IMPROVING RECOVERY FROM CARDIAC SURGERY

家庭心脏研究是一项前瞻性随机临床试验 首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旨在：1)监测和 加强家庭康复，2)加强住院危险因素教育 减少，以及3)作为主要照顾者的家庭提供支持。 家庭压力与应对理论和社会学习理论(自我效能感) 为本文的研究提供理论依据。家庭基线(术前)测量 功能、家庭应对、疾病需求和心脏状况 与术后3个月和6个月的患者相比， 康复、自我效能、生活质量和医生的自我报告 对患者康复情况的评估。 具体的研究目标是： 1.测试护理干预措施的效果，旨在促进 心脏手术患者的术后康复和康复 他的家人； 2.描述心脏手术随着时间的推移对家庭的影响；以及 3.记录老年人(年龄)的护理需要和康复方面的差异 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，以最大限度地提高 为患者造福手术，促进家庭健康。

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.