Coronary Artery Bypass Grafting, Preoperative Anxiety
Conditions
Keywords
Nurse navigation, Preoperative anxiety, Perioperative nursing care, Coronary artery bypass grafting, Cortisol, Randomized controlled trial
Brief summary
This study aims to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol levels in patients undergoing coronary artery bypass graft (CABG) surgery. A total of 60 patients scheduled for CABG surgery will be recruited from the cardiovascular surgery clinic and randomly assigned to either the intervention group (n=30) or the control group (n=30). Patients in the intervention group will receive a structured nurse-led preoperative navigation program, including verbal education and an animated video about the surgical and operating room process. Patients in the control group will receive standard perioperative care. Preoperative anxiety, serum cortisol and glucose levels, and perceived quality of perioperative nursing care will be assessed at specified time points.
Detailed description
This study is designed as a randomized controlled trial to evaluate the effect of a nurse-led preoperative navigation program in patients undergoing coronary artery bypass graft (CABG) surgery. Participants in the intervention group (n=30) will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program includes verbal education about the surgical process and operating room procedures, along with an educational animated video that can be viewed repeatedly until the day of surgery. Participants in the control group (n=30) will receive standard perioperative care without the structured navigation program. Participants will be randomly assigned to either the intervention or control group. Outcome measures will be assessed at predefined time points.
Interventions
OTHERNursing navigation program
Participants will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program consists of verbal counselling provided by the researcher about the surgical process and operating room procedures, along with an educational animated video designed to explain the perioperative process in a clear and patient-friendly manner. The animated video (9 minutes and 56 seconds) includes information on the purpose of coronary artery bypass graft surgery, preoperative preparation, transfer to the operating room, the operating room environment and surgical team, and postoperative care in the intensive care unit. The video will be made available to patients and/or their relatives and can be viewed repeatedly until the day of surgery.
Sponsors
Uludag University
Bursa City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Intervention model description
This study is designed as a randomized controlled trial to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol and glucose levels in patients undergoing coronary artery bypass graft (CABG) surgery. Participants will be randomly assigned to either the intervention or control group.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* • who is 18 years of age or older * Planned to undergo elective coronary artery bypass graft surgery, * Who agrees to participate in the research, • Whose cognitive functions are in place * Communicable • Able to speak and understand Turkish,
Exclusion criteria
* Undergoing emergency surgery * Who cannot speak and understand Turkish * Having a psychiatric diagnosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | At hospital admission and again 1 day before surgery | Preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The scale consists of 6 items rated on a 5-point Likert scale from 1 (not at all) to 5 (extremely). The total score ranges from 6 to 30, with higher scores indicating higher levels of anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perceived Quality of Perioperative Nursing Care | Postoperative day 3 | Perceived quality of perioperative nursing care was measured using the Good Perioperative Nursing Care Scale (GPNCS). The Turkish version of the scale consists of 32 items rated on a Likert-type scale from 0 to 5. The total score ranges from 0 to 160, with higher scores indicating better perceived quality of perioperative nursing care. |
| Serum Cortisol | The day before surgery and the morning of surgery | Serum cortisol levels were measured from fasting blood samples collected in the morning under standardized conditions (before mobilization and getting out of bed). Samples will be analyzed using electrochemiluminescence immunoassay (ECLIA), and results will be reported in µg/dL. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORNeriman Akansel, professor
faculty member
Outcome results
None listed