Tele-Nursing Follow-Up After Open Heart Surgery

NCT ID: NCT05316207

Last Updated: 2022-04-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 75 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-11-01
• Study Completion Date: 2021-04-21

Brief Summary

Introduction: Failure to follow-up patients by healthcare professionals after discharge may increase the development of anxiety and complications in patients.

Aim: The aim of this study is to determine the effects of tele-nursing method to patients who have undergone Open Heart Surgery (OHS) after discharge on anxiety and some other complications.

Material and Methods:This quasi-experimental randomized controlled study, which was conducted in a private hospital between November 2020 and April 2021, included 75 patients, 38 from the Intervention (IG) and 37 from the Control Group (KG). IG and CG patients were provided routine treatment and care. In addition to the IG, training and counselling were provided at least four times by phone calls between the first week after discharge and the end of the first month. Descriptive Form and State-Trait Anxiety Inventory (STAI-S and T) were administered to all patients before discharge, and STAI-S was administered at the end of the first month after discharge. Post-discharge complications were evaluated by medical doctor in both groups. These data, number of hospitalization and readmission rates were obtained from hospital records.

Conditions

Open Heart Surgery; Tele-nursing

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Intervention Group

IG was formed from 40 patients who received routine care, treatment and education services of the clinic after open heart surgery, and whose routine controls were determined by the randomization method. The patients in the IG would call by the researcher at least four times, at the end of the first, second, third and fourth weeks after discharge, to provide education and counseling via tele-nursing. In these phone calls, the current problems of the patient, if any, and the issues that should be paid attention to during the home care process after open heart surgery were explained.It was stated that, unlike the patients in CG, patients in IG would be called by the researcher at least four times at the end of the first, second, third and fourth weeks after discharge to provide education and counseling via tele-nursing.

Group Type: ACTIVE_COMPARATOR

Telenursing

Intervention Type: OTHER

From the end of the first week after discharge to the end of the first month, patients were counseled over the phone during the home process. Complications were followed up.

Control Group

The patients in the CG were formed from 40 patients who received routine care, treatment and education services of the clinic after open heart surgery, and who were determined by the randomization method, whose routine controls were made after discharge. No application was made to the patients in the CG by the researcher within the scope of the study. However, the researcher gave the phone number to the patients in the CG in terms of their right to receive ethical and professional care, and it was stated that they could call between 10:00 and 22:00 if needed. The reasons for calling the investigator from the CG were recorded .

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Telenursing

From the end of the first week after discharge to the end of the first month, patients were counseled over the phone during the home process. Complications were followed up.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Eighteen years and older,
• Able to speak and understand Turkish,
• Without hearing, comprehension, vision and speech problems,
• Open heart surgery for the first time,
• Those who were not diagnosed with depression or anxiety disorder before surgery and didn't use medication for this purpose,
• Having a mobile phone that can take photos by herself/himself or her/his attendants,
• No serious complications to delay hospital discharge,
• Patients who volunteered to participate were included in the study.

Exclusion Criteria

Patients who wished to withdraw from the study after volunteering were excluded from the study.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hasan Kalyoncu University

OTHER

Sponsor Role: lead

Responsible Party

Kadiriye Pehlivan

Principal Investigator, Research Assistant

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kadiriye Pehlivan, MSc RN

Role: PRINCIPAL_INVESTIGATOR

Hasan Kalyoncu University

Ayla Yava, Prof, RN

Role: STUDY_DIRECTOR

Hasan Kalyoncu Üni̇versi̇tesi̇ University

Locations

Medical Park Hospital

Gaziantep, Şahinbey, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

TelenursingOHS

Identifier Type: -

Identifier Source: org_study_id