Coronary artery bypass graft (CABG) surgery patients in a clinical pathway gained less in health‐related quality of life as compared with patients who undergo CABG in a conventional‐care plan

Baz, Noha El; Middel, Berry; Dijk, Jitse P. van; Boonstra, Piet W.; Reijneveld, Sijmen A.

doi:10.1111/j.1365-2753.2008.01051.x

Cited by 14 publications

(9 citation statements)

References 44 publications

(48 reference statements)

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“…Also, in Sulch et al’s study ( 39 ), the care pathway similar to the conventional care decreased the patients’ anxiety and depression of patients. Contrary to this study, El Baz et al ( 40 ) not only did not observe any difference between the study groups in terms of depression, but also, found that anxiety scores in the conventional-care group were lower that the CP group, that supports this notion that educating the patients may increase patients’ anxiety or depression ( 41 , 42 ). In our study it seems that the CP was enhanced the patient knowledge of the disease process; so, they already had prepared to face with unexpected actions or interventions.…”

Section: Discussioncontrasting

confidence: 63%

Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study

Fakhr‐Movahedi¹,

Soleimani²,

Ghazvininejad³

et al. 2015

Iran Red Crescent Med J

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Background:Coronary artery diseases (CAD) are associated with psychological problems such as anxiety and depression in patients. Thus, management of these problems can consider as an important intervention by health care workers, especially nurses.Objectives:The purpose of this study was to investigate the effectiveness of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with CAD.Patients and Methods:In this quasi-experimental study, 138 patients suffering from CAD in a coronary care unit of a referral teaching hospital affiliated to Semnan University of Medical Sciences in Semnan, Iran, were recruited using a convenience sampling method. The participants were assigned to two groups: Clinical pathway (CP) and routine (RUT) care. The level of anxiety and depression of patients were measured in admission and discharge in both groups. Also, the level of patients’ satisfaction was measured at the time of discharge. Data were analyzed using descriptive and inferential statistics.Results:Prevalence rates of anxiety and depression in total of patients were 7.2% and 8.7%, respectively. In terms of anxiety, the mean of difference between pretest and posttest scores in the CP group (0.52 ± 1.39) was higher compared to the RUT group (-0.17 ± 1.69) and there was a significant difference between the two group (P = 0.009). In terms of depression, the mean of this difference in the CP group (0.75 ± 2.05) was higher compared to the RUT group (0.00 ± 1.08), as there was a significant difference between the two group (P = 0.024). Also, the mean of patients’ satisfaction scores in the CP group (3.69 ± 0.39) was higher compared to the RUT group (3.45 ± 0.47) and there was a significant difference between the two groups (P = 0.002).Conclusions:According to the positive effects of CP on patients with CADs, it can be considered as a useful, safe and simple instrument for the improvement of patients’ outcomes. Thus, the findings of this study can provide a new insight in patient care for clinical nurses.

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Section: Discussioncontrasting

confidence: 63%

Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study

Fakhr‐Movahedi¹,

Soleimani²,

Ghazvininejad³

et al. 2015

Iran Red Crescent Med J

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“…The three studies do show that the group of patients that was actually studied is only a small part of the number of patients who could have been included in the study [19]: 168/256 (65%), six months' follow-up; [22]: 120/206 (58%), three months' follow-up; [29]: 185/422 (44%), six months' follow-up).…”

Section: Resultsmentioning

confidence: 96%

“…Only three studies start with a description of the initial group of patients, although none of these studies provides information about the operative risk and/or preoperative QoL of the patients who were not included [19,22,29]. The three studies do show that the group of patients that was actually studied is only a small part of the number of patients who could have been included in the study [19]: 168/256 (65%), six months' follow-up; [22]: 120/206 (58%), three months' follow-up; [29]: 185/422 (44%), six months' follow-up).…”

Section: Resultsmentioning

confidence: 99%

Quality of life after cardiac surgery: underresearched research

Noyez

Jager

Markou

2011

Interactive CardioVascular and Thoracic Surgery

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Improved quality of life is a major goal for cardiac surgery. This review concerns 29 articles published between January 2004 and December 2010. Only nine studies present preoperative and postoperative registered quality of life data. These studies have a short follow-up and a limited number of patients included. Most other studies starts at a certain point in the follow-up and compare different patient groups or techniques, but do not evaluate postoperative vs. preoperative quality of life. In an era of evidence-based medicine, there is a lack of major and well-organized clinical studies dealing with quality of life after cardiac surgery. Based on this review, five requirements for 'good' studies on this subject can be formulated: information about the total number of patients that could be included; the number of patients actually included; information about preoperative quality of life; information on what was done about patients with missing data; and at least minimum information about demographics, co-morbidity and the cardiac risk of patients who were not included or who dropped out. These points seem to us to be essential for validation of the results presented.

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“…CPs for CABG patients have been shown to be safe, and have not caused an increase in the rate of postoperative complications (Lin, Chen, Tsai, Chiao, & Lin, 2011). Additionally, early discharge of patients does not lead to an increase in readmission rates (El Baz, Middel, Van Dijk, Boonstra, & Reijneveld, 2009;van Mastrigt et al, 2006). Similar results were also found in this study, in that there were no differences in readmission or complication rates between the groups, with the exception of renal complications.…”

Section: Discussionmentioning

confidence: 99%

Effects of nurse‐led clinical pathway in coronary artery bypass graft surgery: A quasi‐experimental study

Kebapçı

Kanan

2018

Journal of Clinical Nursing

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Coronary artery bypass graft (CABG) surgery patients in a clinical pathway gained less in health‐related quality of life as compared with patients who undergo CABG in a conventional‐care plan

Cited by 14 publications

References 44 publications

Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study

Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study

Quality of life after cardiac surgery: underresearched research

Effects of nurse‐led clinical pathway in coronary artery bypass graft surgery: A quasi‐experimental study

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