The impact of preoperative education in satisfaction and postoperative outcomes of patients undergoing cardiac surgery
Published:
Feb 7, 2019
Keywords:
Cardiac surgery preoperative education length of stay postoperative complications patients satisfaction διάρκεια νοσηλείας Επέμβαση καρδιάς Ιανουάριος-Μάρτιος 2016 ικανοποίηση ασθενών μετεγχειρητικές επιπλοκές προεγχειρητική εκπαίδευση
Abstract
Introduction: The effectiveness of preoperative education in postoperative course of cardiac surgery patients has been questioned. Aim: To estimate the impact of preoperative education in satisfaction and postoperative outcomes of patients undergoing cardiac surgery. Material and Method: A quasi-experimental trial was conducted. Sixty nine patients who admitted for elective cardiac surgery were divided randomly in intervention (34) and control group (35). Intervention group received written and verbal education based on patient centered communication by specially trained nurses. Patients’ satisfaction, postoperative complications and hospital length of stay (LOS) was measured. Results: Scores on all dimensions of satisfaction were greater for intervention group (p<0,001).No difference found for complications in intensive care unit (ICU) (p=0,150) in both groups. The total complications was lower (p=0,028) in intervention group with a lower proportion of arrhythmia (p=0,011). The median LOS in ICU was shorter for intervention group (p=0,035). No difference found in median hospital LOS in either group. Conclusions: Nurse-led preoperative education increases satisfaction of patients undergoing cardiac surgery and may have an effect on LOS shortening and complications control.
Article Details
- How to Cite
-
Kalogianni, A., Georgiadis, G., Katselou, O., Kadda, O., Sotiropoulou, A., & Argiriou, M. (2019). The impact of preoperative education in satisfaction and postoperative outcomes of patients undergoing cardiac surgery. Health & Research Journal, 2(1), 46–62. https://doi.org/10.12681/healthresj.19643
- Section
- Original Articles
Copyright notice:
The journal "Health and Research Journal" reserves the rights for copyright of the content of the website and also the copyright of the articles published.
By virtue of their appearance in this journal, the articles are free to be used for non-commercial purposes. However, the articles cannot and must not be used in anyway, published elsewhere or modified without any reference to the author and the first publication of the article.
Downloads
Download data is not yet available.
References
Martin CG, Turkelson SL. Nursing care of the patient undergoing coronary artery bypass grafting. J Cardiovasc Nurs 2006;21(2):109-117
Chan Z, Kan C, Lee P, Chan I, Lam J. A systematic review of qualitative studies: patients' experiences of preoperative communication. Journal of Clinical Nursing 2012; 21 (5-6);812-24.
Fleming S, Goodman H, Geragthy A, West W, Lancaster L. A survey of patients education and support needs while waiting for cardiac surgery. Clin Effectiveness in Nursing 2001; 5:143-151.
Gardner G, Elliott D, Gill J, Griffin M, Crawford M. Patient experiences following cardiothoracic surgery: An interview study. Eur J Cardiovasc Nurs 2005;4:242 - 250.
Doering LV, McGuire AW, Rourke D. Recovering from cardiac surgery: what patients want you to know. Am J Crit Care 2002; 11(4):333-43.
Bäckström S, Wynn R, Sørlie T. Coronary bypass surgery patients' experiences with treatment and perioperative care - a qualitative interview-based study. Journal of Nursing Management 2006; 14(2):140-7.
Sorlie T, Sexton HC, Busund R, Sorlie D. Predictors of satisfaction with surgical treatment. International Journal of quality of Health Care 2000; 12(1):31-40.
Charlton CR, Dearing KS, Berry JA, Johnson M.J. Nurse practitioners' communication styles and their impact on patient outcomes: an integrated literature review. Journal of the American Academy Nurse Practitioners 2008;20(7);382-8.
Anderson EB. Patient-centeredness: A new approach. Nephrology News and Issues 2002;16(12):80–82.
Ervin NE. Does patient satisfaction contribute to nursing care quality? Journal of Nursing Administration 2006;36(3):126-30.
Dwamena F, Holmes-Rovner M, Gaulden CM, et al. Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev 2012;12:CD003267.
Dedoncker A, Lejeune C, Dupont C, Antoine D, Laurent Y, Casillas JM, et al. Nurse-led educative consultation setting personalized tertiary prevention goals after cardiovascular rehabilitation: evaluation of patient satisfaction and long-term effects. Rehabil Nurs 2012;37(3):105-13.
Carroll A, Dowling M. Discharge planning: communication, education and patient participation. British Journal of Nursing 2007;16(14):882-6.
Johansson P, Oléni M, Fridlund B. Patient satisfaction with nursing care in the context of health care: a literature study. Scand J Caring Sci 2002;16(4):337-44.
Suhonen R, Leino-Kilpi H. Adult surgical patients and the information provided to them by nurses: A literature review. Patient Educ Couns 2006;61(1):5-15.
