Nurse Navigation Programs Affect to Anxiety, Perception of Quality Nursing Care and Stress Hormone Levels

NCT07528989 | Completed

• 1 other identifier: 20212411
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol levels in patients undergoing coronary artery bypass graft (CABG) surgery. A total of 60 patients scheduled for CABG surgery will be recruited from the cardiovascular surgery clinic and randomly assigned to either the intervention group (n=30) or the control group (n=30). Patients in the intervention group will receive a structured nurse-led preoperative navigation program, including verbal education and an animated video about the surgical and operating room process. Patients in the control group will receive standard perioperative care. Preoperative anxiety, serum cortisol and glucose levels, and perceived quality of perioperative nursing care will be assessed at specified time points.

Conditions

Coronary Artery Bypass Grafting; Preoperative Anxiety

Keywords

Nurse navigation; Preoperative anxiety; Perioperative nursing care; Coronary artery bypass grafting; Cortisol; Randomized controlled trial

Outcome Measures

Primary Outcomes (1)

• Anxiety

  Preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The scale consists of 6 items rated on a 5-point Likert scale from 1 (not at all) to 5 (extremely). The total score ranges from 6 to 30, with higher scores indicating higher levels of anxiety.

  At hospital admission and again 1 day before surgery

Secondary Outcomes (2)

• Perceived Quality of Perioperative Nursing Care

  Postoperative day 3

• Serum Cortisol

  The day before surgery and the morning of surgery

Study Arms (2)

Nursing navigation program

EXPERIMENTAL

Participants in the intervention group will receive a structured nurse-led preoperative navigation program. After admission to the cardiovascular surgery clinic, patients will receive verbal information about the surgical process and operating room procedures. In addition, an educational animated video will be provided and can be viewed repeatedly until the day of surgery. The intervention will be delivered approximately 7 days prior to surgery.

Other: Nursing navigation program

Control

NO INTERVENTION

Participants in the control group will receive standard perioperative care according to routine clinical practice.

Interventions

Nursing navigation program OTHER

Participants will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program consists of verbal counselling provided by the researcher about the surgical process and operating room procedures, along with an educational animated video designed to explain the perioperative process in a clear and patient-friendly manner. The animated video (9 minutes and 56 seconds) includes information on the purpose of coronary artery bypass graft surgery, preoperative preparation, transfer to the operating room, the operating room environment and surgical team, and postoperative care in the intensive care unit. The video will be made available to patients and/or their relatives and can be viewed repeatedly until the day of surgery.

Nursing navigation program

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• who is 18 years of age or older
• Planned to undergo elective coronary artery bypass graft surgery,
• Who agrees to participate in the research,
• Whose cognitive functions are in place
• Communicable • Able to speak and understand Turkish,

You may not qualify if:

• Undergoing emergency surgery
• Who cannot speak and understand Turkish
• Having a psychiatric diagnosis

Sponsors & Collaborators

• Uludag University: lead
• Bursa City Hospital: collaborator

Study Sites (1)

Zeynep Gürer

Bursa, Nilüfer, 16000, Turkey (Türkiye)

Location

Study Officials

• Neriman Akansel, professor

  faculty member

  STUDY DIRECTOR

Study Design

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

Model Details: This study is designed as a randomized controlled trial to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol and glucose levels in patients undergoing coronary artery bypass graft (CABG) surgery. Participants will be randomly assigned to either the intervention or control group.

Study Record Dates

• First Submitted: May 13, 2024
• First Posted: April 14, 2026
• Study Start: November 1, 2023
• Primary Completion: June 1, 2024
• Study Completion: November 1, 2024
• Last Updated: May 5, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)