Effect of an information and communication technology program on the anxiety of coronary artery bypass graft patients’ caregivers in intensive care unit

Authors

  • Jirakit Duangjuk Faculty of Nursing, Mahidol University, Bangkok, Thailand
  • Usavadee Asdornwised Faculty of Nursing, Mahidol University, Bangkok, Thailand
  • Kessiri Wongkongkam Faculty of Nursing, Mahidol University, Bangkok, Thailand
  • Teerapong Tocharoenchok Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Keywords:

Anxiety, caregivers, information and communication technology program, intensive care unit

Abstract

Background: The caregivers of coronary artery bypass graft (CABG) patients are typically very anxious while the patients are treated in the intensive care unit (ICU).

Objective: To study the effects of an information and communication technology program on the anxiety level of CABG patients’caregivers during patients’ admission to the ICU.

Methods: This is a quasi-experimental research. The sample group is caregivers of CABG patients. Thirty-four caregivers in the control group that received only routine nursing care while 34 caregivers in the experimental group received the information and communication technology program and routine nursing care. Data were collected using the Thai hospital anxiety and depression scale (Thai HADS) and the visual analogue scale (VAS) for measuring anxiety level.

Results: The results showed that the mean anxiety scores measured by the VAS instrument on the day of surgery and the day of being discharged from the ICU were significantly lower in the experimental group than in the control group (P = 0.01, P < 0.001). Using the Thai HADs, the mean scores for anxiety in the experimental group were statistically lower than those for the control group only on the day of being discharged from the ICU (P = 0.03). In the experimental group that received the information and communication technology program, the mean scores for anxiety level were significantly lower on the day of surgery and on the day of being discharged from the ICU than the day before surgery (P < 0.05).

Conclusions: The information and communication technology programs should be recommended for nursing care in order to decrease the anxiety level of caregivers of CABG patients while the patients are being treated in the ICU.

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References

The Society of Thoracic Surgeons of Thailand. Statistics of cardiac surgery in Thailand in 2017 [Internet]. 2017 [cited 2019 Jun 24]. Available from:http://thaists.org/news_detail. php?news_id=212. [in Thai]

Tongsai P, Kuna N, Phongpramote J, Laksanabunsong P. Effect of the ICU transferred-preparation program for patients with coronary artery bypass graft and valvular heart replacement/repair on transfer anxiety and satisfaction. J Nurs Sci 2011;29:27-36. [in Thai]

Twohig B, Manasia A, Bassily-Marcus A, Oropello J, Gayton M, Gaffney C, et al. Family experience survey in the surgical intensive care unit. Appl Nurs Res 2015;28:281-4.

https://doi.org/10.1016/j.apnr.2015.02.009

Singdong P, Jitpanya C. Relatives' experiences in intensive care units: a qualitative study [Internet]. Rama Nurs J 2013 [cited 2019 Jun 24];18:404-17. Available from: https://tci-thaijo.org/index.php/RNJ/article/view/8899. [in Thai]

Askari H, Forozi M, Navidian A, Haghdost A. Psychological reactions of family members of patients in critical care units in Zahedan. J Research Health 2013;3:317-24.

Dharmalingam TK, Kamaluddin MR, Nadarajan DP, Sivasamy H, Othman A. Assessment of anxiety and depression among caregivers of patients admitted to intensive care unit of hospital universiti sains malaysia, Malaysia. Malaysian J Public Health Med 2016;16:300-7.

Kao YY, Chen CI, Chen FJ, Lin YH, Perng SJ, Lin HY, et al. Effects of Resourcefulness on Sleep Disturbances, Anxiety, and Depressive symptoms in Family Members of Intensive Care Unit Patients. Arch Psychiatr Nurs 2016;30:607-13. https://doi.org/10.1016/j.apnu.2016.02.002

Choi J, Donahoe MP, Hoffman LA. Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies. J Korean Acad Nurs 2016;46:159-67. https://doi.org/10.4040/jkan.2016.46.2.159

McAdam JL, Dracup KA, White DB, Fontaine DK, Puntillo KA. Symptom experiences of family members of intensive care unit patients at high risk for dying. Crit Care Med 2010;38:1078-85.

https://doi.org/10.1097/CCM.0b013e3181cf6d94

Day A, Haj-Bakri S, Lubchansky S, Mehta S. Sleep, anxiety and fatigue in family members of patients admitted to the intensive care unit: a questionnaire study. Crit Care 2013;17:R91.

https://doi.org/10.1186/cc12736

Joseph HK, Whitcomb J, Taylor W. Effect of anxiety on individuals and caregivers after coronary artery bypass grafting surgery: a review of the literature. Dimens Crit Care Nurs 2015;34:285-8.

