Home and Community Care Digest
Methods: This clinical trial tested the effectiveness of a home communication intervention (HCI) for ischemic failure CABG patients 65 years of age and older. HCI is home-based support via an electronic communication device attached to patients' home telephones. HCI provides daily automated symptom management advice, CAD risk factor modification strategies, post-CABG recovery instructions, and positive reinforcement. Primary outcomes studied were self-efficacy, coronary artery disease (CAD) risk factor modification, and post-hospitalization functioning (i.e. physical, general health, mental health, vitality). 35 IHF CABG patients from a parent study were randomly allocated to either (a) HCI or (b) routine care for six weeks. Outcomes were evaluated upon hospital discharge and 3 months postdischarge.
Findings: The HCI group scored higher on self-efficacy to manage disease, functioning and exercise adherence compared to the routine care group 3 months post-CABG. HCI participants also reported lower stress levels at three months.
Conclusions: This pilot study demonstrated positive outcomes associated with an HCI program for post-CABG IHF patients. HCI has potential to provide ongoing home-based support to IHF and other cardiac patients with complex home support needs.
Reference: Barnason S., Zimmerman L., Nieveen J., Schmaderer M., Carranza B., Reilly S. Impact of a home communication intervention for coronary artery bypass graft patients with ischemic heart failure on self-efficacy, coronary disease risk factor modification, and functioning. Heart and Lung: The Journal of Acute and Critical Care 2003, May-June: 147-158.
Be the first to comment on this!
Personal Subscriber? Sign In
Note: Please enter a display name. Your email address will not be publically displayed