Examining the Effects of Video-Assisted Discharge Education After Coronary Artery Bypass Graft Surgery on Patient Satisfaction and Anxiety

Hasan Kalyoncu University120 enrolled

Overview

This study was conducted to examine the effects of standard and individualized video-assisted discharge education on patient satisfaction and anxiety levels following Coronary Artery Bypass Graft (CABG) surgery. Prior to the initiation of the study, ethical approval was obtained from Hasan Kalyoncu University and the relevant healthcare institutions. The study was carried out with a total of 120 patients who had undergone CABG surgery and were hospitalized in the Cardiovascular Surgery departments of Gaziantep Dr. Ersin Arslan Training and Research Hospital and Gaziantep City Hospital. The patients were randomly assigned into three groups: a control group, a standard video-assisted education group, and an individualized video-assisted education group. Data were collected using the Patient Information Form, the Patient Education Satisfaction Scale, and the State-Trait Anxiety Inventory (STAI). The data were analyzed using SPSS version

Study Type

OBSERVATIONAL

Enrollment

120

Conditions

Coronary Artery Disease (CAD)Coronary Artery Bypass Graft Surgery (CABG)Postoperative Discharge Education

Interventions

On the day of discharge, patients in the cardiovascular surgery unit were informed about the study, and their written informed consent was obtained. Before the educational intervention, patients were asked to complete the introductory information form and the State-Trait Anxiety Inventory (STAI). On the same day, routine discharge education was provided by the clinical nurse, and patients' questions were addressed following the session.In addition, a standardized video prepared by the researcher was sent to the patients' mobile phones via text message on the day of discharge. Patients were asked to watch the video, and any questions they had were answered after viewing. They were also informed that they could rewatch the video after discharge whenever they needed to recall the information provided during the education.

individual video discharge trainingBEHAVIORAL

On the day of discharge, patients were informed about the study and their written informed consent was obtained. Prior to the educational intervention, the state and trait anxiety levels of the patients in the individualized video group were assessed. To enable patients to access the educational content after discharge, a pre-recorded video prepared by the researcher was sent to their mobile phones via text message. Patients were asked to watch the video, and the researcher remained with them during viewing to answer any potential questions.Information not included in the standard video-such as patients' chronic conditions and medications to be used after discharge-was provided verbally. These individualized instructions were also recorded as a video. The video containing personalized information was then sent to the patients' mobile phones via text message. After all questions were addressed, patients' state anxiety levels and satisfaction with patient education were evaluated

discharge educationBEHAVIORAL

On the day of discharge, patients in the control group were informed about the study, and written informed consent was obtained. Prior to the educational intervention, patients' state and trait anxiety levels were assessed. The data collection form was administered, and patients were asked to complete the questionnaire.Patients in the control group received routine verbal discharge education in accordance with standard clinical practice. Following the education, patients' questions were addressed. Subsequently, their state anxiety levels and satisfaction with patient education were assessed. The data collection form was re-administered, and patients were asked to complete the questionnaire again. Completion of the questionnaires took approximately 15-20 minutes.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who have undergone coronary artery bypass graft (CABG) surgery * Age 18 years and older * Patients who are in the discharge phase and eligible to receive discharge education * Able to read and understand Turkish * Able to communicate effectively * Willing to participate in the study and provide written informed consent Exclusion Criteria: * Diagnosis of severe psychiatric disorder * Presence of cognitive impairment or dementia * Visual or hearing impairment that would prevent participation in the education program * Development of major postoperative complications requiring intensive care * Patients who are not clinically stable at the time of discharge * Patients who withdraw from the study during the research process

Outcomes

Primary Outcomes

Patient Education Satisfaction Scale Total Score

Patient satisfaction will be assessed using the Patient Education Satisfaction Scale, a 30-item Likert-type scale. Each item is scored from 1 to 5, and total scores range from 30 to 150. Higher scores indicate higher satisfaction with discharge education.

Time frame: Baseline" or "Day 1"

State Anxiety Score (State-Trait Anxiety Inventory - STAI-State)

State anxiety levels will be measured using the State-Trait Anxiety Inventory (STAI-State). Scores range from 20 to 80, with higher scores indicating higher levels of anxiety