Guo Ping
Faculty of Health, Social Care and Education, Kingston University and St George's, University of London, London, UK; The First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan, China.
J Clin Nurs. 2015 Jan;24(1-2):34-46. doi: 10.1111/jocn.12618. Epub 2014 Jun 3.
To update evidence of the effectiveness of preoperative education among cardiac surgery patients.
Patients awaiting cardiac surgery may experience high levels of anxiety and depression, which can adversely affect their existing disease and surgery and result in prolonged recovery. There is evidence that preoperative education interventions can lead to improved patient experiences and positive postoperative outcomes among a mix of general surgical patients. However, a previous review suggested limited evidence to support the positive impact of preoperative education on patients' recovery from cardiac surgery.
Comprehensive review of the literature.
The Cochrane Central Register of Controlled Trials from the Cochrane Library, MEDLINE, CINAHL, PsycINFO, EMBASE and Web of Science were searched for English-language articles published between 2000-2011. Original articles were included reporting randomised controlled trials of cardiac preoperative education interventions.
Six trials were identified and have produced conflicting findings. Some trials have demonstrated the effects of preoperative education on improving physical and psychosocial recovery of cardiac patients, while others found no evidence that patients' anxiety is reduced or of any effect on pain or hospital stay.
Evidence of the effectiveness of preoperative education interventions among cardiac surgery patients remains inconclusive. Further research is needed to evaluate cardiac preoperative education interventions for sustained effect and in non-Western countries.
A nurse-coordinated multidisciplinary preoperative education approach may offer a way forward to provide a more effective and efficient service. Staff training in developing and delivering such interventions is a priority.
更新有关心脏手术患者术前教育有效性的证据。
等待心脏手术的患者可能会经历高度焦虑和抑郁，这会对他们现有的疾病和手术产生不利影响，并导致恢复时间延长。有证据表明，术前教育干预措施可改善普通外科患者群体的患者体验并带来积极的术后结果。然而，之前的一项综述表明，支持术前教育对心脏手术患者恢复产生积极影响的证据有限。
文献综合综述。
检索Cochrane图书馆的Cochrane对照试验中心注册库、MEDLINE、CINAHL、PsycINFO、EMBASE和科学网，查找2000年至2011年发表的英文文章。纳入报告心脏术前教育干预随机对照试验的原始文章。
确定了六项试验，结果相互矛盾。一些试验证明了术前教育对改善心脏患者身体和心理社会恢复的作用，而其他试验则没有发现患者焦虑减轻或对疼痛或住院时间有任何影响的证据。
心脏手术患者术前教育干预有效性的证据仍然不明确。需要进一步研究以评估心脏术前教育干预措施的持续效果以及在非西方国家的效果。
护士协调的多学科术前教育方法可能为提供更有效和高效的服务提供一条前进的道路。开展和实施此类干预措施的人员培训是当务之急。
