Key result
An individualized telephone education intervention significantly reduced hospital readmissions (0 vs 4) and complications (3 vs 20) at 12 weeks post-discharge compared to standardized education.
Why the study?
In-hospital self-care education after heart surgery has questionable effectiveness because patients may not absorb information, risking complications and readmissions; this pilot study tested an individualized post-discharge educational intervention.
Does an individualized telephone education intervention reduce complications and hospital readmissions in patients following CABG and/or valvular replacement surgery?
RCT (n=34)
Single-blind
Permuted block
No
Does an individualized telephone education intervention reduce complications and hospital readmissions in patients following CABG and/or valvular replacement surgery?
Answers are grounded in this paper and cite their sources.
An individualized telephone education intervention delivered post-discharge significantly reduced hospital readmissions and self-reported complications at 3 months in patients recovering from CABG or valve replacement surgery.
The effectiveness of in-hospital self-care patient education, delivered to patients following heart surgery, is questionable, as evidence indicates individuals are not able to absorb and/or retain information at this time. In the absence of adequate instruction, individuals will not have the relevant information to engage in specific self-care behaviors, resulting in the onset of complications and/or hospital readmissions. The purpose of this pilot study was to collect preliminary evidence to demonstrate the impact of an individualized education intervention given above and beyond usual care, delivered, at two points in time, following hospital discharge. A randomized controlled trial was used in which 34 patients were randomly assigned to one of two groups. Chi-square analyses to examine differences between groups on complications and hospital readmission rates were conducted. Findings point to the impact of the intervention in reducing the number of hospital readmissions and complications at 3 months following hospital discharge.
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Fredericks et al. (2021) conducted an RCT in Coronary artery bypass graft (CABG) and/or valvular replacement (VR) surgery (n=34). Individualized telephone patient education vs. Standardized patient education booklet was evaluated on Hospital readmissions at 12 weeks post-discharge. An individualized telephone education intervention significantly reduced hospital readmissions (0 vs 4) and complications (3 vs 20) at 12 weeks post-discharge compared to standardized education.
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