Coronary Artery Disease (CAD) is a leading cause of hospitalization and mortality worldwide, particularly in aging populations. The prevalence and incidence of CAD are projected to rise due to the increasing number of elderly individuals and their existing geriatric conditions. Despite progressive advancements in CAD management, elderly patients with CAD continue to be a significant global health challenge. Coronary Artery Bypass Graft (CABG) surgery has been the standard cardiac surgica
Conditions
Interventions
Intervention group
Participants who are randomized to the intervention group will receive routine care plus the telehealth intervention. The telehealth intervention protocol will be guided by the Tra
s medical conditions, taking into account the necessity for consistent care and identifying risk factors associated with unfavorable outcomes. This assessment will be facilitated by using an integrate
Telehealth intervention,Control group
Sponsors
ASSOC.PROF.USAVADEE ASDORNWISED, Major Advisor
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: The eligible participants will be recruited in the study if they have any criteria described as follows: 1) are at least 60 years and scheduled to receive first-time elective isolated CABG; 2) have functional class I-III following New York Heart Association (NYHA) class 50 ; 3) have a primary family caregiver willing to participate in the study; 4) can access and use a smartphone via an internet connection either with or without assistance from the primary family caregiver; 5) able to communicate in the Thai language; 6) have no cognitive impairment (A cut-off point of 3 from 5 by Thai version Mini-cog).
Exclusion criteria
Exclusion criteria: The eligible participants will be excluded from the study if they have severe dementia, Alzheimer's disease, delirium, terminal illness, or psychiatric disorders, which be diagnosed by a physician. The participants will be withdrawn from the study if they have any criteria described as follows: 1) are admitted to a nursing home and have barriers to participating in the program; 2) refuse to participate after involvement in the intervention or if they want to withdraw their participation in the study; 3) have no report of the physical measures and symptoms back to the researcher for five consecutive days, and the researcher can not contact the participants by telephone call over three consecutive days; 4) have cardiac arrest during the operation; 5) have severe complications after CABG surgery, such as stroke, renal failure, and require ongoing renal dialysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional status Base line, 30 and 90 days after discharge from hospital The Thai translation of the Enforced Social Dependency Scale (ESDS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Anxiety and depression levels Base line, 30 and 90 days after discharge from hospital The Thai version of the Hospital Anxiety and Depression Scale (Thai HADS),The number of rehospitalizations at 30 and 90 days after discharge from hospital At 30 day and 90 days after discharge from hospital The Number of Hospitalizations Questionnaire (NHQ) | — |
Countries
Thailand
Contacts
Public ContactJirawan Mala
Faculty of Nursing, Mahidol University
Outcome results
None listed