Laparoscopic Cholecystectomy, Patient Education
Conditions
Keywords
Video-assisted education, patient education, defecation, self-care, postoperative recovery
Brief summary
Brief Summary: This randomized controlled trial aims to evaluate the effects of video-assisted preoperative education on postoperative physiological parameters and recovery outcomes in patients undergoing laparoscopic cholecystectomy. The study compares a video-based education program with brochure-based education covering pain and nausea-vomiting management, nutrition, early mobilization, fluid intake, wound care, bathing, and follow-up instructions in adults scheduled for elective laparoscopic cholecystectomy in a public state hospital in Türkiye.
Detailed description
Laparoscopic cholecystectomy is a widely used minimally invasive surgical method to treat gallstones. Effective preoperative education is critical to enhance postoperative recovery and reduce complications. This randomized controlled trial was conducted between October 1, 2023, and January 17, 2024, in the General Surgery Department of a public state hospital in Türkiye. The primary aim of the study is to determine the effects of video-assisted education on postoperative physiological parameters and recovery outcomes of patients undergoing laparoscopic cholecystectomy. A total of 92 adult patients scheduled for elective laparoscopic cholecystectomy are randomly assigned to an intervention group (n = 46) and a control group (n = 46) using a randomized allocation procedure. The intervention group receives structured video-assisted education, whereas the control group receives the same educational content through a printed brochure. The educational content includes information on postoperative pain and nausea-vomiting management, nutrition, early mobilization, adequate fluid intake, wound care, bathing, and follow-up instructions. Education is delivered preoperatively by a trained nurse. Data are collected using a sociodemographic data form, the Visual Analog Scale (VAS) for pain, a pre-/postoperative patient assessment form, and a dietary habits questionnaire. Physiological parameters (vital signs, SpO₂, blood glucose), functional recovery indicators (defecation, mobilization, bathing), and selected self-care behaviors are assessed at predefined time points (preoperative baseline, discharge day, and postoperative follow-up day). The primary outcomes are postoperative bowel recovery (e.g., presence and timing of defecation) and selected self-care-related recovery indicators (e.g., bathing status, need for family assistance). Secondary outcomes include postoperative nausea-vomiting, pain intensity, vital signs, and dietary habits. The study is designed to inform nursing practice regarding the use of video-assisted education compared with brochure-based education in patients undergoing laparoscopic cholecystectomy.
Interventions
BEHAVIORALVideo-Assisted Patient Education
Single-session video-assisted patient education delivered before hospital discharge after laparoscopic cholecystectomy. A standardized 10-15-minute video (shown on a tablet/TV by a nurse) covers postoperative care: pain control/analgesic use, early mobilization, wound care, diet/fluids, warning signs, and follow-up. Participants also receive routine discharge instructions; the video is an adjunct unique to this arm and is not provided to the control group.
Sponsors
Izmir Tinaztepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults (≥18 years) undergoing elective laparoscopic cholecystectomy at the study hospital. * Able to provide written informed consent and to receive/understand the education materials. * Willing to complete postoperative assessments at discharge and on postoperative day 5-7
Exclusion criteria
* Impaired consciousness, speech difficulties, hearing impairment, or diagnosed psychiatric conditions that would preclude receiving the educational intervention or valid assessment. (Operational exclusions after enrollment): cancellation of surgery, refusal to continue participation, or incomplete data collection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Defecation Occurrence | Postoperative day 5-7 (follow-up) | Proportion of participants who report at least one bowel movement by the follow-up day, recorded via the standardized patient assessment form. Higher proportions indicate faster gastrointestinal recovery. Groups compared: Video-Assisted Education vs. Usual Care |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Nausea and Vomiting (Yes/No) | At hospital discharge (postoperative day 0-1). | Any nausea or ≥1 vomiting episode on the day of discharge; proportions compared between groups. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Bathing With Family Assistance (Yes/No) | Postoperative day 5-7 (follow-up) | Need for family assistance during bathing at follow-up; proportions compared between groups. |
| Pain Intensity | At hospital discharge (postoperative day 0-1). | Mean VAS pain score (0=no pain, 10=worst pain); higher scores indicate worse pain |
Countries
Turkey (Türkiye)
Outcome results
None listed