Preadmission self-instruction effects on postadmission and postoperative indicators in CABG patients: Partial replication and extension


  • Dr. Virginia Hill Rice,

    Corresponding author
    • 366 Cohn Building, Wayne State University, 5557 Cass Avenue, Detroit, MI 48202
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    • Virginia Hill Rice, PhD, RN, FAAN is an associate professor of adult health in the Wayne State University College of Nursing, Detroit, MI and a fellow of the American Academy of Nursing.

  • Marlene H. Mullin,

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    • Marlene H. Mullin, MSN, RN is a cardiovascular clinical nurse specialist at Sinai Hospital, Detroit, MI.

  • Patricia Jarosz

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    • Patricia Jarosz, MSN, RN was a part-time clinical instructor at Wayne State University College of Nursing and a doctoral student at the University of Michigan, Ann Arbor, MI.


Fifty adult coronary artery bypass graft surgery patients were randomly assigned to preadmission self-instruction or posthospital admission instruction of therapeutic exercises (e. g., coughing). Self-instructed subjects reported higher positive mood scores, performed correctly significantly more exercise behaviors, and required less teaching time following hospital admission. Postoperatively, no group differences were found on mood states, physical activity, analgesic use, or length of hospital stay. Both groups, however, tended to use less pain medication than that reported by other researchers and experience shorter hospital stays than that assigned under the Diagnostic Related Groups prescription.