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.
調査の概要
状態
詳細な説明
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).
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Filiz Salman Saraç, PhD
- 電話番号：+902462113267
- メール：filizsalman@sdu.edu.tr
研究場所
-
-
-
Isparta、トルコ（Türkiye）、32200
- Suleyman Demirel University Hospital
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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.
他の名前：
|
|
実験的：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).
他の名前：
|
|
介入なし：Control Group
Routine care and routine discharge education of the clinic, including the clinic's standard discharge brochure given at discharge. No additional intervention. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Self-efficacy at discharge
時間枠：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
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Discharge readiness
時間枠：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
時間枠：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
時間枠：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
時間枠：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
|
協力者と研究者
出版物と役立つリンク
一般刊行物
- 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.
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- TeachPod110/56
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
Individual participant data will not be shared publicly; data are available from the corresponding author upon reasonable request.
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。