Effect of family-centered care on the anxiety levels among family members of patients undergoing cardiac surgery: a randomized controlled trial

Author:

Lotfalipoor Roja1,Jafaraghaee Fateme2,Kazemnejad Leyli Ehsan3,Ghorbani Vajargah Pooyan2,Karkhah Samad2,Javadi-Pashaki Nazila24

Affiliation:

1. School of Nursing and Midwifery

2. Department of Medical-Surgical Nursing, School of Nursing and Midwifery

3. Department of Biostatistics, School of Health, Road Trauma Research Center

4. Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran

Abstract

Background: The present study aims to determine the effect of family-centered care on anxiety levels among family members of patients undergoing cardiac surgery. Materials and methods: This study was a randomized clinical trial study that was conducted on the families of Iranian cardiac surgery patients. In the intervention group, family-centered care was implemented, and the content of the intervention included providing informational and emotional support to the family member and the family member’s participation in patient care according to the set framework. Results: A total of 144 family members of patients undergoing cardiac surgery were included in this study. Among the 144 family members, 71 were in the intervention group, and 73 were in the control group. The changes in the state anxiety score before and after the intervention were significant between the two groups, and the changes were higher in the control group (P=0.043). Also, there was no significant difference in the changes in trait anxiety before and after the intervention between the two groups (P>0.05). Conclusion: In general, the high prevalence of anxiety in patients’ families has negative functional consequences on both patients and their families. To reduce the level of anxiety, special attention should be paid to knowing the effective factors and appropriate coping methods. Nevertheless, it is important to note that additional research is warranted to delve deeper into this matter in future studies.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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