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Short‐term intervention to reduce anxiety before coronary artery bypass surgery – a randomised controlled trial

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  • Claudia Heilmann
  • Ulrike Stotz
  • Christina Burbaum
  • Johanna Feuchtinger
  • Rainer Leonhart
  • Matthias Siepe
  • Friedhelm Beyersdorf
  • Kurt Fritzsche

Abstract

Aims and objectives The aim of this study was to evaluate an intervention with individualised information and emotional support before coronary artery bypass grafting in a controlled randomised trial. Background Anxiety is a typical phenomenon in patients who are to undergo cardiac surgery. Preoperative anxiety has been shown to correlate to adverse postoperative outcomes. Emotional support could be an effective measure to reduce preoperative anxiety. Design and methods Patients with planned first coronary artery bypass grafting were randomised into an intervention group (n = 139) and a control group (n = 114). The patients of the control group were routinely informed as usual. The patients of the intervention group received a dialogue with individualised information and emotional support one day before surgery in addition to standard care. This intervention of ~30 minutes was based on a supportive psychotherapy model and was delivered by trained nurses. The primary outcome was the change in anxiety before operation. The secondary outcomes consisted of changes in postoperative anxiety, time on intensive care unit and in‐hospital mortality. Results Significantly reduced anxiety was found in the intervention group patients compared to control patients before coronary artery bypass grafting (p

Suggested Citation

  • Claudia Heilmann & Ulrike Stotz & Christina Burbaum & Johanna Feuchtinger & Rainer Leonhart & Matthias Siepe & Friedhelm Beyersdorf & Kurt Fritzsche, 2016. "Short‐term intervention to reduce anxiety before coronary artery bypass surgery – a randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 351-361, February.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:3-4:p:351-361
    DOI: 10.1111/jocn.13055
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    References listed on IDEAS

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    2. Mead, Nicola & Bower, Peter, 2000. "Patient-centredness: a conceptual framework and review of the empirical literature," Social Science & Medicine, Elsevier, vol. 51(7), pages 1087-1110, October.
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