Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: a review of randomised controlled trials

被引:71
|
作者
Guo, Ping [1 ,2 ,3 ]
机构
[1] Univ Kingston, Fac Hlth Social Care & Educ, Kingston Upon Thames KT2 7LB, Surrey, England
[2] Univ London, Kingston Upon Thames KT2 7LB, Surrey, England
[3] Henan Univ Sci & Technol, Affiliated Hosp 1, Luoyang, Henan, Peoples R China
关键词
anxiety; cardiac surgery; nursing intervention; preoperative education; recovery; ARTERY-BYPASS-SURGERY; CLINICAL-TRIALS; OUTCOMES; IMPACT; INTENTION; PROGRAM; SUPPORT; TREAT; CARE;
D O I
10.1111/jocn.12618
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aims and objectives. To update evidence of the effectiveness of preoperative education among cardiac surgery patients. Background. Patients awaiting cardiac surgery may experience high levels of anxiety and depression, which can adversely affect their existing disease and surgery and result in prolonged recovery. There is evidence that preoperative education interventions can lead to improved patient experiences and positive postoperative outcomes among a mix of general surgical patients. However, a previous review suggested limited evidence to support the positive impact of preoperative education on patients' recovery from cardiac surgery. Design. Comprehensive review of the literature. Methods. The Cochrane Central Register of Controlled Trials from the Cochrane Library, MEDLINE, CINAHL, PsycINFO, EMBASE and Web of Science were searched for English-language articles published between 2000-2011. Original articles were included reporting randomised controlled trials of cardiac preoperative education interventions. Results. Six trials were identified and have produced conflicting findings. Some trials have demonstrated the effects of preoperative education on improving physical and psychosocial recovery of cardiac patients, while others found no evidence that patients' anxiety is reduced or of any effect on pain or hospital stay. Conclusion. Evidence of the effectiveness of preoperative education interventions among cardiac surgery patients remains inconclusive. Further research is needed to evaluate cardiac preoperative education interventions for sustained effect and in non-Western countries. Relevance to clinical practice. A nurse-coordinated multidisciplinary preoperative education approach may offer a way forward to provide a more effective and efficient service. Staff training in developing and delivering such interventions is a priority.
引用
收藏
页码:34 / 46
页数:13
相关论文
共 50 条
  • [21] Psychosocial interventions to improve quality of life, depression and anxiety in lung transplant patients -A systematic review of randomized controlled trials
    Vitinius, F.
    Piontek, K.
    Albus, C.
    JOURNAL OF PSYCHOSOMATIC RESEARCH, 2011, 70 (06) : 620 - 620
  • [22] The effects of preoperative education of cardiac patients on haemodynamic parameters, comfort, anxiety and patient-ventilator synchrony: A randomised, controlled trial
    Pazar, Berrin
    Iyigun, Emine
    INTENSIVE AND CRITICAL CARE NURSING, 2020, 58
  • [23] Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery
    Amilcare Parisi
    Jacopo Desiderio
    Roberto Cirocchi
    Stefano Trastulli
    Obesity Surgery, 2020, 30 : 5071 - 5085
  • [24] Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery
    Parisi, Amilcare
    Desiderio, Jacopo
    Cirocchi, Roberto
    Trastulli, Stefano
    OBESITY SURGERY, 2020, 30 (12) : 5071 - 5085
  • [25] The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomised controlled trials
    Menzies, Rachel E.
    Zuccala, Matteo
    Sharpe, Louise
    Dar-Nimrod, Ilan
    JOURNAL OF ANXIETY DISORDERS, 2018, 59 : 64 - 73
  • [26] A systematic review of randomized controlled trials of interventions to improve adherence among orthodontic patients aged 12 to 18
    Aljabaa, AlJazi
    McDonald, Fraser
    Newton, Jonathon Timothy
    ANGLE ORTHODONTIST, 2015, 85 (02) : 305 - 313
  • [27] Community pharmacist-led interventions to improve medication adherence in patients with cardiovascular disease: a systematic review of randomised controlled trials
    Al-Arkee, Sheelan
    Al-Ani, Omar
    INTERNATIONAL JOURNAL OF PHARMACY PRACTICE, 2023, 31 (03) : 269 - 275
  • [28] Non-pharmacological interventions to reduce anxiety among children undergoing surgery: A systematic review
    Mathias, Edlin Glane
    Pai, Mamatha Shivananda
    Guddattu, Vasudeva
    Bramhagen, Ann-Cathrine
    JOURNAL OF CHILD HEALTH CARE, 2023, 27 (03) : 466 - 487
  • [29] Effects of virtual reality on preoperative anxiety in children: A systematic review and meta-analysis of randomised controlled trials
    Chen, Yen-Ju
    Wang, Cheng-Ju
    Chen, Chi-Wen
    JOURNAL OF CLINICAL NURSING, 2023, 32 (11-12) : 2494 - 2504
  • [30] Validation of the Amsterdam Preoperative Anxiety and Information Scale among patients scheduled for cardiac surgery
    Nowicka-Sauer, Katarzyna
    Banaszkiewicz, Dorota
    Jarmoszewicz, Krzysztof
    Hajduk, Adam
    Stefaniak, Jan J.
    Janiszewska, Justyna
    Beta, Sebastian
    Siebert, Janusz
    JOURNAL OF CARDIOVASCULAR SURGERY, 2018, 59 (03): : 483 - +