The Effect of Patient Education With Video Prior to Coronary Artery Bypass Graft Surgery on Pain, Anxiety and Knowledge Levels of Patients
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Baskent University
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- Pain Level
Overview
Brief Summary
The aim of this research to examine the effectiveness of video-education on pain, anxiety, and knowledge levels on adult patients undergoing coronary artery bypass graft surgery.
Detailed Description
A video based patient education will be used in this randomized controlled study. Patient education via video aims to reduce the patient's anxiety levels, control their pain, and improve their health outcomes by increasing knowledge levels. In addition, since this training is visual-based, it is aimed to provide effective learning by reducing the inequality due to sociodemographic and individual differences between participants. The video-education includes information about pre and post-surgical process and care.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Double (Participant, Outcomes Assessor)
Masking Description
Double
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Being at least 18 years old
- •Being hospitalized in Cardiovascular Surgery Clinic and Cardiovascular surgery intensive care unit
- •Undergoing coronary artery bypass graft surgery for the first time, by sternotomy method
- •Patients who agree to participate in the research and read and sign the "Informed Volunteer Consent Form for Scientific Research"
Exclusion Criteria
- •Patients with visual or hearing impariment
- •Patients with psychiatric illness,
- •Patients with known cognitive impairment (dementia, Alzheimer's).
Outcomes
Primary Outcomes
Pain Level
Time Frame: from 24th of surgery to 72nd hour
Visual analog scale (VAS): VAS is a widely used scale for pain assessment. The scale was developed by Albersnagel, and its validity and reliability in our country were established by Aydin et al. In VAS, pain averages ranging from 0 to 10 are given on a 10 cm scale. Accordingly, while "0" indicates no pain, an average VAS value of "1-4" indicates mild pain, "5-6" indicates moderate pain, and "7-10" indicates severe. Change= VAS score of video-education group\<standard verbal education.on 24th, 48th, and 72nd hours after surgery
Anxiety level
Time Frame: from baseline prior to education to 72nd hour of surgery
State anxiety scale (STAI-I): The scale determines how the individual feels at a certain moment, in a certain condition, and his/her emotions regarding the situation. The total score obtained from the scale is between 20-80. A high score indicates a high level of anxiety. The feelings and behaviors expressed in the State Anxiety Scale items are answered by marking one of the following conditions, such as (1) not at all, (2) a little, (3) a lot and (4) completely, according to the severity of such experiences. Change= STAI-I score of video-education group\<standard verbal education.on pre-and-post education, and on 72nd hours after surgery.
Preoperative anxiety
Time Frame: from baseline prior to education to 72nd hour of surgery
Amsterdam Preoperative Anxiety and Information Scale (APAIS): The scale is one of the scales used to evaluate preoperative anxiety. Source of anxiety; It is divided into three: due to surgery, anesthesia or lack of information. It contains 6 statements regarding these three sources to assess anxiety. In order to objectify the survey, each statement is given a numerical value based on a 5-point Likert scale according to severity; These values, ranging from 1 to 5; 1=none, 2=mild, 3=moderate, 4=severe, 5=extreme severity. Higher score means higher preoperative anxiety. Change= APAIS score of video-education group\<standard verbal education n pre-and-post education, and on 72nd hours after surgery.
Secondary Outcomes
No secondary outcomes reported
Investigators
Gulcin Sahin
RN, MSc
Baskent University