The Effect of a Smartphone-Based Perioperative Nursing Intervention: Prayer, Education, Exercise Therapy, Hypnosis, and Music toward Pain, Anxiety, and Early Mobilization on Cardiac Surgery

Abstract

Background: Cardiac surgery can elicit both physical and psychological responses. Prayer, exercise therapy, education, hypnosis, and music are expected to be able to overcome pain, anxiety, and immobilization in the cardiac surgery. This study was to create a smartphone-based peri-operative nursing intervention model that was able to reduce pain, anxiety, and increase early mobilization cardiac surgery patients.Design and Methods: This study consisted of three stages. The first stage was research and development, the second was true experimental design, and the third was cross sectional design. The samples size was 86 respondents. The intervention models for the treatment group comprised of a smartphone-based therapy of prayer, education, exercise, hypnosis, and music. The control group was given standard hospital intervention according to the clinical pathway.Results: The majority of respondents were adults, male, high school graduate in the treatment group and bachelor graduate in the control group, CABG type of surgery, and having pain history. The intervention had a significant effect on reducing pain scale and anxiety level as well as increasing early mobilization (p<0.05). The intervention had a direct effect on pain and anxiety, but it had no direct effect on early mobilization. However, it gave indirect effect on early mobilization that was mediated by anxiety.Conclusion: The models can be used by nurses to reduce pain, anxiety and to increase early mobilization on cardiac surgery patients.

Smartphone Application on Perioperative Cardiac Surgery: A Systematic Review

“…In the intraoperative stage, smartphones are used for hemodynamic monitoring. In the post-operative stage, smartphones are used for monitoring surgical wounds, detection of Atrial Fibrillation (AF) and other rhythm-related complications after cardiac surgery, and early mobilization intervention media (Awaludin, Nurachmah, Soetisna, & Umar, 2022;Brusco, 2010;Kulendran et al, 2014;Lamberigts et al, 2021;Pluta et al, 2022;Soangra & Lockhart, 2021). The benefits posed by smartphone application technology in heart surgery are also for the delivery of health services, patient outcomes, as well as clinical and lay education.…”

Mental Health of Cardiac Procedure Patients Should Be a Priority for All Healthcare Providers

“…The frequency of preprocedural anxiety is reported to be approximately 80%, leading to hypertension and tachycardia, which can lead to bleeding and other complications. 2 As the authors have also identified, this anxiety can have an impact on long-term mental health. 1 However, I have not seen a rise in repeat ablations or cardioversions among the more anxious or depressed patients.…”

“…The smartphone application included music therapy, prayer, patient education, and hypnosis. 2 I hope you will be pleased to know the impact the article prepared by Fitzgerald et al 3 has had on myself and my electrophysiology team, as well as the preprocedural and postprocedural areas. Your authors have helped us become more aware of the mental health challenges our patients experience and how they may impact their quality of life and outcomes.…”

“…On the basis of my experience working in an electrophysiology laboratory, depression and anxiety are very common and frequently problematic when patients arrive for their procedures. The frequency of preprocedural anxiety is reported to be approximately 80%, leading to hypertension and tachycardia, which can lead to bleeding and other complications 2 . As the authors have also identified, this anxiety can have an impact on long-term mental health 1 .…”

“…A comprehensive combination therapy has shown a positive impact on procedural pain and anxiety 2 . The study conducted by Awaludin and associates 2 designed and implemented the use of a smartphone-based nursing intervention model to promote consistency and accessibility. The smartphone application included music therapy, prayer, patient education, and hypnosis 2 …”