Effects of Nurse-Led Intervention on Patients' Anxiety and Sleep Before Coronary Artery Bypass Grafting

Abstract

The aim of this study to examine the effects of supportive-educational nurse-led intervention on the patients' anxiety and sleep before the coronary artery bypass grafting.The current clinical trial recruited 160 patients (N = 160) waiting for the coronary artery bypass grafting by random block sampling and divided them into two 80-people experimental and control groups. Spielberger's State Anxiety Inventory was completed on the first day. The Groningen's Sleep Quality Index was also completed by the patients on the day of surgery. Data were analyzed in SPSS software version 16, using descriptive and inferential statistics tests.The mean anxiety score in the experimental group decreased to 48.39, whereas in the control group, the mean anxiety score saw a rise after the intervention (61.09). The comparison of the mean quality of sleep the night before the surgery for both groups showed that sleep in the control group compared with sleep in the experimental group had a lower quality, and statistically, it was significant (P < .001).Results showed that nonpharmacological and supportive interventions can reduce patients' anxiety and sleep disturbance before the coronary artery bypass grafting. According to the results, nonpharmacological therapies should be placed at the top of nurses' tasks.

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

“… 32 , 37 , 38 , 49 , 53 , 54 , 57 , 58 , 59 , 63 , 70 , 71 , 79 , 81 , 91 , 93 , 94 , 103 , 105 , 108 Prevention of anxiety was a secondary outcome of interest in a further nine (10%) studies. 22 , 23 , 25 , 47 , 50 , 55 , 69 , 73 , 80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32 , 38 , 53 , 57 , 59 , 71 , 81 , 94 , 105 nine were focused on pediatric patients, 37 , 49 , 54 , 63 , 79 , 91 , 93 , 103 , 108 (with four of these also including caregivers as a sub-population, 37 , 49 , 54 , 108 and another focused on adolescents 37 ); one study concentrated solely on caregiver (parent) anxiety. 70 The interventions of interest included music; 32 , 58 , 59 , 71 , 103 education (including videos); 37 ,…”

“…Prevention of anxiety, both from the patient and caregivers' perspective, was the most common primary outcome of interest, accounting for over a fifth of studies (n=20, 23%). 32,37,38,49,53,54,57,58,59,63,70,71,79,81,91,93,94,103,105,108 Prevention of anxiety was a secondary outcome of interest in a further nine (10%) studies. 22,23,25,47,50,55,69,73,80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32,38,53,57,59,71,81,94,105 nine were focused on pediatric patients, 37,49,54,63,79,91,93,103,108 (with four of these also including caregivers as a sub-population, …”

“…22,23,25,47,50,55,69,73,80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32,38,53,57,59,71,81,94,105 nine were focused on pediatric patients, 37,49,54,63,79,91,93,103,108 (with four of these also including caregivers as a sub-population, 37,49,54,108 and another focused on adolescents 37 ); one study concentrated solely on caregiver (parent) anxiety. 70 The interventions of interest included music; 32,58,59,71,103 education (including videos); 37,70,81,94 visiting preoperative facilities; 54 play; 79,91,93,108 relaxation and sounds from nature; 57 aromatherapy; 53 photographic displays;…”

Comparing the Effects of Melatonin and Zolpidem on Sleep Quality, Depression, and Anxiety in Patients With Colorectal Cancer Undergoing Chemotherapy

“…The participants were asked to write their demographic information, including name, age, gender, marital status, race, education, access number, disease, type of cancer treatment in the beginning. The translated (Farsi) Groningen Sleep Quality Scale (GSQS), Pittsburgh sleep quality index (PSQI), Hamilton Rating Scale for Depression (HRSD), and Hamilton Anxiety Rating Scale (HARS) were used according to previously published paper (Jafarian, Gorouhi, Taghva, & Lotfi, 2008;Mousavi Malek, Zakerimoghadam, Esmaeili, & Kazemnejad, 2018;Tanner et al, 2013). To assess the appropriation of translated entries, a consultation was done with a bilingual neurologist and psychiatrist, who confirmed the validity of the translated questionnaires.…”

Psychological Preparation for Cardiac Surgery

“…The intervention focused on patients’ specific needs and fears and the authors concluded that healthcare professionals should be trained to better provide patients with emotional support before undergoing cardiac surgery to reduce preoperative anxiety. In another RCT, a nurse-delivered “supportive educational” intervention (comprising procedural information regarding the surgery, encouraging patients to discuss anxiety, fear and its causes, and training of relaxation techniques such as deep breathing) reduced patients’ anxiety and improved patients sleep quality before undergoing CABG surgery [ 47 ]. A supportive provider-patient interaction is considered an important and powerful mechanism with substantial influence on treatment outcomes [ 48 ].…”