The Effect of Patient Education and Implementation of Teleinterventions by Nurses, on the Incidence of Surgical Wound Infections, in Patients After Coronary Artery Bypass Surgery

Hellenic Mediterranean University1 site in 1 country220 target enrollmentMarch 1, 2024

ConditionsSurgical Site Infection Coronary Artery Bypass Grafting (CABG)

Overview

Phase: N/A
Intervention: Not specified
Conditions: Surgical Site Infection
Sponsor: Hellenic Mediterranean University
Enrollment: 220
Locations: 1
Primary Endpoint: nurse-led education and nursing teleinterventions on reducing the incidence of surgical site infections (SSIs) in patients who underwent planned coronary artery bypass grafting (CABG).
Status: Recruiting
Last Updated: last year

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

The goal of this clinical trial is to determine if nurse-led education and tele-interventions can reduce the incidence of surgical wound infections in patients after coronary artery bypass surgery. The main questions it aims to answer are:

Can nurse-led education reduce the rate of surgical wound infections after coronary artery bypass surgery?
Does the addition of tele-interventions further decrease the incidence of these infections compared to standard care?

Researchers will compare three groups:

Group A: Standard postoperative care
Group B: Nurse-led patient education
Group C: Nurse-led patient education plus tele-interventions

Participants will:

Receive standard care, nurse-led education, or nurse-led education with tele-interventions
Having regular follow-up as per group assignment
Monitor and report infection during the study period

Registry

clinicaltrials.gov

Start Date

March 1, 2024

End Date

September 1, 2025

Last Updated

last year

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Hellenic Mediterranean University

Responsible Party

Principal Investigator

Konstantinos Giakoumidakis

Associate Professor, Department of Nursing, School of Health Sciences, Hellenic Mediterranean University

Hellenic Mediterranean University

Eligibility Criteria

Inclusion Criteria

•Age ≥ 18 years
•Patients who have undergone CABG with median sternotomy
•Proficiency in reading and writing in Greek
•Patients who provide written informed consent for participation in the study
•Patients who have access to a mobile phone and know how to use it
•Patients without difficulties in vision, speech, or hearing
•Patients at intermediate or high risk for developing surgical site infections, based on their scores in the risk stratification models described below

Exclusion Criteria

•History of psychiatric illness, recent history of alcohol and/or substance abuse, dementia, and Alzheimer's disease
•Presence of an active infection within 2 weeks prior to the surgical procedure
•Preoperative hospitalization \> 2 days
•Concurrent surgery on the aorta or heart valves
•Urgent or emergency nature of the surgical procedure
•Re-sternotomy aimed at surgical re-exploration of bleeding or implementation of cardiopulmonary resuscitation (CPR) in cases of cardiac arrest
•Patients in whom the sternum has not been closed after the completion of the surgical procedure and who are transferred to the cardiothoracic unit without sternum closure
•Active endocarditis
•Life expectancy \< 6 months
•Lack of a smartphone

Outcomes

Primary Outcomes

nurse-led education and nursing teleinterventions on reducing the incidence of surgical site infections (SSIs) in patients who underwent planned coronary artery bypass grafting (CABG).

Time Frame: six months

To investigate the effect of nurse-led education and the implementation of systematic nursing teleinterventions on reducing the incidence of surgical site infections (SSIs) in patients who underwent planned coronary artery bypass grafting (CABG).