The Effect of Preoperative Education on Recovery of Thoracic Surgery Patients

NCT07388225 | Completed

• 1 other identifier: THORACIC-EDU-RECOVERY-01
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Brief Summary This randomized controlled study evaluated the effect of structured preoperative education on postoperative recovery outcomes in patients undergoing thoracic surgery for lung cancer. The study was conducted in a tertiary public hospital in Istanbul between June 2022 and December 2023 and included 100 adult patients who met the inclusion criteria. Participants were randomly assigned to an intervention group or a control group. Patients in the intervention group received structured, nurse-led preoperative education supported by a standardized patient education booklet, while the control group received routine hospital care. Recovery outcomes were assessed using physiological parameters, pulmonary function tests, shoulder joint range of motion measurements, pain intensity scores, and the Quality of Recovery-40 (QoR-40) questionnaire during the early postoperative period. The findings of this study aim to contribute evidence on the role of preoperative nursing education in improving functional recovery, reducing postoperative pain, and supporting respiratory function in patients undergoing thoracic surgery.

Conditions

Thoracic Surgery; Nursing Care; Lung Cancer; Patient Education

Keywords

Preoperative Education; Quality of recovery; Thoracic surgery; Pulmonary function test; Shoulder joint range of motion

Outcome Measures

Primary Outcomes (1)

• Postoperative Recovery Quality

  Postoperative recovery quality assessed using the Quality of Recovery-40 (QoR-40) questionnaire. The total score ranges from 40 to 200, with higher scores indicating better recovery quality.

  Postoperative day 1 and postoperative day 4

Secondary Outcomes (7)

• Postoperative Pain Intensity

  Preoperative period, postoperative day 1, and postoperative day 4

• Pulmonary Function

  Preoperative period, postoperative day 1, and postoperative day 4

• Shoulder Joint Range of Motion

  Preoperative period, postoperative day 1, and postoperative day 4

• Postoperative Heart Rate

  Preoperative period, postoperative day 1, and postoperative day 4

• Postoperative Blood Pressure

  Preoperative period, postoperative day 1, and postoperative day 4

Study Arms (2)

Intervention Group: Structured Preoperative Education

EXPERIMENTAL

Participants assigned to this arm receive structured, nurse-led preoperative education in addition to routine hospital care prior to thoracic surgery.

Behavioral: Structured Preoperative Education

Control Group: Routine Care

ACTIVE COMPARATOR

Participants assigned to this arm receive standard preoperative and postoperative care routinely provided by the hospital.

Other: routine care

Interventions

routine care OTHER

Standard care routinely provided by the hospital

Control Group: Routine Care

Structured Preoperative Education BEHAVIORAL

A structured, nurse-led preoperative education program delivered prior to thoracic surgery.

Intervention Group: Structured Preoperative Education

Eligibility Criteria

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

You may qualify if:

• Patients diagnosed with lung cancer who are hospitalized for elective thoracic surgery
• Aged 18 years and older
• Able to read, write, and speak Turkish
• Able to understand the information provided and without any condition that interferes with verbal communication
• Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
• Patients scheduled for lung resection via thoracotomy
• Patients undergoing surgery under general anesthesia

You may not qualify if:

• Patients with chronic pain in the preoperative period who are using analgesic medications for pain management
• Patients receiving antineoplastic treatment
• Patients undergoing reoperation due to lung cancer
• Patients with an ECOG performance status greater than 2
• Patients diagnosed with metastatic lung cancer
• Patients with limited mobility in the preoperative period

Sponsors & Collaborators

• Başakşehir Çam & Sakura City Hospital: lead

Study Sites (1)

Başakşehir Çam and Sakura City Hospital

Istanbul, başakşehir, 34480, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Lung Neoplasms

Condition Hierarchy (Ancestors)

Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Surgical Nursing

Model Details: Participants are randomly assigned to either an intervention group receiving structured preoperative education or a control group receiving routine care, and outcomes are assessed in parallel.

Study Record Dates

• First Submitted: January 23, 2026
• First Posted: February 5, 2026
• Study Start: June 1, 2022
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: February 5, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)