Impact of the Presurgical Visit of Nursing on the Well-being of the Surgical Patient.

Completed

• Conditions: Nurse's Role; Preoperative Care; Patient Satisfaction

• Registration Number: NCT03512561
• Lead Sponsor: Corporacion Parc Tauli

Brief Summary

.A surgical intervention involves the participant and his / her family in a very stressful situation with a biopsychosocial alteration of the participant, often presenting a lack of knowledge of the surgical process from admission to hospital discharge. Researchers (nursing) began to make prior visits to the surgical procedure to reduce anxiety and provide information about the surgical process. The importance of the presurgical nursing visit (PNV) is sought, how to achieve a better health education throughout the surgical process, improve communication between professionals through standardized records, contributing to an optimal approach to the participant, increasing well-being, health and the satisfaction of the participant

Detailed Description

In our Center, PNVs are carried out in the Ambulatory Area (External Consultations) in a specific and personalized nursing consultation, within an established and multidisciplinary program. One week before surgery, the patient and a family / primary caregiver are cited.

The PNV conducts a semi-structured interview; the content may vary according to the type of surgery, but in general it can be understood as all those nursing interventions; how to provide information, support, advice and training to the patient and his family (primary caregiver).

It is an innovative experience since it has been carried out for a short time. The PNV have been gradually restructured and continue to grow, since their establishment has been positively valued in the different services thanks to the experience gained and the numerous bibliographic references that demonstrate the beneficial results for the patient and the health system.

A total of 356 participants have been calculated (surveys answered in more than 3 months), taking into account an approximate population of 1,172 programmed interventions carried out in 1 year, with a confidence interval of 95%, accuracy of 3% a proportion of 5% and with an expected loss of 15%.

Sample:

Arthralplasia of knee / hip N 480 n 92 Cystectomies N 24 n 19 Esophagogastric with coloplasty N 24 n 19 Hysterectomy N 24 n 19 Colon / rectum N 192 n 65 Lumpectomy with sentinel lymph nodes N 222 n 74 Caesarean section N 206 n 68

Study Timeline

• Study Start: 2018-02-01
• Study First Submitted: 2018-03-08
• Study First Submitted QC: 2018-04-19
• Study First Posted: 2018-04-30
• Primary Completion: 2019-09-10
• Study Completion: 2020-10-01
• Status Verified: 2021-07
• Last Update Submitted: 2021-07-27
• Last Update Posted: 2021-07-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 356

Inclusion Criteria

• Patients who have undergone the pre-surgical nursing visit (personalized).
• Patients over 18 years of age
• Live accompanied and / or with own resources of help.
• Having signed the informed consent.

Exclusion Criteria

• Not having signed the informed consent.
• Not having done the questionnaires after pre-surgical nursing visit (STAI, EQ-5D-5L)
• For surgical complications that do not allow the telephone survey, or focal groups.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The participant is satisfied throughout the surgical process, in relation to information, health education and personalized attention to the presurgical nursing visit (PNV)	3 months	Number of participants who are satisfied with the experience of the surgical procedure and if this is what is explained in the presurgical nursing visit, for the evaluation of the importance of the visit in the surgical process.

Secondary Outcome Measures

Name	Time	Method
The participant has preoperative and postoperative anxiety in more than three months, relating it to the information provided in the presurgical nursing visit.	3 months	Number of participants who perceive pre and postsurgical anxiety and if it is linked to the information provided during the visit.
The participant perceives better quality of presurgical and postoperative life in more than three months; in relation to the training given during the pre-surgical nursing visit.	3 months	Number of participants who perceive an improvement in the quality of life and if it is linked to the information provided during the visit.
The participant feels well-being due to the care received by the professionals throughout the surgical process.	3 month	Number of participants who perceive welfare linked to the quality of care of the surgical process.

Trial Locations

Locations (1)

Corporació Sanitària Parc Taulí; 🇪🇸 Sabadell, Barcelona, Spain