Background: Cardiac surgeries pose as an emotional experience for patients. Preoperative education is known to positively alter people's perceptions, emotions, and mitigate surgical distress. However, this intervention's effectiveness in improving perioperative outcomes among patients undergoing cardiac surgery lacked rigorous statistical synthesis and remains inconclusive.
Aims: The aim was to synthesize the effectiveness of preoperative education on improving perioperative outcomes [anxiety, depression, knowledge, pain intensity, pain interference with daily activities, postoperative complications, length of hospitalization, length of intensive care unit (ICU) stay, satisfaction with the intervention and care, and health-related quality of life] among patients undergoing cardiac surgery.
Methods: This systematic review and meta-analysis conducted a comprehensive search of nine electronic databases (PubMed, EMBASE, Scopus, MEDLINE, CINAHL, Cochrane CENTRAL, Web of Science, PsycINFO, and ERIC) and grey literature for randomized controlled trials examining the preoperative educational interventional effects on patients undergoing cardiac surgery from inception to 31 December 2020. The studies' quality was evaluated using Cochrane Risk-of-Bias Tool 1 (RoB1). Meta-analyses via RevMan 5.4 software synthesized interventional effects.
Results: Twenty-two trials involving 3167 participants were included. Preoperative education had large significant effects on reducing post-intervention preoperative anxiety (P = 0.02), length of ICU stay (P = 0.02), and improving knowledge (P < 0.00001), but small significant effect sizes on lowering postoperative anxiety (P < 0.0001), depression (P = 0.03), and enhancing satisfaction (P = 0.04).
Conclusions: This review indicates the feasibility of preoperative education in clinical use to enhance health outcomes of patients undergoing cardiac surgery. Future studies need to explore knowledge outcomes in-depth and more innovative technologies in preoperative education delivery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/eurjcn/zvab123 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Occupational Therapy Pre-Operative Intervention for Total Hip Replacement Patients; A Qualitative Enquiry.
Occup Ther Health Care
March 2025
Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
This project aimed to explore the experiences of occupational therapists working in a specialist orthopedic hospital. Semi-structured interviews were carried out with eight occupational therapists working with total hip replacement patients, in an orthopedic hospital within the United Kingdom National Health Service (NHS) as part of a service review project. The data was recorded and transcribed and analyzed using the Reflexive Thematic Analysis.
View Article and Find Full Text PDFEfficacy and safety of preoperative biliary drainage in patients with Hilar Cholangiocarcinoma: a systematic review and meta-analysis.
Int J Surg
March 2025
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.
Background: Preoperative biliary drainage (PBD) has been proposed as a strategy to manage the complications associated with biliary obstruction in hilar cholangiocarcinoma patients. However, the efficacy and safety of PBD in remain controversial, even in clinical guidelines. This meta-analysis aimed to provide a comprehensive evaluation of the efficacy and safety of PBD in patients with hilar cholangiocarcinoma.
View Article and Find Full Text PDFImpact of Cochlear Implant on the Quality of Life in Post Lingual Deafened Adult Population in Tertiary Care Centre.
Indian J Otolaryngol Head Neck Surg
January 2025
Department of Neuro-Otology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh India.
Unlabelled: In India, 7-8% of the population is affected by post lingual deafness, which can lead to job dissatisfaction, depression, social withdrawal, and educational challenges. Despite the benefits, cochlear implantation in Northern India remains underutilized. This study examines the impact of cochlear implants on post lingual deafness, along with their etiology and indications.
View Article and Find Full Text PDFEnhancing Patient Outcomes in ENT Surgery: The Impact of Tailored Preoperative Educational Interventions on Anxiety Reduction.
Indian J Otolaryngol Head Neck Surg
February 2025
Department of ENT-HNS, Command Hospital Airforce, Bangalore, Karnataka India.
Unlabelled: Preoperative anxiety significantly affects postoperative outcomes and patient satisfaction in surgical settings. Studies has highlighted the effectiveness of preoperative education in surgical setting; however, there is a gap in studies within ENT surgery. This study aims to evaluate the efficacy of tailored educational interventions in reducing preoperative anxiety and improving recovery outcomes among patients undergoing ENT surgeries.
View Article and Find Full Text PDFPatients' Perceptions and Experiences With Outpatient Hip and Knee Arthroplasty: A Qualitative Study.
Cureus
February 2025
Department of Quality Improvement, Zuyderland Medical Center, Heerlen, NLD.
Background Outpatient joint arthroplasty (OJA) of the hip and knee is becoming increasingly popular within the orthopedic community. Most evidence regarding the safety and feasibility of OJA has been gathered from the perspectives of surgeons and healthcare organizations. However, the success of these pathways also hinges on patients feeling safe and adequately prepared to return home.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!