Investigation of the Effect of Nursing-Led Rehabilitation Interventions on Patient Care Outcomes in Patients Undergoing Coronary Artery Bypass Graft Surgery.

Kahramanmaras Sutcu Imam University1 个研究点分布在 1 个国家目标入组 111 人开始时间: 2025年5月17日最近更新: 2026年9月24日

适应症

干预措施

试验速览

阶段: 不适用
状态: 已完成
发起方
入组人数: 111
试验地点: 1
主要终点: Mental Health Component Score

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

Cardiovascular diseases are one of the leading causes of death globally. In addition to medical treatment and lifestyle changes, open heart surgery treatment also has an important place in the treatment of cardiovascular diseases.

CABG surgery is the most common treatment aimed at improving patients' survival and quality of life. The rehabilitative interventions applied include all of the practices that accelerate the management of the disease in individuals with coronary heart disease and the individual's return to the living conditions before the disease.

In our country, the cardiac rehabilitation process is carried out in a few centers , and a separate cardiac surgery rehabilitation program is not carried out. The study to be carried out will be the first in this field in our country. With the unit to be established; Rehabilitative interventions applied after coronary artery bypass graft surgery enable individuals to evaluate risk factors, help with any changes in their lifestyle, gain more information about the disease, increase their capacity by increasing cardiac/respiratory function, reduce the physical and psychological effects of the disease and enable them to act independently in their daily activities, Thus, it is aimed to increase the quality of life of individuals. To increase individual and social recovery, to manage and monitor the process by ensuring that families are involved in the process; It is aimed to ensure that it is evaluated and managed by the team (kvc specialist, cardiologist, clinical exercise physiologist, physiotherapist, nurse, dietitian, psychologist, coach) in order to ensure a multidisciplinary approach.

详细描述

Importance of the Topic and Definition of the Problem According to the World Health Organization (WHO) data for 2023, cardiovascular diseases (CVD) are the first among the top ten causes of death in the world. Similar results are reported by the American Heart Association ( American Heart Association , AHA) for women and men in the United States, by the European Association of Cardiology ( European It is also reported by the Society of Cardiology (ESC) (2017) for ESC member countries and it is stated that approximately 3,800,000 individuals lose their lives due to CVD every year in ESC member countries. Similar to the world, according to the data of the Turkish Statistical Institute (TUIK), circulatory system diseases are the first cause of death in our country .

Non-communicable diseases constitute 31.5% of all deaths worldwide, and CVD constitutes 45% of non-communicable diseases. A positive aspect of cardiovascular diseases, which are increasing all over the world, is that they are largely "preventable".

graft (CABG) surgery, which is one of the methods applied in the treatment of coronary heart disease , is the most common treatment that aims to increase the life expectancy and quality of life of patients. The rehabilitative interventions applied cover all the applications that accelerate the management of the disease in patients with coronary heart disease and the individual's return to the living conditions before the disease.

Cardiovascular diseases are one of the leading causes of death globally. In addition to medical treatment and lifestyle changes, open heart surgery also plays an important role in the treatment of cardiovascular diseases. Coronary artery bypass graft (CABG) surgery is the most common treatment that aims to increase the life expectancy and quality of life of patients.

Infection , pain, deterioration in respiratory and circulatory patterns, inability to adapt to the disease, anxiety , depression, inability to cope with stress, fatigue, insomnia, dependence on daily living activities, and role changes in family processes are observed in patients in the short and long term after open heart surgery .

研究设计

研究类型: Interventional
分配方式: Randomized
干预模型: Parallel
主要目的: Supportive Care
盲法: Single (Investigator)

入排标准

年龄范围: 18 Years 至 —（Adult, Older Adult）
性别: All
接受健康志愿者: 否

入选标准

•Patients over 18 years of age who have undergone cardiac surgery for the first time Patients with an ejection fraction greater than 50% Patients who have chosen the On-Pump method for surgery Patients with systolic blood pressure below 160 mmhg, diastolic blood pressure below 100 mmhg Patients without mobility impairment

排除标准

•Patients who do not consent to participate in the study Patients with mobility impairments Patients who cannot attend all sessions of the program Patients who cannot attend routine check-ups by a cardiovascular specialist Patients who have undergone surgery other than cardiac surgery

研究组 & 干预措施

Rehabilitative nursing interventions applied for coronary artery bypass graft surgery

No Intervention

In the first interview, the researchers filled out the Patient Identification Characteristics Form using the face-to-face interview method. No rehabilitative intervention was applied to the patients. Routinely requested biochemical parameters were obtained from the patient follow-up information system and recorded in a way that would not create a financial burden on the patients. The patient was reminding that they would be followed up in the postoperative period, and patients who did not come for their routine postoperative check-ups were informed that they would be removed from the study. Information was provided on how to obtain a routine check-up. (https://onlinehastane.ksu.edu.tr/MiaHbysRandevu). The Second Interview was conducted at the KSU SUAH KVC outpatient clinic. The Patient Identification Characteristics Form was filled out by the researchers using the face-to-face interview method during the interview. No rehabilitative intervention was applied.

The research is a randomized controlled study and will take place at the Cardiovascular Surgery Poly

Experimental

The first interview was held in the KVC outpatient clinic. In the first interview, the Patient Introduction Form was recorded. As a rehabilitative intervention; Cardiac Surgery Rehabilitation Program Training was explained in practice and the use of the life activity diary was explained to the patient and caregiver. In addition, with the application of the QR code; Cardiac Surgery Rehabilitation and life activity diary charts were downloaded to the patient or caregiver's phone and training was given on how to apply them. The patient was reminded that they would be followed up in the postoperative period and patients who did not come to their routine check-ups after the surgery were informed that they would be removed from the study. (https://onlinehastane.ksu.edu.tr/MiaHbysRandevu). In the second interview, the Patient Introduction Form was recorded by the researchers. Necessary sections from the Cardiac Surgery Rehabilitation Program training were explained in practice.

干预措施: The study aims to investigate the effects of nursing-led rehabilitative interventions in patients undergoing CABG surgery and to evaluate patient monitoring. It aims to determine the perceived stress (Behavioral)