Discharge Training and Telephone Counseling

NCT05104996 | Completed DMC

• 2 other identifiers: EK015/20Ümran Dal Yılmaz
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The education and counseling role is one of the independent roles of the nurse. In this context, discharge training and telephone counseling given to patients who underwent coronary artery bypass graft surgery increase the ability of patients to cope with and adapt to their self-care. This study was conducted to determine the effect of discharge training and telephone counseling on self-care agency, coping and adaptation process in patients undergoing coronary artery bypass graft surgery. The study has a randomized controlled, experimental design. Both experimental and control groups consisted of 35 individuals (N=70). Patients in the experimental group were given discharge training and telephone counseling service was given for two months. At the end of the process, data collection forms were administered to both groups for the last time. Necessary ethical approvals were taken and consent was taken from the patients. After the discharge training and telephone counseling given to the experimental group, the mean exercise of self-care agency scale score of the patients increased by 13.94; the mean coping and adaptation processing scale increased by 13.6. The mean exercise of self-care agency scale score of the control group increased by 7.86; the mean coping and adaptation processing score increased by 9.14. The effect size occurred for both groups was statistically significant (p\<0.05). Positive results were achieved in the experimental group which received given discharge training and telephone counseling. It is recommended to provide planned discharge training and telephone counseling to patients undergoing coronary artery bypass graft surgery.

Conditions

Discharge Training and Telephone Counseling for Coronary Artery Bypass Graft Patients

Keywords

coronary artery bypass graft; discharge training; telephone counseling; self-care; coping and adaptation

Outcome Measures

Primary Outcomes (2)

• Exercise of Self-Care Agency Scale (ESCA)

  The scale was developed by Kearney and Fleicher in 1979 and is originally a 43-item English form. The five-point Likert-type questionnaire aims to determine the ability of individuals to care for themselves and their self-care agency. The scale consists of statements scored from 0 to 4. It consists of a scale of 'very uncharacteristic of me' (0), 'somewhat uncharacteristic of me' (1), 'uncertain' (2), 'somewhat characteristic of me' (3), and 'very characteristic of me' (4) in each statement. Eight negative statements on the scale (3, 6, 9, 13, 19, 22, 26, and 31) are scored reversely. The lowest score obtainable from the scale is 35 and the highest score is 140.

  2 months

• Coping and Adaptation Processing Scale (CAPS)

  It is theoretically based on the Roy Adaptation Model and concepts related to its cognitive process. The scale consists of subscales such as troubleshooting and focusing, physical and conclusion, attention process, systematizing process, learning and establishing relationship. The number of items in the subdimensions is as follows: 'troubleshooting and focusing' involves 10 items; 'physical and conclusion' involves 14 items: 'attention process' involves 9 items; 'systematizing process' involves 6 items; 'learning and establishing relationship' involves 8 items. Items are scored on a Likert-type scale: 'never', 'rarely', 'sometimes', and 'always'.

  2 months

Secondary Outcomes (1)

• Telephone Counseling Patient Follow-up Form

  2 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

In the first interview, the patients were met and their consent for participation in the study was obtained. Afterwards, The Patient Descriptive Characteristics Form, ESCA and CAPS forms were filled. After this, patients were given discharge training and patient counseling service was provided by telephone for two months after discharge. At the end of two months, the ESCA and CAPS forms were filled again.

Behavioral: Telephone Counseling

Control Group

NO INTERVENTION

In the first interview, the patients were interviewed and their consent was obtained to participate in the study. Then, the Patient Descriptive Characteristics Form, ESCA and CAPS forms were filled. After this, the patients did not undergo any intervention for two months. At the end of two months, the ESCA and CAPS forms were filled again and a copy of the guideline was submitted.

Interventions

Telephone Counseling BEHAVIORAL

The form was used for weekly follow-up of the patients included in the experimental group. Headings were created according to the topics in the training form and/or for other problems and the problems stated by the patients were marked every week. Ongoing or eliminated problems of each patient until the time of next telephone counseling were indicated in the form. General problems in the form included drugs, pain, exercise, wound care, edema, compression socks, corset, nutrition, constipation, bathing, sleep, emergencies, back to work, sexual life, travel, visitors, climbing stairs, alcohol use/smoking, stress/anxiety, check-ups, and other issues.

Intervention Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having undergone CABG surgery,
• Being able to speak, read and write in Turkish,
• Not having a visual, hearing, physical, and mentally disability,
• Being aged over 18.

You may not qualify if:

• Being unable to speak, read and write in Turkish,
• Having a visual, hearing, physical, and mentally disability,
• Being aged under 18.

Sponsors & Collaborators

• Eastern Mediterranean University: lead

Study Sites (1)

Eastern Mediterranean University

Famagusta, Cyprus

Location

Related Publications (5)

• Naveed A, Azam H, Murtaza HG, Ahmad RA, Baig MAR. Incidence and risk factors of Pulmonary Complications after Cardiopulmonary bypass. Pak J Med Sci. 2017 Jul-Aug;33(4):993-996. doi: 10.12669/pjms.334.12846.

  PMID: 29067080 RESULT

• Yuroong A, Asdornwised U, Pinyopasakul W, Wongkornrat W, Chansatitporn N. The Effectiveness of the Transitional Care Program Among People Awaiting Coronary Artery Bypass Graft Surgery: A Randomized Control Trial. J Nurs Scholarsh. 2021 Sep;53(5):585-594. doi: 10.1111/jnu.12673. Epub 2021 May 19.

  PMID: 34013579 RESULT

• Williams B. Supporting self-care of patients following general abdominal surgery. J Clin Nurs. 2008 Mar;17(5):584-92. doi: 10.1111/j.1365-2702.2006.01857.x.

  PMID: 18279291 RESULT

• Jerant AF, Azari R, Martinez C, Nesbitt TS. A randomized trial of telenursing to reduce hospitalization for heart failure: patient-centered outcomes and nursing indicators. Home Health Care Serv Q. 2003;22(1):1-20. doi: 10.1300/J027v22n01_01.

  PMID: 12749524 RESULT

• Kaya U, Dal Yilmaz U. Ideal Suggestions for Discharge Training and Telephone Counseling of Patients With Coronary Artery Bypass Graft Surgery: A Randomized Controlled and Experimental Study. J Korean Med Sci. 2022 Sep 5;37(35):e269. doi: 10.3346/jkms.2022.37.e269.

  PMID: 36065653 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 22, 2021
• First Posted: November 3, 2021
• Study Start: September 1, 2020
• Primary Completion: May 31, 2021
• Study Completion: June 20, 2021
• Last Updated: November 9, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

CY (1)