Clinical trial NCT03915093: Effect of Prehabilitation Protocol on Quality of Life After Thoracoscopic Surgery
Official title: Thoracoscopic Surgery: Effect of Designing and Implementing Educational Nursing Protocol on Patients Quality of Life
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Thoracoscopy
Prehabilitation
Keywords: Thoracoscopy
Educational nursing protocol
Quality of life
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2019-04-16
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Effect of prehabilitation on quality of life after thoracoscopic surgery
timeFrame: after one month postoperative
Secondary outcomes:
measure: effect of prehabilitation on duration of hospital stay after thoracoscopic surgery
timeFrame: immediate post operative
Other outcomes:
Locations:
city: Assiut
country: Egypt
facility: Assiut U
Study officials:
affiliation: faculty of medicine
name: Hussein El Khayat
role: STUDY_DIRECTOR
affiliation: faculty of nursing
name: Sahra Azer
role: STUDY_DIRECTOR
affiliation: faculty of nursing
name: Magda Mohamed
role: STUDY_DIRECTOR
References:
citation: Yeung WW. Post-operative care to promote recovery for thoracic surgical patients: a nursing perspective. J Thorac Dis. 2016 Feb;8(Suppl 1):S71-7. doi: 10.3978/j.issn.2072-1439.2015.10.68.
citation: Gao K, Yu PM, Su JH, He CQ, Liu LX, Zhou YB, Pu Q, Che GW. Cardiopulmonary exercise testing screening and pre-operative pulmonary rehabilitation reduce postoperative complications and improve fast-track recovery after lung cancer surgery: A study for 342 cases. Thorac Cancer. 2015 Jul;6(4):443-9. doi: 10.1111/1759-7714.12199. Epub 2014 Dec 22.