Health-Related Quality-of-Life Outcomes in Coronary Artery Bypass Surgery Patients and Partners

Macken, Lynda C.; Yates, Bernice C.; Meza, Jane L.; Norman, Joseph F.; Barnason, Susan; Pozehl, Bunny

doi:10.1097/hcr.0b013e3182a528ba

Cited by 15 publications

(10 citation statements)

References 44 publications

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“…One reason for engaging primarily in light activity may be due to the type and intensity of activities they participate in during CR. Much of the time in CR is spent in activities that are 2.25 – 2.5 METs (Macken, 2012); thus, patients may become accustomed to this level of activity. Macken found that although CABG patients improved significantly in their functional capacity (MET levels) during CR, the majority of their exercise activities were spent at fairly low MET levels (< 3 METs).…”

Section: Discussionmentioning

confidence: 99%

Are Heart Failure and Coronary Artery Bypass Surgery Patients Meeting Physical Activity Guidelines?

Yates¹,

Pozehl²,

Kupzyk³

et al. 2017

Rehabilitation Nursing

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Purpose The purpose of this study was to describe subjective and objective physical activity (PA) levels of two groups of cardiovascular patients who were either post-coronary artery bypass graft (CABG) surgery or diagnosed with heart failure (HF). Design A descriptive comparative design was used for this secondary analysis of data from two prior studies. Methods A convenience sample of 62 outpatients was used to examine PA objectively (Actiheart accelerometer) and subjectively (PA interview). Findings Objectively, 33% of CABG patients and no HF patients met PA recommendations of ≥ 150 min/week. Subjectively, 56% of CABG and 38% of HF patients reported meeting PA recommendations. Conclusions Few patients in the current study met PA recommendations. Clinical Relevance Innovative rehabilitation nursing practice strategies are needed (e.g., use of activity trackers, making PA a vital sign) to assist patients in gaining the knowledge and skills to be more active and adhere to PA recommendations.

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Section: Discussionmentioning

confidence: 99%

Are Heart Failure and Coronary Artery Bypass Surgery Patients Meeting Physical Activity Guidelines?

Yates¹,

Pozehl²,

Kupzyk³

et al. 2017

Rehabilitation Nursing

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“…The rationale for using standard timeframes was because patients after a cardiac event (coronary artery bypass surgery, percutaneous coronary intervention, or cardiac rehabilitation participation) typically see their symptoms improve/resolve over the first 6 weeks and cardiac rehabilitation starts within 1–2 weeks post-event and lasts 6–8 weeks depending on insurance coverage. Thus, most investigators have measured responses to capture change in symptom improvement or health outcomes at 3 and 6 weeks, and 3 and 6 months (Macken et al, 2014; Pragodpol & Ryan, 2013; Zimmerman et al, 2011). It is important to be able to compare data with prior research on a topic using the standard time points for follow-up data collection.…”

Section: Example Of Common Data Elements In the Center Grantmentioning

confidence: 99%

Implementing common data elements across studies to advance research

et al. 2015

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Challenges arise in building the knowledge needed for evidence based practice partially because obtaining clinical research data is expensive and complicated, and many studies have small sample sizes. Combining data from several studies may have the advantage of increasing the impact of the findings, or expanding the population to which findings may be generalized. The use of common data elements will allow this combining and, in turn, create big data, which is an important approach that may accelerate knowledge development. This article discusses the philosophy of using common data elements across research studies and illustrates their use by the processes in a Developmental Center grant funded by the National Institutes of Health. The researchers identified a set of data elements and used them across several pilot studies. Issues that need to be considered in the adoption and implementation of common data elements across pilot studies include theoretical framework, purpose of the common measures, respondent burden, team work, managing large data sets, grant writing, and unintended consequences. We describe these challenges and solutions that can be implemented to manage them.

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“…The trend across the intervention studies was predominantly to address caregiver information needs related to patient disease management and symptom monitoring,8 59–63 and to provide support for caregivers to reduce symptoms of emotional distress 8 59–62 64. The follow-up time ranged from four to 24 weeks, and healthcare personnel delivered the intervention in all studies.…”

Section: Resultsmentioning

confidence: 99%

“…This makes the early recovery period particularly challenging for informal caregivers. Cardiac surgery patients report home recovery symptoms including pain,6 7 anxiety, depression,8 stress, fatigue,3 a lack of information about prescribed cardioprotective medications, and are not sure when to contact their primary care provider (PCP) 7 9…”

Section: Introductionmentioning

confidence: 99%

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Experiences of informal caregivers after cardiac surgery: a systematic integrated review of qualitative and quantitative studies

et al. 2019

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ObjectivesTo provide a comprehensive synthesis of informal caregivers’ experiences of caring for a significant other following discharge from cardiac surgery.DesignSystematic integrated review without meta-analysis.Data sourcesA bibliographic search for publications indexed in six databases (Cochrane Library, CINAHL, MEDLINE, EMBASE, AMED and PsycINFO), including a scan of grey literature sources (GreyNet International, Google Scholar, Web of Science, WorldCat and the Clinical Trials Registry) was conducted in October 2018.Eligibility criteria for selecting studiesStudies were included if they described views and perspectives of informal caregivers of cardiac surgery patients (non-intervention studies (qualitative and quantitative)), and the effectiveness of interventions to evaluate support programme for informal caregivers of cardiac surgery patients (intervention studies).ResultsOf the 4912 articles identified in searches, 42 primary research studies were included in a narrative synthesis with 5292 participants, including 3231 (62%) caregivers of whom 2557 (79%) were women. The median sample size across studies was 96 (range 6–734). Three major themes emerged from the qualitative study data: (1) caregiver information needs; (2) caregiver work challenges and (3) caregivers adaption to recovery. Across the observational studies (n=22), similar themes were found. The trend across seven intervention studies focused on caregiver information needs related to patient disease management and symptom monitoring, and support for caregivers to reduce symptoms of emotional distress.ConclusionInformal caregivers want to assist in the care of their significant others after hospital discharge postcardiac surgery. However, caregivers feel insecure and overwhelmed and they lack clear/concise discharge information and follow-up support during the early at-home recovery period. The burden of caregiving has been recognised and reported since the early 1990s, but there remains a limited number of studies that assesses the effectiveness of caregiver interventions.PROSPERO registration numberCRD42018096590.

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Health-Related Quality-of-Life Outcomes in Coronary Artery Bypass Surgery Patients and Partners

Cited by 15 publications

References 44 publications

Are Heart Failure and Coronary Artery Bypass Surgery Patients Meeting Physical Activity Guidelines?

Are Heart Failure and Coronary Artery Bypass Surgery Patients Meeting Physical Activity Guidelines?

Implementing common data elements across studies to advance research

Experiences of informal caregivers after cardiac surgery: a systematic integrated review of qualitative and quantitative studies

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