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Therapeutics
A nurse-led intervention reduced risk factors, anxiety, and depression in patients waiting for CABG

https://doi.org/10.1136/ebm.7.2.44

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    (2001) Heart 86, 317. McHugh F, Lindsay GM, Hanlon P. , et al. . Nurse led shared care for patients on the waiting list for coronary artery bypass surgery: a randomised controlled trial.. Sep;. :. –23.
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 QUESTION: Does nurse-led, shared care for patients on a waiting list for coronary artery bypass grafting (CABG) reduce coronary artery disease (CAD) risk factors, anxiety, and depression?

    Design

    Randomised (unclear allocation concealment*), unblinded,* controlled trial with follow up at {1 week before scheduled surgery}†.

    Setting

    Glasgow Royal Infirmary University NHS Trust, Glasgow, Scotland, UK.

    Patients

    121 patients who were on an elective CABG waiting list. 81% (mean age 62 y, 76% men) were included in the analysis.

    Intervention

    62 patients were allocated to nurse-led care. A specialist cardiac liaison nurse assessed the patients' needs to determine the content of monthly education sessions, which were alternatively led by the liaison nurse in the patients' homes and by the general practice team nurse in the practice clinic. Interventions addressing behavioural risk factors were based on the patient's readiness to change. The liaison nurse provided tailored information about the surgery, …

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    Footnotes

    • ↵* See glossary.

    • ↵† Information provided by author.

    • Source of funding: National Health Service Management Executive.

    • For correspondence: Dr G M Lindsay, University of Glasgow, Glasgow, Scotland, UK. gliz{at}clinmed.gla.ac.uk.