The purpose of this quasi-experimental study is to examine the effect of visually immersive preoperative education on levels of anxiety and patient outcomes in patients undergoing cardiothoracic (open heart) surgery
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
200
The patients watch a 5-minute visually immersive education video on what to expect postoperatively on arrival to the cardiovascular intensive care unit (CVICU) followed by the opportunity for discussion/explanation and questions.
The patient receives a basic verbal explanation of what to expect postoperatively on arrival to CVICU followed by the opportunity for questions.
South Miami Hospital
Miami, Florida, United States
Anxiety relief (self-report measure 1 - State-Trait Anxiety Inventory)
Patient's anxiety will be measured using the 20-item State-Trait Anxiety Inventory (STAI) (state scale only) (higher scores indicate higher anxiety), taken before and after preoperative education is received.
Time frame: 30 minutes
Anxiety relief (self-report measure 2 - Visual Analog Scale for Anxiety)
Patient's anxiety will be measured using the Visual Analog Scale for Anxiety (VAS-A), a slider scale of 0 - 100 is used to self-report anxiety (0 = not anxious and 100 = extremely anxious), taken before and after preoperative education is received.
Time frame: 30 minutes
Anxiety relief (physiological measure 1 - blood pressure)
Blood pressure is measured before and after receipt of preoperative education. Increased anxiety may cause elevation of this physiological indicator.
Time frame: 30 minutes
Anxiety relief (physiological measure 2 - heart rate)
Heart rate is measured before and after receipt of preoperative education. Increased anxiety may cause elevation of this physiological indicator.
Time frame: 30 minutes
Anxiety relief (physiological measure 3 - respiratory rate)
Respiratory rate is measured before and after receipt of preoperative education. Increased anxiety may cause elevation of this physiological indicator.
Time frame: 30 minutes
Postoperative CVICU Outcome 1 - Length of Stay
Patients' length of stay (# days) in the CVICU.
Time frame: Within 30 days after the patient is discharged from CVICU
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Postoperative CVICU Outcome 2 - Intubation Time
Intubation time = Length of time the patient is on mechanical ventilation.
Time frame: Within 30 days after the patient is discharged from CVICU
Postoperative CVICU Outcome 3 - Re-intubation
Re-intubation after initial removal from mechanical ventilation (yes or no).
Time frame: Within 30 days after the patient is discharged from CVICU
Postoperative CVICU Outcome 4 - Blood Sugar Regulation
Blood sugar regulation = comparison of point-of-care blood sugar levels taken on postoperative day 1 and on the day of discharge from CVICU.
Time frame: Within 30 days after the patient is discharged from CVICU