Key result
The Transitional Care Program reduced anxiety, depression, and hospitalizations, and increased cardiac self-efficacy and satisfaction with care at 8 weeks among 104 patients awaiting CABG.
Why the study?
The effectiveness of the Transitional Care Program on anxiety, depression, cardiac self-efficacy, hospitalizations, and satisfaction among patients awaiting elective CABG was unknown.
Does a Transitional Care Program improve anxiety, depression, cardiac self-efficacy, and reduce hospitalizations in patients awaiting elective CABG surgery?
RCT (n=104)
randomly assigned
Does a Transitional Care Program improve anxiety, depression, cardiac self-efficacy, and reduce hospitalizations in patients awaiting elective CABG surgery?
A Transitional Care Program involving discharge planning and weekly telephone follow-ups reduces anxiety, depression, and hospitalizations while improving self-efficacy and satisfaction in patients awaiting elective CABG.
Supports TCP for elective CABG patients; extends nurse-led transitional care evidence in pre-surgical cardiac populations.
PURPOSE: This study examined the effectiveness of the Transitional Care Program (TCP) on the anxiety, depression, cardiac self-efficacy, number of hospitalizations, and satisfaction with care among people awaiting elective coronary artery bypass graft (CABG) surgery. DESIGN: The study design was a randomized controlled trial. METHODS: The participants with coronary artery disease who met the study criteria (n = 104) were randomly assigned to the intervention group (n = 52) receiving the TCP plus routine care, or the control group (n = 52) receiving routine care only. The TCP, developed based on the Transitional Care Model, comprised hospital discharge planning and six weekly home telephone follow-ups to provide health education, counseling, monitoring, and emotional support tailored to the individual's needs. Data were collected at baseline, and then at weeks 1, 6, and 8 after program enrollment. Data were analyzed using descriptive statistics, repeated-measures analysis of variance, and the Z test. FINDINGS: The intervention group had lower anxiety and depression than did the control group at weeks 1, 6, and 8 after program enrollment. At weeks 6 and 8, the intervention group exhibited higher cardiac self-efficacy and satisfaction with care than the control group. Further, the intervention group had a significantly lower number of hospitalizations than the control group at week 8. CONCLUSIONS: The TCP can reduce anxiety, depression, and number of hospitalizations, while increasing cardiac self-efficacy and satisfaction with care among people awaiting CABG. CLINICAL RELEVANCE: Nurses are in a pivotal position to make care transitions safer. Provision of discharge education and regular telephone contacts could enhance positive outcomes regarding patients awaiting elective cardiac surgery.
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Yuroong et al. (2021) conducted an RCT in coronary artery disease awaiting elective CABG (n=104). Transitional Care Program (TCP) vs. routine care was evaluated on anxiety, depression, cardiac self-efficacy, number of hospitalizations, and satisfaction with care. The Transitional Care Program reduced anxiety, depression, and hospitalizations, and increased cardiac self-efficacy and satisfaction with care at 8 weeks among 104 patients awaiting CABG.
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