An interventional pilot study to provide telephone follow-up support to open-heart surgery patients during recovery

2.50
Hdl Handle:
http://hdl.handle.net/10755/308601
Category:
Abstract
Type:
Presentation
Title:
An interventional pilot study to provide telephone follow-up support to open-heart surgery patients during recovery
Author(s):
Chunta, Kristy S.
Lead Author STTI Affiliation:
Eta
Author Details:
Kristy S. Chunta, PhD, RN, ACNS, BC, CMC, kchunta@iup.edu
Abstract:

Session presented on: Tuesday, November 19, 2013

Background

Open-heart (OH) surgery has been used to routinely treat cardiovascular and valvular heart disorders.  Although the outcomes are beneficial, research has suggested that the recovery process after OH surgery may be complex and present physical and psychosocial challenges such as anxiety, depression, and Physical Health Status (PHS) limitations that continue well after discharge.

 Objective

The aim of this experimental pilot study was to improve psychosocial and physical outcomes in OH surgery patients.  The longitudinal study provided a supportive intervention via telephone follow-up calls during recovery, and measured anxiety, depression, expectations, and PHS preoperatively and postoperatively, three days after discharge, and at 4 weeks and 3 months after surgery. 

 Methods

A convenience sample of N = 28 subjects who underwent elective coronary artery bypass grafting or valve replacement were recruited from a medical center in Pennsylvania.  Participants were randomly assigned to an experimental or control group. A registered nurse provided the telephone follow-up supportive intervention to the experimental group on the day of discharge, and weeks 2, 4, 6, 8, and 10 after surgery. 

 Results

The study did not determine that a telephone follow-up intervention decreased anxiety and depression scores and improved expectation and PHS scores.  However, mean anxiety and depression scores for this sample of OH patients were normal.  The study found that mean expectation scores for the experimental group improved while scores for the control group decreased slightly, and PHS mean scores increased to above baseline scores for the experimental and control groups.

 Conclusions

The findings support the need for continued research to examine supportive postoperative measures in a larger sample of OH surgery patients.  Future research should also consider patients who require emergent surgery in comparison to patients undergoing elective surgery and measurement of PHS using other tools to identify continued limitations after surgery.

Keywords:
Experimental research; Recovery; Open-heart surgery
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAn interventional pilot study to provide telephone follow-up support to open-heart surgery patients during recoveryen_GB
dc.contributor.authorChunta, Kristy S.en_GB
dc.contributor.departmentEtaen_GB
dc.author.detailsKristy S. Chunta, PhD, RN, ACNS, BC, CMC, kchunta@iup.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308601-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p><i>Background</i><p>Open-heart (OH) surgery has been used to routinely treat cardiovascular and valvular heart disorders.  Although the outcomes are beneficial, research has suggested that the recovery process after OH surgery may be complex and present physical and psychosocial challenges such as anxiety, depression, and Physical Health Status (PHS) limitations that continue well after discharge. <p> <i>Objective</i><p>The aim of this experimental pilot study was to improve psychosocial and physical outcomes in OH surgery patients.  The longitudinal study provided a supportive intervention via telephone follow-up calls during recovery, and measured anxiety, depression, expectations, and PHS preoperatively and postoperatively, three days after discharge, and at 4 weeks and 3 months after surgery.  <p> <i>Methods</i><p>A convenience sample of <i>N</i> = 28 subjects who underwent elective coronary artery bypass grafting or valve replacement were recruited from a medical center in Pennsylvania.  Participants were randomly assigned to an experimental or control group. A registered nurse provided the telephone follow-up supportive intervention to the experimental group on the day of discharge, and weeks 2, 4, 6, 8, and 10 after surgery.  <p> <i>Results</i><p>The study did not determine that a telephone follow-up intervention decreased anxiety and depression scores and improved expectation and PHS scores.  However, mean anxiety and depression scores for this sample of OH patients were normal.  The study found that mean expectation scores for the experimental group improved while scores for the control group decreased slightly, and PHS mean scores increased to above baseline scores for the experimental and control groups. <p> <i>Conclusions</i><p>The findings support the need for continued research to examine supportive postoperative measures in a larger sample of OH surgery patients.  Future research should also consider patients who require emergent surgery in comparison to patients undergoing elective surgery and measurement of PHS using other tools to identify continued limitations after surgery.en_GB
dc.subjectExperimental researchen_GB
dc.subjectRecoveryen_GB
dc.subjectOpen-heart surgeryen_GB
dc.date.available2013-12-19T17:33:27Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:27Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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