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Related Experiment Videos

Improving family functioning after cardiac surgery: a randomized trial.

C L Gilliss1, J M Neuhaus, W W Hauck

  • 1Department of Family Health Care Nursing, University of California, San Francisco 94143-0606.

Heart & Lung : the Journal of Critical Care
|November 1, 1990
PubMed
Summary
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This study found no difference in family health outcomes between nursing intervention groups after cardiac surgery. However, patient and spouse well-being scores improved over time during recovery.

Area of Science:

  • Nursing interventions
  • Cardiac surgery recovery
  • Family health

Background:

  • Cardiac surgery significantly impacts patient recovery and family functioning.
  • In-hospital and postdischarge nursing interventions aim to support patients and families.
  • Limited research exists on the long-term effects of nursing interventions on family health post-cardiac surgery.

Purpose of the Study:

  • To evaluate the effectiveness of nursing interventions on patient and family health after cardiac surgery.
  • To assess changes in family functioning and marital adjustment over six months post-surgery.
  • To identify patterns of recovery in patients and spouses following cardiac surgery.

Main Methods:

  • A randomized clinical trial involving 67 patient-spouse pairs.

Related Experiment Videos

  • In-hospital and postdischarge nursing interventions were implemented.
  • Family health was measured using the Family APGAR, Locke-Wallace Marital Adjustment Scale, and Family Inventory of Resources for Management.
  • Mixed-effects analysis of variance was used for data analysis.

    • Main Results:

    • No significant differences were found between the intervention groups for the main effect.
    • A significant main effect of time was observed for patients' and spouses' APGAR scores.
    • Patients' Marital Adjustment Scale scores also showed a significant improvement over time.
    • These findings suggest a general pattern of response during cardiac surgery recovery.

    Conclusions:

    • Nursing interventions did not demonstrate a significant differential effect on family health outcomes in this trial.
    • Patient and spouse well-being, as measured by APGAR scores, naturally improved over the six-month recovery period.
    • Patient marital adjustment also improved over time, irrespective of the specific intervention group.
    • Further research may explore specific components of nursing care that influence recovery trajectories.