The Effect of Preoperative Video-Based Educational Program on Patient's Incidence of ICU Delirium, Length of Stay, and Ambulation Post Coronary Artery Bypass Graft Surgery. A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 220
- 试验地点
- 1
- 主要终点
- Incidence of ICU Delirium
研究概览
简要总结
The goal of this clinical trial is to evaluate the effect of a preoperative video-based educational program on postoperative outcomes in adult patients undergoing coronary artery bypass graft (CABG) surgery.
The main questions it aims to answer are:
Does the video-based educational program reduce the incidence of ICU delirium after CABG surgery? Does the program improve recovery outcomes, including length of ICU stay, hospital stay, and time to early ambulation?
Researchers will compare patients receiving the video-based educational program (intervention group) with those receiving standard care (control group) to determine whether the intervention improves postoperative outcomes.
Participants will:
Be randomly assigned to either the intervention or control group Receive either a structured preoperative video-based education program or standard verbal education Be assessed for ICU delirium using the CAM-ICU tool during ICU stay Have their length of ICU stay and hospital stay recorded from medical records Be monitored for early ambulation within the first 72 hours after surgery
详细描述
This randomized controlled trial evaluates the effect of a structured preoperative video-based educational program on postoperative recovery outcomes in adult patients undergoing elective coronary artery bypass graft (CABG) surgery. Postoperative delirium remains a common complication after cardiac surgery and is associated with prolonged intensive care unit (ICU) and hospital stays, delayed recovery, and increased healthcare burden. In addition, delayed mobilization after surgery can further contribute to adverse outcomes.
Traditional preoperative education, typically delivered verbally or through written materials, may be insufficient for patients experiencing stress and anxiety prior to major surgery, leading to poor information retention. Video-based education offers a standardized, accessible, and engaging approach that may enhance patient understanding, improve adherence to recovery protocols, and support better clinical outcomes.
In this study, participants will be randomly assigned to receive either a brief preoperative video-based educational intervention or standard care. The intervention is designed to prepare patients for the postoperative period by providing clear, structured information on recovery expectations, delirium prevention strategies, and the importance of early mobilization.
The primary outcome of interest is the incidence of ICU delirium during the postoperative period. Secondary outcomes include length of ICU stay, length of hospital stay, and timing of early ambulation following surgery. These outcomes will be assessed using standardized clinical measures and hospital records.
By evaluating the effectiveness of a digital educational intervention in a cardiac surgery population, this study aims to contribute evidence on practical, scalable strategies to improve postoperative recovery and reduce complications in patients undergoing CABG 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
- Double (Care Provider, Outcomes Assessor)
盲法说明
This study is conducted as an open-label randomized controlled trial; therefore, participants and care providers are not blinded due to the nature of the intervention (video-based education).
However, to reduce bias:
Outcome assessors (ICU nurses) responsible for evaluating delirium using the CAM-ICU will be blinded to group allocation whenever feasible.
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
- •Participants must meet all of the following criteria:
- •Adult patients aged 18 years or older
- •Scheduled for first-time, elective Coronary Artery Bypass Graft (CABG) surgery
- •Able to read and understand Arabic
- •Admitted preoperatively with sufficient time to receive the intervention (at least 24 hours before surgery)
排除标准
- •Participants will be excluded if they meet any of the following criteria:
- •Undergoing emergency or urgent CABG surgery
- •Previous CABG (redo surgery)
- •Cognitive impairment (e.g., diagnosed dementia, severe cognitive deficits, or Alzheimer's disease)
- •Severe communication barriers (e.g., inability to understand Arabic, or severe hearing/visual impairment preventing comprehension of the educational video)
- •Critical preoperative condition that prevents participation in the intervention
研究组 & 干预措施
Experimental - Video-Based Educational Program
Participants will receive a structured preoperative video-based educational program in addition to standard care. The intervention consists of a 5-10 minute video delivered one day before CABG surgery in Arabic.
The video includes:
Overview of CABG surgery and ICU environment Education on ICU delirium (definition, signs, and prevention) Explanation of the ABCDE delirium prevention bundle Instructions on early ambulation and breathing exercises Postoperative recovery expectations
The video will be presented via tablet in a quiet setting, with a trained nurse available to clarify questions. Participants may replay the video if needed.
干预措施: Video-Based Educational Program (Behavioral)
Active Comparator - Standard Care
Participants will receive routine preoperative education as provided in the hospital setting. This typically includes:
Verbal instructions from nurses and healthcare staff Basic guidance on postoperative care (wound care, medications, activity restrictions, and warning signs)
No structured or standardized video-based educational intervention will be provided.
结局指标
主要结局
Incidence of ICU Delirium
时间窗: Assessed twice daily (6 AM and 6 PM) during ICU stay, up to discharge from ICU. for three months
Occurrence of postoperative delirium among patients admitted to the ICU following CABG surgery.
次要结局
- Length of ICU Stay(From ICU admission post-surgery until transfer to ward. for three months)
- Length of Hospital Stay (LOS)(From date of surgery until hospital discharge, expected average up to 30 days.)
- Time to First Postoperative Ambulation Within 72 Hours After ICU Admission(From ICU admission (postoperative day 0) through 72 hours after surgery.)
研究者
Jafar Alshraideh
prof. School of Nursing, The University of Jordan
University of Jordan