Evid Based Nurs 6:48 doi:10.1136/ebn.6.2.48
  • Treatment

Videotapes for spouses of patients having coronary artery bypass and depicting varying success in coping with recovery had no effect on spouses’ emotional outcomes

 QUESTION: Does a videotaped information intervention targeted at spouses of postoperative coronary artery bypass graft (CABG) patients reduce spousal distress and improve patient recovery?


Randomised {allocation concealed}*, unblinded, controlled trial with 6 months of follow up.


3 hospitals in San Diego, California, USA.


296 patients (mean age 63 y, 76% men) who had first time CABG surgery without associated procedures (eg, heart valve repair) and their spouses (mean age 61 y). Couples were excluded if either the patient or spouse had previous CABG, serious medical conditions (eg, terminal cancer), were unable to speak English, or were taking antidepressants. Follow up was 83% at 6 months.


93 spouses were allocated to a mastery tape, 101 to a coping tape, and 102 to a control condition. The mastery and coping tapes provided procedural information (eg, lifting, exercise, diet, incision care) and sensory information (eg, emotions, sleep, appetite) regarding what to expect during the recovery period. …

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