Bridging the Transition from Hospital to Home: Effects of the VITAL Telehealth Program on Recovery for CABG Surgery Patients and their Caregivers

The purpose of this randomized trial was to determine whether coronary artery bypass graft surgery patients and their caregivers who received telehealth follow‐up had greater improvements in anxiety levels from pre‐surgery to 3 weeks after discharge than did those who received standard care. Seconda...

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Veröffentlicht in:Research in nursing & health 2013-12, Vol.36 (6), p.540-553
Hauptverfasser: Keeping-Burke, Lisa, Purden, Margaret, Frasure-Smith, Nancy, Cossette, Sylvie, McCarthy, Frank, Amsel, Rhonda
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container_issue 6
container_start_page 540
container_title Research in nursing & health
container_volume 36
creator Keeping-Burke, Lisa
Purden, Margaret
Frasure-Smith, Nancy
Cossette, Sylvie
McCarthy, Frank
Amsel, Rhonda
description The purpose of this randomized trial was to determine whether coronary artery bypass graft surgery patients and their caregivers who received telehealth follow‐up had greater improvements in anxiety levels from pre‐surgery to 3 weeks after discharge than did those who received standard care. Secondary outcomes included changes in depressive symptoms and patients' contacts with physicians. No group differences were noted in changes in patients' anxiety and depressive symptoms, but patients in the telehealth group had fewer physician contacts (p = .04). Female caregivers in the telehealth group had greater decreases in anxiety than those in standard care (p 
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Vascular system ; Caregivers ; Caregivers - psychology ; Carers ; Continuity of Patient Care - organization &amp; administration ; Coronary Artery Bypass - rehabilitation ; coronary artery bypass graft surgery ; Coronary heart disease ; Depression ; Depression - prevention &amp; control ; Doctors ; Female ; Formulae ; health care utilization ; Heart ; Heart surgery ; home care ; Home health care ; Humans ; Male ; Medical sciences ; Middle Aged ; Mood disorders ; Nursing ; Patient Acceptance of Health Care - psychology ; Patients ; Postoperative Care - methods ; Postoperative period ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Vascular system</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Carers</subject><subject>Continuity of Patient Care - organization &amp; administration</subject><subject>Coronary Artery Bypass - rehabilitation</subject><subject>coronary artery bypass graft surgery</subject><subject>Coronary heart disease</subject><subject>Depression</subject><subject>Depression - prevention &amp; control</subject><subject>Doctors</subject><subject>Female</subject><subject>Formulae</subject><subject>health care utilization</subject><subject>Heart</subject><subject>Heart surgery</subject><subject>home care</subject><subject>Home health care</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Nursing</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patients</subject><subject>Postoperative Care - methods</subject><subject>Postoperative period</subject><subject>Psychology. 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Vascular system</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Carers</topic><topic>Continuity of Patient Care - organization &amp; administration</topic><topic>Coronary Artery Bypass - rehabilitation</topic><topic>coronary artery bypass graft surgery</topic><topic>Coronary heart disease</topic><topic>Depression</topic><topic>Depression - prevention &amp; control</topic><topic>Doctors</topic><topic>Female</topic><topic>Formulae</topic><topic>health care utilization</topic><topic>Heart</topic><topic>Heart surgery</topic><topic>home care</topic><topic>Home health care</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Nursing</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patients</topic><topic>Postoperative Care - methods</topic><topic>Postoperative period</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adult
Adult and adolescent clinical studies
Aged
Anxiety
Anxiety - prevention & control
Anxiety-Depression
Biological and medical sciences
Cardiology. Vascular system
Caregivers
Caregivers - psychology
Carers
Continuity of Patient Care - organization & administration
Coronary Artery Bypass - rehabilitation
coronary artery bypass graft surgery
Coronary heart disease
Depression
Depression - prevention & control
Doctors
Female
Formulae
health care utilization
Heart
Heart surgery
home care
Home health care
Humans
Male
Medical sciences
Middle Aged
Mood disorders
Nursing
Patient Acceptance of Health Care - psychology
Patients
Postoperative Care - methods
Postoperative period
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
telehealth
Telemedicine
Treatment Outcome
title Bridging the Transition from Hospital to Home: Effects of the VITAL Telehealth Program on Recovery for CABG Surgery Patients and their Caregivers
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