MARCH 1995, VOL61, NO 3

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! FILM REVIEW

TB OR NOT TB: NEW GUIDELINES FOR PREVENTION AND TREATMENT

his videotape begins with a historical overview of tubercu- losis (TB) and emphasizes its

steady decline over the last few decades. Assuming that the disease would be eradicated by the turn of the century, most health care work- ers were not prepared to meet the current challenges presented by TB.

The resurgence of TB has been fueled by an increase in poverty, drug abuse, urban overcrowding, and the AIDS epidemic. Health care workers are experiencing the effects of the rapid increase in patients with known and suspected TB. New drug-resistant strains of the disease have complicated matters.

The videotape provides excel- lent, up-to-date information on the disease process, populations at risk, patient screening, and treatment modalities. Diagnostics and drug therapy are discussed in detail. Guidelines also are presented for the health care worker caring for the patient with known or suspected TB. Personal protective equipment and environmental recommenda- tions are discussed, and information on patient education and personnel screening is included.

This 19-minute videotape pro- vides health care workers with an excellent, comprehensive review of all aspects of TB and would be a valuable addition to any video library. It can be purchased for $99 or rented for $70 plus $7.50 for ship- ping and handling. Both onc-half- inch and three-quarter-inch U-matic formats are available. A study guide is included with purchase or rental, and continuing education credit is available for an additional $5.

For information, contact Judith Tyler, RN, MA, director of educa- tional services, American Journal of Nursing Co, 555 W 57th St, New York, NY 10019-2961; (212) 582- 8820.

CYNTHIA A. BRAY RN, MSED, CNOR

AUDIOVISUAL COMMITTEE

RESEARCIH REVIEWS

DEVELOPMENT OF DISCHARGE INFORMATION FOR RECOVERY AFTER CORONARY ARTERY BYPASS SURGERY S. M . Moore Applied Nursing Research VoE7 (November 1994) 170-1 77

oronary artery bypass graft (CABG) surgery provides beneficial effects for some

patients with coronary hypoxia, but for many patients, the immediate posthospital recovery period is associated with negative physical and psychological effects. The most frequent nursing intervention used to promote recovery after CABG surgery is discharge instructions that focus on risk-fac- tor reduction and adherence to medication, diet, and activity regi- mens. This type of instruction, however, provides little informa- tion about a patient’s physical and psychological functioning in the early home recovery period.

Other studies have evaluated the effectiveness of information that focuses on short- and long- term daily living changes after CABG surgery; however, none of the previous studies examined the effects of concrete information and behavioral instructions on early recovery after CABG surgery. Self-regulation theory suggests that providing concrete information

about typical experiences associat- ed with CABG surgery recovery may be useful to patients. Concrete information includes sensory details (ie, typical sensations with no interpretation) and orienting information (ie, onset, sequence, duration of physical sensations).

identify concrete descriptions of CABG recovery and the behaviors most helpful in managing this recovery. The investigator selected a convenience sample of 20 patients (15 men, 5 women) from a group of patients who had undergone CABG surgery within the previous four days and who were recovering on a step-down unit of a large teaching hospital. Patients who had under- gone previous CABG surgery and those who were experiencing major postoperative complications were excluded. Relevant sample demo- graphics follow. m Mean age of subjects was 63.5

years (standard deviation = 6.9). I All subjects were married. n Nineteen subjects were Cau-

casian. I Nine subjects (45%) had post-

secondary education. Eight subjects (40%) were retired.

B Ten subjects (50%) had either three or four grafts.

a Average postoperative length of stay was 9.3 days. Using an investigator-

The purpose of this study was to

developed interview guide, the researcher conducted face-to-face interviews with subjects one day before they were discharged and 48 hours after they were dis- charged. The researcher followed up with telephone interviews with the subjects three weeks after they were discharged. The interview guide focused on concerns, emo- tions, and physical sensations sub- jects experienced during the first

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