Educational Intervention for Patients Undergoing Cardiac Surgery (CARDIO-EDU)
Effectiveness of a Nursing Intervention for the Preparation and Follow-up of Patients Undergoing Cardiovascular Surgery. Design and Evaluation of a Nursing Educational Program for the Preparation and Follow-up of Patients Undergoing Cardiovascular Surgery.
Cardiovascular surgery is associated with high levels of anxiety, uncertainty, and postoperative complications. Educational interventions led by nurses may improve patients' psychological adaptation, self-care abilities, and recovery outcomes.
This randomized controlled trial aims to evaluate the effectiveness of a nurse-led educational program designed to prepare and support patients undergoing cardiovascular surgery. Participants are randomly assigned to either an intervention group receiving a structured perioperative educational program or a control group receiving usual care.
The primary outcome is anxiety. Secondary outcomes include posoperative complications, patient satisfaction, pain intensity, length of ICU Stay, length of Hospital Stay, Body Mass Index, blood pressure, fasting blood glucose, Glycated Hemoglobin (HbA1c) and total Cholesterol. Participants are followed for six months after surgery.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Patients undergoing cardiovascular surgery frequently experience anxiety and uncertainty before surgery and during postoperative recovery. Adequate preparation and follow-up may improve psychological well-being, promote self-care, and facilitate recovery.
This single-center randomized controlled trial evaluates a nurse-led educational intervention for patients undergoing elective cardiovascular surgery at Hospital Clínic de Barcelona. The intervention includes structured education and follow-up throughout the perioperative period, focusing on preparation for surgery, postoperative recovery, self-care, symptom management, and lifestyle recommendations.
Participants are randomly allocated to either the intervention group or the usual care group. Outcomes are assessed at baseline, during hospitalization, and during follow-up up to six months after surgery.
The primary outcome is anxiety measured using validated assessment instruments. Secondary outcomes include self-efficacy, self-care capacity, health-related quality of life, postoperative complications, hospital readmissions, healthcare utilization, and patient satisfaction.
The study aims to determine whether a structured nurse-led educational program improves psychological, behavioral, and clinical outcomes in patients undergoing cardiovascular surgery.
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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Barcelona
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Barcelona, Barcelona, Spagna, 08036
- Hospital Clinic de Barcelona
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Adults aged 18 years or older.
- Patients undergoing first-time cardiac surgery.
- Ability to understand and communicate in Spanish or Catalan.
- Provision of written informed consent.
Exclusion Criteria:
- Refusal or inability to provide informed consent.
- Previous cardiovascular surgery.
- Transcatheter aortic valve implantation (TAVI) or other percutaneous procedures.
- Cardiogenic shock before surgery requiring sedation and endotracheal intubation.
- Psychiatric disorders requiring treatment, including anxiety disorders, depression, alcoholism, dementia, psychosis, schizophrenia, amnesia, or personality disorders.
- Severe chronic diseases, including cirrhosis, hepatitis B or C, HIV/AIDS, Parkinson's disease, severe autoimmune disorders, blindness, or severe hearing impairment.
- Intensive care unit stay longer than 15 days after surgery.
- Death during hospitalization, including perioperative mortality.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Altro
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Nessun intervento: Gruppo di controllo
Solita cura
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Sperimentale: Experimental Group
Nurse-Led Educational Intervention
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A structured nurse-led educational program delivered throughout the perioperative period for patients undergoing cardiovascular surgery.
The intervention included preoperative education, preparation for surgery, postoperative recovery guidance, self-care education, symptom management, lifestyle recommendations, and follow-up support after hospital discharge.
The program aimed to reduce anxiety and improve self-efficacy, self-care, and recovery outcomes.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Anxiety
Lasso di tempo: Baseline through 6 months after surgery
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Anxiety assessed using the Hospital Anxiety and Depression Scale (HADS).
Total HADS scores range from 0 to 42, with higher scores indicating greater emotional distress.
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Baseline through 6 months after surgery
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Postoperative Complications
Lasso di tempo: From surgery until 6 months post-surgery
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Number and type of postoperative complications during hospitalization and within 6 months after cardiovascular surgery, including atrial fibrillation, hypotension, hypertension, acute kidney injury, acute respiratory distress syndrome, surgical wound infection, delirium, and hospital readmission.
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From surgery until 6 months post-surgery
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Pain Intensity
Lasso di tempo: Hospitalization through 6 months post-surgery
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Pain assessed using the Numeric Rating Scale (NRS/EVN) during hospitalization and follow-up.
Scores range from 0 (no pain) to 10 (worst imaginable pain), with higher scores indicating greater pain intensity.
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Hospitalization through 6 months post-surgery
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Patient Satisfaction
Lasso di tempo: 6 months post-surgery
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Patient satisfaction with perioperative education, preparation, support, and follow-up measured using a study-specific questionnaire.
Scores range from 0 to 40, with higher scores indicating greater satisfaction.
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6 months post-surgery
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Length of ICU Stay
Lasso di tempo: From ICU admission after surgery until ICU discharge during the index hospitalization (up to 15 days after surgery).
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Number of days spent in the intensive care unit after cardiovascular surgery.
From ICU admission after surgery until ICU discharge, during the index hospitalization.
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From ICU admission after surgery until ICU discharge during the index hospitalization (up to 15 days after surgery).
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Length of Hospital Stay
Lasso di tempo: From hospital admission until hospital discharge (up to 30 days after surgery)
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Total number of days hospitalized following cardiovascular surgery.
From hospital admission (previous day of surgery) until hospital discharge.
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From hospital admission until hospital discharge (up to 30 days after surgery)
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Body Mass Index
Lasso di tempo: Baseline, hospital admission, and 6 months post-surgery
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Change in body mass index measured before surgery and at follow-up.
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Baseline, hospital admission, and 6 months post-surgery
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Blood Pressure
Lasso di tempo: Baseline, hospital admission, and 6 months post-surgery
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Change in blood pressure measured before surgery and at follow-up.
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Baseline, hospital admission, and 6 months post-surgery
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Fasting Blood Glucose
Lasso di tempo: Baseline, hospital admission, and 6 months post-surgery
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Change in fasting blood glucose measured before surgery and at follow-up.
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Baseline, hospital admission, and 6 months post-surgery
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Glycated Hemoglobin (HbA1c)
Lasso di tempo: Baseline, hospital admission, and 6 months post-surgery
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Change in glycated hemoglobin levels measured before surgery and at follow-up.
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Baseline, hospital admission, and 6 months post-surgery
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Total Cholesterol
Lasso di tempo: Baseline, hospital admission, and 6 months post-surgery
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Change in total cholesterol levels measured before surgery and at follow-up.
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Baseline, hospital admission, and 6 months post-surgery
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Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Anna Farrús Torrella, RN, MSc, PhD Candidate, Hospital Clínic de Barcelona/Universitat de Barcelona
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- CARDIO-EDU-2023
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