Open Heart Surgery, Tele-nursing
Conditions
Keywords
Anxiety, Complication, Readmission, Hospitalization
Brief summary
Introduction: Failure to follow-up patients by healthcare professionals after discharge may increase the development of anxiety and complications in patients. Aim: The aim of this study is to determine the effects of tele-nursing method to patients who have undergone Open Heart Surgery (OHS) after discharge on anxiety and some other complications. Material and Methods:This quasi-experimental randomized controlled study, which was conducted in a private hospital between November 2020 and April 2021, included 75 patients, 38 from the Intervention (IG) and 37 from the Control Group (KG). IG and CG patients were provided routine treatment and care. In addition to the IG, training and counselling were provided at least four times by phone calls between the first week after discharge and the end of the first month. Descriptive Form and State-Trait Anxiety Inventory (STAI-S and T) were administered to all patients before discharge, and STAI-S was administered at the end of the first month after discharge. Post-discharge complications were evaluated by medical doctor in both groups. These data, number of hospitalization and readmission rates were obtained from hospital records.
Interventions
OTHERTelenursing
From the end of the first week after discharge to the end of the first month, patients were counseled over the phone during the home process. Complications were followed up.
Sponsors
Hasan Kalyoncu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
Intervention group and control group
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Eighteen years and older, * Able to speak and understand Turkish, * Without hearing, comprehension, vision and speech problems, * Open heart surgery for the first time, * Those who were not diagnosed with depression or anxiety disorder before surgery and didn't use medication for this purpose, * Having a mobile phone that can take photos by herself/himself or her/his attendants, * No serious complications to delay hospital discharge, * Patients who volunteered to participate were included in the study.
Exclusion criteria
Patients who wished to withdraw from the study after volunteering were excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determination of change in anxiety levels between groups before discharge and one month after discharge | State and trait anxiety levels were measured 72 hours before discharge for all participants who met the inclusion criteria.State anxiety levels of all participants were measured one month after discharge. | Anxiety levels of all participants who met the inclusion criteria were measured using the state and trait anxiety scale in the pre-test. At the end of the first week after discharge, the intervention was started for the patients in the study group and the intervention was completed at the end of the first month after discharge. One month after discharge, the state anxiety levels were measured again with the state anxiety scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rates of Complication Development | Complications developed in both groups were recorded at the end of the first week and the end of the fourth week after discharge. | The rate of total hospitalization before and after the intervention, the rate of admission to the hospital for examination, leg incision infection, effusion, chest incision infection and other complications that may occur within one month after discharge, according to the groups |
Countries
Turkey (Türkiye)
Outcome results
None listed