation of the health outcomes research model was the theoretical framework guiding this study. A randomized clinical trial with repeated measures was used. A subset sample of patients who had CABG surgery and also had IHF (N=35), comprised of 18 males and 17 females, were analyzed separately for this project. IHF subjects in HCI group had significantly higher self-efficacy scores at 6 weeks (t=2.13, p<.05). In relation to CAD risk factor modification the IHF patients in the HCI group had significantly higher levels of exercise duration at 6 weeks (t=2.64, p<.01), and lower levels of reported stress at 3 months (t=3.77, p<.01). They also had higher levels of physical (t=2.13, p<.05) and general health (t=2.11, p<.05) functioning at 6 weeks after CABG. In relation to psychosocial functioning, IHF subjects in HCI group had significantly higher Mental functioning scores at 6 weeks postoperatively (t=2.91, p<.01). There was an overall trend of higher functioning, both physical and psychosocial, among CABG patients with IHF in the HCI group post-discharge. Data from this pilot study can be used to strengthen the HCI intervention with more tailored strategies for this vulnerable subgroup of CABG patients such as the IHF group.
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 Self-Efficacy, Cad Risk Factor Modification and Functioning among CABG Patients with Ischemic Heart Failureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161641-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of a Home Communication Intervention on Self-Efficacy, Cad Risk Factor Modification and Functioning among 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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barnason, Susan</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">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 113 Fairfield Hall, PO Box 880620, Lincoln, NE, 68588-0620, 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><td colspan="2" class="item-abstract">The purpose of this pilot study was to determine the impact of a home communication intervention (HCI) for CABG patients &gt; 65 years with ischemic heart failure (IHF) on self-efficacy, coronary artery disease (CAD) risk factor modification and functioning (physiological and psychosocial) in the early recovery period (2, 4, 6 weeks and 3 months post discharge). Cardiac surgery is a major intervention to manage heart disease, with over 336,000 procedures performed per year (American Heart Association, 2001) and concurrent comorbid conditions can influence outcomes. An adaptation of the health outcomes research model was the theoretical framework guiding this study. A randomized clinical trial with repeated measures was used. A subset sample of patients who had CABG surgery and also had IHF (N=35), comprised of 18 males and 17 females, were analyzed separately for this project. IHF subjects in HCI group had significantly higher self-efficacy scores at 6 weeks (t=2.13, p&lt;.05). In relation to CAD risk factor modification the IHF patients in the HCI group had significantly higher levels of exercise duration at 6 weeks (t=2.64, p&lt;.01), and lower levels of reported stress at 3 months (t=3.77, p&lt;.01). They also had higher levels of physical (t=2.13, p&lt;.05) and general health (t=2.11, p&lt;.05) functioning at 6 weeks after CABG. In relation to psychosocial functioning, IHF subjects in HCI group had significantly higher Mental functioning scores at 6 weeks postoperatively (t=2.91, p&lt;.01). There was an overall trend of higher functioning, both physical and psychosocial, among CABG patients with IHF in the HCI group post-discharge. Data from this pilot study can be used to strengthen the HCI intervention with more tailored strategies for this vulnerable subgroup of CABG patients such as the IHF group.</td></tr></table>en_GB
dc.date.available2011-10-26T23:24:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:44Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.