AACN media
CS27
Web-based Education is "On Demand" For Heart Surgery Patients
By: V. Norman & M. Barnes, M.; St. Joseph Hospital, Orange, CA
For further information, please contact: Vivian.Norman@stjoe.org

Purpose: Pre-surgery and post-surgery education allows patients undergoing open heart surgery to feel confident and helps in the recovery process. The cardiac liaison and the critical care nurses provide 1:1 education to our patients and families, but they may be unable to comprehend the information, especially due to the stress of this time. Providing additional open-heart surgery education via the web allows access to the information when it is convenient for the patient and family.

Description: Adult patients, who are undergoing open-heart surgery, both coronary artery bypass and valve surgeries, require a lot of preparatory education to help reduce stress and increase compliance. Generic educational materials are available commercially, but patients and families will have questions about their specific experience, so a handbook written by one of our critical care staff nurses was developed and put on our hospital website for patient/family to access when it is convenient for them. The booklet includes pictures of our hospital entrance, lobby and CV-ICU. Pictures taken in our unit with a “patient” complete with all of the equipment (ventilator, IV lines, etc.) help to prepare the patient and family for what to expect. Phone numbers of departments and physicians on our staff are there for easy reference. Other topics include explanation of the surgical procedures, post-operative equipment, pain management, use of incentive spirometry and activity. Transfer from CV-ICU to the Telemetry unit is described. Post-discharge information on diet, activity, medications and a journal are included to supplement the cardiac rehabilitation phase of recovery.

Evaluation/Outcomes: The educational material has been well received by patients, families, physicians and hospital staff. Physician offices provide patients with the website. Patients appreciate the reinforcement of the 1:1 education and the ability to access the information at home.


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