Clinical trial NCT05316207: Tele-Nursing Follow-Up After Open Heart Surgery
Official title: Investigation of the Effect of Tele-Nursing on Anxiety And Complications in Patients With Open Heart Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Open Heart Surgery
Tele-nursing
Keywords: Anxiety
Complication
Readmission
Hospitalization
Lead sponsor: Hasan Kalyoncu University
Sponsor class: OTHER
First posted: 2022-04-07
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

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.


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.

Primary outcomes:
measure: Determination of change in anxiety levels between groups before discharge and one month after discharge
timeFrame: State and trait anxiety levels were measured 72 hours before discharge for all participants who met the inclusion criteria.State anxiety levels of all participants were measured one month after discharge.
Secondary outcomes:
measure: Rates of Complication Development
timeFrame: Complications developed in both groups were recorded at the end of the first week and the end of the fourth week after discharge.
Other outcomes:
Locations:
city: Gaziantep
country: Turkey
facility: Medical Park Hospital
state: Şahinbey
Study officials:
affiliation: Hasan Kalyoncu University
name: Kadiriye Pehlivan, MSc RN
role: PRINCIPAL_INVESTIGATOR
affiliation: Hasan Kalyoncu Üni̇versi̇tesi̇ University
name: Ayla Yava, Prof, RN
role: STUDY_DIRECTOR
References: