Bridging the Transition from Hospital to Home: Effects of the VITAL Telehealth Program on Recovery for CABG Surgery Patients and their Caregivers

被引:33
作者
Keeping-Burke, Lisa [1 ,2 ]
Purden, Margaret [3 ,4 ]
Frasure-Smith, Nancy [5 ,6 ,7 ,8 ]
Cossette, Sylvie [7 ,8 ,9 ,10 ]
McCarthy, Frank [11 ]
Amsel, Rhonda [12 ]
机构
[1] Univ New Brunswick, Dept Nursing & Hlth Sci, St John, NB E2L 4L5, Canada
[2] Queens Univ, Fac Hlth Sci, Kingston, ON, Canada
[3] McGill Univ, Sch Nursing, Montreal, PQ, Canada
[4] McGill Univ, Jewish Gen Hosp, Ctr Nursing Res, Montreal, PQ H3T 1E2, Canada
[5] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[6] McGill Univ, Sch Nursing, Montreal, PQ, Canada
[7] Montreal Heart Inst & Res Ctr, Montreal, PQ, Canada
[8] Ctr Hosp Univ Montreal, Montreal, PQ, Canada
[9] Univ Montreal, Fac Nursing, Montreal, PQ, Canada
[10] Res Network Nursing Intervent Quebec RRISIQ, Montreal, PQ, Canada
[11] Dalhousie Univ, Program Med, Dept Anat & Neurobiol, St John, NB, Canada
[12] McGill Univ, Dept Psychol, Montreal, PQ, Canada
关键词
coronary artery bypass graft surgery; caregivers; telehealth; home care; health care utilization; anxiety; depression; BYPASS GRAFT-SURGERY; GENDER-DIFFERENCES; CONTROLLED-TRIAL; FAMILY CAREGIVERS; RANDOMIZED-TRIAL; SELF-EFFICACY; OLDER-ADULTS; RISK-FACTOR; INTERVENTION; DEPRESSION;
D O I
10.1002/nur.21571
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The purpose of this randomized trial was to determine whether coronary artery bypass graft surgery patients and their caregivers who received telehealth follow-up had greater improvements in anxiety levels from pre-surgery to 3 weeks after discharge than did those who received standard care. Secondary outcomes included changes in depressive symptoms and patients' contacts with physicians. No group differences were noted in changes in patients' anxiety and depressive symptoms, but patients in the telehealth group had fewer physician contacts (p=.04). Female caregivers in the telehealth group had greater decreases in anxiety than those in standard care (p<.001), and caregivers of both genders in the telehealth group had greater decreases in depressive symptoms (p=.03). (c) 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 540-553, 2013
引用
收藏
页码:540 / 553
页数:14
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