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E-Health-Supported Preoperative Education

10. maj 2026 opdateret af: Sema Nur YAMAN ÇELİK, Dokuz Eylul University

EVALUATION OF THE EFFECTIVENESS OF PRE-OPERATIVE EDUCATION PROVIDED TO PATIENTS UNDERGOING CHEST SURGERY VIA AN E-HEALTH APPLICATION: A RANDOMIZED CONTROLLED STUDY

In the context of patient education, the integration of mobile applications-an e-health modality-among healthcare professionals and patients has garnered significant attention alongside technological advancements. Mobile applications offer distinct advantages, notably the vast global population capable of accessing and utilizing these digital tools. A study evaluating the impact of mobile applications on the recovery of patients undergoing ambulatory surgery demonstrated that the quality of recovery was superior in the intervention group. In research investigating mobile application-based education following breast cancer surgery, significant improvements were observed in pain levels, affected shoulder functions, and anxiety levels within the intervention group .

Among patients undergoing cardiac surgery, 98% of those who received education via a mobile application reported that the application was beneficial to their recovery process . Furthermore, in a study involving a mobile application for patients undergoing heart valve surgery, the intervention group exhibited significantly lower probabilities of hospitalization, emergency department visits, and complications . An integrative review of mobile applications in the health education of surgical patients noted that while research has involved bariatric, orthopedic, colorectal, mastectomy, urological, and neurological surgical patients, there is an emphasized need for further nursing research utilizing emerging communication technologies.

To date, no studies evaluating the effectiveness of preoperative education delivered via mobile application for patients undergoing thoracic surgery have been identified. Initiating preoperative preparation for patients scheduled for thoracic surgery is anticipated to positively influence postoperative recovery and quality of life, highlighting the necessity for research in this domain.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

128

Fase

  • Ikke anvendelig

Kontakter og lokationer

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

Studiesteder

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

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Patients aged 18 years and older
  • Patients with full spatial and temporal orientation
  • Patients without significant hearing or vision impairments
  • Patients with the ability to read and write
  • Patients scheduled for elective thoracic surgery due to a lung mass
  • Patients who voluntarily agree to participate and provide written informed consent
  • Patients who own and can operate a smartphone

Exclusion Criteria:

  • Patients scheduled for emergency thoracic surgery
  • Patients with physical limitations that prevent mobilization or participation in study tests
  • Patients with cognitive impairments (as they may fail to provide accurate data via the app)

Studieplan

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

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: E-health preoperative education
E-health education group
Andet: E-health education
Preoperative education provided to patients via a mobile e-health application including video-based and written educational content developed based on current thoracic surgery guidelines.
Ingen indgriben: Control
Standard care group

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Health-Related Quality of Life (EQ-5D-5L)
Tidsramme: 10 days before surgery and 10 days after surgery.
Health-related quality of life will be assessed using the Turkish version of the EQ-5D-5L scale. The scale consists of two parts: a descriptive system covering five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and the EQ Visual Analogue Scale (EQ VAS). The descriptive system provides a health state profile across five levels for each dimension. The EQ VAS is a vertical 0-100 scale where 0 represents "the worst health you can imagine" and 100 represents "the best health you can imagine." Assessments will be conducted 10 days before surgery and 10 days after surgery. The study will utilize the official Turkish translation provided by the EuroQol Research Foundation.
10 days before surgery and 10 days after surgery.
Postoperative Physical Capacity (6-Minute Walk Test)
Tidsramme: Day 3 post-operatively
Postoperative physical capacity will be evaluated using the 6-Minute Walk Test (6MWT). This test measures the maximum distance (in meters) a patient can walk at a self-selected pace on a flat surface in 6 minutes. The mobilization levels and total walking time (in minutes) will also be recorded to compare the physical recovery and functional capacity between the intervention group (mobile app-based training) and the control group (standard training).
Day 3 post-operatively
Postoperative Pulmonary Complications
Tidsramme: Day 3 post-operatively
Evaluation of respiratory complications based on clinical signs and laboratory findings. A complication is defined as meeting two or more criteria, including respiratory distress, abnormal breath sounds, and abnormal white blood cell counts (leukopenia or leukocytosis) according to standard clinical reference ranges.
Day 3 post-operatively
State Anxiety Inventory (STAI-I)
Tidsramme: 10 days before surgery and Day 3 post-operatively
The State Anxiety Inventory (STAI-I) is a 20-item self-report scale that measures current anxiety. Scores range from 20 to 80, with higher scores indicating higher anxiety levels. It uses a 4-point Likert-type scale for each item.
10 days before surgery and Day 3 post-operatively
Length of Hospital Stay
Tidsramme: From the date of surgery until the date of hospital discharge
The length of hospital stay (measured in days) will be recorded and compared between the intervention and control groups. The duration will be calculated from the day of surgery until the day of discharge. Data will be obtained from the patients' medical records after discharge to evaluate whether mobile application-based training has an impact on the timing of clinical recovery and hospital resource utilization.
From the date of surgery until the date of hospital discharge

Samarbejdspartnere og efterforskere

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

Sponsor

Dokuz Eylul University

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.

Generelle publikationer

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 (Faktiske)

18. oktober 2024

Primær færdiggørelse (Faktiske)

22. september 2025

Studieafslutning (Faktiske)

22. september 2025

Datoer for studieregistrering

Først indsendt

22. april 2026

Først indsendt, der opfyldte QC-kriterier

10. maj 2026

Først opslået (Faktiske)

14. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

14. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. maj 2026

Sidst verificeret

1. oktober 2025

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • E-14585038-21201-113088

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

De-identified individual participant data (IPD) including demographic characteristics, outcome measures, and questionnaire responses collected during the study will be shared. All data will be anonymized and will not contain any personally identifiable information.

IPD-delingstidsramme

IPD will be available upon reasonable request to the corresponding investigator following publication of the study results. Data will be shared for scientific research purposes only, after approval of a proposal and with a signed data use agreement.

IPD-delingsadgangskriterier

De-identified individual participant data (IPD) and supporting documents will be available to researchers for scientific research purposes. Access will be granted upon reasonable written request to the corresponding investigator, subject to approval of a research proposal and signing of a data use agreement. Shared materials will be limited to anonymized datasets and relevant study documents (e.g., study protocol, statistical analysis plan). Data will be provided through a secure electronic system.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • ANALYTIC_CODE

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Thoraxkirurgi

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