Effects of psychosocial nursing interventions on sleep, anxiety, and delirium in heart surgery patients
The Effect of Psychosocial Nursing Interventions on Sleep, Anxiety and Delirium in Patients Undergoing Open Heart Surgery
This study tests whether special nursing support can help first-time heart surgery patients sleep better, feel less anxious, and avoid confusion after their operation.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Sponsor | Mersin University Academic / other |
| Locations | 1 site (Mersin, Yenişehir) |
| Trial ID | NCT05864482 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate the effectiveness of psychosocial nursing interventions on improving sleep quality, reducing anxiety, and preventing delirium in patients undergoing open heart surgery. It focuses on patients who are undergoing their first heart surgery and assesses their psychological and physical recovery post-operation. The interventions include Cognitive-Behavioral Therapy (CBT) techniques tailored to address the specific needs of cardiac surgery patients. The study will be conducted at Mersin University Hospital's cardiovascular surgery unit, targeting patients with elevated anxiety levels prior to surgery.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 years old who are undergoing their first open heart surgery and have a high level of preoperative anxiety.
Not a fit: Patients with pre-existing psychiatric conditions or those requiring mechanical ventilation will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could significantly improve the psychological well-being and recovery outcomes for patients undergoing open heart surgery.
How similar studies have performed: Previous studies have shown that psychosocial interventions can be effective in improving outcomes for surgical patients, suggesting potential success for this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Between 15 April - 31 August 2023, Mersin University Hospital cardiovascular surgery service, cardiovascular surgery intensive care unit was admitted, * over the age of 18, * Patients who will undergo open heart surgery for the first time, * Not diagnosed with any psychiatric disease, * Conscious, cooperative, hemodynamically stable (blood pressure not below 70/50mHg), not on mechanical ventilator * Patients with a state anxiety scale score of 40 and above, * Low and medium risk patients evaluated with the European System for Cardiac Operative Risk Evaluation (EuroSkor), the risk scoring system used to predict mortality in the preoperative period in cardiac surgery, * Literate, with sufficient communication skills and Turkish-speaking * Those who signed the Informed Consent Form to participate in the study will be included. Exclusion Criteria: Between 15 April - 31 August 2023, Mersin University Hospital cardiovascular surgery service, cardiovascular surgery intensive care unit was admitted, * Emergency patients for whom open heart surgery has not been planned before, * Diagnosed with dementia, * Standardized mini mental test (SMMT) below 3 points, * Has a history of previous cerebrovascular accident (CVO), * Severe comorbidity * Patients with a high EuroScore and prolonged mechanical ventilator duration * Those who do not sign the Informed Consent Form to participate in the study will not be included.
Where this trial is running
Mersin, Yenişehir
- Firdevs Ebru ÖZDEMİR — Mersin, Yenişehir, Turkey (Recruiting)
Study contacts
- Study coordinator: Firdevs Ebru ÖZDEMİR, Master
- Email: februliozd@hotmail.com
- Phone: +90505 854 2080
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.