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 |
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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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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 < .001), and caregivers of both genders in the telehealth group had greater decreases in depressive symptoms (p = .03). © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 540–553, 2013</description><identifier>ISSN: 0160-6891</identifier><identifier>EISSN: 1098-240X</identifier><identifier>DOI: 10.1002/nur.21571</identifier><identifier>PMID: 24242195</identifier><identifier>CODEN: RNHEDO</identifier><language>eng</language><publisher>Hoboken, NJ: Blackwell Publishing Ltd</publisher><subject>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. 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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 < .001), and caregivers of both genders in the telehealth group had greater decreases in depressive symptoms (p = .03). © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 540–553, 2013</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - prevention & control</subject><subject>Anxiety-Depression</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Carers</subject><subject>Continuity of Patient Care - organization & 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 & 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. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>telehealth</subject><subject>Telemedicine</subject><subject>Treatment Outcome</subject><issn>0160-6891</issn><issn>1098-240X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqN0dFu0zAUBuAIgVg3uOAFkCWEBBfZbMd2Eu66arSTqlFGxriz3OS49ZbExU4GfQzeGGfthoSEhHLhyP7Ob1l_FL0i-JhgTE_a3h1TwlPyJBoRnGcxZfjb02iEicCxyHJyEB16f4MxIZyS59EBZeEjOR9Fv06dqVamXaFuDahwqvWmM7ZF2tkGzazfmE7VqLPhv4EP6ExrKDuPrL4f-HpejOeogBrWoOpujRbOrpxqUEi4hNLegdsibR2ajE-n6EvvVsPGQnUG2pCi2mqIMeFcOViZwP2L6JlWtYeX-_Uouvp4Vkxm8fzT9Hwynscl44zEeskZE2WVaJJRDVRXmQZRLZmgOuOgIBeaJ0xrETaqlFOV5LgiRClKFCNlchS92-VunP3eg-9kY3wJda1asL2XhOVCCJ5S_h-U55zngg30zV_0xvauDQ8JSpAkTURCg3q_U6Wz3jvQcuNMo9xWEiyHSmWoVN5XGuzrfWK_bKB6lA8dBvB2D5QvVa1Dh6Xxf1yapynLBneycz9MDdt_3ygvri4fro53E8Z38PNxQrlbKdIk5fL6Yipn08-La1HMJE9-AwTqxsI</recordid><startdate>201312</startdate><enddate>201312</enddate><creator>Keeping-Burke, Lisa</creator><creator>Purden, Margaret</creator><creator>Frasure-Smith, Nancy</creator><creator>Cossette, Sylvie</creator><creator>McCarthy, Frank</creator><creator>Amsel, Rhonda</creator><general>Blackwell Publishing Ltd</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201312</creationdate><title>Bridging the Transition from Hospital to Home: Effects of the VITAL Telehealth Program on Recovery for CABG Surgery Patients and their Caregivers</title><author>Keeping-Burke, Lisa ; Purden, Margaret ; Frasure-Smith, Nancy ; Cossette, Sylvie ; McCarthy, Frank ; Amsel, Rhonda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4541-fb5446cd3f182fe2fd8fe6db462f85eae96f534ff662fd752a390d11aa21a41c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety - prevention & control</topic><topic>Anxiety-Depression</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Carers</topic><topic>Continuity of Patient Care - organization & 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 & 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. Psychiatry</topic><topic>Quality of Life</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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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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