Determinating the Effect of Nursing Education Given Before Tympanoplasty Surgery on Postoperative Pain and Complications

NCT06717217 | Not Yet Recruiting Phase 4

• 1 other identifier: MSKU-ENT-KORKMAZ-001
• Study Type: interventional
• Target: 56
• Locations: 0 countries
• Sites: N/A

Brief Summary

Health and illness are complex, universal ideas addressed from a holistic approach. Advancements in healthcare have led to an increase in life expectancy, a rise in the prevalence of chronic diseases, and an escalation in the number of surgical procedures conducted . Surgical techniques influence individuals' health and illness progression. Patients having surgical operations require the attention of nurses and other healthcare workers to address the ramifications of the procedure . Nurses have performed numerous responsibilities in patient care. These tasks pertain to expediting recovery post-illness and maintaining health continuity. Discharge training is also incorporated into the processes implemented to meet these responsibilities. Discharge training seeks to expedite recovery and mitigate the onset of problems. Discharge training is essential for equipping surgical patients with the requisite information and abilities for post-discharge care. Ear, Nose, and Throat (ENT) surgeries significantly influence persons' quality of life, as they impact hearing and balance, distinguishing them from other surgical interventions. Consequently, patient care and discharge education following ear surgery play a crucial role in recovery and health enhancement. The ears serve as the organs of auditory perception and equilibrium. Tympanoplasty is performed on individuals with tympanic membrane perforations or ossicular chain injury that impairs hearing and balance. Tympanoplasty is a surgical intervention that entails the restoration of the ossicular chain (malleus, incus, stapes) and/or the installation of a fascia graft to restore auditory function. This study aims to assess the impact of preoperative nurse education on postoperative pain and complication rates following tympanoplasty.

Conditions

Nursing Education; Postoperative Pain; Postoperative Complications; Tympanoplasty Surgery; ENT Surgery

Outcome Measures

Primary Outcomes (1)

• Development of complications

  These issues typically arise within the initial 24 hours post-surgery. These encompass hemorrhage/hematoma, hypothermia/hyperthermia, arrhythmia, nausea/emesis, hypotension/hypertension, and pulmonary collapse/atelectasis. Late complications refer to those that may arise after the third postoperative day. The complications encompass delayed wound healing, wound infection (characterized by localized temperature elevation, edema, and erythema), wound dehiscence, wound abscess, cellulitis, and psychological issues (Manekk et al., 2022).

  Postopreative 0.day-6.day

Secondary Outcomes (1)

• Visual Analog Scale

  Postopreative 0.day-6.day

Study Arms (2)

CONTROL GROUP

NO INTERVENTION

WORKING GROUP

EXPERIMENTAL

Procedure: NURSING EDUCATION GIVEN BEFORE TYMPANOPLASTY SURGERY

Interventions

NURSING EDUCATION GIVEN BEFORE TYMPANOPLASTY SURGERY PROCEDURE

EAR CARE TRAINING

WORKING GROUP

Eligibility Criteria

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

You may not qualify if:

• Patients who declined to participate in the study
• Patients receiving tympanoplasty for cholesteatoma. Assessing the progression of issues in individuals diagnosed with cholesteatoma (abnormal skin epithelial growth in the middle ear cavity) is inappropriate due to the presence of repeated perforations and aberrant tissue proliferation.
• Individuals with psychological disorders
• Patients who are foreign nationals.
• Individuals with speech impairments and irreversible hearing loss

Sponsors & Collaborators

• Muğla Sıtkı Koçman University: lead

Related Publications (10)

• Ahmed Mohamed Eldesoky, H., & Mahmoud Mahmoud, H. (2019). Effect of Implementing a Nursing Management Protocol on Postoperative Health Outcomes for Patients undergoing Tympanoplasty. Egyptian Journal of Health Care, 10(4), 471-491

  BACKGROUND

• Millward, K. (2017). Ear care: an update for nurses (part 2). Practice Nursing, 28(8), 332-337

  BACKGROUND

• Kang E, Gillespie BM, Tobiano G, Chaboyer W. General surgical patients' experience of hospital discharge education: A qualitative study. J Clin Nurs. 2020 Jan;29(1-2):e1-e10. doi: 10.1111/jocn.15057. Epub 2019 Oct 17.

  PMID: 31509311 BACKGROUND

• Jerofke T, Weiss M, Yakusheva O. Patient perceptions of patient-empowering nurse behaviours, patient activation and functional health status in postsurgical patients with life-threatening long-term illnesses. J Adv Nurs. 2014 Jun;70(6):1310-22. doi: 10.1111/jan.12286.

  PMID: 24847530 BACKGROUND

• Miller MJ, Abrams MA, Earles B, Phillips K, McCleeary EM. Improving patient-provider communication for patients having surgery: patient perceptions of a revised health literacy-based consent process. J Patient Saf. 2011 Mar;7(1):30-8. doi: 10.1097/PTS.0b013e31820cd632.

  PMID: 21921865 BACKGROUND

• Ronco M, Iona L, Fabbro C, Bulfone G, Palese A. Patient education outcomes in surgery: a systematic review from 2004 to 2010. Int J Evid Based Healthc. 2012 Dec;10(4):309-23. doi: 10.1111/j.1744-1609.2012.00286.x.

  PMID: 23173656 BACKGROUND

• Gürhan, N., Yaman Sözbir, Ş., & Polat, Ü. (2020). Hemşirelik Alanında Kullanılan Kavram Beceri ve Modeller

  BACKGROUND

• Kostekli S, Celik S, Keskin E. Evaluation of the effect of endotracheal aspiration at different head heights on oxygenation of the brain by non-invasive method in intensive care patients. J Clin Nurs. 2022 Jun;31(11-12):1709-1720. doi: 10.1111/jocn.16314. Epub 2022 Mar 31.

  PMID: 35362186 BACKGROUND

• Cohen FL. Postsurgical pain relief: patients' status and nurses' medication choices. Pain. 1980 Oct;9(2):265-274. doi: 10.1016/0304-3959(80)90013-5.

  PMID: 7454388 BACKGROUND

• Korkmaz S, Seki Z. Determination of the effect of nursing education given before tympanoplasty surgery on the development of postoperative pain and complications. Pain Manag. 2025 Dec 17:1-13. doi: 10.1080/17581869.2025.2604476. Online ahead of print.

  PMID: 41404828 DERIVED

MeSH Terms

Conditions

Pain, Postoperative; Postoperative Complications

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Central Study Contacts

Şeyda Korkmaz, Master Degree Student

CONTACT

+90 533 793 01 37; sseydakorkmaz@gmail.com

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Master's Degree Student

Study Record Dates

• First Submitted: December 1, 2024
• First Posted: December 4, 2024
• Study Start: December 5, 2024
• Primary Completion: December 25, 2024
• Study Completion: January 1, 2025
• Last Updated: December 9, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share