A pilot study on development and feasibility of the ‘MyEducation: CABG application’ for patients undergoing coronary artery bypass graft (CABG) surgery

Abstract

Background Patients scheduled for coronary artery bypass graft (CABG) surgery tend to have persistent symptoms of anxiety and depression. Course of hospital stay post-CABG procedure has become increasingly shorter over the last few decades. This pilot study was conducted to develop and test feasibility of MyEducation: CABG application as a learning tool to reduce anxiety and depression levels among patients undergoing CABG Surgery. Methods This study was quasi-experimental in design. Forty-five patients scheduled for CABG surgery were recruited via consecutive sampling from a Tertiary Referral Centre at Kuala Lumpur, Malaysia. MyEducation:CABG application (Web-based education application) was administered among the intervention group (N = 23); while the control group (N = 22) underwent standard care. Web-based education application were implemented by nurses at admission and prior to discharge. Patients were assisted in terms of queries and concerns, upon which corresponding information and support was provided. Sociodemographic data were obtained from patients, prior to administration of Hospital Anxiety and Depression Scale which was used to measure levels of anxiety and depression. The educational application was used to obtain satisfaction rating among intervention group. These measures were administered upon admission, on discharge and one-month post-discharge. Results Mean anxiety and depression scores among the intervention group were lower compared to the control. This was significant for anxiety upon admission, on discharge and one-month post-discharge (p < 0.05). Reduced mean depression scores was only significant at one month post-discharge (p < 0.05). Intervention group were generally satisfied with design, content and usability of the application. Conclusions Utilisation of MyEducation: CABG application as an educational platform were associated with reduced anxiety and depression among CABG patients, which probably explains positive user satisfaction levels reported. Hence, the study recommends implementation of this application among larger sample as a way to support patient scheduled for CABG aside, with further possibility of preventing complications.

Relationship between Psychological Distress and Demographic Characteristics among Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery

“…It has been reported by Woldegerima Berhe et al [ 5 ] that among the older age (≥60 years) undergoing surgery, preoperative pain was found significantly associated with preoperative anxiety. Consistent with the existing literature, a study by NoorHanita et al [ 6 ] stated that more than 50% of CABG patients in the Malaysia setting had moderate levels of anxiety, with scores ranging from 8 to 14 on the HADS-A, while 51.7% of the patients had mild depression. Depression and CAD are highly comorbid conditions, with the estimation of comorbidity ranging from 14 to 47% [ 6 ].…”

“…Consistent with the existing literature, a study by NoorHanita et al [ 6 ] stated that more than 50% of CABG patients in the Malaysia setting had moderate levels of anxiety, with scores ranging from 8 to 14 on the HADS-A, while 51.7% of the patients had mild depression. Depression and CAD are highly comorbid conditions, with the estimation of comorbidity ranging from 14 to 47% [ 6 ]. Some patients believe that having a CABG means the difference between life and death and that it carries a poor prognosis far worse than cancer.…”

The effect of training on coronary artery bypass graft surgery patients

“…Management of CAD often involves surgical procedures. 2 Coronary artery bypass grafting (CABG) surgery is one of the interventional treatment methods for CAD. It redirects circulation around a blocked or partially blocked artery to restore blood flow to an ischemic part of the heart, using vein or arterial grafts.…”

“…3 Despite the long recovery process for CABG surgeries and various technical and clinical difficulties, it remains a frequently performed procedure. 2 CABG surgeries are difficult operations for which adaptability to lifestyle changes is required. During the surgical process, the level of self-efficacy of the patients is highly important in coping with lifestyle changes.…”

“…2 Patient education plays a key role in reducing anxiety, overcoming stress, reducing the length of hospitalization, and ensuring patient satisfaction. 2,5 In the literature, it has been reported that anxiety, pain, and need for analgesia in surgical patients who had not received education on the pre-operative process were higher than in those who had received education; satisfaction, self-sufficiency, and sufficiency on personal care increase in patients who had received education in the pre-operative period; these patients could perform routine activities more easily; the discharge process was accelerated. 2,6 Therefore, it is necessary to provide education to the patients to reduce the negative effects of anxiety regarding situations in the surgical process.…”