The Effect of Different Training Methods On Discharge

NCT05737901 | Completed

• 1 other identifier: AdnanU
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

This study was conducted to examine the effects of different discharge training methods on readiness to discharge and self-efficacy in individuals undergoing coronary artery bypass graft surgery.

Conditions

Coronary Artery Bypass Graft; Discharge Education

Keywords

mobile applications; education; self efficacy; discharge readiness; coronary artery bypass; nursing

Outcome Measures

Primary Outcomes (2)

• Barnason Efficacy Expectation Scale (BEES) - Cardiac Surgery Version

  The increasing score indicates that the individual's expectation of self-efficacy regarding recovery and behavioral changes is also high.

  on the day of discharge after standard care, estimated average 7 days and one month after discharge

• Readiness for Hospital Discharge Scale

  The patient with a ready-to-discharge score of 7 and above is considered ready to be discharged, whereas a score below 7 indicates that the patient is not ready.

  on the day of discharge after standard care, estimated average 7 days

Secondary Outcomes (2)

• System Usability Scale (SUS)

  on the day of discharge after standard care, estimated average 7 days

• Net Promoter Score

  on the day of discharge after standard care, estimated average 7 days

Study Arms (3)

Standard care group

NO INTERVENTION

The standard discharge training of the clinic was carried out in the patient's room on the day of discharge in an average of 5 minutes, in the form of verbally explaining the information deemed important by the physician and/or nurse to the patient. No intervention was made in this group.

Education Booklet Group

EXPERIMENTAL

Discharge training was given by the researcher the day before the surgery in an average of 60 minutes in the meeting room of the clinic through the booklet.

Other: Education Booklet

Mobile Application Group

EXPERIMENTAL

The mobile application was introduced to the patient by the researcher the day before the surgery. During the presentation phase, the patient was informed about the titles and contents of the training videos, and after explaining the technical features related to turning the tablet on and off, raising and lowering the volume, logging into the account using the username and password for training, using the buttons on the main screen and the keyboard, the patient was asked to apply them. All these stages took an average of 20 minutes. In addition, information about logging in, such as how to switch on and off the device, the patient's user name and password, were added to the back of the tablet in writing.

Other: Mobile application

Interventions

Education Booklet OTHER

Training titles and contents were created by listing the most common complications and needs of patients after CABG surgery. In the "General Information" section of the booklet, the definition of CAD, how CABG surgery is performed, the length of hospital stay, and what can be experienced in the hospital after surgery and in the home environment after discharge were discussed. In the "Postoperative Self-Care Practices" section, information about the healing process of the breastbone, pain management, medication, respiratory exercises, early nutrition, personal hygiene, protection from coronavirus-19, pulse control, postoperative heart attack, conditions to be reported, compression stockings use for varicose veins, physical activity, travel, sleep and rest, sexual life, and coping with stress and depression was presented. In the "Postoperative Life" section, training topics on exercise, nutrition, smoking, and alcohol use were included.

Education Booklet Group

Mobile application OTHER

The logo and content of the "Bypass e-Discharge" application was visually designed, and the software was developed. In-app transactions were secured with end-to-end encryption by entering the username and password, and internet access was not required to use the application. The application was presented for expert opinion (3 patients, 1 academician, 2 nurses, 2 physicians) in order to investigate the user experience, and edits were made on its interface (such as adding the "acceleration" feature in videos, an additional button for stopping and starting videos, displaying video total time on the screen, and magnification of all buttons).

Mobile Application Group

Eligibility Criteria

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

You may qualify if:

• Being literate
• Understanding and speaking the Turkish language
• Having undergone a planned open-heart surgery for the first time.

You may not qualify if:

• Patients who received psychiatric diagnosis
• Who were unable to use the tablet and mobile application after explanations
• Who had postoperative hospitalization for more than 10 days
• Who had a development of disorientation in the postoperative service
• Who had a valve surgery added to their CABG surgery during the operation were excluded from the research.

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead
• Aydin Adnan Menderes University Member Training Program: collaborator
• Aydın Adnan Menderes University Scientific Research Projects Unit: collaborator

Study Sites (1)

Aydın Adnan Menderes University

Aydin, Merkez, Turkey (Türkiye)

Location

Related Publications (4)

• Cook DJ, Moradkhani A, Douglas KS, Prinsen SK, Fischer EN, Schroeder DR. Patient education self-management during surgical recovery: combining mobile (iPad) and a content management system. Telemed J E Health. 2014 Apr;20(4):312-7. doi: 10.1089/tmj.2013.0219. Epub 2014 Jan 20.

  PMID: 24443928 RESULT

• Greysen SR, Khanna RR, Jacolbia R, Lee HM, Auerbach AD. Tablet computers for hospitalized patients: a pilot study to improve inpatient engagement. J Hosp Med. 2014 Jun;9(6):396-9. doi: 10.1002/jhm.2169. Epub 2014 Feb 13.

  PMID: 24523051 RESULT

• Noor Hanita Z, Khatijah LA, Kamaruzzaman S, Karuthan C, Raja Mokhtar RA. A pilot study on development and feasibility of the 'MyEducation: CABG application' for patients undergoing coronary artery bypass graft (CABG) surgery. BMC Nurs. 2022 Feb 4;21(1):40. doi: 10.1186/s12912-022-00814-4.

  PMID: 35120517 RESULT

• van Steenbergen GJ, van Veghel D, Ter Woorst J, van Lieshout D, Dekker L. IMPROV-ED trial: eHealth programme for faster recovery and reduced healthcare utilisation after CABG. Neth Heart J. 2021 Feb;29(2):80-87. doi: 10.1007/s12471-020-01508-9. Epub 2020 Nov 3.

  PMID: 33141398 RESULT

Study Officials

• Dilara ŞAHAN, PhD

  Aydin Adnan Menderes University

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: The study was carried out quasi-experimentally.

Study Record Dates

• First Submitted: January 31, 2023
• First Posted: February 21, 2023
• Study Start: August 15, 2019
• Primary Completion: October 3, 2019
• Study Completion: March 1, 2022
• Last Updated: July 20, 2023

Record last verified: 2023-07

Locations

TU (1)