title: Impact of a home communication intervention for coronary artery bypass graft patients with ischemic heart failure on self-efficacy, coronary disease risk factor modification, and functioning.
abstract: OBJECTIVE
  The purpose of this study is to determine the impact of a home communication intervention (HCI) for ischemic heart failure Coronary Artery Bypass Graft (CABG) patients >/= 65 years of age on self-efficacy, coronary artery disease risk factor modification and functioning posthospitalization.
  
  
  METHODS
  A randomized clinical trial with repeated measures was used.
  
  
  METHODS
  A subsample of ischemic heart failure CABG surgery patients (n = 35) was drawn from the parent study of 180 CABG patients.
  
  
  RESULTS
  HCI participants (n = 18) had significantly higher adjusted mean self-efficacy scores [F(1, 29) = 6.40, P <.05] and adjusted mean levels of functioning (physical, general health, mental, and vitality functioning) compared with the routine care group (n = 17), using repeated measures analysis of covariance with baseline scores as covariates. There were also significant effects of time on bodily pain and role emotional functioning. Significantly higher exercise adherence (t = 3.09, P <.01) and lower reported stress (t = 3.77, P <.01) at 3 months after surgery was reported by HCI subjects.
  
  
  CONCLUSIONS
  Data from this pilot study can be used to strengthen the HCI intervention with more tailored strategies for vulnerable subgroups of CABG patients.
authors.affiliation: University of Nebraska Medical Center, College of Nursing, Lincoln 68588-0620, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Barnason
authors.forename: Lani
authors.initials: L
authors.lastname: Zimmerman
authors.forename: Janet
authors.initials: J
authors.lastname: Nieveen
authors.forename: Myra
authors.initials: M
authors.lastname: Schmaderer
authors.forename: Barbra
authors.initials: B
authors.lastname: Carranza
authors.forename: Sherry
authors.initials: S
authors.lastname: Reilly
mesh_terms: D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D003142:Communication; D001026:Coronary Artery Bypass / Q000451:nursing*; D004032:Diet; D015444:Exercise; D005260:Female; D006305:Health Status Indicators; D006699:Home Care Services; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000451:nursing* / Q000503:physiopathology / Q000523:psychology; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods; D010865:Pilot Projects; D020377:Self Efficacy; D013315:Stress, Psychological / Q000517:prevention & control; D017216:Telemedicine / Q000295:instrumentation* / Q000379:methods