Exploring outcomes of a nurse practitioner-managed cardiac surgery follow-up intervention: a randomized trial.

Autor:	Sawatzky, Jo‐Ann V., Christie, Sandra, Singal, Rohit K.
Předmět:	CARDIOVASCULAR disease nursing CHI-squared test CORONARY artery bypass STATISTICAL correlation PSYCHOLOGICAL distress HEALTH care teams HEALTH surveys LENGTH of stay in hospitals PATIENT aftercare INTERVIEWING LIFE skills LONGITUDINAL method EVALUATION of medical care MEDICAL care use NURSE practitioners NURSING NURSING specialties PATIENT satisfaction PATIENTS PRIMARY health care PROBABILITY theory QUALITY of life QUESTIONNAIRES REGRESSION analysis RESEARCH funding STATISTICAL sampling SCALE analysis (Psychology) STATISTICAL hypothesis testing STATISTICS SURGERY T-test (Statistics) DATA analysis SYMPTOMS EDUCATIONAL attainment RANDOMIZED controlled trials REPEATED measures design RESEARCH methodology evaluation DATA analysis software DESCRIPTIVE statistics
Zdroj:	Journal of Advanced Nursing (John Wiley & Sons, Inc.); Sep2013, Vol. 69 Issue 9, p2076-2087, 12p, 2 Black and White Photographs, 1 Diagram, 2 Charts
Abstrakt:	Aims To describe and compare the outcomes of a nurse practitioner-managed cardiac surgery follow-up model of care with the standard model of primary care provider follow-up for coronary artery bypass graft surgery patients. Background Advances in healthcare have had a favourable impact on length of stay following cardiac surgery; however, the shorter length of stay has not been accompanied by enhanced support to bridge the gap between acute care and the community setting. Design Prospective (2009-2010) randomized study. Methods Elective cardiac surgery patients ( N = 200) were randomly assigned to the nurse practitioner follow-up intervention or to the standard model of follow-up care. The main outcomes were health-related quality of life, patient satisfaction, symptoms, and health resource use. Outcome data were elicited via telephone interviews at 2 and 6 weeks postdischarge. Results Baseline differences between the two groups were non-significant; however, at 2 weeks postdischarge, the intervention group reported significantly fewer symptoms and higher physical functioning status. At 2 and 6 weeks postdischarge, the intervention group was significantly more satisfied with the amount of help, as well as the quality of the services received. Differences in healthcare resource use were not statistically significant. Conclusion This evidence suggests that the nurse practitioner-managed model of follow-up care effectively bridges the gap between institutional and primary care in the cardiac surgery population. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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