A randomized clinical trial of nursing care for recovery from cardiac surgery.


Journal Article

OBJECTIVE: To determine the efficacy of a psychoeducational nursing intervention in patients who receive coronary artery bypass graft and valve repair surgery. DESIGN: A cluster-randomized controlled trial design. SETTING: Two hospitals in the western United States--a large community hospital with an active cardiovascular surgery practice and a health-sciences research center. SUBJECTS: 156 patients between 25 and 75 years of age, 125 (81.1%) men, and 31 (19.9%) women, all with primary care givers. OUTCOME MEASURES: Self-efficacy expectations, activities (behavior performance), quality of life, mood state. INTERVENTION: Supplemental in-hospital education followed by telephone contact from discharge to eighth week after discharge. RESULTS: Patients in the experimental group reported significantly greater self-efficacy expectations for walking and behavior performance for walking, lifting, climbing stairs, general exertion and, where applicable, for working. CONCLUSION: This trial suggests that a low-intensity psychoeducational nursing intervention can promote self-efficacy expectations for walking in recovery and is associated with more self-reported walking and lifting behavior after cardiac surgery.

Full Text

Duke Authors

Cited Authors

  • Gilliss, CL; Gortner, SR; Hauck, WW; Shinn, JA; Sparacino, PA; Tompkins, C

Published Date

  • March 1, 1993

Published In

Volume / Issue

  • 22 / 2

Start / End Page

  • 125 - 133

PubMed ID

  • 7680641

Pubmed Central ID

  • 7680641

Electronic International Standard Serial Number (EISSN)

  • 1527-3288

International Standard Serial Number (ISSN)

  • 0147-9563


  • eng