Anxiety of Preoperative Cardiac Surgery Patients
This order is the continuation of order number 00028638 ( I have attached wrong 11 articles with previous order. That why the reason I am sending actual 11 article for rework) Hi, Could you pls work with my research project. My selected subject is for Research: Anxiety of preoperative Cardiac surgery Patients and My PICOT question for this assignment also added here. So pls Perform a rapid appraisal of each article and answer all the 4 questions for each article . I have attached 11 article in separate email. My Subject for Research: Anxiety of preoperative Cardiac surgery Patients FYI - PICOT question In adult patients age above 50 (P) in inpatient settings, using pharmacological (I) or non pharmacological measures (C), more effective in reducing anxiety (O) prier to cardiac surgery? (T) Assignment Details: Selecting Sources of Literature Locate a minimum of 11 peer-reviewed articles that describe the problem or issue and that support the proposed solution. Eight of the 11 articles must be research-based (e.g., a study which is qualitative, quantitative, descriptive, or longitudinal). Preview each of the 11 articles chosen by reading the article abstracts and summaries. Hint: Article abstracts and summaries provide a concise description of the topic, research outcomes, and significance of findings. Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question): 1. How does each article describe the nature of the problem, issue, or deficit you have identified? 2. Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit? 3. What are example(s) of morbidity, mortality, and rate of incidence or rate of occurrence in the general population? 4. Does each article support your proposed change? Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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Anxiety of Preoperative Cardiac Surgery Patients
In this research, the PICOT question is: In adult patients aged 50 years and older in inpatient settings, is the use of nonpharmacological measures (I) more effective than pharmacological measures (C) in reducing anxiety and fear (O) prior to and after cardiac surgery? The proposed solution is the use of nonpharmacological measures such as music intervention or education to reduce anxiety, depression and fear in patients undergoing cardiac surgery. In this paper, 11 peer-reviewed articles which describe the problem and that support the proposed solution are described.
Article 1: Hoseini, S., Soltani, F., Beygi, B., &Zarifsanaee, N. (2012). The Effect of Educational Audiotape Programme on Anxiety and Depression in Patients Undergoing Coronary Artery Bypass Graft.Journal of Clinical Nursing; 22: 1613-1619.
Coronary artery disease is very widespread in Canada and the United States and is the chief cause of mortality and morbidity. It is responsible for over a â…“ of fatalities in North America, and is also a main cause of disability in several industrialized nations (Hoseiniet al., 2012).Coronary artery bypass graft (CABG) surgery is a common intervention in patients who have coronary artery disease. This intervention results in good prognosis as well as improved quality of life. Before CABG surgical intervention, 52% of patients experience too much anxiety, 36 percent feel anxiety immediately after the surgery, and 32 percent 3 months later (Hoseiniet al., 2012). However, audiotape educational programme utilized by patients who are undergoing CABG surgical intervention helps to reduce the level of depression and anxiety following cardiac surgery.
Article 2: Pittman, S., Kridli, S. (2011). Music Intervention and Preoperative Anxiety: An Integrative Review. International Nursing Review; 58:157-163
Patients who are waiting to go through invasive procedures or surgery could experience high anxiety levels. Among adult patients scheduled for surgery, high anxiety levels range from 11 percent to 80 percent (Pittman &Kridli, 2011). For a lot of people, apprehension, fear and worry start with the initial planning and subsequent scheduling of invasive or surgical procedure and increase when the individual is admitted to the hospital. High levels of anxiety could affect post-operative outcome of the patient. Music intervention is effective in creating a comforting, calm atmosphere that is geared toward decreasing levels of anxiety in pre-operative patients (Pittman &Kridli, 2011).
Article 3: Cutshall, S., Anderson, P. G., Prinsen, S. K., Wentworth, L. J., Olney, T. L., Messner, P. K., Brekke, K. M., Li, Z., Sundt, T., Kelly, R. F., & Bauer, B. (2011). Effect of the Combination of Music and Nature Sounds on Pain and Anxiety in Cardiac Surgical Patients: A Randomized Study. Alternative Therapies; 17(4): 16-23.
Cardiac valve surgery and CABG surgical intervention are done over 700,000 times annually across the United States. Although technology has improved considerably and there are usually successful patient outcomes, patients often experience anxiety and pain, and remain in the medical facility for one week following the surgical procedure. Individuals who undergo cardiac surgical procedure in most cases experience fear. This is largely because they expect uncomfortable or unfamiliar events prior to and after the surgical intervention (Cutshallet al., 2011). Recorded music as well as nature sounds could be included into the postoperative care of patients who have undergone cardiovascular surgery to reduce their levels of anxiety.
Article 4: Hoogwegt, M. T., Theuns, D. A., Jordaens, L., Kupper, N., Zijlstra, W. P., & Pedersen, S. S. (2012). Undertreatment of Anxiety and Depression in Patients with an Implantable Cardioverter-Defibrillator: Impact on Health Status. Health Psychology; 31(6): 745-753.
For individuals at risk of developing life-threatening ventricular arrhythmias, the implantable cardioverter-defibrillator (ICD) is the optimal treatment intervention, with decrease of mortality of up to 23 percent in both secondary and primary prophylaxis patients (Hoogwegtet al., 2012).Nonetheless, in over half of these patients, depression and anxiety are at a clinically high level in the initial year after implantation. Distress in patients who have ICD is linked to increased likelihood of ventricular arrhythmias, and mortality and it also influences everyday functioning. Psychological treatment such as music intervention is essential in treating distress in patients with ICD (Hoogwegtet al., 2012).
Article 5: Casida, J., &Lemanski, S. A. (2010). An Evidence-Based Review on Guided Imagery Utilization in Adult Cardiac Surgery.Clinical Scholars Review; 3(1).
In the United States, the usage of Complementary and Alternative Medicine (CAM)is increasing. Amongst adults who had undergone cardiac surgeries, studies indicate that the rates of CAM use, including guided imagery is as high as 80.9% in the Midwest and 75% in the Northeast (Casida&Lemanski, 2010). Guided imagery is basically a mind-body intervention method and a key modality of CAM mostly utilized to maintain health and well-being. The use of guided imagery in the adult cardiac surgical population has been shown to result in the decrease of pain and anxiety; hence it should be fully integrated into the nursing care of these patients (Casida&Lemanski, 2010).
Article 6: Zakerimoghadam, M., Shaban, M., Mehran, A., &Hashemi, S. (2010). Effect of Muscle Relaxation on Anxiety of Patients Undergo Cardiac Catheterization. Journal of Faculty of Nursing and Midwifery; 16(2).
Anxiety and fear is a common experience for individuals preparing to undergo cardiac surgical procedure. Anxiety...