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NCT Number: NCT07528989

Nurse Navigation Programs Affect to Anxiety, Perception of Quality Nursing Care and Stress Hormone Levels

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.

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Key information

Conditions

Coronary Artery Bypass Grafting Preoperative Anxiety

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Zeynep Gürer

Bursa, Nilüfer, 16000, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

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

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

Treatment and study plan

Nursing navigation program

Other

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.

Primary outcomes

  1. Anxiety

    Time frame: 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 outcomes

  1. Perceived Quality of Perioperative Nursing Care

    Time frame: 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.

  2. Serum Cortisol

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Uludag University

Other

Collaborators

  • Bursa City Hospital

Registry information

Official study title

The Effect of a Nurse-led Preoperative Navigation Program on Anxiety, Perceived Quality of Perioperative Nursing Care, and Stress Hormone Levels in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Apr 14, 2026
Registry last updated
May 5, 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.

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