Ask an answerable question (PICO)：
According to statistical data from the Ministry of Health and Welfare (2018), heart diseases ranked second among the top ten causes of death. Along with the technical progress, the heart surgery executes also extremely popularizes, belongs to one of significant surgeries, because the surgery in hospital leaves the familiar environment, affects individual life to expand to a family, causes the economy, the work shutdown, to in hospital, surgery process strange and surgery result uncertainty and so on, often has the patient anxious factors. Has the premonition and the frightened fresh psychology to the unknown event, lets the human be unable to rest relieved or the work, has uneasy whether sitting or standing or the helpless behavior. Therefore further discusses the technique vanguard to teach whether can reduce the heart surgery patient anxious situation.
The Method and Analysis of Literature Review：
This study searched four databases including Cochrane Library, CINAHL and PubMed. The search focused only on articles published between 2014 and 2019 using the keyword “Teaching” and “Anxiety” together with either “Open heart” or “cardiac surgery”. An initial 158 articles were initially identified. After filtering based on inclusion criteria and excluding duplicates, the authors selected the remaining 2 articles with Critical Appraisal Skills Programme (CASP) for further analysis and synthesis.
Critical Appraisal：
These two articles included in the review were evaluated according to CASP evaluation criteria. CASP Critical Appraisal Checklist for Randomized Controlled Trials was reviewed by Kalogianni et al. (2016)及Malek, Zakerimoghadam, Esmaeili, and Kazemnejad (2018) RCT. These two articles by CASP control table and Oxford evidence rank evaluation literature rank.
Results, Conclusions and Recommendations：
Synthesizes involvement measure two literature, according to the Oxford evidence rank evaluation, belongs to 1b, indicated this two support use technique vanguard teaches to be possible to reduce the heart surgery patient anxious situation, will provide the medical care personnel future to give looking after of the different measure in view of the heart surgery patient.
