Preoperative Patient Education for Enhanced Recovery After Colon and Rectal Surgery

NCT06660303 | Completed

• 1 other identifier: Preoperative Patient Education
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this experimental study is to evaluate whether \*\*preoperative patient education can improve outcomes for individuals undergoing colorectal surgery. This study will focus on adult male and female patients with colon cancer scheduled for colorectal surgery through colonoscopy, excluding those undergoing open surgery. The primary questions this study seeks to answer are:

• Do patients who receive preoperative education experience significantly lower levels of preoperative anxiety compared to those receiving routine hospital care?
• Do patients receiving nursing instructions report significantly lower levels of oral pain postoperatively compared to those who do not?
• Does preoperative education lead to higher levels of patient satisfaction compared to standard care? Researchers will compare a study group that receives preoperative education to a control group receiving routine hospital care to determine the effectiveness of the intervention. Participants will be asked to:
• Complete a demographic and medical history questionnaire.
• Utilize the Pain Numeric Rating Scale (NRS-11) to self-report pain levels.
• Participate in assessments using the Amsterdam Preoperative Anxiety and Information Scale (APAIS)\*\*.
• Complete a satisfaction survey using the Colorectal Surgical Patient's Satisfaction Tool after surgery. The study aims to assess the impact of preoperative education on anxiety, pain management, and overall patient satisfaction.

Conditions

Colo-rectal Cancer

Keywords

Preoperative Education; Nursing Intervention; Enhanced Recovery After Surgery (ERAS)

Outcome Measures

Primary Outcomes (1)

• Pain Rating Scale

  pain Numeric Rating Scale (NRS-11) is 10-point scale for patient self-reporting of pain. It is for adults as 0 indicates no pain, 1-3 mild pain, 4-6 moderate pain, 7-10 severe pain.

  1 week

Secondary Outcomes (1)

• Amsterdam preoperative anxiety and information scale (APAIS)

  1 week

Other Outcomes (1)

• Colorectal Surgical Patient's Satisfaction tool

  1 week

Study Arms (2)

Study group

EXPERIMENTAL

Patients who will receive comprehensive preoperative education tailored to their upcoming colorectal surgery. This education covers what to expect during the surgical process, postoperative care, pain management strategies, and guidelines to aid faster recovery.

Behavioral: Comprehensive Preoperative Education for Enhanced Recovery in Colorectal Surgery

Control Group

ACTIVE COMPARATOR

Participants which will receive routine hospital care. This means that participants in this group will go through the standard preoperative and postoperative procedures typically provided at the hospital without any additional specialized preoperative education or targeted nursing instructions

Other: Routine hospital care

Interventions

Comprehensive Preoperative Education for Enhanced Recovery in Colorectal Surgery BEHAVIORAL

The intervention in this study involves preoperative patient education aimed at improving outcomes for individuals undergoing colorectal surgery. Patients in the study group will receive targeted educational sessions that focus on setting expectations, managing anxiety, understanding pain control, and preparing for the surgical process as part of the Enhanced Recovery After Surgery (ERAS) protocol. This educational approach is designed to empower patients, reduce anxiety, enhance satisfaction, and potentially improve post-surgical recovery compared to those receiving routine hospital care.

Study group

Routine hospital care OTHER

The control group, designated as Group II, will receive standard hospital care, encompassing the usual preoperative and postoperative procedures provided by the hospital. This includes typical preparation and recovery guidelines without any added specialized preoperative education or targeted nursing instructions. This routine hospital care serves as a baseline, allowing for a direct comparison of outcomes against the intervention group, which will receive comprehensive preoperative education aimed at enhancing recovery and improving surgical outcomes.

Control Group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult male and female patients with colon cancer undergoing colorectal surgery via colonoscope.

You may not qualify if:

• patients with open surgery.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculy of Nursing Cairo University

Cairo, Giza Governorate, 11562, Egypt

Location

Related Publications (4)

• Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, Rockall TA, Young-Fadok TM, Hill AG, Soop M, de Boer HD, Urman RD, Chang GJ, Fichera A, Kessler H, Grass F, Whang EE, Fawcett WJ, Carli F, Lobo DN, Rollins KE, Balfour A, Baldini G, Riedel B, Ljungqvist O. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS(R)) Society Recommendations: 2018. World J Surg. 2019 Mar;43(3):659-695. doi: 10.1007/s00268-018-4844-y.

  PMID: 30426190 BACKGROUND

• Dipokromo, A., Sherman, D. W., & Lago Sr, C. (2022). Preoperative Education Regarding the Enhanced Recovery After Surgery (ERAS) Guideline for colorectal Surgical Patients: A Quality Improvement Project.

  BACKGROUND

• Carrilho, M. P. G., Pontífice-Sousa, P., & Marques, R. M. D. (2021). ERAS® Program-Nursing care for patients undergoing colorectal surgery. Acta Paulista de Enfermagem, 34, eAPE002105.

  BACKGROUND

• Abd El-Aziz E. The Effect of the Application of Clinical Pathway on Postoperative Outcomes of Patients Undergoing Percutaneous Nephrolithotomy. Alexandria University, Faculty of Nursing: Unpublished DSN dissertation. 2011.

  BACKGROUND

MeSH Terms

Conditions

Colonic Neoplasms

Condition Hierarchy (Ancestors)

Colorectal Neoplasms; Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 24, 2024
• First Posted: October 28, 2024
• Study Start: July 30, 2024
• Primary Completion: September 1, 2024
• Study Completion: October 22, 2024
• Last Updated: October 28, 2024

Record last verified: 2024-10

Locations

EG (1)