Trummer UF, Mueller UO, Nowak P, Stidl T, Pelikan JM. Does physician-patient communication that aims at empowering patients improve clinical outcome? A case study Patient Educ Couns 2006;61: 299-306.
Shuldham CM, Fleming S, Goodman H. The impact of pre-operative education on recovery following coronary artery bypass surgery. A randomized controlled clinical trial. Eur Heart J 2002;23(8):666-74.
Shuldham CM. Pre-operative education for the patient having coronary artery bypass surgery. Patient Educ Couns 2001;43(2):129-37.
Zhang CY, Jiang Y, Yin QY, Chen FJ, Ma LL, Wang LX. Impact of nurse-initiated preoperative education on postoperative anxiety symptoms and complications after coronary artery bypass grafting. J Cardiovasc Nurs 2012;27(1):84-8.
Hulzebos E, Helders P, Favie 'N. Preoperative Intensive Inspiratory Muscle Training to Present Postoperative Pulmory Complication in High-Risk Patients undergoing CABG surgery. JAMA 2006; 296:1851-1857.
Fanning MF. Reducing postoperative pulmonary complications in cardiac surgery patients with the use of the best evidence. J Nurs Care Q 2004; 19:95 Y99.
Deyirmenjian M, Karam N, Salameh P. Preoperative patient education for open-heart patients:A source of anxiety? Patient Educ Couns 2006;62(1):111-7.
Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Sermeus W. RN4CAST Consortium. Nurses' reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies 2013; 50(2):143-53.
Merkouris A, Papathanassoglou ED, Pistolas D, Papagiannaki V, Floros J, Lemonidou C. Staffing and organisation of nursing care in cardiac intensive care units in Greece. European Journal of Cardiovascular Nursing 2003; 2(2):123-9.
Giakoumidakis K, Baltopoulos GI, Charitos C, Patelarou E, Fotos NV, Brokalaki-Pananoudaki H. Risk factors for increased in-hospital mortality: a cohort study among cardiac surgery patients. European Journal of Cardiovascular Nursing 2012;11(1):23-33.
Giakoumidakis K, Baltopoulos GI, Charitos C, Patelarou E, Galanis P, Brokalaki H. Risk factors for prolonged stay in cardiac surgery intensive care units. Nursing Critical Care 2011;16(5):243-51.
Suhonen R, Välimäki M, Dassen T, Gasull M, Lemonidou C, Scott PA, Kaljonen A, Arndt M, Leino-Kilpi H. Patients' autonomy in surgical care: a comparison of nurses' perceptions in five European countries. International Nursing Review 2003;50(2):85-94.
Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ 2012;344:e1717.
Giakoumidakis K, Eltheni R, Patelarou E, Theologou S, Patris V, Michopanou N, Mikropoulos T, Brokalaki H. Effects of intensive glycemic control on outcomes of cardiac surgery. Heart Lung 2013;42(2):146-51.
Michalopoulos A, Nikolaides A, Antzaka C, Deliyanni M, Smirli A, Geroulanos S, Papadimitriou L. Change in anaesthesia practice and postoperative sedation shortens ICU and hospital length of stay following coronary artery bypass surgery. Respiratory Medicine 1998; 92(8):1066-70.
Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European System of Cardiac Operative Risk Evaluation (EUROSCORE). Eur J Cardiothorac Surg 1999;16:9-13.
Aletras BO, Basiouri FN, Kontodimopoulos N, Ioannidou RM, Niakas DA. Development Greek inpatient satisfaction questionnaire and control its basic psychometric properties. Archives of Hellenic Medicine 2009;26(1):79-89.
Asilioglu K, Celik SS. The effect of preoperative education on anxiety of open cardiac surgery patients. Patient Educ Couns 2004;53(1):65-70.
Vargas T.V, Maia EM, Dantas, R.A. Patient feelings during the preoperative period for cardiac surgery. Revista Latino-Americana de Enfermagem 2006; 14(3):383-8.
Hassling L, Babic A, Lönn U, Casimir-Ahn H. A Web-based patient information system--identification of patients' information needs. J Med Syst 2003; 27(3):247-57.
Watt-Watson J, Stevens B, Katz J, Costello J, Reid GJ, David T. Impact of preoperative education on pain outcomes after coronary artery bypass graft surgery. Pain 2004;109(1-2):73-85.
Sheard C, Garrud P. Evaluation of generic patient information: effects on health outcomes, knowledge and satisfaction. Patient Educ Couns 2006;61(1):43-7.
Murdock A, Griffin B. How is patient education linked to patient satisfaction? Nursing 2013; 43(6): 43-45.
Shuldham CM. A review of the impact of properative education on recovery from surgery. International journal of nursing studies 1999; 36: 171-177.
Tully PJ, Bennetts JS, Baker RA, McGavigan AD, Turnbull DA, Winefield HR. Anxiety, depression, and stress as risk factors for atrial fibrillation after cardiac surgery. Heart Lung 2011;40(1):4-11.
Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud 2012;49(2):129-37.
