Depression and Perceived Control in Patients, Nurse-led Shared Care for Patients
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 assigment also added here. So pls Perform a rapid appraisal of each article and answer all the 4 questions for each article . I have attached 15 article also. (I can attach all 15 article in separate email) 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) 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 15 peer-reviewed articles that describe the problem or issue and that support the proposed solution. Eight of the 15 articles must be research-based (e.g., a study which is qualitative, quantitative, descriptive, or longitudinal). Preview each of the 15 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.
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 15 peer-reviewed articles that describe the problem or issue and that support the proposed solution. Eight of the 15 articles must be research-based (e.g., a study which is qualitative, quantitative, descriptive, or longitudinal).
Preview each of the 15 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):
- How does each article describe the nature of the problem, issue, or deficit you have identified?
- Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?
- What are example(s) of morbidity, mortality, and rate of incidence or rate of occurrence in the general population?
- 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.
Student:
Professor:
Course title:
Date:
Selecting Sources of literature
The proposed solution is the use of nonpharmacological measures like pre-operative education to reduce anxiety and fears in patients who are about to undergo cardiac surgery.
Article 1:Gallagher, R., & McKinley, S. (2009). Anxiety, Depression and Perceived Control in Patients Having Coronary Artery Bypass Grafts.Journal of Advanced Nursing.
Coronary Artery Bypass Graft surgical procedure is a common surgical intervention done in Western nations. In spite of the surgery being moderately common, with low rates of mortality, as well as proven relief of anginal symptoms, a lot of patients often experience depression and anxiety in relation to Coronary Artery Bypass Graft surgery. It is not surprising that patients are depressed and anxious prior to the surgery since most of them have angina symptoms and are concerned about what the surgery outcomes would be (Gallagher & McKinley, 2009). It is imperative to routinely assess depression, anxiety, as well as perceptions of control in order to identify patients who are at risk, and to intervene to promote control perceptions.
Article 2:McHugh, F., Lindsay, G., & Hanlon, P. (2001). Nurse-led Shared Care for Patients on the Waiting List for Coronary Artery Bypass Surgery: A Randomized Controlled Trial. Heart; 86: 317-23.
This article is research-based. In this article, an intervention led by nurses reduced depression, anxiety and risk factors in patients preparing for coronary artery bypass grafting (CABG).A specialist cardiac liaison nurse evaluated the needs of the patients to establish the content of once-a-month education sessions. The liaison nurse offered tailored information regarding the surgery, hospital stay, as well as recuperation(McHugh, Lindsay &Hanlon, 2001). The findings of the study imply that a nurse liaison risk-factor intervention for high-risk patients might be significantly beneficial.
Article 3:Mikosch, P., Hadrawa, T., Laubreiter, K., Brandl, J., Pilz, J., Stettner, H., & Grimm, G. (2009). Effectiveness of Respiratory-Sinus-Arrhythmia Biofeedback on State-Anxiety in Patients Undergoing Coronary Angiography.Journal of Advanced Nursing.
Anxiety increases before a diagnostic intervention given that patients perceive the procedure as a threat to their health. It has been demonstrated that coronary angiography, which is basically the usual procedure for invasive evaluation of coronary artery disease causes emotional stress, fear and anxiety (Mikoschet al., 2009). Over 80 percent of patients report anxiety in the setting of coronary angiography, and â…“ have increased anxiety and fear after the procedure (Mikoschet al., 2009). However, psychological support, which includes respiratory-sinus-arrhythmia biofeedback is a straightforward and effective tool that nurses could employ in reducing emotional stress and state-anxiety in patients going through coronary angiography (Mikoschet al., 2009).
Article 4: Ai, A. L., Wink, P., & Shearer, M. (2012). Fatigue of Survivors Following Cardiac Surgery: Positive Influences of Preoperative Prayer Coping.British Journal of Health Psychology; 17: 724-742.
Symptoms of fatigue are common amongst people who suffer from cardiac diseases. In there research, Ai, Wink & Shearer (2012) explored the effect of preoperative factors, particularly the use of prayer for coping, on lasting postoperative symptoms of fatigue as one facet of lack of vitality in older as well as middle-aged patients who underwent cardiac surgery. Prayer coping might have positive and independent influences on less fatigue in people who underwent cardiac surgery.
Article 5:Detroyer, E., Dobbels, F., Verfaillie, E., Meyfroidt, G., Sergeant, P., Milisen, K. (2008). Is Preoperative Anxiety and Depression Associated with Onset of Delirium After Cardiac Surgery in Older Patients? A Prospective Cohort Study.The American Geriatrics Society; 56:2278-2284.
Delirium is a common psychiatric complication that comes about following cardiac surgery with an incidence rate of between 3% to 47%.High incidence rates of pre-operative depressive symptoms 16% to 43%, and anxiety 27% to 40.6%, are usually reported prior to cardiac surgery. The findings of the researchers reveal that there is no link between generalized anxiety, depressive symptoms and preoperative state anxiety with the occurrence of delirium (Detroyeret al., 2008).
Article 6:Towell, A., &Nel, E. (2010). Pre-operative Education Programme for Patients Undergoing Coronary Artery Bypass Surgery. Africa Journal of Nursing and Midwifery: 12(1): 3-14.
Patients who are waiting to undergo coronary artery bypass graft surgery might experience too much anxiety, therefore activating the stress response which could be damaging to the already debilitated heart (Towell&Nel, 2010). Preoperative educational programmes have been proved to reduce anxiety and produce a better outcome following the surgery. In their study, the authors of this article found out that a pre-operative educational program is effective in assisting patients to cope with their anxiety. They advice private sectors to execute a pre-operative educational programme for coronary artery bypass graft patients.
Article 7: Goodman, H. (2009).Patient Education around Cardiac Surgery.British Journal of Cardiac Nursing; 4(10): 483-488.
Sufficient preparation and education could help patients facing cardiac bypass surgery to come to terms with the need for the surgical procedure and prepare for both their admission as well as recovery. During the waiting period for heart surgery, patient education comprises information that the personnel believe patients should know. Information should be personalized to the individual patient to ensure that each patient is given accurate information. This information is vital in reducing the patient’s fears and anxiety (Goodman, 2009).
Article 8:Boni, A., Martinez, J., &Saccomann, I. (2013). Quality of Life of Patients Undergoing Coronary Artery Bypass Grafting (CABG).Acta Paul Enferm; 26(6):575-80.
Heart failure comes about because of psychological and physical symptoms, and is the outcome of most cardiovascular illnesses. In their study, Boni, Martinez and Saccomann (2013) sought to find out the impact of CABG on the quality of life of patients. This surgery caused positive impact on the quality of life of patients. Patient education is imperative in reducing anxiety and depression, and thus improves the quality of life of patients who after CABG (Boni, Martinez&Saccomann, ...