Preadmission Information: Does It Help Cardiac Surgery Patients Prepare

Mackenzie, Mary (1996) Preadmission Information: Does It Help Cardiac Surgery Patients Prepare. MSc(R) thesis, University of Glasgow.

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Abstract

This study explored the relationship between the level of knowledge, the self reported anxiety and the modification of coronary heart disease risk factors in the waiting time to coronary artery bypass surgery. It was hypothesised that subjects who received a specific educational booklet when put on the waiting list for surgery would report increased knowledge of the procedure and events surrounding surgery, less preoperative anxiety and more risk factor modification behaviours than those subjects who did not receive the booklet. The sample consisted of two groups, the test group who received the booklet (n=8) and the control group who did not receive the booklet (n=7). Baseline questioning was carried out 3-29 weeks preoperatively when a knowledge questionnaire, anxiety questionnaire and diet questionnaire were administered. The test group were given the information booklet following this initial interview. The second interview was carried out 2-15 days prior to surgery when all three instruments were administered. The third interview was carried out 7-14 weeks following surgery, when the anxiety and diet questionnaires were administered. Results of the study showed no statistical difference between groups for state anxiety, although at the second interview test group scores decreased while control group scores increased. Knowledge scores improved for both groups at the second interview with the test group making a significant improvement (p < 0.01). There was no difference between the group scores. There was no risk factor modification reported by either group. Due to the small sample size, the hypothesis was not tested. The sample size was determined by a sudden change in waiting time for surgery from 3 months to 1 year and that patients were not taken consecutively from the waiting list. Further difficulty was encountered when the local health board contracted out coronary artery bypass patients in a waiting list initiative, making these patients ineligible for inclusion in the study. Replication with a larger study sample is recommended.

Item Type: Thesis (MSc(R))
Qualification Level: Masters
Additional Information: Adviser: Di Carter
Keywords: Medicine, Nursing
Date of Award: 1996
Depositing User: Enlighten Team
Unique ID: glathesis:1996-76100
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 19 Dec 2019 09:15
Last Modified: 19 Dec 2019 09:15
URI: https://theses.gla.ac.uk/id/eprint/76100

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