[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 4, Issue 2 (Military Caring Sciences 2017) ::
MCS 2017, 4(2): 129-137 Back to browse issues page
Effect of Telephone Follow-up Care on Rehospitalization and Depression in Patients Undergoing Open Heart Surgery in a Selected Military Hospital
Zolfaghari‏.‏ A1, Dadgari. F 2, Farsi. Z3
1- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing.
2- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Psychiatric Nursing Department.
3- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Research and Community Health Department.
Abstract:   (5852 Views)

Introduction: Open heart surgery is one of the most common surgeries in the world for cardiovascular patients. Physical and psychological dysfunctions are the most common complications of this surgery that lead to rehospitalization and increasing depression in the patients.
Objectives: The aim of the present study was to examine the effect of the telephone follow-up care on rehospitalization and depression in the patients undergoing an open heart surgery in the 502 Military Hospital.
Materials and Methods: This quasi-experimental study was conducted on all adult patients underwent an open heart surgery in the 502 Military Hospital during 2015-2016. The patients were recruited by the convenience sampling method and randomly allocated into the two groups of intervention and control. The Beck depression questionnaire was used to collect the data. The telephone follow-up care was performed in patients in the intervention group. Data were analyzed by the SPSS 19 software.
Resuls: The results of the Fisher’s exact test showed that the telephone follow-up care was effective in reducing the rate of rehospitalization in the patients (P=0.035). Also, the results of an independent sample t-test showed a statistically significant difference in the mean score of depression between the intervention (33±9.68) and control (39.27±11.43) groups after the intervention (P= 0.026).
Discussion and Conclusion: Telephone follow-up care reduces a short-term depression after the heart surgery and decreases the rehospitalization of patients undergoing a heart surgery. So, it is suggested that the telephone follow-up care be used in these patients.

