Key result
Interventions to optimize patient expectations significantly decreased cardiac anxiety (P=0.027) but did not significantly affect expectations or pain-induced disability.
Why the study?
Coronary surgery can lead to fear of death, cardiac anxiety, and pain disability, prompting evaluation of whether interventions based on patient expectations improve these outcomes.
Does an intervention based on patient expectations improve expectations, cardiac anxiety, and pain-induced disability in coronary surgery candidates?
RCT (n=60)
randomly assigned
Does an intervention based on patient expectations improve expectations, cardiac anxiety, and pain-induced disability in coronary surgery candidates?
p-value: p=0.027
Preoperative interventions aimed at optimizing patient expectations can significantly reduce postoperative cardiac anxiety in patients undergoing coronary surgery.
Supports preoperative expectation optimization to reduce cardiac anxiety after coronary surgery; extends RCT evidence on psychological preparation in cardiac patients.
Background: Coronary surgery can have various outcomes, such as fear of death, cardiac anxiety, and pain disability. This study aimed to evaluate the effects of interventions based on patient expectations on different outcomes of coronary surgery, including expectations, cardiac anxiety, and pain-induced disability. Methods: This randomized clinical trial evaluated 60 coronary surgery candidates. Patients meeting the inclusion criteria were randomly assigned to control and intervention groups. The patients were contacted 1 to 2 weeks before coronary surgery to complete the Cardiac Surgery Patient Expectations Questionnaire (C-SPEQ). Based on the analysis of expectations, the intervention group underwent interventions to optimize expectations, whereas the control group received only routine care. The Cardiac Anxiety Questionnaire (CAQ) and the Pain Disability Index (PDI) were completed on the day of hospitalization. Three months later, the participants recompleted all 3 questionnaires. The data were analyzed with descriptive and analytical statistics in SPSS 16.0. Results: There were no significant differences between the control and intervention groups in baseline variables, pain-induced disability (P=0.353), and cardiac anxiety (P=0.479). After the intervention, no significant differences were observed between the groups concerning expectations (P=0.554) and pain-induced disability (P=0.557) when the confounding variables were adjusted. Nevertheless, cardiac anxiety decreased significantly (P=0.027). Conclusion: Our interventions improved expectations and mitigated anxiety among coronary surgery patients. Actualization and optimization of patient expectations should be considered in the care of coronary surgery candidates.
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Larki et al. (2024) conducted an RCT in Coronary surgery (n=60). Interventions to optimize expectations vs. Routine care was evaluated on Expectations, cardiac anxiety, and pain-induced disability (p=0.027). Interventions to optimize patient expectations significantly decreased cardiac anxiety (P=0.027) but did not significantly affect expectations or pain-induced disability.
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