Skip to main content
OpenTrials
Active, Not Recruiting

NCT Number: NCT07243925

Effect of Family Participation-Based Intervention Before Coronary Artery Bypass Grafting (CABG) on Patients' Anxiety, Independence, and Psychological Resilience: A Randomized Controlled Trial

This randomized controlled trial was conducted to examine the effect of a family-based intervention prior to coronary artery bypass grafting (CABG) surgery on patients' psychosocial and functional outcomes. In the intervention group, family members who would participate in the care process received structured training, and their active participation in the pre- and post-operative care process was ensured. The control group received standard care.

The study found that the family-based intervention reduced patients' preoperative anxiety levels, supported their independence, and strengthened their psychological resilience. The findings suggest that encouraging family involvement in patient care prior to CABG surgery can significantly contribute to both improving psychosocial adjustment and supporting the recovery process.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Notify Me

Key information

Conditions

Family Size Arterial Occlusive Diseases Arteriosclerosis Cardiovascular Diseases Coronary Artery Disease Coronary Disease Heart Diseases Myocardial Ischemia Vascular Diseases

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

VAN

Erzurum, Van, 25240, Turkey (Türkiye)

About this study

Coronary Artery Bypass Grafting (CABG) surgery is a life-saving intervention in the treatment of cardiac diseases; however, it poses significant psychosocial and functional challenges for patients. In the preoperative period, uncertainty, fear of death, and concerns regarding recovery increase patients' anxiety levels, while in the postoperative period, loss of independence, limitations in daily living activities, and decreased psychological resilience are frequently observed. Existing literature predominantly focuses on pharmacological approaches or standard care practices for managing these issues, while studies systematically examining family involvement as an intervention model remain limited. This study evaluated the effects of a family involvement-based structured intervention on anxiety, independence, and psychological resilience in patients undergoing CABG surgery, using a randomized controlled design. Within the intervention, first-degree family members who would participate in the patient's care received training covering the surgical process, care needs, and psychosocial support strategies, and were actively engaged in both pre- and postoperative patient care. The results demonstrated that the family involvement-based intervention significantly reduced patients' anxiety, enhanced independence, and improved psychological resilience. These findings highlight that family involvement contributes not only to the physical care of CABG patients but also to their psychosocial adaptation and recovery processes. As one of the first studies to address these dimensions simultaneously, this research provides an original contribution to strengthening family-centered care in nursing practice and restructuring surgical patient care protocols.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being 18 years of age or older
  • Undergoing CABG surgery for the first time
  • Being conscious and able to communicate
  • Voluntarily agreeing to participate
  • Having at least one family member who is able to be involved in the patient care process

Exclusion criteria

  • Having a severe cognitive or psychiatric disorder
  • Requiring prolonged intensive care admission due to postoperative complications

Treatment and study plan

Family Involvement-Based Nursing Intervention

Other

The intervention process began with the identification of a family member who could actively participate in the patient's care. These individuals were typically defined as spouses, children, siblings, or close relatives living together. Patients included in the study were admitted to the cardiovascular surgery ward approximately three days before the planned surgery. During this period, routine preoperative preparations were carried out for the patients. These preparations included carotid and saphenous vein Doppler ultrasonography, consultations with the pulmonary medicine and cardiology departments, and preoperative blood preparation

Other names: Family Group

Primary outcomes

  1. Preoperative Anxiety Level

    Time frame: Measured on the day before surgery

    Patients' anxiety levels prior to coronary artery bypass graft (CABG) surgery will be assessed using the State Anxiety Scale (SAS). The scale consists of 20 items and yields scores ranging from 20 to 80; higher scores indicate higher anxiety levels. The measurement will be conducted in person 24 hours before the surgical procedure.

  2. Psychological Resilience Assessed by the Brief Resilience Scale (BRS)

    Time frame: The day before the surgery

    Participants' psychological resilience levels will be assessed using the Brief Resilience Scale (BRS). The scale consists of 6 items and is scored on a 1-5 point scale. The average score is calculated; higher scores indicate stronger psychological resilience. The measurement will be taken prior to the surgical procedure (24 hours beforehand).

Secondary outcomes

  1. Functional Independence in Activities of Daily Living Assessed by the Modified Barthel Index (MBI)

    Time frame: The measurement is taken upon discharge from the hospital (approximately 5-7 days after surgery).

    Participants' levels of independence in daily living activities will be assessed using the Modified Barthel Index (MBI). The MBI measures 10 basic activities of daily living (e.g., eating, bathing, dressing, mobility, toileting). The score range is 0-100; a higher score indicates greater independence. The measurement is taken upon discharge from the hospital (approximately 5-7 days after surgery).

Sponsors and collaborators

Lead sponsor

Yuzuncu Yil University

Other

Registry information

Acronym: CABG

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Nov 24, 2025
Registry last updated
Jul 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.