Tele-Nursing Follow-Up After Open Heart Surgery

Not Applicable

Completed

• Conditions: Open Heart Surgery; Tele-nursing
• Interventions: Other: Telenursing

• Registration Number: NCT05316207
• Lead Sponsor: Hasan Kalyoncu University

Brief Summary

Introduction: Failure to follow-up patients by healthcare professionals after discharge may increase the development of anxiety and complications in patients.

Aim: The aim of this study is to determine the effects of tele-nursing method to patients who have undergone Open Heart Surgery (OHS) after discharge on anxiety and some other complications.

Material and Methods:This quasi-experimental randomized controlled study, which was conducted in a private hospital between November 2020 and April 2021, included 75 patients, 38 from the Intervention (IG) and 37 from the Control Group (KG). IG and CG patients were provided routine treatment and care. In addition to the IG, training and counselling were provided at least four times by phone calls between the first week after discharge and the end of the first month. Descriptive Form and State-Trait Anxiety Inventory (STAI-S and T) were administered to all patients before discharge, and STAI-S was administered at the end of the first month after discharge. Post-discharge complications were evaluated by medical doctor in both groups. These data, number of hospitalization and readmission rates were obtained from hospital records.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-11-01
• Primary Completion: 2021-04-21
• Study Completion: 2021-04-21
• Status Verified: 2022-03
• Study First Submitted: 2022-03-14
• Study First Submitted QC: 2022-03-30
• Last Update Submitted: 2022-03-30
• Study First Posted: 2022-04-07
• Last Update Posted: 2022-04-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Eighteen years and older,
• Able to speak and understand Turkish,
• Without hearing, comprehension, vision and speech problems,
• Open heart surgery for the first time,
• Those who were not diagnosed with depression or anxiety disorder before surgery and didn't use medication for this purpose,
• Having a mobile phone that can take photos by herself/himself or her/his attendants,
• No serious complications to delay hospital discharge,
• Patients who volunteered to participate were included in the study.

Exclusion Criteria

Patients who wished to withdraw from the study after volunteering were excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Group	Telenursing	IG was formed from 40 patients who received routine care, treatment and education services of the clinic after open heart surgery, and whose routine controls were determined by the randomization method. The patients in the IG would call by the researcher at least four times, at the end of the first, second, third and fourth weeks after discharge, to provide education and counseling via tele-nursing. In these phone calls, the current problems of the patient, if any, and the issues that should be paid attention to during the home care process after open heart surgery were explained.It was stated that, unlike the patients in CG, patients in IG would be called by the researcher at least four times at the end of the first, second, third and fourth weeks after discharge to provide education and counseling via tele-nursing.

Primary Outcome Measures

Name	Time	Method
Determination of change in anxiety levels between groups before discharge and one month after discharge	State and trait anxiety levels were measured 72 hours before discharge for all participants who met the inclusion criteria.State anxiety levels of all participants were measured one month after discharge.	Anxiety levels of all participants who met the inclusion criteria were measured using the state and trait anxiety scale in the pre-test. At the end of the first week after discharge, the intervention was started for the patients in the study group and the intervention was completed at the end of the first month after discharge. One month after discharge, the state anxiety levels were measured again with the state anxiety scale.

Secondary Outcome Measures

Name	Time	Method
Rates of Complication Development	Complications developed in both groups were recorded at the end of the first week and the end of the fourth week after discharge.	The rate of total hospitalization before and after the intervention, the rate of admission to the hospital for examination, leg incision infection, effusion, chest incision infection and other complications that may occur within one month after discharge, according to the groups

Trial Locations

Locations (1)

Medical Park Hospital; 🇹🇷 Gaziantep, Şahinbey, Turkey