The Effect of Discharge Training on Surgical Recovery in Oncology Patients

NCT04862104 | Completed DMC

• 1 other identifier: Surgical Recovery
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

A randomized control trial was made to examine the effect of discharge training developed using Nursing Interventions Classification on surgical recovery in patient who underwent oncological surgery.

Conditions

Surgery--Complications; Nursing Caries

Keywords

Surgical recovery; Discharge Training; Follow-up; Nursing

Outcome Measures

Primary Outcomes (4)

• The surgical recovery score averages in patients

  assessed using the Patient Evaluation Form, nine defining features of the diagnosis of "delayed surgical recovery" defined in NANDA-I (delaying starting activities at home / work, understanding that more time is required for recovery/ recovery, need for assistance in self-care practices, evidence indicating impaired surgical site presence (discharge, swelling, redness, pain, presence of one of the bleeding in the area mild; the presence of all will be marked as severe distress), loss of appetite with nausea, loss of appetite without nausea, difficulty in moving around, pain or discomfort, fatigue) It contains questions. The patient evaluation form was created using the Nursing Outcomes Classification of the five-point Likert-type scale measuring the severity of descriptive features. The expression "severely distressed" was "1 point"; The expression "significantly distressed" was evaluated as "2 points", "moderately distressed" as "3 points", "mildly distressed" as "4 points", and "no

  before discharge in the postoperative days

• The surgical recovery status after intervention

  assessed using the Patient Evaluation Form. The form is composed of nine items. The form is The expression "severely distressed" was "1 point"; The expression "significantly distressed" was evaluated as "2 points", "moderately distressed" as "3 points", "mildly distressed" as "4 points", and "no distress" as "5 points". The patient can get a minimum of nine and a maximum of 45 points. As the score for each evaluation question increased, the improvement was evaluated as positive. It was applied by telephone in the second week after discharge.

  In the second weeks after discharge

• The surgical recovery status after intervention

  assessed using the Patient Evaluation Form. The form is composed of nine items. The form is The expression "severely distressed" was "1 point"; The expression "significantly distressed" was evaluated as "2 points", "moderately distressed" as "3 points", "mildly distressed" as "4 points", and "no distress" as "5 points". The patient can get a minimum of nine and a maximum of 45 points. As the score for each evaluation question increased, the improvement was evaluated as positive. It was applied by telephone in the fourth week after discharge.

  In the fourth weeks after discharge

• The surgical recovery status after intervention

  assessed using the Patient Evaluation Form. The form is composed of nine items. The form is The expression "severely distressed" was "1 point"; The expression "significantly distressed" was evaluated as "2 points", "moderately distressed" as "3 points", "mildly distressed" as "4 points", and "no distress" as "5 points". The patient can get a minimum of nine and a maximum of 45 points. As the score for each evaluation question increased, the improvement was evaluated as positive. It was applied by telephone in the eighth week after discharge.

  In the eighth weeks after discharge

Study Arms (2)

Intervention group (Discharge Training)

EXPERIMENTAL

In addition to the general care provided by health professionals, the study group received discharge training created according to the Nursing Interventions Classification.

Behavioral: Intervention group

Control group (Usual Care)

NO INTERVENTION

The control group continued to receive the routine care

Interventions

Intervention group BEHAVIORAL

In addition to the routine care they received, the patients in the intervention groups were given discharge training developed in the pre-discharge period. Discharge training consisted of a verbal and written information booklet containing instructions for the patient and the patient's caregiver on pain management, nutrition management, incision site care, strengthening self-care, returning to daily life activities, and colostomy care. Discharge training was given in the service after evaluating the surgical recovery status of the patient before discharge. The average duration of each training was 30-45 minutes. The patients were evaluated in terms of surgical recovery by calling by phone 2 weeks after discharge, 4 weeks and 8 weeks later. The developed education booklet was given to the patient and it was ensured that he could benefit from the information at home.

Intervention group (Discharge Training)

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Ages between 18 and 75
• Stomach or colorectal surgery
• Volunteering to participate in research
• Understanding and speaking Turkish
• Having a telephone that can be reached by him or his caregiver

You may not qualify if:

• Responding to less than 75% of phone calls
• Not having cognitive functions in place
• Having a hearing problem
• Not having a relative to answer in case he / she cannot answer the phone
• Having complications during hospitalization (ileus, septic shock, herniation)
• Having a history of chemotherapy / radiotherapy in the last two months
• To receive chemotherapy / radiotherapy within two months after surgery
• Complications developed during surgery
• To be transferred to the intensive care unit after surgery.

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydın Adnan Menderes University

Aydin, Efeler, 09100, Turkey (Türkiye)

Location

Related Publications (1)

• Arslan E, Gezer N. The effect of discharge training developed based on nursing interventions classification (NIC) on surgical recovery in oncology patients: Randomized controlled trial - A pilot study. Nurs Open. 2023 Feb;10(2):1151-1162. doi: 10.1002/nop2.1555. Epub 2022 Dec 25.

  PMID: 36567264 DERIVED

Study Officials

• Ezgi Arslan, PhD Student

  Aydın Adnan Menderes University, Faculty of Nursing, Surgical Nursing Department

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Following recruitment, patient who underwent oncological surgery were divided into a study and a control group by randomization (1:1 randomization)

Study Record Dates

• First Submitted: April 23, 2021
• First Posted: April 27, 2021
• Study Start: August 1, 2018
• Primary Completion: July 31, 2019
• Study Completion: December 27, 2019
• Last Updated: April 29, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: 6 months after publication
• Access Criteria: Relevance to the topic of the study and approval of all co-authors within 1 month of receiving the request.

Locations

TU (1)