Get started
Work

Preference for Information, Perceived Control, Coping and Outcomes Following First-Time Open Heart Surgery in Older Adults

Year: 2004
Type: article
Study design: Observational Study
Abstract: Significance Research on young and middle-aged adults has formed the basis of most nursing interventions aimed at stress reduction for cardiac surgery, and may not be appropriate for older adults because older adults differ from younger and middle adults in a number of ways.Cardiovascular disease is the number one killer of adults aged 65 years and older; it is expected to be the major cause of mortality well into the next century.Currently, over 55% of all coronary artery bypass surgeries (CABS) are performed on those over age 65.In many studies comparing younger and older adults, older adults have had more complications after CABS including longer hospital stays, more depression, more frequent readmission, and poorer functional outcomes.Outcomes after CABS have been linked to coping and factors which affect coping. Educational interventions are the most important nursing interventions to reducestress and facilitate coping, but nurses do not routinely assess for the patient's preference for information.If a person has a low preference for information, providing detailed, intense information may inhibit coping.Given that older adults are known to have poorer outcomes and longer stays after CABS, it is possible that current nursing practices may be deterring coping, and thus contributing to poorer outcomes.No one had investigated the relationships among preference for information, perceived control, coping, and outcomes in older adults.iii Method A prospective pretest-posttest descriptive design was used.Participants aged 65 years and older who were having first-time CABS at three Midwest hospitals were eligible.Interviews were conducted in person preoperatively and by telephone 6 weeks postoperatively.Preference for information (measured with the Krantz Health Opinion Survey, KHOS), perceived control (Control Attitudes Scale, CAS), and coping (66-item Ways of Coping Questionnaire, WOCQ) were measured preoperatively.Depression (15-item Geriatric Depression Scale, GDS), and functional status (Medical Outcomes Study Short Form-12, MOS SF-12) were measured at baseline preoperatively and again six weeks later.Internal consistency reliabilities ranged from 0.55 to 0.74.Anecdotal notes were kept on participant's experiences with each instrument.Canonical correlation analysis was used to examine the relationships among preference for information, perceived control, coping, demographics, and outcomes. ResultsThe initial sample included 70 adults; complete data were collected on 63 adults. CHAPTER 1Greenland, P. (1996).The future of cardiovascular medicine.
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W2292056997
FWCI:
Cites:
Cited by:
Related to: 10