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
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Uludag University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Preoperative Anxiety Level
Overview
Brief Summary
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.
Detailed Description
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Investigator)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •• 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,
Exclusion Criteria
- •Undergoing emergency surgery
- •Who cannot speak and understand Turkish
- •Having a psychiatric diagnosis
Arms & Interventions
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.
Intervention: Nursing navigation program (Other)
Control
Participants in the control group will receive standard perioperative care according to routine clinical practice.
Outcomes
Primary Outcomes
Preoperative Anxiety Level
Time Frame: 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.
Secondary Outcomes
- Perceived Quality of Perioperative Nursing Care(Postoperative day 3)
- Serum Cortisol Level(The day before surgery and the morning of surgery)
Investigators
Zeynep Gürer
Principal Investigator
Uludag University