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
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 220
- 试验地点
- 2
- 主要终点
- 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).
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 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
- •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
排除标准
- •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
结局指标
主要结局
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).
时间窗: 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).
次要结局
未报告次要终点
研究者
Konstantinos Giakoumidakis
Associate Professor, Department of Nursing, School of Health Sciences, Hellenic Mediterranean University
Hellenic Mediterranean University
