Gender differences in recovery outcomes after an early recovery symptom management intervention

Lani Zimmerman; Susan Barnason; Melody Hertzog; Lufei Young; Janet Nieveen; Paula Schulz; Chunhao Tu

doi:10.1016/j.hrtlng.2010.07.018

Gender differences in recovery outcomes after an early recovery symptom management intervention

Lani Zimmerman, Susan Barnason, Melody Hertzog, Lufei Young, Janet Nieveen, Paula Schulz, Chunhao Tu

Physiological and Technological Nursing

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

BACKGROUND: Despite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS).

OBJECTIVE: The purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS).

METHODS: The parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ(2) tests, t tests, and analysis of variance for statistical analyses.

RESULTS: Subjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group.

CONCLUSION: Although the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.

Original language	English (US)
Pages (from-to)	429-39
Number of pages	11
Journal	Heart and Lung: Journal of Acute and Critical Care
Volume	40
Issue number	5
DOIs	https://doi.org/10.1016/j.hrtlng.2010.07.018
State	Published - Sep 20 2011

Keywords

Aged
Analysis of Variance
Cardiac Rehabilitation
Cardiovascular Diseases
Coronary Artery Bypass
Fatigue
Female
Health Status Indicators
Humans
Male
Models, Theoretical
Motor Activity
Postoperative Period
Sex Factors
Sleep Wake Disorders
Time Factors
Treatment Outcome
United States
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.hrtlng.2010.07.018

Cite this

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title = "Gender differences in recovery outcomes after an early recovery symptom management intervention",

abstract = "BACKGROUND: Despite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS).OBJECTIVE: The purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS).METHODS: The parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ(2) tests, t tests, and analysis of variance for statistical analyses.RESULTS: Subjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group.CONCLUSION: Although the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.",

keywords = "Aged, Analysis of Variance, Cardiac Rehabilitation, Cardiovascular Diseases, Coronary Artery Bypass, Fatigue, Female, Health Status Indicators, Humans, Male, Models, Theoretical, Motor Activity, Postoperative Period, Sex Factors, Sleep Wake Disorders, Time Factors, Treatment Outcome, United States, Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural",

author = "Lani Zimmerman and Susan Barnason and Melody Hertzog and Lufei Young and Janet Nieveen and Paula Schulz and Chunhao Tu",

year = "2011",

month = sep,

day = "20",

doi = "10.1016/j.hrtlng.2010.07.018",

language = "English (US)",

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pages = "429--39",

journal = "Heart and Lung: Journal of Acute and Critical Care",

issn = "0147-9563",

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T1 - Gender differences in recovery outcomes after an early recovery symptom management intervention

AU - Zimmerman, Lani

AU - Barnason, Susan

AU - Hertzog, Melody

AU - Young, Lufei

AU - Nieveen, Janet

AU - Schulz, Paula

AU - Tu, Chunhao

PY - 2011/9/20

Y1 - 2011/9/20

N2 - BACKGROUND: Despite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS).OBJECTIVE: The purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS).METHODS: The parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ(2) tests, t tests, and analysis of variance for statistical analyses.RESULTS: Subjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group.CONCLUSION: Although the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.

AB - BACKGROUND: Despite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS).OBJECTIVE: The purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS).METHODS: The parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ(2) tests, t tests, and analysis of variance for statistical analyses.RESULTS: Subjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group.CONCLUSION: Although the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.

KW - Aged

KW - Analysis of Variance

KW - Cardiac Rehabilitation

KW - Cardiovascular Diseases

KW - Coronary Artery Bypass

KW - Fatigue

KW - Female

KW - Health Status Indicators

KW - Humans

KW - Male

KW - Models, Theoretical

KW - Motor Activity

KW - Postoperative Period

KW - Sex Factors

KW - Sleep Wake Disorders

KW - Time Factors

KW - Treatment Outcome

KW - United States

KW - Journal Article

KW - Randomized Controlled Trial

KW - Research Support, N.I.H., Extramural

U2 - 10.1016/j.hrtlng.2010.07.018

DO - 10.1016/j.hrtlng.2010.07.018

M3 - Article

C2 - 21501872

SN - 0147-9563

VL - 40

SP - 429

EP - 439

JO - Heart and Lung: Journal of Acute and Critical Care

JF - Heart and Lung: Journal of Acute and Critical Care

IS - 5

ER -

Gender differences in recovery outcomes after an early recovery symptom management intervention

Abstract

Keywords

UN SDGs

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