Effects of postoperative educational interventions on psychological, self-management, and quality-of-life outcomes after coronary artery bypass grafting: a systematic review and meta-analysis - Report - MDSpire

Effects of postoperative educational interventions on psychological, self-management, and quality-of-life outcomes after coronary artery bypass grafting: a systematic review and meta-analysis

  • By

  • Shanshan Si

  • Chaoqian Li

  • Miaomiao Qi

  • Jiuxin Ge

  • July 15, 2026

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Clinical Report: Impact of Postoperative Educational Programs on CABG Outcomes

Overview

This systematic review and meta-analysis evaluated the effects of postoperative educational interventions on psychological well-being, self-management, and quality of life in patients undergoing coronary artery bypass grafting (CABG).

Background

Coronary artery bypass grafting (CABG) is a critical procedure for patients with complex coronary artery disease, yet recovery can be challenging due to psychological distress and impaired quality of life. Postoperative education is an important component of recovery, as it helps patients manage their health and adhere to rehabilitation goals.

Data Highlights

OutcomeStandardized Mean Difference (SMD)95% Confidence Interval (CI)
Anxiety-0.48-0.87 to -0.08
Depression-0.42-0.71 to -0.14
Physical Functioning0.300.08 to 0.52
Mental Functioning0.26-0.01 to 0.53
Self-Efficacy1.08-1.12 to 3.29
Self-Power0.540.19 to 0.89

Key Findings

  • Postoperative educational interventions reduced anxiety (SMD = -0.48).
  • Depression levels were reduced (SMD = -0.42).
  • Physical functioning improved (SMD = 0.30).
  • Mental functioning showed a non-significant trend (SMD = 0.26).
  • Self-efficacy did not show statistically significant improvement (SMD = 1.08).
  • Self-power improved (SMD = 0.54), based on only two studies.

Clinical Implications

The findings suggest that incorporating educational interventions into postoperative care for CABG patients may enhance psychological outcomes and physical recovery. Healthcare providers should consider integrating structured educational programs to support patient recovery and self-management.

Conclusion

Postoperative educational interventions can reduce anxiety and depression while improving physical functioning in CABG patients. Further research is needed to explore the impact on mental functioning and self-efficacy.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- The effects of PERMA model-based positive psychological intervention on fear of disease progression and subjective well-being in patients after coronary artery bypass grafting: a retrospective cohort study
  2. Techniques in Coloproctology, 2025 -- Effects of Preoperative Stoma Education on Postoperative Outcomes in Patients Undergoing Colorectal Surgery: A Systematic Review and Meta-Analysis
  3. Obesity Surgery, 2021 -- Evaluating Health-Related Quality of Life Post-Bariatric Surgery: A Systematic Review with Bayesian Network Meta-Analysis
  4. ESC Guidelines, 2025 -- Current guidance on cardiac rehabilitation and postoperative education
  5. ESC 365, 2025 -- Standards for cardiac telerehabilitation A scientific statement of the European Association of Preventive Cardiology
  6. Frontiers, 2026 -- Effects of postoperative educational interventions on psychological, self-management, and quality-of-life outcomes after coronary artery bypass grafting: a systematic review and meta-analysis
  7. The Role of Preoperative Patient Education in Enhancing Postoperative Recovery Following Abdominal Surgery: A Comprehensive Review
  8. ESC Guidelines on Cardiovascular Disease Prevention
  9. Standards for Cardiac Telerehabilitation
  10. Frontiers | Effects of postoperative educational interventions on psychological, self-management, and quality-of-life outcomes after coronary artery bypass grafting: a systematic review and meta-analysis
  11. The impact of home-based telerehabilitation versus center-based cardiac rehabilitation on anxiety, depression, and quality of life after coronary artery bypass grafting: a randomized controlled trial | BMC Cardiovascular Disorders | Springer Nature Link
  12. Effectiveness of deep breathing exercises on anxiety, depression and sleep quality in patients undergoing coronary artery bypass surgery | Scientific Reports

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