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January 1, 2012The Journal of Cardiovascular Nursing

Impact of Nurse-Initiated Preoperative Education on Postoperative Anxiety Symptoms and Complications After Coronary Artery Bypass Grafting

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Key result

Nurse-initiated preoperative education significantly reduced the proportion of patients with high postoperative anxiety compared to standard care (15% vs 45%, P=0.041).

Why the study?

Does nurse-initiated preoperative education and counseling reduce postoperative complications and anxiety symptoms in high-risk patients undergoing CABG?

Population

40 high-risk patients undergoing Coronary Artery Bypass Grafting (CABG)

Comparison

Nurse-initiated structured preoperative… vs Standard preoperative and postoperative care alone

Design

RCT, randomized

Follow-up

3 days after surgery

Authors

CZChunyan ZhangJining Medical UniversityYJYong JiangOcean University of ChinaQYQiu-Yang YinLiaocheng People's Hospital

Discussion

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Member takes

Overview

Supports routine nurse-initiated preoperative education in CABG to reduce anxiety; extends evidence for nursing interventions in cardiac surgery.

Study Design

Type

RCT (n=40)

Randomization

randomized

Structured PICO

Does nurse-initiated preoperative education and counseling reduce postoperative complications and anxiety symptoms in high-risk patients undergoing CABG?

P
Population
40 patients undergoing coronary artery bypass grafting, followed for 3 days postoperatively to assess anxiety and complications.
I
Intervention
Nurse-initiated structured preoperative education and counseling course 3 days before surgery, in addition to standard preoperative and postoperative care
C
Comparator
Standard preoperative and postoperative care alone
O
Outcome
Postoperative complications and anxiety symptoms (assessed by Zung's self-rating anxiety scale [SAS]) at 3 days after surgerypatient reported

Main Result

Absolute Event Rate: 15% vs 45%

p-value: p=.041

Nurse-initiated preoperative education significantly reduces postoperative anxiety and perioperative complications in high-risk patients undergoing CABG.

Cite This Study

Zhang et al. (2012) conducted an RCT in Coronary artery bypass grafting (n=40). Nurse-initiated preoperative education and counseling vs. Standard care was evaluated on Proportion of patients with a SAS score greater than 40 at 3 days after surgery (p=.041). Nurse-initiated preoperative education significantly reduced the proportion of patients with high postoperative anxiety compared to standard care (15% vs 45%, P=0.041).

synapsesocial.com/papers/6a9853d7ff0077060d8bfa56https://doi.org/10.1097/jcn.0b013e3182189c4d
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of nurse led education on anxiety level among coronary artery bypass grafting pre-operative patients2020 · 13 citations
  2. 2The Effect of Preoperative Anxiety on Postoperative Symptoms in Patients Without a History of Anxiety Scheduled for Coronary Artery Bypass Grafting2022 · 5 citations
  3. 3The impact of pre-operative education on recovery following coronary artery bypass surgery. A randomized controlled clinical trial2002 · 116 citations
  4. 4Can nurse-led preoperative education reduce anxiety and postoperative complications of patients undergoing cardiac surgery?2015 · 117 citations
  5. 5Preoperative Anxiety in Patients Undergoing Coronary Artery Bypass Graft Surgery2025