A randomized clinical trial of nursing care for recovery from cardiac surgery
Gilliss, C.L.; Gortner, S.R.; Hauck, W.W.; Shinn, J.A.; Sparacino, P.A.; Tompkins, C.
Heart and Lung the Journal of Critical Care 22(2): 125-133
1993
ISSN/ISBN: 0147-9563 PMID: 7680641 Document Number: 416580
To determine the efficacy of a psychoeducational nursing intervention in patients who receive coronary artery bypass graft and valve repair surgery. A cluster-randomized controlled trial design. Two hospitals in the western United States--a large community hospital with an active cardiovascular surgery practice and a health-sciences research center. 156 patients between 25 and 75 years of age, 125 (81.1%) men, and 31 (19.9%) women, all with primary care givers. Self-efficacy expectations, activities (behavior performance), quality of life, mood state. Supplemental in-hospital education followed by telephone contact from discharge to eighth week after discharge. Patients in the experimental group reported significantly greater self-efficacy expectations for walking and behavior performance for walking, lifting, climbing stairs, general exertion and, where applicable, for working. This trial suggests that a low-intensity psychoeducational nursing intervention can promote self-efficacy expectations for walking in recovery and is associated with more self-reported walking and lifting behavior after cardiac surgery.