April 1, 2011Turkish Journal of Thoracic and Cardiovascular Surgery

Effects of discharge teaching and counselling on anxiety and depression level of CABG patients

Q: What is the clinical evidence from this study?

Study design: Other. Population: Coronary artery bypass graft (CABG) surgery (n=109). Intervention: Planned discharge teaching and counselling vs. Routine clinical procedures. Primary outcome: HADS anxiety score at 1 month after discharge (p=<0.05).

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Key result

Planned discharge teaching and counselling significantly reduced mean anxiety (4.0 vs 7.3) and depression (3.7 vs 7.7) scores at one month post-discharge compared to routine care in CABG patients.

Why the study?

Does planned discharge teaching and counselling reduce anxiety and depression levels in patients undergoing CABG surgery?

Population

109 patients undergoing their first and elective coronary artery bypass graft surgery, literate, with no…

Comparison

Planned discharge teaching and counselling by a… vs Routine clinical procedures and nursing care…

Design

Cohort

Follow-up

1 month after discharge

Authors

FCFatma CebeciAkdeniz University

Discussion

Member takes

Implication

May support structured discharge education in CABG recovery; hypothesis-generating and requires randomized confirmation before practice change.

Structured PICO

Does planned discharge teaching and counselling reduce anxiety and depression levels in patients undergoing CABG surgery?

Population

109 patients (mean age 58 years, 19% female) undergoing their first elective CABG surgery, followed for one month to assess the impact of discharge teaching and counselling on anxiety and depression.

Intervention

Planned discharge teaching and counselling by a research nurse beginning from hospitalization and continuing after discharge via telephone, using a custom teaching booklet. Mean education time per patient was 133.33 minutes.

Comparator

Routine clinical procedures and nursing care (applying medicines and measuring vital signs) with no planned teaching services.

Outcome

Anxiety and depression levels measured by the Hospital Anxiety and Depression Scale (HADS) at the time of discharge, one week, and one month after discharge.patient reported

Main Result

Absolute Event Rate: 4% vs 7.3%

p-value: p=<0.05

Planned discharge teaching and counselling significantly reduces anxiety and depression levels in patients recovering from CABG surgery.

Limitations

Short interval time for one-month follow-up
Small sample size
Single research site
Intervention and control groups were studied at different points in time to avoid contamination
74 patients were excluded from the study because of incomplete data
The interval time for one-month follow-up is relatively short
74 patients had to be excluded from the study because of incomplete data

Cite This Study

Fatma Cebeci (2011) studied Coronary artery bypass graft (CABG) surgery (n=109). Planned discharge teaching and counselling vs. Routine clinical procedures was evaluated on HADS anxiety score at 1 month after discharge (p=<0.05). Planned discharge teaching and counselling significantly reduced mean anxiety (4.0 vs 7.3) and depression (3.7 vs 7.7) scores at one month post-discharge compared to routine care in CABG patients.

synapsesocial.com/papers/6a96fcc931394ac286fbe2f6 https://doi.org/10.5606/tgkdc.dergisi.2011.007

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Implication

May support structured discharge education in CABG recovery; hypothesis-generating and requires randomized confirmation before practice change.

Effects of discharge teaching and counselling on anxiety and depression level of CABG patients

Discussion

Member takes

Implication

Structured PICO

Main Result

Limitations

Cite This Study

Effects of discharge teaching and counselling on anxiety and depression level of CABG patients

Discussion

Member takes

Implication

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider