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An audiotaped information programme after coronary artery bypass surgery improved physical functioning in women and psychological distress in men

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 QUESTION: Does an early, audiotaped recovery information intervention after coronary artery bypass graft (CABG) surgery reduce psychological distress and adverse symptoms and improve physical functioning when compared with usual discharge care?

Design

Randomised {allocation concealed}*, unblinded, controlled trial with follow up after 1 month.

Setting

Cardiac step down unit in an acute care urban teaching hospital in Cleveland, Ohio, USA.

Patients

193 patients who had their first CABG surgery in the previous 4–5 days; could speak, read, and write English; resided within 90 miles of Cleveland; were cognitively intact; were being discharged home; and had no major complications such as myocardial infarction, pulmonary embolus, haemorrhage, or cerebral vascular accident. 93% of patients (mean age 63 y, 53% men) were included in the analysis.

Intervention

98 patients were allocated to the Cardiac Home Information Program (CHIP) plus usual discharge care. CHIP was a 15 minute audiotaped message describing the typical recovery experiences of …

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