Improving recovery following cardiac surgery: a randomized clinical trial.

Journal Article (Clinical Trial;Journal Article)

To enhance individual and family health during recovery from heart surgery, this study employed nursing interventions based on self-efficacy and family stress theory during the hospitalization period and for 3 months thereafter. The effectiveness of the interventions were assessed through a randomized trial in which 67 prospective bypass and valve surgery patients, aged 30-77 years, and their spouses, were allocated either the experimental interventions or usual care and followed for 6 months. At 3 months post-surgery, the only statistically significant differences between the experimentals and controls were on perceived self-efficacy for lifting and tolerating emotional distress. At 6 months no significant differences were found on individual or family measures. Analyses revealed that age, gender and preoperative cardiac status significantly affected individual recovery. The study is continuing with a larger sample in order to explicate the recovery process and to better determine whether a low intensity nursing intervention can effect changes in individual and family recovery.

Full Text

Duke Authors

Cited Authors

  • Gortner, SR; Gilliss, CL; Shinn, JA; Sparacino, PA; Rankin, S; Leavitt, M; Price, M; Hudes, M

Published Date

  • September 1988

Published In

Volume / Issue

  • 13 / 5

Start / End Page

  • 649 - 661

PubMed ID

  • 3066803

Electronic International Standard Serial Number (EISSN)

  • 1365-2648

International Standard Serial Number (ISSN)

  • 0309-2402

Digital Object Identifier (DOI)

  • 10.1111/j.1365-2648.1988.tb01459.x


  • eng