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January 1, 1987Open Access

A supportive-educative telephone program: impact on knowledge and anxiety after coronary artery bypass graft surgery

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Why the study?

Does a supportive-educative telephone program improve knowledge and reduce anxiety in patients after coronary artery bypass graft surgery?

Population

74 patients scheduled for coronary artery bypass graft surgery in a large, western Canadian teaching hospital

Comparison

Supportive-educative telephone program… vs Control group (posttest-only control group design)

Design

RCT, Randomly assigned, Outcome assessors blinded

Follow-up

6 weeks after hospital discharge

Authors

TBTheresa M. BeckiePreventive Cardiology

Discussion

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Implication

Supports post-CABG telephone follow-up; extends RCT evidence for nurse-led education in cardiac recovery.

Key Points

  • To evaluate the impact of a nurse-delivered supportive-educative telephone program on recovery knowledge and anxiety levels during the first six weeks following hospital discharge after coronary artery bypass graft surgery.
  • Randomized trial using a posttest-only control design among 74 patients scheduled for coronary artery bypass graft surgery at a Canadian teaching hospital between September 1986 and February 1987.
  • Participants were randomly assigned to an experimental supportive-educative telephone intervention administered by a cardiac rehabilitation nurse specialist or to a standard-care control group.
  • Outcomes were assessed six weeks post-discharge using a knowledge test and a state anxiety inventory administered by assessors blinded to group allocation, with analyses performed using independent t tests.
  • Patients in the experimental group demonstrated statistically significant higher knowledge scores across coronary artery disease, diet, medications, physical activity restrictions, exercise, and rest compared to controls (p < 0.05).
  • State anxiety levels were statistically significantly lower in the experimental group relative to the control group (p < 0.05).
  • A statistically significant inverse relationship was observed between participant knowledge levels and state anxiety levels.

Structured PICO

Does a supportive-educative telephone program improve knowledge and reduce anxiety in patients after coronary artery bypass graft surgery?

P
Population
74 patients scheduled for coronary artery bypass graft (CABG) surgery in a large, western Canadian teaching hospital
I
Intervention
Supportive-educative telephone program implemented by a cardiac rehabilitation nurse specialist during the first 6 weeks after hospital discharge
C
Comparator
Control group (posttest-only control group design)
O
Outcome
Knowledge level (assessed by a knowledge test) and state anxiety level (assessed by a state anxiety inventory) at 6 weeks post-dischargepatient reported

A nurse-led supportive-educative telephone program significantly improves knowledge and reduces anxiety in patients recovering from CABG surgery.

Cite This Study

Theresa M. Beckie (1987) studied this question.

synapsesocial.com/papers/6a1deceeef3fa0b4c0ef934fhttps://doi.org/10.7939/r3599zb4x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The impact of pre-operative education on recovery following coronary artery bypass surgery. A randomized controlled clinical trial2002 · 117 citations
  2. 2Recovery after coronary artery bypass surgery: effect of an audiotape information programme2010 · 37 citations
  3. 3Effect of nurse led education on anxiety level among coronary artery bypass grafting pre-operative patients2020 · 13 citations
  4. 4The effect of a peer support intervention on early recovery outcomes in men recovering from coronary bypass surgery: A randomized controlled trial2017 · 27 citations
  5. 5Impact of Nurse-Initiated Preoperative Education on Postoperative Anxiety Symptoms and Complications After Coronary Artery Bypass Grafting2012 · 71 citations