Determinating the Effect of Nursing Education Given Before Tympanoplasty Surgery on Postoperative Pain and Complications
NCT ID: NCT06717217
Last Updated: 2024-12-09
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
PHASE4
56 participants
INTERVENTIONAL
2024-12-05
2025-01-01
Brief Summary
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Nurses have performed numerous responsibilities in patient care. These tasks pertain to expediting recovery post-illness and maintaining health continuity. Discharge training is also incorporated into the processes implemented to meet these responsibilities. Discharge training seeks to expedite recovery and mitigate the onset of problems. Discharge training is essential for equipping surgical patients with the requisite information and abilities for post-discharge care.
Ear, Nose, and Throat (ENT) surgeries significantly influence persons' quality of life, as they impact hearing and balance, distinguishing them from other surgical interventions. Consequently, patient care and discharge education following ear surgery play a crucial role in recovery and health enhancement.
The ears serve as the organs of auditory perception and equilibrium. Tympanoplasty is performed on individuals with tympanic membrane perforations or ossicular chain injury that impairs hearing and balance. Tympanoplasty is a surgical intervention that entails the restoration of the ossicular chain (malleus, incus, stapes) and/or the installation of a fascia graft to restore auditory function.
This study aims to assess the impact of preoperative nurse education on postoperative pain and complication rates following tympanoplasty.
Detailed Description
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Based on the calculations conducted with the G Power 3.1 program, it was determined to include 56 patients in the trial, with 28 assigned to the experimental group and 28 to the control group. The experimental group is scheduled to receive ear care instruction alongside standard preoperative treatment. The control group will receive only standard treatment without any further interventions. The postoperative period will involve an assessment of pain and complication development in both groups during the early (first 24 hours) and late (first follow-up after discharge) phases.
The postoperative pain levels of the patients will be assessed using the Visual Analog Scale (VAS). The assessment will include pain within the first 24 hours postoperatively and early complications such as hemorrhage, hematoma, hypothermia, hyperthermia, tachycardia, nausea, vomiting, hypotension, hypertension, and alveolar collapse. Subsequent complications, including pain, delayed wound healing, wound infection characterized by erythema, localized hyperthermia, edema, wound dehiscence, abscess formation, necrosis at the wound site due to insufficient nutrition and improper closure, and cellulitis, will be assessed during the initial post-discharge evaluations.
Study Hypotheses H01: Nursing education provided before to tympanoplasty surgery does not influence postoperative pain levels.
H11:Nursing education administered before to tympanoplasty surgery influences postoperative pain levels.
H02:Nursing education provided before to tympanoplasty surgery does not influence postoperative complications.
H03:Nursing education provided prior to tympanoplasty surgery influences the occurrence of postoperative problems.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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CONTROL GROUP
No interventions assigned to this group
WORKING GROUP
NURSING EDUCATION GIVEN BEFORE TYMPANOPLASTY SURGERY
EAR CARE TRAINING
Interventions
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NURSING EDUCATION GIVEN BEFORE TYMPANOPLASTY SURGERY
EAR CARE TRAINING
Eligibility Criteria
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Inclusion Criteria
* Patients with literacy skills
* Individuals aged 18 to 65 years
* Individuals who have received tympanoplasty surgery
* Patients were monitored preoperatively and postoperatively at Hacettepe University Adult Hospital.
Criteria for Exclusion:
* Patients who declined to participate in the study
* Patients receiving tympanoplasty for cholesteatoma. Assessing the progression of issues in individuals diagnosed with cholesteatoma (abnormal skin epithelial growth in the middle ear cavity) is inappropriate due to the presence of repeated perforations and aberrant tissue proliferation.
* Individuals with psychological disorders
* Patients who are foreign nationals.
* Individuals with speech impairments and irreversible hearing loss
18 Years
65 Years
ALL
No
Sponsors
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Muğla Sıtkı Koçman University
OTHER
Responsible Party
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Şeyda KORKMAZ
Master's Degree Student
Central Contacts
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Şeyda Korkmaz, Master Degree Student
Role: CONTACT
Phone: +90 533 793 01 37
Email: [email protected]
References
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Ahmed Mohamed Eldesoky, H., & Mahmoud Mahmoud, H. (2019). Effect of Implementing a Nursing Management Protocol on Postoperative Health Outcomes for Patients undergoing Tympanoplasty. Egyptian Journal of Health Care, 10(4), 471-491
Millward, K. (2017). Ear care: an update for nurses (part 2). Practice Nursing, 28(8), 332-337
Kang E, Gillespie BM, Tobiano G, Chaboyer W. General surgical patients' experience of hospital discharge education: A qualitative study. J Clin Nurs. 2020 Jan;29(1-2):e1-e10. doi: 10.1111/jocn.15057. Epub 2019 Oct 17.
Jerofke T, Weiss M, Yakusheva O. Patient perceptions of patient-empowering nurse behaviours, patient activation and functional health status in postsurgical patients with life-threatening long-term illnesses. J Adv Nurs. 2014 Jun;70(6):1310-22. doi: 10.1111/jan.12286.
Miller MJ, Abrams MA, Earles B, Phillips K, McCleeary EM. Improving patient-provider communication for patients having surgery: patient perceptions of a revised health literacy-based consent process. J Patient Saf. 2011 Mar;7(1):30-8. doi: 10.1097/PTS.0b013e31820cd632.
Ronco M, Iona L, Fabbro C, Bulfone G, Palese A. Patient education outcomes in surgery: a systematic review from 2004 to 2010. Int J Evid Based Healthc. 2012 Dec;10(4):309-23. doi: 10.1111/j.1744-1609.2012.00286.x.
Gürhan, N., Yaman Sözbir, Ş., & Polat, Ü. (2020). Hemşirelik Alanında Kullanılan Kavram Beceri ve Modeller
Kostekli S, Celik S, Keskin E. Evaluation of the effect of endotracheal aspiration at different head heights on oxygenation of the brain by non-invasive method in intensive care patients. J Clin Nurs. 2022 Jun;31(11-12):1709-1720. doi: 10.1111/jocn.16314. Epub 2022 Mar 31.
Cohen FL. Postsurgical pain relief: patients' status and nurses' medication choices. Pain. 1980 Oct;9(2):265-274. doi: 10.1016/0304-3959(80)90013-5.
Other Identifiers
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MSKU-ENT-KORKMAZ-001
Identifier Type: -
Identifier Source: org_study_id