Exploring the Effect of Visually Immersive Video Education on Cardiothoracic Surgery Patients' Preoperative Anxiety and Postoperative Outcomes
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Anxiety relief (self-report measure 2 - Visual Analog Scale for Anxiety)
研究概览
简要总结
The purpose of this quasi-experimental study is to examine the effect of visually immersive preoperative education on levels of anxiety and patient outcomes in patients undergoing cardiothoracic (open heart) surgery
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
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
- •Inpatients and outpatients scheduled for elective cardiothoracic (open heart) surgery
排除标准
- •Patients undergoing emergent cardiothoracic (open heart) surgery
- •Patients with altered mental status
- •History of mental health disorders (schizophrenia and bipolar disorder)
- •Legally blind/complete blindness and hearing impaired (without hearing aids)
研究组 & 干预措施
Intervention - Visually Immersive Video Education
Participants receive visually immersive (virtual reality-designed) preoperative video education shown on a tablet that orients patients to the postoperative CVICU environment, equipment, and expected recovery processes. After viewing the video, the open-heart trained CVICU nurse provides opportunity for discussion, clarification, and questions. Assignment to this arm occurs during intervention weeks (Weeks 1-2 of each month, per protocol).
干预措施: Visually Immersive Video (Behavioral)
Control - Standard Preoperative Education
Participants receive standard preoperative education consisting of a basic verbal explanation of what to expect postoperatively on arrival to the CVICU, followed by opportunity for questions. Assignment to this arm occurs during control weeks (Weeks 3-4 of each month, per protocol).
干预措施: Standard of Care (Behavioral)
结局指标
主要结局
Anxiety relief (self-report measure 2 - Visual Analog Scale for Anxiety)
时间窗: 30 minutes
Patient's anxiety will be measured using the Visual Analog Scale for Anxiety (VAS-A), a slider scale of 0 - 100 is used to self-report anxiety (0 = not anxious and 100 = extremely anxious), taken before and after preoperative education is received.
Anxiety relief (self-report measure 1 - State-Trait Anxiety Inventory)
时间窗: 30 minutes
Patient's anxiety will be measured using the 20-item State-Trait Anxiety Inventory (STAI) (state scale only) (higher scores indicate higher anxiety), taken before and after preoperative education is received.
次要结局
- Anxiety relief (physiological measure 1 - blood pressure)(30 minutes)
- Anxiety relief (physiological measure 2 - heart rate)(30 minutes)
- Anxiety relief (physiological measure 3 - respiratory rate)(30 minutes)
- Postoperative CVICU Outcome 1 - Length of Stay(Within 30 days after the patient is discharged from CVICU)
- Postoperative CVICU Outcome 2 - Intubation Time(Within 30 days after the patient is discharged from CVICU)
- Postoperative CVICU Outcome 3 - Re-intubation(Within 30 days after the patient is discharged from CVICU)
- Postoperative CVICU Outcome 4 - Blood Sugar Regulation(Within 30 days after the patient is discharged from CVICU)