Key result
Multimedia educational program improves post-cardiac surgery quality of life by ~2 points.
Why the study?
Postcardiac surgery factors predict postoperative harm to quality of life, highlighting behavioural change as an essential key to self-management to improve patient outcomes.
Does a structured educational program improve quality of life, health outcomes, and psychological status in patients following open heart surgery?
Does a structured educational program improve quality of life, health outcomes, and psychological status in patients following open heart surgery?
Absolute Event Rate: 66.32% vs 64.47%
p-value: p=0.014
A structured multimedia educational program administered pre and post-operatively significantly improves psychological well-being and health-related quality of life in patients recovering from open-heart surgery.
May support educational programs in post-open heart surgery care; hypothesis-generating and requires randomized confirmation before practice change.
BACKGROUND: Postcardiac surgery, numerous factors have been shown to predict postoperative harm of QoL, such as age, female sex, history of hypertension, chronic obstructive pulmonary disease, education level, marital status, and also psychological factors such as the presence of mood disorders. So, the essential key to self-management is behavioural change, which is necessary to improve the quality of life of patients and Health outcomes. AIM: The aim of this study is to evaluate the impact of the education programme on patients' health outcomes following open heart surgeries. PATIENTS AND METHODS: Quasi-experimental research design carried out in intensive care for open heart surgery in Suez Canal university hospitals at Ismailia Governate on all available both sex patients performing open heart surgery for 6-month period (60) using the following four tools: the first tool for patient's risk stratification model Euro Scale sheet; the second tool New York Heart Association scale for assessing functional abilities; the third tool for health outcomes sheet for assessing patient's quality of life and health status; and the fourth tool for assessing Hospital Anxiety and Depression Scale. RESULTS: There was no significant difference found in the patient's vital signs before and after the educational programme. On the other hand, there was no statistically significant difference between overall quality of life and socio-demographic characteristics before and after the educational programme. CONCLUSION: This study concluded that the educational programme has a positive effect on patients' quality of life in patients' educational programme; improve patient's health status as indicated by improved patient outcomes. RELEVANCE TO CLINICAL PRACTICE: The most important finding was the value of the educational training programme to address the needs of open heart surgery patients, indicating that after heart surgery, patient education by training can be helpful in self-care, and nurses can use a programme containing preparatory information to enhance results, alleviate patients problems, and improve the quality of life in patients with CABG.
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Elgazzar et al. (2022) studied Open heart surgery (n=60). Educational program vs. Pre-educational program baseline was evaluated on Overall quality of life score (p=0.014). The educational program significantly improved the overall quality of life score (from 64.47 to 66.32, p=0.014) and significantly reduced overall patient problems post-open heart surgery.
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