Abstract
BackgroundPatients 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.MethodsThis 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.ResultsMean 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.ConclusionsUtilisation 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.
Highlights
Patients scheduled for coronary artery bypass graft (CABG) surgery tend to have persistent symptoms of anxiety and depression
A statistically significant difference in anxiety scores were observed at time of discharge (F = − 2.65, p = 0.040) and one-month post-discharge (F = − 0.8, p < 0.001), where the intervention group scored lower than the controls
Initial analyses conducted prior to development of the intervention revealed that anxiety and depression were highly occurring psychological symptoms among CABG patients - a result of which may interfere with scheduling of the surgery and recovery period [4, 9, 21], consistent to that found in other studies [11, 16, 22, 23]
Summary
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. The recovery process for coronary heart disease (CHD) surgeries, such as coronary artery bypass grafting (CABG) tend to be lengthy and encompasses several technical and clinical challenges. It remains a frequently performed procedure among cardiothoracic surgeons. Patients with high levels of anxiety pre-CABG procedure reported more pain, lesser post-surgery symptom-relief and higher readmissions [3, 8, 9]
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