Issues in Cardiovascular NursingEffects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event*,**,*
Section snippets
Methods
A randomized, controlled trial was conducted with pre- and post-intervention data collection. The study was reviewed and approved by the appropriate hospital review boards. All participating patients were provided with information sheets and signed consent forms.
Intervention
In addition to usual care, women in the intervention group received an intervention that provided support and information and was intended to promote self-managed recovery and psychosocial adjustment. The intervention began with an introductory session 1 to 2 days before hospital discharge and was followed by 4 telephone calls at 2 to 3 days, 1, 3, and 6 weeks postdischarge. Follow-up telephone calls were scheduled to assist women coping with various stages of adjustment during recovery.26, 27,
Results
There were no significant differences at baseline between the control and intervention groups in sociodemographic, clinical characteristics (Table I) or psychosocial characteristics (Table III).At 12 weeks there were no significant differences between the groups for the mean scores on psychosocial adjustment (F[1,182] = 0.06, P =.8), anxiety (F[1,182] = 0.15, P =.69) or depression (F[1,182] = 0.11, P =.74), as summarized in Table III. Therefore, it was concluded that the intervention had no
Acknowledgements
We would like to thank the Co-operative Research Centre for Cardiac Technology, Sydney and the Australian College of Critical Care Nurses for financial support.
References (63)
- et al.
Evidence for the effectiveness of cardiac rehabilitation
Intensive Crit Care Nurs
(1998) - et al.
Sex differences in patient recovery patterns after coronary artery bypass surgery
Heart Lung
(1995) - et al.
Referral patterns and exercise response in the rehabilitation of female coronary patients aged > 62 years
Am J Cardiol
(1992) Telephone support in the early post-discharge period following elective cardiac surgery: does it reduce anxiety and depression levels?
Intensive Crit Care Nurs
(1999)- et al.
The design of controlled experiments in the evaluation of non-therapeutic interventions
J Chronic Disease
(1982) - et al.
Effect of a postdischarge education class on coronary artery disease knowledge and self-reported health-promoting behaviors
Heart Lung
(1996) The Psychosocial Adjustment to Illness Scale (PAIS)
J Psychosom Res
(1986)- et al.
Psychosocial recovery from a cardiac event: The influence of perceived control
Heart Lung
(1995) - et al.
Effects of multidimensional cardiopulmonary rehabilitation program on psychosocial function
Am J Cardiol
(1991) - et al.
Psychosocial adjustment in patients after a first acute myocardial infarction: the contribution of salutogenic and pathogenic variables
Arch Phys Med Rehab
(1999)
A prospective evaluation of the psychosocial effects of coronary artery bypass surgery
J Psychosom Res
Evaluation of home-based rehabilitation programme for patients recovering from acute myocardial infarction
Intensive Crit Care Nurs
Effects of self-help post-myocardial-infarction rehabilitation of psychological adjustment and use of health services
Lancet North Am Ed
Quality of life for women after a myocardial infarction
Heart Lung
Psychosocial factors of coronary heart disease in women: a review
Soc Sci Med
Emerging epidemic of cardiovascular disease in developing countries
Circulation
Cost effectiveness of early discharge after uncomplicated acute myocardial infarction
N Engl J Med
Effectiveness of a program of early hospital discharge of cardiac surgery patients
J Cardiovasc Nurs
Cardiac rehabilitation
Qual Health Care
Effects of interventions to promote recovery in coronary artery bypass surgical patients
J Cardiovasc Nurs
Lifestyle changes in women with coronary heart disease: what do we know?
J Womens Health
Cardiovascular disease in women. A statement for healthcare professionals from the American Heart Association
Circulation
Exclusion of the elderly and women from coronary heart trials
J Am Med Assoc
Randomized trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction
Lancet North Am Ed
Myocardial infarction survivors: Age and gender differences in physical health, psychosocial state and regimen adherence
J Adv Nurs
Subjective symptoms and well-being differ in women and men after myocardial infarction
Eur Heart J
The psychology of men and women recovering from coronary artery bypass surgery
J Cardiopul Rehab
Gender and short-term recovery from cardiac surgery
Nurs Res
Women and cardiac rehabilitation: Referral and compliance patterns
J Cardiovasc Nurs
National survey on gender differences in cardiac rehabilitation programs. Patient characteristics and enrollment patterns
J Cardiopul Rehab
Use of outpatient cardiac rehabilitation services: factors associated with attendance
J Cardiopul Rehab
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Improving Wellbeing After Acute Coronary Syndrome
2023, Current Problems in CardiologyCitation Excerpt :Additionally, a trial recruiting patients post-ACS with high depression and/or anxiety scores found that an 8-week telephone therapy intervention markedly diminished both depression and anxiety scores over a 6-month follow-up period (P < 0.05).39 Analogous results have been seen in other smaller studies in ACS patients with depression and anxiety symptoms.40-46 In contrast, an internet-based CBT study (n = 239) demonstrated moderate improvement of cardiac anxiety 1-year follow-up (P = 0.02) but had no impact on general depression and anxiety.31
Efficacy of psychosocial interventions on psychological outcomes among people with cardiovascular diseases: A systematic review and meta-analysis
2016, Patient Education and CounselingDepression screening in patients with coronary heart disease: A critical evaluation of the AHA guidelines
2011, Journal of Psychosomatic ResearchCitation Excerpt :Emerging evidence supports these interventions in depressed individuals with CHD [52,53]. Among other interventions, telephonic counseling after ACS [54–56] and home-based case management after MI have been found to reduce emotional distress but not consistently [57,58]. Treating depression in patients with CHD improves quality of life [59] and compliance with medications [60]; however, evidence is lacking that treatment of depression will improve adherence to post-ACS recommendations that improve cardiac outcome [61].
Treatment of Anxiety in Patients With Coronary Heart Disease: A Systematic Review
2018, PsychosomaticsCitation Excerpt :Education sessions that focused on CHD awareness or risk factor/heart health and treatment were most common, with 25 overall studies applying this approach. Of these, seven were conducted in post-CABG/percutaneous coronary intervention patients,66,102–107 ten for post-MI patients,58,59,108–115 five in patients with CHD or angina diagnosis,63,116–120 one in patients with unstable angina121 and two in patients with angina or acute MI.122,123 Two studies used “frequently asked question” checklists prior to cardiology clinic visits.124,125
Nurse-led telephone interventions for people with cardiac disease: A review of the research literature
2010, European Journal of Cardiovascular Nursing
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Supported in part by the Australian College of Critical Care Nurses.
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Reprint requests: Robyn Gallagher, MD, Faculty of Nursing, Midwidfery and Health, PO Box 222, Lindfield, NSW 2070, Australia.
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0147-9563/2003/$30.00 + 0