Psychoeducational support to post cardiac surgery heart failure patients and their partners-A randomised pilot study

被引:23
作者
Agren, Susanna [1 ,2 ]
Berg, Soren [1 ]
Svedjeholm, Rolf [1 ]
Stromberg, Anna [2 ,3 ]
机构
[1] Linkoping Univ, Cty Council Ostergotland, Dept Med & Hlth Sci, Dept Cardiothorac Surg, SE-58185 Linkoping, Sweden
[2] Linkoping Univ, Div Nursing Sci, Dept Med & Hlth Sci, SE-58185 Linkoping, Sweden
[3] Linkoping Univ, Dept Cardiol, Dept Med & Hlth Sci, Cty Council Ostergotland, SE-58185 Linkoping, Sweden
关键词
Education; Family; Heart failure; Intervention; Postoperative complications; Psychosocial support; Quality of life; BYPASS GRAFT-SURGERY; SF-36 HEALTH SURVEY; FAMILY CARERS; DEPRESSION; RECOVERY; INTERVENTIONS; EDUCATION; SYMPTOMS; PATTERNS; SPOUSES;
D O I
10.1016/j.iccn.2014.04.005
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objectives: Postoperative heart failure is a serious complication that changes the lives of both the person who is critically ill and family in many ways. The purpose of this study was to evaluate the effects of an intervention in postoperative heart failure patient-partner dyads regarding health, symptoms of depression and perceived control. Research methodology/design: Pilot study with a randomised controlled design evaluating psychosocial support and education from an interdisciplinary team. Setting: Patients with postoperative heart failure and their partners. Main outcome measures: SF-36, Beck Depression Inventory, Perceived Control at baseline, 3 and 12 months. Results: A total of 42 patient partner completed baseline assessment. Partners in the intervention group increased health in the role emotional and mental health dimensions and patients increased health in vitality, social function and mental health dimensions compared with the control group. Patients' perceived control improved significantly in the intervention group over time. Conclusion: Psychoeducational support to post cardiac surgery heart failure dyads improved health in both patients and partners at short term follow-up and improved patients' perceived control at both short and long-term follow-up. Psychoeducational support appears to be a promising intervention but the results need to be confirmed in larger studies. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:10 / 18
页数:9
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