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| Name | Class |
|---|---|
| Bursa City Hospital | OTHER_GOV |
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This study aims to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol levels in patients undergoing coronary artery bypass graft (CABG) surgery. A total of 60 patients scheduled for CABG surgery will be recruited from the cardiovascular surgery clinic and randomly assigned to either the intervention group (n=30) or the control group (n=30). Patients in the intervention group will receive a structured nurse-led preoperative navigation program, including verbal education and an animated video about the surgical and operating room process. Patients in the control group will receive standard perioperative care. Preoperative anxiety, serum cortisol and glucose levels, and perceived quality of perioperative nursing care will be assessed at specified time points.
This study is designed as a randomized controlled trial to evaluate the effect of a nurse-led preoperative navigation program in patients undergoing coronary artery bypass graft (CABG) surgery. Participants in the intervention group (n=30) will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program includes verbal education about the surgical process and operating room procedures, along with an educational animated video that can be viewed repeatedly until the day of surgery. Participants in the control group (n=30) will receive standard perioperative care without the structured navigation program. Participants will be randomly assigned to either the intervention or control group. Outcome measures will be assessed at predefined time points.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nursing navigation program | Experimental | Participants in the intervention group will receive a structured nurse-led preoperative navigation program. After admission to the cardiovascular surgery clinic, patients will receive verbal information about the surgical process and operating room procedures. In addition, an educational animated video will be provided and can be viewed repeatedly until the day of surgery. The intervention will be delivered approximately 7 days prior to surgery. |
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| Control | No Intervention | Participants in the control group will receive standard perioperative care according to routine clinical practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nursing navigation program | Other | Participants will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program consists of verbal counselling provided by the researcher about the surgical process and operating room procedures, along with an educational animated video designed to explain the perioperative process in a clear and patient-friendly manner. The animated video (9 minutes and 56 seconds) includes information on the purpose of coronary artery bypass graft surgery, preoperative preparation, transfer to the operating room, the operating room environment and surgical team, and postoperative care in the intensive care unit. The video will be made available to patients and/or their relatives and can be viewed repeatedly until the day of surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety | Preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The scale consists of 6 items rated on a 5-point Likert scale from 1 (not at all) to 5 (extremely). The total score ranges from 6 to 30, with higher scores indicating higher levels of anxiety. | At hospital admission and again 1 day before surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived Quality of Perioperative Nursing Care | Perceived quality of perioperative nursing care was measured using the Good Perioperative Nursing Care Scale (GPNCS). The Turkish version of the scale consists of 32 items rated on a Likert-type scale from 0 to 5. The total score ranges from 0 to 160, with higher scores indicating better perceived quality of perioperative nursing care. | Postoperative day 3 |
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Inclusion Criteria:
• who is 18 years of age or older
Planned to undergo elective coronary artery bypass graft surgery,
Who agrees to participate in the research,
• Whose cognitive functions are in place
Communicable • Able to speak and understand Turkish,
Exclusion Criteria:
Undergoing emergency surgery
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| Name | Affiliation | Role |
|---|---|---|
| Neriman Akansel, professor | faculty member | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zeynep Gürer | Bursa | Nilüfer | 16000 | Turkey (Türkiye) |
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This study is designed as a randomized controlled trial to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol and glucose levels in patients undergoing coronary artery bypass graft (CABG) surgery. Participants will be randomly assigned to either the intervention or control group.
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| Serum Cortisol | Serum cortisol levels were measured from fasting blood samples collected in the morning under standardized conditions (before mobilization and getting out of bed). Samples will be analyzed using electrochemiluminescence immunoassay (ECLIA), and results will be reported in µg/dL. | The day before surgery and the morning of surgery |