The Effect of Care Protocol on the Outcomes of Patients With Lung Surgery
2021년 7월 23일 업데이트: Dilara Soydan, Mersin University
Improving Pulmonary Function The Effect of Care Protocol on the Outcomes of Patients With Thoracotomy
This randomized controlled trial evaluates the effect of the care protocol, which consists of independent nursing interventions, which play an important role in accelerating the recovery process of the patient, such as the patient's position, mobilization, use of spirometry, and providing shoulder exercises after thoracotomy.
The hypothesis of this research is; the care protocol applied to the patients after thoracotomy has an effect on the patients' pulmonary function tests (FVC, FEV1, FEV1/FVC) and on the mobilization of the patients, the development of complications, the time of chest tube removal and the discharge
연구 개요
상세 설명
Methods: In the study, 80 patients were randomly assigned to the study and control groups.
Nursing interventions will be applied to the patients included in the study group (n=40), starting from the 0th day (the first day spent in the intensive care unit) after the thoracotomy in line with the prepared care protocol application steps until discharge.
maintenance protocol; It will consist of position of the patient, mobilization, use of spirometer and shoulder exercises.
The primary outcome of the research is the effect of the maintenance protocol used in the improvement of respiratory function on respiratory function tests.
The secondary outcome of the research is to determine the effect of the care protocol on mobilization, complication development status, chest tube removal and discharge time in patients.
The results are obtained by recording PFT values on the 1st, 5th and discharge days before and after thoracotomy.
Postoperative (0.,1.,2.,3.,4.,5.) days and discharge day; mobilization, complication development status, chest tube removal time and discharge date will be recorded on the Patient Results Form.
연구 유형
중재적
등록 (예상)
80
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
- 이름: DİLARA SOYDAN, Master
- 전화번호: 03243610001
- 이메일: dilarasoydan@hotmail.com
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
예
연구 대상 성별
모두
설명
Inclusion Criteria:
- Accepting to participate in the research,
- 18 years and older,
- Conscious, oriented and cooperative,
- Able to speak and understand Turkish,
- Does not have any psychiatric disease,
- Elective thoracotomy performed,
- Chest tube inserted,
- Patients who were followed up in the intensive care unit on the first day after surgery and admitted to the clinic the next day
- Patients without a history of metastatic disease
Exclusion Criteria:
- Those who do not accepted to participate in the research,
- Under 18 years of age,
- Unconscious, without orientation and cooperation,
- Who cannot speak or understand Turkish,
- Having a psychiatric problem,
- Non thoracotomy
- Non chest tube,
- Metastatic disease,
- Emergency thoracotomy applied,
- Patients staying in the intensive care unit for more than one day.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
간섭 없음: Control group
In the control group (n=40), interventions for the position, mobilization and spirometry of the patient are applied to all patients in the clinic where the study was conducted.
However, these applications are not made in accordance with a certain order and protocol.
Shoulder exercises are not routinely taught to patients.
In the study, no additional application will be made to the control group other than the routine treatment and care practice of the clinic.
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|
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실험적: Intervention
Care protocol will be applied to the study group (n=40), starting from the first day spent in the intensive care unit.Care protocol consists of patient's position, mobilization, use of spirometer and shoulder exercises.
The bed head of the patient will be raised 30°-45° in line with the application steps.
In the study, the patient's in-bed and out-of-bed mobilization will be provided by considering the mobilization application steps, and the patient will be asked to stay out of bed for two hours on the 0 th day after surgery.
The patient will be asked to stay out of bed for six hours from the first postoperative day until discharge.
After the thoracotomy, the conditions that the doctor considers as complications will be recorded.The time of chest tube removal and the day of discharge will be recorded.
In the study, the use of spirometry and shoulder exercises will be carried out by taking into account the implementation steps of the care protocol.
|
Before starting the application, the investigator (DS) will fill out the Introductory Characteristics Form of all patients, the Pre-thoracotomy Pulmonary Function Test (PFT) section of the Patient Results Form. The PFT section will be re-evaluated on the 1st, 5th day and on the day of discharge after thoracotomy. Nursing interventions will be applied to the study group (n=40), starting from the 0th day (the first day spent in the intensive care unit) after the thoracotomy in line with the prepared care protocol application steps until discharge. Care protocol consists of patient's position, mobilization, use of spirometer and shoulder exercises. |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Pulmonary function test values evaluated using the care protocol
기간: Change from before implementation preoperative and postoperative (1.,5.) days and an average of 2 weeks
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Pulmonary function tests.
Pulmonary function tests will be measured with a portable pulmonary function tester.
In the evaluation, FVC (%), FEV1 (%) and FEV1/FVC (%) parameters will be used
|
Change from before implementation preoperative and postoperative (1.,5.) days and an average of 2 weeks
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Mobilization evaluated using the care protocol
기간: Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
In the study, the patient's in-bed and out-of-bed mobilization will be provided by considering the mobilization application steps, and the patient will be asked to stay out of bed for two hours on the 0 th day after surgery.
In the clinic, the patient will be mobilized in line with the mobilization application steps.
The patient will be asked to stay out of bed for six hours from the first postoperative day until discharge.
The steps taken will be recorded with the pedometer
|
Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
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Prevention of complications evaluated using the care protocol
기간: Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
After the thoracotomy, the conditions that the doctor considers as complications (atelectasis, pneumonia, air leak, bronchospasm, subcutaneous emphysema, atrial fibrillation) will be recorded and daily evaluation will be made.
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Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
|
Chest tube removal evaluated using the care protocol
기간: Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
The time of chest tube removal and the day will be recorded in the Patient Results Form
|
Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
|
Discharge time evaluated using the care protocol
기간: Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
The time of discharge will be recorded in the Patient Results Form
|
Change from before implementation and postoperative (0.,1.,2.,3.,4.,5.) days and an average of 2 weeks
|
공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 연구 책임자: GÜLAY ALTUN UĞRAŞ, Doctorate, Researcher
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (예상)
2021년 8월 28일
기본 완료 (예상)
2022년 8월 28일
연구 완료 (예상)
2022년 12월 30일
연구 등록 날짜
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2021년 7월 7일
QC 기준을 충족하는 최초 제출
2021년 7월 23일
처음 게시됨 (실제)
2021년 7월 27일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2021년 7월 27일
QC 기준을 충족하는 마지막 업데이트 제출
2021년 7월 23일
마지막으로 확인됨
2021년 7월 1일
추가 정보
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