Nurse Empathic Behaviour to Reduce the Fear in Patients of Preoperative Cardiac Surgery

Study Overview
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Brief Summary
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The objective was to compare the frequency and intensity of symptoms of fear in patients of preoperative cardiac surgery who received empathic behaviour from nurse or those who received no specific type of empathic behaviour. This is a randomized clinical trial. The sample consisted of 44 patients in preoperative of cardiac surgery, who were divided in two groups: empathic behaviour by nurses and without specific empathic behaviour. Fear was assessed at two time points: before and after the intervention. The instrument used was developed and validated, comprising 15 defining characteristics of the nursing diagnosis fear. The hypothesis is that the group who received empathic behaviour from nurse will reduce the anxiety.

Detailed Description
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Primary outcome is fear. Fear was assessed by a nurse using of an instrument developed and validated previous, based on 15 defining characteristics described by North American Nursing Diagnosis Association for the nursing diagnosis fear: apprehension, increased tension, exciting, nervousness, verbalization of fear (expressed concern), increased pulse, nausea, vomiting, fatigue, abnormal respiratory rate, increased perspiration, dry mouth, fear of death (reported), crying and impaired bowel motility. Patients were evaluated for the presence and absence of these fear symptoms through scores: 0 (no symptom) and 1 (presence of symptom). For analysis of the results was carried out the sum of the scores of each symptom, ranging from 0 to 15, with the higher the score, the greater was the fear symptoms presented by the patient.

Official Title
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Nurse Empathic Behaviour to Reduce the Fear in Patients of Preoperative Cardiac Surgery

Conditions
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Cardiovascular Disease

Intervention / Treatment
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* Behavioral: Empathic behaviour by nurses


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients older than 18 years Patient who agreed to participate in the study by signing the consent form at least 24 hours prior to surgery Exclusion Criteria: Patients in preoperative cardiac transplantation Patients who did not have at least two defining characteristics of the nursing diagnosis fear Patients using anxiolytics Smokers and / or patients who drank any amount of alcohol daily

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Empathic behaviour by nurses<br>Patients who received empathic behaviour was performed by a trained nurse. | Behavioral: Empathic behaviour by nurses<br>* Control group: patients without specific empathic behaviour Intervention group: patients who received the empathic behaviour was performed by a trained nurse.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The primary outcome was Fear. | Fear was assessed by a nurse using an instrument developed and validated previous, based on 15 defining characteristics described by North American Nursing Diagnosis Association for the nursing diagnosis fear: apprehension, increased tension, exciting, nervousness, verbalization of fear (expressed concern), increased pulse, nausea, vomiting, fatigue, abnormal respiratory rate, increased perspiration, dry mouth, fear of death (reported), crying and impaired bowel motility. Patients were evaluated for the presence and absence of these fear symptoms through scores: 0 (no symptom) and 1 (presence of symptom). For analysis of the results was carried out the sum of the scores of each symptom, ranging from 0 to 15, with the higher the score, the greater was the fear symptoms presented by the patient. | Participants were followed for the duration of preoperative period, an expected average of 4 days. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fear; Thoracic Surgery; Nursing Care; Preoperative Care