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Discharge Education After Open Heart Surgery

11. november 2026 opdateret af: Filiz Salman Saraç, Suleyman Demirel University

Teach-Back Method and Podcast for Discharge Education After Open Heart Surgery: Randomized Controlled Trial

The aim of this study is to determine the effect of discharge education delivered by the teach-back method and by podcast on discharge readiness, self-efficacy, and postoperative recovery in patients undergoing open heart surgery. Ninety patients will be randomly assigned to a teach-back group, a podcast group, or a control group receiving routine care. Discharge readiness and self-efficacy will be measured on the day of discharge, and self-efficacy and postoperative recovery will be measured one month after discharge.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This three-arm, parallel-group randomized controlled trial (1:1:1) will enroll 90 adults undergoing first-time elective open heart surgery at University hospital in Turkey. The education content, covering wound care, pain, medications, daily activities, nutrition, psychological status, warning signs, and mechanical valve care, was reviewed by 5 experts. On the day before discharge, the teach-back group will receive education with the teach-back method, and the podcast group will listen to an audio recording of the same content. The control group will receive routine care. All patients will receive the clinic's standard brochure after discharge-day measurements. Randomization uses permuted blocks of varying sizes with sealed opaque envelopes, and outcomes will be assessed by a researcher on the day of discharge (face to face) and one month after discharge (by telephone).

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

90

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

      • Isparta, Tyrkiet (Türkiye), 32200
        • Suleyman Demirel University Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Aged 18 years or older
  • Undergoing first-time elective open heart surgery
  • Speaks and understands Turkish
  • Literate and able to communicate verbally
  • Hemodynamically stable in the postoperative period
  • Discharge planned

Exclusion Criteria:

  • Any condition that may affect communication ability (e.g., dementia, Alzheimer's disease, cognitive impairment, schizophrenia)
  • Diagnosed neurological and/or psychiatric disorder
  • Severe visual or hearing impairment
  • Repeat surgery during the same hospitalization
  • Postoperative complication affecting communication
  • Sharing a room with another patient who has undergone open heart surgery

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Teach-Back Group

Discharge education delivered using the prepared education content on the day before discharge. Patients explain the information in their own words; missing or incorrect information is repeated until the patient demonstrates understanding. The clinic's standard discharge brochure is given at discharge.

Discharge education is given individually by the researcher on the day before discharge using the prepared education content (wound care, pain management, medication use, activities of daily living, compression stockings and sternal support vest, nutrition, psychological status, warning signs, and mechanical valve care). After the session, the patient explains the information in their own words; missing or incorrect information is re-taught until the patient demonstrates understanding.

Andre navne:
  • Teach-back method
Eksperimentel: Podcast Group

The same education content recorded as audio and played to patients on the day before discharge. The clinic's standard discharge brochure is given at discharge.

The same education content is recorded as audio and played to the patient on the day before discharge. The audio material was evaluated by 5 experts using the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V).

Andre navne:
  • Audio-recorded discharge education
Ingen indgriben: Control Group

Routine care and routine discharge education of the clinic, including the clinic's standard discharge brochure given at discharge. No additional intervention.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Self-efficacy at discharge
Tidsramme: From surgery to hospital discharge, an average of 7 days

Barnason Efficacy Expectation Scale-Cardiac Surgery Version (15 items, 4-point Likert; total score 15-60). Higher scores indicate higher self-efficacy expectation.

From surgery to hospital discharge, an average of 7 days

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Discharge readiness
Tidsramme: From surgery to hospital discharge, an average of 7 days

Readiness for Hospital Discharge Scale-Short Form (8 items, 0-10; mean score). Higher scores indicate greater readiness for discharge.

From surgery to hospital discharge, an average of 7 days
Self-efficacy at one month
Tidsramme: From hospital discharge to 1 month after discharge

Barnason Efficacy Expectation Scale-Cardiac Surgery Version, administered by telephone. Higher scores indicate higher self-efficacy expectation.

From hospital discharge to 1 month after discharge
Postoperative recovery
Tidsramme: From hospital discharge to 1 month after discharge

Postoperative Recovery Index, Turkish version (25 items, 5 subscales; mean score). Higher scores indicate greater difficulty in recovery.

From hospital discharge to 1 month after discharge
Hospital readmissions and emergency visits
Tidsramme: From hospital discharge to 1 month after discharge

Number of hospital readmissions and emergency department visits after discharge, self-reported by telephone.

From hospital discharge to 1 month after discharge

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

15. november 2026

Primær færdiggørelse (Anslået)

30. december 2027

Studieafslutning (Anslået)

30. december 2027

Datoer for studieregistrering

Først indsendt

3. november 2026

Først indsendt, der opfyldte QC-kriterier

11. november 2026

Først opslået (Faktiske)

12. november 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

11. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • TeachPod110/56

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Individual participant data will not be shared publicly; data are available from the corresponding author upon reasonable request.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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