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Evidence summaries

Interventions to Promote Recovery in Coronary Artery Bypass Surgical Patients

Preparatory information appear to increase knowledge and enhance resumption of activities during recovery. Information interventions designed to increase individuals´ knowledge about expected recovery experiences and coronary artery disease appear to be effective. Level of evidence: "B"

A systematic narrative review 1 including 19 studies with a total of at least 1,348 subjects was abstracted in DARE.

Preparatory information was found to be effective in increasing patient comfort and control when experiencing postoperative delirium, but it did not reduce anxiety during in-hospital recovery.

Discharge preparatory information was ineffective in 3 out of 4 studies evaluating mood states during home recovery, but it increased activity resumption at home in 2 of 3 trials. Three out of four studies evaluating information interventions designed to increase individuals´ knowledge about managing recovery experiences during the first home recovery month and about coronary artery disease risk factor modification found statistically significant effects. Education to enhance compliance with medical regiments and risk factor modifications was found to be effective for some risk modification behaviours but not for others.

Comment: The quality of evidence is downgraded by study quality (several issues).

    References

    • Moore SM. Effects of interventions to promote recovery in coronary artery bypass surgical patients. J Cardiovasc Nurs 1997 Oct;12(1):59-70. [PubMed][DARE]

Primary/Secondary Keywords