Discharge Education After Open Heart Surgery
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.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
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).
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Filiz Salman Saraç, PhD
- Numero di telefono: +902462113267
- Email: filizsalman@sdu.edu.tr
Luoghi di studio
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Isparta, Turchia (Türkiye), 32200
- Suleyman Demirel University Hospital
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Terapia di supporto
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: 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.
Altri nomi:
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Sperimentale: 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).
Altri nomi:
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Nessun intervento: Control Group
Routine care and routine discharge education of the clinic, including the clinic's standard discharge brochure given at discharge. No additional intervention. |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Self-efficacy at discharge
Lasso di tempo: From surgery to hospital discharge, an average of 7 days
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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
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Discharge readiness
Lasso di tempo: From surgery to hospital discharge, an average of 7 days
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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
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Self-efficacy at one month
Lasso di tempo: From hospital discharge to 1 month after discharge
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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
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Postoperative recovery
Lasso di tempo: From hospital discharge to 1 month after discharge
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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
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Hospital readmissions and emergency visits
Lasso di tempo: From hospital discharge to 1 month after discharge
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Number of hospital readmissions and emergency department visits after discharge, self-reported by telephone. |
From hospital discharge to 1 month after discharge
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Collaboratori e investigatori
Sponsor
Pubblicazioni e link utili
Pubblicazioni generali
- Cengiz H, Aygin D. Validity and reliability study of the Turkish version of the Postoperative Recovery Index of patients undergoing surgical intervention. Turk J Med Sci. 2019 Apr 18;49(2):566-573. doi: 10.3906/sag-1806-33.
- Avcı, S., & Karahan, A. (2013). Barnason etkililik beklenti ölçeği kardiyak cerrahi versiyonunun Türkiye için geçerlik ve güvenirliği. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 21(3), 691-698.
- Butler, S. F., Black, R. A., Techner, L., Fernandez, K. C., Brooks, D., Wood, M., & Katz, N. (2012). Development and validation of the post-operative recovery index for measuring quality of recovery after surgery. Journal of Anesthesia & Clinical Research, 3(12).
- Kaya S, Sain Guven G, Teles M, Korku C, Aydan S, Kar A, Kartal N, Koca GS, Yildiz A. Validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form. J Nurs Manag. 2018 Apr;26(3):295-301. doi: 10.1111/jonm.12547. Epub 2017 Nov 20.
- Weiss ME, Costa LL, Yakusheva O, Bobay KL. Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital. Health Serv Res. 2014 Feb;49(1):304-17. doi: 10.1111/1475-6773.12092. Epub 2013 Jul 16.
- Sahan D, Gezer N. Discharge Readiness and Self-Efficacy After Coronary Artery Bypass Surgery: The Power of Different Discharge Education Materials. Comput Inform Nurs. 2026 Sep 1;44(9):e01459. doi: 10.1097/CIN.0000000000001459.
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Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- TeachPod110/56
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Individual participant data will not be shared publicly; data are available from the corresponding author upon reasonable request.
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