Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis

被引:54
|
作者
Ramesh, C. [1 ]
Nayak, Baby S. [1 ]
Pai, Vasudev Baburaya [2 ]
Patil, Nitin T. [3 ]
George, Anice [1 ]
George, Linu Sara [4 ]
Devi, Elsa Sanatombi [5 ]
机构
[1] Manipal Univ, Manipal Coll Nursing, Udupi 576104, Karnataka, India
[2] Manipal Univ, Dept Cardiovasc & Thorac Surg, Kasturba Med Coll & Hosp, Udupi, Karnataka, India
[3] Manipal Univ, Dept Anaesthesia, Kasturba Med Coll & Hosp, Udupi, Karnataka, India
[4] Manipal Univ, Manipal Coll Nursing, Dept Fundamentals Nursing, Udupi, Karnataka, India
[5] Manipal Univ, Manipal Coll Nursing, Dept Med Surg Nursing, Udupi, Karnataka, India
关键词
patient education; cardiac surgery; anxiety; pain; review; meta-analysis; ARTERY-BYPASS-SURGERY; REDUCE ANXIETY; GRAFT-SURGERY; RISK PATIENTS; INTERVENTION; RECOVERY; IMPACT; COMPLICATIONS; DEPRESSION; SYMPTOMS;
D O I
10.1016/j.jopan.2016.11.011
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Purpose: The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery. Design: Systematic review and meta-analysis. Methods: A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach. Findings: Meta-analysis showed that preoperative education reduced anxiety scores (standardized mean difference = -0.96, 95% confidence interval: -1.37, -0.54; P < .0001). However, there was no significant effect of preoperative education on pain, depression, and length of hospital stay. There is low-quality evidence, and reasons for downgrading are due to study design limitations, inconsistency, and imprecision of effect estimates. Conclusions: The results show that preoperative education can effectively decrease anxiety in patients undergoing cardiac surgery.
引用
收藏
页码:518 / +
页数:14
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