Tele-Nursing Follow-Up After Open Heart Surgery

Hasan Kalyoncu University75 enrolled

Overview

Introduction: Failure to follow-up patients by healthcare professionals after discharge may increase the development of anxiety and complications in patients. Aim: The aim of this study is to determine the effects of tele-nursing method to patients who have undergone Open Heart Surgery (OHS) after discharge on anxiety and some other complications. Material and Methods:This quasi-experimental randomized controlled study, which was conducted in a private hospital between November 2020 and April 2021, included 75 patients, 38 from the Intervention (IG) and 37 from the Control Group (KG). IG and CG patients were provided routine treatment and care. In addition to the IG, training and counselling were provided at least four times by phone calls between the first week after discharge and the end of the first month. Descriptive Form and State-Trait Anxiety Inventory (STAI-S and T) were administered to all patients before discharge, and STAI-S was administered at the end of the first month after discharge. Post-discharge complications were evaluated by medical doctor in both groups. These data, number of hospitalization and readmission rates were obtained from hospital records.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Open Heart Surgery Tele-nursing

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Eighteen years and older, * Able to speak and understand Turkish, * Without hearing, comprehension, vision and speech problems, * Open heart surgery for the first time, * Those who were not diagnosed with depression or anxiety disorder before surgery and didn't use medication for this purpose, * Having a mobile phone that can take photos by herself/himself or her/his attendants, * No serious complications to delay hospital discharge, * Patients who volunteered to participate were included in the study. Exclusion Criteria: Patients who wished to withdraw from the study after volunteering were excluded from the study.

Outcomes

Primary Outcomes

Determination of change in anxiety levels between groups before discharge and one month after discharge

Anxiety levels of all participants who met the inclusion criteria were measured using the state and trait anxiety scale in the pre-test. At the end of the first week after discharge, the intervention was started for the patients in the study group and the intervention was completed at the end of the first month after discharge. One month after discharge, the state anxiety levels were measured again with the state anxiety scale.

Time frame: State and trait anxiety levels were measured 72 hours before discharge for all participants who met the inclusion criteria.State anxiety levels of all participants were measured one month after discharge.

Secondary Outcomes

Rates of Complication Development

The rate of total hospitalization before and after the intervention, the rate of admission to the hospital for examination, leg incision infection, effusion, chest incision infection and other complications that may occur within one month after discharge, according to the groups

Time frame: Complications developed in both groups were recorded at the end of the first week and the end of the fourth week after discharge.