Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis

C. Ramesh, Baby S. Nayak, Vasudev Baburaya Pai, Nitin T. Patil, Anice George, Linu Sara George, Elsa Sanatombi Devi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery. Design: Systematic review and meta-analysis. Methods: A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach. Findings: Meta-analysis showed that preoperative education reduced anxiety scores (standardized mean difference = -0.96, 95% confidence interval: -1.37, -0.54; P < .0001). However, there was no significant effect of preoperative education on pain, depression, and length of hospital stay. There is low-quality evidence, and reasons for downgrading are due to study design limitations, inconsistency, and imprecision of effect estimates. Conclusions: The results show that preoperative education can effectively decrease anxiety in patients undergoing cardiac surgery.

Original languageEnglish
JournalJournal of Perianesthesia Nursing
DOIs
Publication statusPublished - 01-12-2017

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Thoracic Surgery
Meta-Analysis
Education
Length of Stay
Anxiety
PubMed
Software
Randomized Controlled Trials
Databases
Confidence Intervals
Depression
Pain

All Science Journal Classification (ASJC) codes

  • Medical–Surgical

Cite this

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title = "Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis",
abstract = "Purpose: The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery. Design: Systematic review and meta-analysis. Methods: A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach. Findings: Meta-analysis showed that preoperative education reduced anxiety scores (standardized mean difference = -0.96, 95{\%} confidence interval: -1.37, -0.54; P < .0001). However, there was no significant effect of preoperative education on pain, depression, and length of hospital stay. There is low-quality evidence, and reasons for downgrading are due to study design limitations, inconsistency, and imprecision of effect estimates. Conclusions: The results show that preoperative education can effectively decrease anxiety in patients undergoing cardiac surgery.",
author = "C. Ramesh and Nayak, {Baby S.} and Pai, {Vasudev Baburaya} and Patil, {Nitin T.} and Anice George and George, {Linu Sara} and Devi, {Elsa Sanatombi}",
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T2 - A Systematic Review and Meta-Analysis

AU - Ramesh, C.

AU - Nayak, Baby S.

AU - Pai, Vasudev Baburaya

AU - Patil, Nitin T.

AU - George, Anice

AU - George, Linu Sara

AU - Devi, Elsa Sanatombi

PY - 2017/12/1

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N2 - Purpose: The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery. Design: Systematic review and meta-analysis. Methods: A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach. Findings: Meta-analysis showed that preoperative education reduced anxiety scores (standardized mean difference = -0.96, 95% confidence interval: -1.37, -0.54; P < .0001). However, there was no significant effect of preoperative education on pain, depression, and length of hospital stay. There is low-quality evidence, and reasons for downgrading are due to study design limitations, inconsistency, and imprecision of effect estimates. Conclusions: The results show that preoperative education can effectively decrease anxiety in patients undergoing cardiac surgery.

AB - Purpose: The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery. Design: Systematic review and meta-analysis. Methods: A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach. Findings: Meta-analysis showed that preoperative education reduced anxiety scores (standardized mean difference = -0.96, 95% confidence interval: -1.37, -0.54; P < .0001). However, there was no significant effect of preoperative education on pain, depression, and length of hospital stay. There is low-quality evidence, and reasons for downgrading are due to study design limitations, inconsistency, and imprecision of effect estimates. Conclusions: The results show that preoperative education can effectively decrease anxiety in patients undergoing cardiac surgery.

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