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Western Journal of Nursing Research, Vol. 26, No. 5, 515-532 (2004)
DOI: 10.1177/0193945904265690

Enhancing Postoperative Recovery of Cardiac Surgery Patients

A Randomized Clinical Trial of an Advanced Practice Nursing Intervention

Joan E. Tranmer

Nursing Research, Kingston General Hospital; career scientist, Ministry of Health and Longterm Care of Ontario; School of Nursing and Community Health and Epidemiology, Queen’s University

Monica J. E. Parry

Cardiac Surgery, Kingston General Hospital

The purpose of this trial was to determine the effectiveness of advanced practice nursing support on cardiac surgery patients’ during the first 5 weeks following hospital discharge. Patients ( N = 200) were randomly allocated to two groups: (a) an intervention group who received telephone calls from an advanced practice nurse (APN) familiar with their clinical condition and care needs, twice during the first week following discharge then weekly thereafter for 4 weeks, and (b) a usual care group. Measures of health-related quality of life (HRQL), symptom distress, satisfaction with recovery care, and unexpected health care contacts were obtained at 5 weeks following discharge. There were no significant group differences in HRQL, unexpected contacts with the health care system, or symptom distress. The provision of APN support via telephone followup after cardiac surgery is feasible. However, further randomized trials of single and multicomponent APN interventions are needed to prove effectiveness.

Key Words: advanced practice nurse • cardiac surgery • postoperative recovery • randomized clinical trial


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