Teach-Back Discharge Education After Pilonidal Sinus Surgery

NCT07851285 | Not Yet Recruiting

• 1 other identifier: HALIC-2026-634
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial will evaluate the effect of Teach-Back-supported discharge education on self-care agency, pain intensity, and comfort levels in patients undergoing surgery for pilonidal sinus disease. A total of 68 participants will be randomly assigned in a 1:1 ratio to either the intervention group or the control group. The intervention group will receive discharge education using the Teach-Back method, while the control group will receive routine discharge education and standard care. Self-care agency, pain intensity, and comfort levels will be assessed at baseline and on the tenth day after discharge.

Conditions

Pilonidal Sinus Disease; Pilonidal Sinus Treatment

Keywords

Teach-Back Method; Pilonidal Sinus Surgery; Patient Comfort; Postoperative Pain; Self-Care Agency; Discharge Education

Outcome Measures

Primary Outcomes (2)

• Change in Self-Care Agency Score

  Self-care agency will be assessed using the Exercise of Self-Care Agency Scale. The scale consists of 35 items scored from 0 to 4, with a total score ranging from 0 to 140. Higher scores indicate greater self-care agency. The change in scores from baseline to the tenth day after discharge will be compared between the intervention and control groups.

  Baseline and 10 days after discharge

• Change in General Comfort Score

  General comfort will be assessed using the General Comfort Questionnaire. The questionnaire consists of 48 items evaluating physical, psychospiritual, sociocultural, and environmental dimensions of comfort. Higher scores indicate a higher level of comfort. The change in scores from baseline to the tenth day after discharge will be compared between the intervention and control groups.

  Baseline and 10 days after discharge

Secondary Outcomes (1)

• Change in Pain Intensity

  Baseline and 10 days after discharge

Study Arms (2)

Teach-Back-Supported Discharge Education

EXPERIMENTAL

Participants will receive Teach-Back-supported discharge education in addition to standard care. The education will cover wound care, personal hygiene, pain management, sitting and mobility, activities of daily living, bowel elimination, signs of complications, and situations requiring medical consultation. Participants will be asked to repeat the information in their own words, and misunderstood or incomplete information will be explained again.

Behavioral: Teach-Back-Supported Discharge Education

Routine Discharge Education

ACTIVE COMPARATOR

Participants will receive the hospital's routine discharge education and standard postoperative care. No additional education based on the Teach-Back method will be provided by the researchers.

Behavioral: Routine Discharge Education

Interventions

Teach-Back-Supported Discharge Education BEHAVIORAL

Participants will receive individualized discharge education using the Teach-Back method. The education will cover wound care, personal hygiene, pain management, sitting and mobility, activities of daily living, bowel elimination, signs of complications, and situations requiring medical consultation. Participants will be asked to explain the information in their own words. Any misunderstood or incomplete information will be clarified and reassessed until correct understanding is demonstrated.

Teach-Back-Supported Discharge Education

Routine Discharge Education BEHAVIORAL

Participants will receive the hospital's routine discharge education and standard postoperative care. No additional education using the Teach-Back method will be provided by the researchers.

Routine Discharge Education

Eligibility Criteria

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

You may qualify if:

• Being between 18 and 64 years of age Having undergone elective surgery for pilonidal sinus disease Being clinically stable after surgery Being able to read and understand Turkish and communicate verbally in Turkish Having no cognitive, hearing, or visual impairment severe enough to prevent participation in the education process or completion of the data collection forms Being scheduled to attend the follow-up visit on the tenth day after discharge Volunteering to participate in the study and providing written informed consent

You may not qualify if:

• Being 65 years of age or older Having undergone emergency surgery for pilonidal sinus disease Having undergone another surgical procedure during the same operative session in addition to pilonidal sinus surgery Having previously undergone pilonidal sinus surgery and being reoperated on because of recurrence Requiring postoperative intensive care or being clinically unsuitable to participate in the education Having a diagnosed severe cognitive disorder, psychiatric disorder, or neurological condition that prevents effective communication Being unable to communicate in Turkish Having a physical or cognitive impairment that prevents independent management of self-care and the discharge process Being unable to complete the scales or data collection forms used in the study

Sponsors & Collaborators

• Halic University: lead

Study Sites (1)

Istanbul Buyukcekmece Mimar Sinan State Hospital

Istanbul, 34100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

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

Study Officials

• fatma eti aslan

  Bahcesehir

  STUDY CHAIR

Central Study Contacts

Kübra can, MSc

CONTACT

+90 5438711795; kubracan@halic.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Participants and the researcher delivering the intervention will not be blinded due to the nature of the educational intervention. Statistical analyses will be performed by an independent statistician blinded to the group codes.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be randomly assigned in a 1:1 ratio to either the Teach-Back-supported discharge education group or the routine discharge education control group.

Study Record Dates

• First Submitted: September 25, 2026
• First Posted: October 1, 2026
• Study Start: September 15, 2026
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: October 1, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)