Moore S M
Case Western Reserve University, Cleveland, OH 44106-4904, USA.
Int J Nurs Stud. 1996 Apr;33(2):181-9. doi: 10.1016/0020-7489(95)00054-2.
This quasi-experimental study tested the effects of a discharge information intervention on physical and psychological outcomes 1 month following coronary artery bypass surgery (CABG). Recovery outcomes were compared between two groups of patients: those receiving an audiotape of information focusing on expected physical symptoms and their management in addition to usual care, and those receiving a usual cardiac discharge information protocol. The nonprobability sample of 82 patients were men and women and had a mean age of 64 years. The outcome measurements included psychological distress, measured by the Profile of Mood States, and physical functioning, measured by the Sickness Impact Profile. The audiotape intervention produced positive effects on physical functioning [F(1,80) = 6.37, p < 0.01]; the effects were maintained when age and post-operative length of stay were statistically controlled. No differences in psychological distress were found. Findings suggest that audiotapes containing discharge information about expected recovery experiences are a feasible and effective approach to enhancing the physical recovery of CABG patients.
这项准实验研究测试了出院信息干预对冠状动脉搭桥手术（CABG）后1个月身体和心理状况的影响。比较了两组患者的康复情况：一组除接受常规护理外，还收到一盘关注预期身体症状及其处理方法的信息录音带；另一组接受常规的心脏出院信息方案。82名患者的非概率样本包括男性和女性，平均年龄为64岁。结果测量包括用情绪状态剖面图测量的心理困扰，以及用疾病影响剖面图测量的身体功能。信息录音带干预对身体功能产生了积极影响[F(1,80) = 6.37, p < 0.01]；在对年龄和术后住院时间进行统计学控制后，这种影响依然存在。未发现心理困扰方面的差异。研究结果表明，包含有关预期康复经历的出院信息的录音带是促进冠状动脉搭桥手术患者身体康复的一种可行且有效的方法。
