IMPROVING RECOVERY FROM CARDIAC SURGERY

家庭心脏研究是一项前瞻性随机临床试验， 第一次和重复的个人和家庭行为干预 心脏手术患者和家庭成员设计用于：1）监测和 2）加强住院病人危险因素教育 减少，和3）提供支持的家庭作为主要照顾者。 家庭压力与应对理论和社会学习理论（自我效能） 提供理论依据。 基线（术前）家庭测量 功能，家庭应对，疾病和心脏状况的需求是 与术后3个月和6个月相比，沿着 康复自我报告、自我效能、生活质量和医生 评估患者恢复情况。 具体的研究目标是： 1.测试护理干预的有效性，旨在促进 心脏手术患者的出院后恢复和康复， 他的家人; 2.描述心脏手术随时间推移对家庭的影响; 3.记录老年人的护理需求和康复差异（年龄 70-80）心脏手术患者和家属。 长期目标是调动家庭应对和个人效能， 从心脏病手术治疗中恢复，以最大限度地 为患者和促进家庭的手术利益。

The Family Heart Study is a prospective randomizd clinical trial of individual and family behavioral interventions of the first-time and repeat cardiac surgery patients and family members designed to: 1) monitor and enhance recovery at home, 2) reinforce inpatient teaching on risk factor reduction, and 3) provide support to the family as primary caretaker. Family stress and coping theory and social learning theory (self-efficacy) provide the theoretical basis. Baseline (preoperative) measures of family functioning, family coping, demands of illness and cardiac status are compared with those at three and six months post-surgery, along with self-reports of recoery, self-efficacy, quality of life and physician appraisal of patient recovery. Specific study aims are: 1. to test the efficacy of nursing interventions designed to facilitate posthospital recovery and rehabilitation of the cardiac surgery patient and his family; 2. to describe the impact of cardiac surgery on the family over time; and 3. to document care needs and differences in recovery for the older (ages 70-80) cardiac surgery patient and family. Long term objectives are to mobilize family coping and personal efficacy in recovery from surgical treatment for heart disease, in ways that maximimze the surgical benefit for patients and promote families.