Symptom Management Intervention in Elderly Coronary Artery Bypass Patients

NCT00572988 | Completed

• 2 other identifiers: 0528-01-FBR01NR007759
• Study Type: observational
• Target: 232
• Locations: 0 countries
• Sites: N/A

Brief Summary

The major purpose of this experimental study is to test the effects of the symptom management home care nursing intervention (SMHCNI) on recovery outcomes of elderly CABG patients, using a randomized, two group (n=284) repeated measures design with measurements at discharge, at 3 and 6 weeks, and 3 and 6 months postoperatively. One group will receive the intervention and routine care (RC) and the other group will receive RC only. The major aim will be to determine if the intervention group will demonstrate: better physiological functioning (decreased symptom interference on physical functioning; better scores on the SF36 subscales: physical, role-physical and vitality, and increased activity and exercise energy expenditure); better psychosocial functioning (decreased symptom interference on enjoyment of life; and better SF36 subscales; role-emotional, social, mental, and vitality); and fewer postoperative problems (e.g. infections, fluid in lungs, heart rate rhythm problems). Additional outcomes for secondary aims are: lower levels of health care utilization (HCU) (i.e., fewer number of visits to health care providers, fewer number of emergency department visits, fewer number of home health visits, fewer rehospitalizations); and higher patient satisfaction (with level of functioning and care received). In addition this study will examine the potential effects of mediating (evaluation of symptoms, and perceived self-efficacy), and moderating variables (participation in cardiac rehabilitation) with the intervention on outcomes identified.

Conditions

Coronary Artery Disease

Keywords

symptom management; function status; physical activity; health care utilization

Outcome Measures

Primary Outcomes (1)

• Symptom Evaluation

  The duration of the study

Secondary Outcomes (3)

• Functional Status

  Duration of the study

• Physical ACtivity

  Duration of the Study

• Health Care Utilization

  6 month follow up time period

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All subjects 65 and older who are admitted for a first time CABG surgery.

You may qualify if:

• years of age or older and having undergone CABG surgery
• Oriented to person, place, and time
• Not visually impaired, able to hear, and able to speak and read English (eyeglasses and or hearing aids permitted)
• Not eligible for home health care (would not be homebound or have a draining wound)
• Have a phone with a non-rotary phone service
• Discharged within 7 days after surgery
• No physical impairments that would limit their physical functioning after surgery (e.g. stroke).

You may not qualify if:

• None

Sponsors & Collaborators

• University of Nebraska: lead
• National Institute of Nursing Research (NINR): collaborator

MeSH Terms

Conditions

Coronary Artery Disease; Motor Activity; Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Coronary Disease; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases; Behavior; Treatment Adherence and Compliance; Health Behavior

Study Officials

• Lani M Zimmerman, PhD

  University of Nebraska

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 11, 2007
• First Posted: December 13, 2007
• Study Start: May 1, 2002
• Study Completion: January 1, 2007
• Last Updated: August 30, 2023

Record last verified: 2023-08