Tele-Nursing Follow-Up After Open Heart Surgery

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.

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Key information

Conditions

Open Heart Surgery Anxiety Disorders Mental Disorders Tele-nursing

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Medical Park Hospital

Gaziantep, Şahinbey, 27027, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

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

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.

Treatment and study plan

telenursing

Other

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.

Primary outcomes

Determination of change in anxiety levels between groups before discharge and one month after discharge

Time frame: 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 outcomes

Rates of Complication Development

Time frame: 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

Sponsors and collaborators

Lead sponsor

Hasan Kalyoncu University

Other

Registry information

Official study title

Investigation of the Effect of Tele-Nursing on Anxiety And Complications in Patients With Open Heart Surgery

Important dates

Study start: 2020
Primary completion: 2021
Study completion: 2021
First posted: Apr 7, 2022
Registry last updated: Apr 7, 2022

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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Completed