- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04525963
The Effect of Operating Room Nurse Visit Prior to Cardiac Surgery on Patients's Anxiety, Pain and Analgesic Use
Study Overview
Status
Intervention / Treatment
Detailed Description
Patients who will undergo cardiac surgery between 01 September 2020 and 01 April 2021 and meet the inclusion criteria will be able to participate in the study with their verbal and written consents. The assignment of the patients to the control or experimental group will be done with the random numbers table created using the generate number function in the Excel program. This study will be conducted in 64 patients (32 patients in each group) who will be operated in cardiac surgery at Istanbul Yeni Yüzyıl University GOP hospital. In order to determine the postoperative anxiety and pain management effects of the patient visit of the operating room nurse, the pre-test-post-test control group design will be made quasi-experimental in non-randomized groups. The variables of the study were anxiety, pain, and analgesic use. As data collection tools, 'Sampling Criteria Form' will be used for sampling and 'State Trait Anxiety Scale I-II ' will be used for anxiety assessment. "VAS (Visual Analogue Scale)" will be used for pain assessment, and "Analgesic Follow-up Form" developed by the researcher will be used for the recording of analgesics. The "Data Recording Form" created by the researcher will be used to record the demographic and medical data of the patients.
The researcher will apply the "State-Trait Anxiety Scale" to determine the level of anxiety after visiting the patient's room and obtaining verbal and written permission from the patient. If the patient is in the control group, it will be ensured that the institutional procedures are implemented and followed without any intervention (without visiting and verbal training printed booklet). In the experimental group,the operating room nurse, who is given intervention training , will be provided to visit the patient before surgery. After the verbal training of the operating room nurse, a printed booklet will be left for the patient to read. It will be ensured that the nurse visiting the patient in her room will be welcomed in the operating room. After the operation, the pain level of the patient will be monitored by the Visual Assessment Scale (VAS) in the intensive care and inpatient floor. Pain level and use of analgesics will be monitored at the first 72 hours and thereafter until the thoracic tubes are removed. The analgesics ordered for the patient will be recorded according to time, name, dose and route of administration. For these records, "Analgesic Registration Form" developed by the researcher will be used.Patients with prolonged intensive care stay (over 96 hours) and returning to intensive care will be excluded from the evaluation. If these patients are excluded from the study, an "intention to treat" (ITT) analysis will be performed to assess the realistic effect of the intervention. "State-Trait Anxiety Scale" will be applied again by the researcher on the 24th hour to determine the postoperative anxiety level of all patients.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Nurgül Arpag, MSC
- Phone Number: +905326319262
- Email: nurgul.deveci@ogr.iu.edu.tr
Study Contact Backup
- Name: Deniz S Öztekin, Prof.
- Phone Number: +905322705559
- Email: oztekin.deniz@gmail.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Between the ages of 18-75,
- Having surgery with a cardiopulmonary bypass (CPB)
- no psychiatric diagnosis and drug use
- first cardiovascular experience
- having elective and planned surgery
- being literate and speaking Turkish
- Patients who agree to participate in the study will be included in the study.
Exclusion Criteria:
- Emergency surgery,
- Being under the age of 18
- psychiatric diagnosis and drug use
- Not using cardiopulmonary bypass
- have previously had open heart surgery
- be illiterate
- not understanding and speaking Turkish
- staying in intensive care for more than 96 hours or returning to intensive care
- refuse to participate in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental: Intervention Arm
:In the experimental group,the operating room nurse, who is given intervention training , will be provided to visit the patient before surgery. After the verbal training of the operating room nurse, a printed booklet will be left for the patient to read. Assigned Interventions The level of anxiety experienced by the patients increases the postoperative perception and analgesic need, increasing the sequence and anesthetic substance. For these reasons, there is a need for studies to reduce pain distribution and severity by directly dealing with pre- and postoperative anxiety and anxiety levels. Similarly, the role of the operating room nurse in reducing patient anxiety is increasingly recognized. It is observed that the pre-operative visit and education reduce the pre-operative anxiety level in patients undergoing surgical intervention, and the pre-operative visit of the operating room nurse is on the agenda. |
The operating room nurse, who is given intervention training, will visit the patient before the operation.
After the oral training of the operating room nurse, a printed booklet will be left for the patient to read.
|
No Intervention: No Intervention
There will be no intervention in the control group.
The procedures of the institution will be applied before and after the operation.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
1. Anxiety before and after surgery / State Trait Anxiety Scale I-II' Score
Time Frame: In the preoperative period, the anxiety scale score will be evaluated within the last 18 hours. In the postoperative period, the anxiety scale score will be evaluated within the first 18 hours.
|
Anxiety severity will be assessment with 'State Trait Anxiety Scale I-II' State anxiety scale-I,it involves the marking of (1) none, (2) a little, (3) quite, (4) completely one of the options of the individual at a given moment according to the current emotions of the items of the scale. The trait anxiety scale-II, requires one out of four options to mark how the individual usually feels (1) almost never, (2) sometimes, (3) much time, (4) almost always. There are two types of expressions in the scales, are called direct or inverted expressions. Direct expressions, negative emotions; reversed expressions express positive feelings. |
In the preoperative period, the anxiety scale score will be evaluated within the last 18 hours. In the postoperative period, the anxiety scale score will be evaluated within the first 18 hours.
|
2. Postoperative pain severity
Time Frame: In the postoperative period, the severity of the pain is evaluated until the end of the first 24 hours.
|
Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst pain
|
In the postoperative period, the severity of the pain is evaluated until the end of the first 24 hours.
|
3. Measurement of postoperative analgesic use
Time Frame: The analgesics used in the postoperative period are evaluated until the end of the first 24 hours.
|
Monitoring analgesic use:time, name, type, dose, frequency and route of administration will be tracked with the Analgesic Registration form.
|
The analgesics used in the postoperative period are evaluated until the end of the first 24 hours.
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Denyan Mansuroğlu, Prof., Istanbul Yeni Yüzyıl University GOP Hospital
- Study Director: Deniz S Öztekin, Prof., Istanbul University - Cerrahpasa (IUC)
- Study Chair: Nurgül Arpag, MSC, Istanbul University - Cerrahpasa (IUC)
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NArpag
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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