Effect of Prehabilitation Protocol on Quality of Life After Thoracoscopic Surgery

Study Overview
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Brief Summary
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video-assisted thoracic surgery (VATS) is a new approach used in cardio thoracic surgery department instead of thoracotomy to treat several diseases.patients underwent thoracoscopic surgery without organized educational protocol either before or after the procedure. Therefore, this study will be the first clinical research which will increase patients' knowledge about thoracoscopy and decrease its complications.

Detailed Description
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The role of thoracic nursing specialty is to support and educate patients, who are suffering from thoracic diseases, to achieve the best outcome in terms of physical, psychological, social and spiritual well beings. The care provided not only focuses on in-hospital treatments that patient received, but also encompasses the whole patient journey including lifestyle modification, health concept promotion, self-empowerment and secondary prevention. Preoperative prophylactic physiotherapy has been shown to be an important and effective approach in preventing or reducing postoperative complications, in addition to optimizing treatment by familiarizing the patient with the physiotherapeutic procedures. Quasi experimental research design was utilized to conduct this study.Sixty adult patients undergoing thoracoscopic surgery included and had the following criteria, the age ranged from 18-65 years old, both male and female. The patients divided into two equal groups (study and control groups), 30 patients for each. The study group received educational nursing protocol while the control group received the routine hospital care.

Official Title
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Thoracoscopic Surgery: Effect of Designing and Implementing Educational Nursing Protocol on Patients Quality of Life

Conditions
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Thoracoscopy, Prehabilitation

Intervention / Treatment
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* Other: Educational nursing protocol
* Other: Routine hospital care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who undergoing thoracoscopic surgery Age 18-65 year patients who agree to participate in the study Exclusion Criteria: converting to thoracotomy patients refuse to participate

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: study group<br>receive educational nursing protocol | Other: Educational nursing protocol<br>* It is a booklet given to study group ,which contains Knowledge and practice about thoracoscopy, pre - post operative care and home care instructions<br>Other: Routine hospital care<br>* The routine care given by physicians and nurses after thoracoscopic surgery<br>|
| Active Comparator: control group<br>receive routine hospital care | Other: Routine hospital care<br>* The routine care given by physicians and nurses after thoracoscopic surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of prehabilitation on quality of life after thoracoscopic surgery | WHOQOL developed by WHO (2004). It contains 5 broad domains of QOL within which 18 facets are covered to determine the quality of life. These 5 domains include physical, social, psychological, environmental and perceived QOL. Within each domain several sub domains (facets) of QOL Summarize that particular domain of QOL.The scoring of these variables, a 3-point lickert scale on tables was adopted for the answer low QOL=0-3, moderate QOL=4-6, and high QOL =7-9. | after one month postoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| effect of prehabilitation on duration of hospital stay after thoracoscopic surgery | assess length of hospital stay postoperative for both groups | immediate post operative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Thoracoscopy, Educational nursing protocol, Quality of life