https://doi.org/10.1097/DCC.0000000000000137

Simeone S, Pucciarelli G, Perrone M, Rea T, Gargiulo G, Dell'Angelo G, et al. Comparative analysis: implementation of a pre-operative educational intervention to decrease anxiety among parents of children with congenital heart disease. J Pediatr Nurs 2017;35:144-8.

https://doi.org/10.1016/j.pedn.2017.01.008

Rezaei T, Azarfarin R, Totonchi Z, Bakhshandeh H, Alizadehasl A, Fakhari S. Effects of a nursing supportive program on anxiety and stress levels in the family members of patients after cardiac surgery in the ICU. Iranian Heart J 2017;17:36-41.

Hamester L, Souza EN, Cielo C, Moraes MA, Pellanda LC. Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery: a randomized clinical trial. Rev Lat Am Enfermagem 2016;24:e2729. https://doi.org/10.1590/1518-8345.0208.2729

Saivaree J, Chuchat W. Effect of an information program on the anxiety level of mothers of children undergoing open heart surgery. Songkla Med J 2007;25:179-84. [in Thai]

Khunsathian S, Arame W, Tongsai P, Subtaweesin T. An effect of information support program for congenital heart patients' mothers and caregiver in critical period after operations. Siriraj Nursing J 2012;5:1-13. [in Thai]

Malivun A, Sripunyavuttisuk Y, Attakamon S. Effectiveness of management program on anxiety and satisfaction for family members at patients in intensive care unit. J Nurs Educ 2014;7: 95-108. [in Thai]

Griffiths J, Putthioi S, Pongsukri M. The General Practitioner Assessment of Cognition (GPCOG) (Thai version): validity and reliability. In: 9th pan-pacific conference on rehabilitation cum 21st annual congress of gerontology; 2014 November 29-30; Hong Kong. Kowloon: The Hong Kong Polytechnic University; 2014. p. B65. [in Thai]

Gaberson KB. The effect of humorous and musical distraction on preoperative anxiety. AORN J 1995;62:784-8,790-1. https://doi.org/10.1016/S0001-2092(06)63531-X

Nilchaikovit T, Lotrakul M, Phisansuthideth U. Development of Thai version of hospital anxiety and depression scale in cancer patients. J Psychiatr Assoc Thai 1996;41:18-30. [in Thai].

Konwar G, Begum F, Baruah B. Anxiety level among family members attending patients admitted in intensive care unit. Open J Psychiatry Allied Sci 2016;7:60-4.

https://doi.org/10.5958/2394-2061.2016.00010.0

Azizi TH, Hasanzadeh F, Esmaily H, Ehsaee MR. The effect of family members' supportive presence in neurological intensive care unit on their anxiety. Mod Care J 2015;12:23-30.

Skoog M, Milner KA, Gatti-Petito J, Dintyala K. The impact of family engagement on anxiety levels in a cardiothoracic intensive care unit. Crit Care Nurse 2016;36:84-9. https://doi.org/10.4037/ccn2016246

Vichittragoonthavon S, Imsanjuan K, Sucamvang K. Need and received need responses among elderly patients and families in surgical intensive care unit. Nurs J 2013;40:35-46.

Ruiz M, Rivers N, Pop RS. Evaluating the effectiveness of the timing of postoperative education in the pediatric population. J Perianesth Nurs 2012;27:10-7. https://doi.org/10.1016/j.jopan.2011.10.006

Srisupha-olarn I, Ua-Kit N. The effect of meeting family-needs program on anxiety of family members of critically ill patients. Songkla Med J 2016;36:77-93. [in Thai]

Chiang VCL, Lee RLP, Ho FM, Leung CK, Tang YP, Wong WS, et al. Fulfilling the psychological and information need of the family members of critically ill patients using interactive mobile technology: A randomised controlled trial. Intensive Crit Care Nurs 2017;41:77-83.

https://doi.org/10.1016/j.iccn.2017.03.006

National Statistical Office. Explore the use of information and communication technology in the household [Internet]. 2019 [cited 2019 Apr 4]. Available from: http://www.nso.go.th/sites/2014/Pages/ActivityNSO/A24-05-60.aspx.

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Published

2023-07-19

How to Cite

1.
Duangjuk J, Asdornwised U, Wongkongkam K, Tocharoenchok T. Effect of an information and communication technology program on the anxiety of coronary artery bypass graft patients’ caregivers in intensive care unit. Chula Med J [Internet]. 2023 Jul. 19 [cited 2024 Dec. 22];65(3). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/142