Stress Reduction in Post Cardiac Surgery Family Members: Implementation of a Post Cardiac Surgery Family Took Kit

2.50
Hdl Handle:
http://hdl.handle.net/10755/621364
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Quasi-Experimental Study, Other
Research Approach:
Quantitative Research
Title:
Stress Reduction in Post Cardiac Surgery Family Members: Implementation of a Post Cardiac Surgery Family Took Kit
Author(s):
Breisinger, Lauren M.; Macci-Bires, Angela; Cline, Thomas
Additional Author Information:
Lauren M. Breisinger, RN, BSN, DNP (c), lmost309@mail.rmu.edu
Advisors:
Macci-Bires, Angela
Degree:
DNP
Degree Year:
2017
Grantor:
Robert Morris University
Abstract:

The intensive care unit (ICU) can be a place of stress, anxiety, and emotional instability for both patients and families. Medical and nursing care during this acute time is patient focused, and family members are often left in the dark. Unintentional exclusion from information results in high levels of stress, anxiety, and uncertainty for families. Due to the acuity of illness, family members of cardiac surgery patients experience the highest levels of stress. Spouses may experience intense psychosomatic symptoms: depression, anxiety, and fear, for several months after the surgery (Mahler & Kulik, 2002). The purpose of this study was aimed at decreasing those feelings of anxiety in post cardiac surgery family member through the use of a cardiac surgery toolkit. The study was a quality improvement project utilizing a convenience sample of 83 participants aged 18 and older. Participants were asked to use the State Trait Anxiety Inventory Form Y-1 (state anxiety) to rate their anxiety level pre intervention and then again post intervention. Data was collected over a 6month period. Descriptive data including age, education level, ethnicity, relationship, previous experience in the ICU, and active diagnoses of mental disorders did not affect the changes in the pre and post test data. A paired t-test was conducted on the sample to assess changes in state anxiety, using the STAI Form Y-1.  The results were statistically significant, t = 11.97, df = 81, p < 0.001.  Respondents’ scores decreased significantly from pre- (M = 53.01, SD = 12.19) to post-intervention (M = 37.38, SD = 10.94).  The data suggests that the use of a post cardiac surgery tool kit is a low risk measure that can decrease the anxiety in family members of post cardiac surgery patients.

Keywords:
Anxiety; Cardiac Surgery; STAI; ICU
CINAHL Headings:
State-Trait Anxiety Inventory; Stress Management--Education; Stress Management; Family--Psychosocial Factors; Family; Heart Surgery; Intensive Care Units; Anxiety--Diagnosis
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-04-13T17:28:19Z
Date of Publication:
2017-04-13

Full metadata record

DC FieldValue Language
dc.contributor.advisorMacci-Bires, Angelaen
dc.contributor.authorBreisinger, Lauren M.en
dc.contributor.authorMacci-Bires, Angelaen
dc.contributor.authorCline, Thomasen
dc.date.accessioned2017-04-13T17:28:19Z-
dc.date.available2017-04-13T17:28:19Z-
dc.date.issued2017-04-13-
dc.identifier.urihttp://hdl.handle.net/10755/621364-
dc.description.abstract<p>The intensive care unit (ICU) can be a place of stress, anxiety, and emotional instability for both patients and families. Medical and nursing care during this acute time is patient focused, and family members are often left in the dark. Unintentional exclusion from information results in high levels of stress, anxiety, and uncertainty for families. Due to the acuity of illness, family members of cardiac surgery patients experience the highest levels of stress. Spouses may experience intense psychosomatic symptoms: depression, anxiety, and fear, for several months after the surgery (Mahler & Kulik, 2002). The purpose of this study was aimed at decreasing those feelings of anxiety in post cardiac surgery family member through the use of a cardiac surgery toolkit. The study was a quality improvement project utilizing a convenience sample of 83 participants aged 18 and older. Participants were asked to use the State Trait Anxiety Inventory Form Y-1 (state anxiety) to rate their anxiety level pre intervention and then again post intervention. Data was collected over a 6month period. Descriptive data including age, education level, ethnicity, relationship, previous experience in the ICU, and active diagnoses of mental disorders did not affect the changes in the pre and post test data. A paired <em>t</em>-test was conducted on the sample to assess changes in state anxiety, using the STAI Form Y-1.  The results were statistically significant, <em>t </em>= 11.97, <em>df</em> = 81, <em>p</em> < 0.001.  Respondents’ scores decreased significantly from pre- (M = 53.01, SD = 12.19) to post-intervention (M = 37.38, SD = 10.94).  The data suggests that the use of a post cardiac surgery tool kit is a low risk measure that can decrease the anxiety in family members of post cardiac surgery patients.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAnxietyen
dc.subjectCardiac Surgeryen
dc.subjectSTAIen
dc.subjectICUen
dc.titleStress Reduction in Post Cardiac Surgery Family Members: Implementation of a Post Cardiac Surgery Family Took Kiten_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorRobert Morris Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en_US
dc.primary-author.detailsLauren M. Breisinger, RN, BSN, DNP (c), lmost309@mail.rmu.eduen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelQuasi-Experimental Study, Otheren
dc.research.approachQuantitative Researchen
dc.subject.cinahlState-Trait Anxiety Inventoryen
dc.subject.cinahlStress Management--Educationen
dc.subject.cinahlStress Managementen
dc.subject.cinahlFamily--Psychosocial Factorsen
dc.subject.cinahlFamilyen
dc.subject.cinahlHeart Surgeryen
dc.subject.cinahlIntensive Care Unitsen
dc.subject.cinahlAnxiety--Diagnosisen
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