Keywords: Telephone follow-up care, Re-hospitalization- Depression, open heart surgery, Beck.
Full-Text [PDF 370 kb]   (919 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/12/4 | Accepted: 2017/05/29 | Published: 2017/09/26
1. Tahmasbi H, Mahmoodi G, Mokhberi V, Hassani S, Akbarzadeh H, Rahnamai N. The Impact of Aromatherapy on the Anxiety of Patients Experiencing Coronary Angiography. Zahedan J Res Med Sci. 2012;14(3):51-5.
2. Hogan MA, Black JM, Tashiro JS, Sullins E. Medical Surgical Nursing: Clinical Management for Positive Outcomes. 8th ed: WB Saunders Company; 2002.
3. Afzali S, Masoudi R, Etemadifar S, Moradi M, Moghaddasi J. The Effect of Progressive Muscle Relaxation Program (Pmr) on Anxiety of Patients Undergoing Coronary Heart Angiography. J Shahrekord Univ Med Sci. 2009;11(3):77-84.
4. Shamsizadeh M, Varaei S, Keshavarz S, Nikbakhtnasrabadi A, Kazemnejad A. the Effect of Orientation Tour With Angiography Procedure on Anxiety and Satisfaction of Patients Undergoing Coronary Angiography. Iranian J Psychiatr Nurs. 2013;1(2):1-10.
5. Fayyazi S, Sayadi N, Gheybizadeh M. Comparison of Quality of Life Before and After Open Heart Surgery. Zahedan J Res Med Sci. 2012;14(9):98-100.
6. Bassam Poor S. The Effect of Pre Operation Education on Anxiety of Patients Undergo Open Heart Surgery. Payesh. 2005;2(3):139-44.
7. Rigi F, Feizi A, Naseri M, Salehi Ardabili S, Bazdar P. The Effect of Foot Reflexology on Anxiety in Patients with Coronary Artery Bypass Surgery Referred to Seyed-Al-Shohada Teaching Hospital, Urmia, 2012. J Urmia Nurs Midwifery Fac. 2013;11(8):0-.
8. Dehdari T, Heidarnia A, Ramezankhani A, Sadeghian S, Ghofranipour F. Effects of Progressive Muscular Relaxation Training on Quality of Life in Anxious Patients After Coronary Artery Bypass Graft Surgery. 2009.
9. Hannan EL, Zhong Y, Lahey SJ, Culliford AT, Gold JP, Smith CR, et al. 30-day readmissions after coronary artery bypass graft surgery in New York State. JACC Cardiovasc Interv. 2011;4(5):569-76. DOI: 10.1016/j.jcin.2011.01.010 PMID: 21596331 [DOI] [PubMed]
10. Redzek A, Mironicki M, Gvozdenovic A, Petrovic M, Cemerlic-Adic N, Ilic A, et al. Predictors for hospital readmission after cardiac surgery. J Cardiol Surg. 2015;30(1):1-6. DOI: 10.1111/jocs.12441 PMID: 25196941 [DOI] [PubMed]
11. Harrison PL, Hara PA, Pope JE, Young MC, Rula EY. The impact of postdischarge telephonic follow-up on hospital readmissions. Popul Health Manag. 2011;14(1):27-32. DOI: 10.1089/pop.2009.0076 PMID: 21090991 [DOI] [PubMed]
12. Costantino ME, Frey B, Hall B, Painter P. The influence of a postdischarge intervention on reducing hospital readmissions in a Medicare population. Popul Health Manag. 2013;16(5):310-6. DOI: 10.1089/pop.2012.0084 PMID: 23537154 [DOI] [PubMed]
13. Moeini M, Davoodi V. Comparison of the Social Status of Men and Women After Coronary Artery Bypass Graft Surgery. J Clin Nurs Midwifery. 2013;1(3):1-8.
14. Bathaei S, Ashktorab T, Zohari Anbuhi S, Alavi Majd H, Ezati J. Personal Factors Contributing to Readmission of Patients with Congestive Heart Failure. J Crit Care Nurs. 2009;2(3):109-12.
15. Wheeler CS. Exposure to man-made mineral fibers: a summary of current animal data. Toxicol Ind Health. 1990;6(2):293-307. PMID: 2192481 [PubMed]
16. Arrowsmith JE, Grocott HP, Reves JG, Newman MF. Central nervous system complications of cardiac surgery. Br J Anaesth. 2000;84(3):378-93. PMID: 10793601 [PubMed]
17. Rahimiha F, Beheshti A, Allami M. Changes in Patients' health Behavious 4-6 Months After Myocardial Infarction. Iran J Nurs. 2000;13(24):8-15.
18. Barth J, Martin CR. Factor structure of the Hospital Anxiety and Depression Scale (HADS) in German coronary heart disease patients. Health Qual Life Outcomes. 2005;3:15. DOI: 10.1186/1477-7525-3-15 PMID: 15771778 [DOI] [PubMed]
19. Underwood MJ, Firmin RK, Jehu D. Aspects of psychological and social morbidity in patients awaiting coronary artery bypass grafting. Br Heart J. 1993;69(5):382-4. PMID: 8518057 [PubMed]
20. Karlsson AK, Lidell E, Johansson M. Depressed mood over time after open heart surgery impacts patient well-being: a combined study. Eur J Cardiovasc Nurs. 2008;7(4):277-83. DOI: 10.1016/j.ejcnurse.2007.12.003 PMID: 18261961 [PubMed]
21. Kyngas H. Patient education: perspective of adolescents with a chronic disease. J Clin Nurs. 2003;12(5):744-51. PMID: 12919221 [PubMed]
22. Park K, Park S. Textbook of preventive and social medicine.(A treatise on community health.): Jabalpur: Banarsidasbhanot Publishers; 2002.
23. Seyam S, Heidarnia AR. Quality of Life and Factors Related to It in Cardiovascular Patients After Heart Surgery. J Birjand Univ Med Sci. 2013;19(6):33-41.
24. Mampuya WM. Cardiac rehabilitation past, present and future: an overview. Cardiovasc Diagn Ther. 2012;2(1):38-49. DOI: 10.3978/j.issn.2223-3652.2012.01.02 PMID: 24282695 [PubMed]
25. Halpin LS, Barnett SD, Martin LM, Hunt SL, Henry L, Ad N. Survival and quality of life following elective open-heart surgery. J Nurs Care Qual. 2008;23(4):369-74. DOI: 10.1097/01.NCQ.0000336676.48466.ec PMID: 18806649 [Article]
26. Areosty J. Recovery after coronary artery bypass graft surgery 2010. Available from: www.uptodate.com/contents/recovery-after-coronary-artery-bypass-graft-surgery-cabg-beyond-the-basics.
27. Darcy AM, Murphy GA, DeSanto-Madeya S. Evaluation of discharge telephone calls following total joint replacement surgery. Orthop Nurs. 2014;33(4):188-95: quiz 96-7. DOI: 10.1097/NOR.0000000000000062 PMID: 25058721 [DOI] [PubMed]
28. Sharif F, Shoul A, Janati M, Kojuri J, Zare N. The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran. BMC Cardiovasc Disord. 2012;12:40. DOI: 10.1186/1471-2261-12-40 PMID: 22682391 [DOI] [PubMed]
29. Groth-Marnt G. Handbook of psychological assessment. Tehran, Iran: Tehran: Roshd publication; 2003.
30. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review. 1988;8(1):77-100. DOI: 10.1016/0272-7358(88)90050-5 [DOI]
31. Azkhosh M. The use of psychological tests and clinical diagnosis. Tehran: Ravan; 2008. 224-6 p.
32. Shojaee A, Nehrir B, Naderi N, Zareaeyan A. Assessment of the Effect of Patient’s Education and Telephone Follow Up by Nurse on Readmissions of the Patients with Heart Failure. J Crit Care Nurs. 2013;6(1):29-38.
33. Yekeh YR, Rezvantalab H, Payrovi A. Investigation of Dysfunctional Attitudes, Depression and Severity of Coronary Heart Disease in Patients Admitted at CCU. Iranian J Psychiatr Clin Psychol. 2001.
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

A Z, F D, Z F. Effect of Telephone Follow-up Care on Rehospitalization and Depression in Patients Undergoing Open Heart Surgery in a Selected Military Hospital. MCS. 2017; 4 (2) :129-137
URL: http://mcs.ajaums.ac.ir/article-1-151-en.html

Volume 4, Issue 2 (Military Caring Sciences 2017) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences Journal
Persian site map - English site map - Created in 0.06 seconds with 32 queries by YEKTAWEB 4162