title: Timing for delivering individualized patient education intervention to Coronary Artery Bypass Graft patients: An RCT.
abstract: BACKGROUND
  The primary focus of this study is on the timing of the delivery of education to patients who had CABG surgery.
  
  
  OBJECTIVE
  To determine the efficacy of an individualized telephone patient education intervention, delivered at two different points in time (1-2 days pre-discharge versus 1-2 days post-discharge) in enhancing the CABG patient's knowledge of self-care behaviours, performance of self-care behaviours, and symptom frequency.
  
  
  METHODS
  A randomized clinical trial that included a convenience sample of first time CABG patients. Individuals who received education pre-discharge were compared to individuals who received education post-discharge on the outcomes.
  
  
  RESULTS
  Results indicated no statistically significant difference in outcomes between the two time points. As well, anxiety levels were found to be significantly higher in the pre-discharge group than the post-discharge group.
  
  
  CONCLUSIONS
  The individualized nature of the educational intervention may have accounted for non-significant findings reported in outcomes between the two time points.
  
  
  CONCLUSIONS
  Nurses may consider assessing anxiety levels prior to delivery of educational interventions, implement interventions aimed at reducing anxiety levels, and provide individualized teaching.
authors.affiliation: Ryerson University, School of Nursing, Faculty of Community Services, 350 Victoria Street, Toronto, ONT M5B 2K3, Canada. sfrederi@ryerson.ca
authors.forename: Suzanne
authors.initials: S
authors.lastname: Fredericks
mesh_terms: D000368:Aged; D001007:Anxiety / Q000451:nursing / Q000523:psychology; D001026:Coronary Artery Bypass / Q000451:nursing* / Q000523:psychology*; D003324:Coronary Artery Disease / Q000451:nursing* / Q000523:psychology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000379:methods*; D013527:Perioperative Nursing / Q000379:methods*; D012648:Self Care