The Effect of a Nurse-led Preoperative Navigation Program on Anxiety, Perceived Quality of Perioperative Nursing Care, and Stress Hormone Levels in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Preoperative Anxiety Level
研究概览
简要总结
This study aims to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol levels in patients undergoing coronary artery bypass graft (CABG) surgery. A total of 60 patients scheduled for CABG surgery will be recruited from the cardiovascular surgery clinic and randomly assigned to either the intervention group (n=30) or the control group (n=30). Patients in the intervention group will receive a structured nurse-led preoperative navigation program, including verbal education and an animated video about the surgical and operating room process. Patients in the control group will receive standard perioperative care. Preoperative anxiety, serum cortisol and glucose levels, and perceived quality of perioperative nursing care will be assessed at specified time points.
详细描述
This study is designed as a randomized controlled trial to evaluate the effect of a nurse-led preoperative navigation program in patients undergoing coronary artery bypass graft (CABG) surgery. Participants in the intervention group (n=30) will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program includes verbal education about the surgical process and operating room procedures, along with an educational animated video that can be viewed repeatedly until the day of surgery. Participants in the control group (n=30) will receive standard perioperative care without the structured navigation program. Participants will be randomly assigned to either the intervention or control group. Outcome measures will be assessed at predefined time points.
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
- Single (Investigator)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •• who is 18 years of age or older
- •Planned to undergo elective coronary artery bypass graft surgery,
- •Who agrees to participate in the research,
- •Whose cognitive functions are in place
- •Communicable • Able to speak and understand Turkish,
排除标准
- •Undergoing emergency surgery
- •Who cannot speak and understand Turkish
- •Having a psychiatric diagnosis
研究组 & 干预措施
Control
Participants in the control group will receive standard perioperative care according to routine clinical practice.
Nursing navigation program
Participants in the intervention group will receive a structured nurse-led preoperative navigation program. After admission to the cardiovascular surgery clinic, patients will receive verbal information about the surgical process and operating room procedures. In addition, an educational animated video will be provided and can be viewed repeatedly until the day of surgery. The intervention will be delivered approximately 7 days prior to surgery.
干预措施: Nursing navigation program (Other)
结局指标
主要结局
Preoperative Anxiety Level
时间窗: At hospital admission and again 1 day before surgery
Preoperative anxiety will be measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The scale consists of 6 items rated on a 5-point Likert scale from 1 (not at all) to 5 (extremely). The total score ranges from 6 to 30, with higher scores indicating higher levels of anxiety.
Anxiety
时间窗: At hospital admission and again 1 day before surgery
Preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The scale consists of 6 items rated on a 5-point Likert scale from 1 (not at all) to 5 (extremely). The total score ranges from 6 to 30, with higher scores indicating higher levels of anxiety.
次要结局
- Serum Cortisol Level(The day before surgery and the morning of surgery)
- Perceived Quality of Perioperative Nursing Care(Postoperative day 3)
- Serum Cortisol(The day before surgery and the morning of surgery)
研究者
Zeynep Gürer
Principal Investigator
Uludag University