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IRCT20190717044252N1 IRCT 2019-11-10 Tehran University of Medical Sciences The effect of Cognitive Behavioral Therapy (CBT) program on depression and sleep quality CBT The effect of Nurse-led Cognitive Behavioral Therapy (CBT) program on depression and sleep quality in patients undergoing open heart surgery 2019-08-06 anticipated 84 Complete https://irct.ir/trial/40963 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: The highlight of the above study is the implementation of a cognitive behavioral therapy program by a trained Nursing Specialist, Randomization description: For random assignment, at first, each of the final participants will be given a sample of one to 84 (sample size), then using the software R and the sample command, 42 of the code are selected from 84 codes as the intervention group, and the remaining numbers represent The code will be the control group, Blinding description: The days of referral in the intervention group for counseling are different with the days of referral of patients in the control group. N/A Condition 1: Depression. Condition 2: Sleep Disorder. Intervention 1: Intervention group: Cognitive behavioral intervention group or CBT. Intervention group includes those who have mild to moderate degrees of post-operative depression based on the tools used and will receive CBT protocol in addition to routine care at the treatment center. The CBT protocol will consist of 10 to 12 one-hour weekly sessions, when the patient is indicated, by a trained nurse and in an appropriate pre-embedded location. There will be interactions, discussions, assignments and feedback. Weekly focal points are as follows: Week One: Establish a therapeutic relationship, set a meeting schedule, identify problems objectively, and set treatment goals. Week 2: Increasing patient knowledge, activating behavioral functions, and problem solving techniques. Week 3-4: Identifying automatic thoughts, improving problem-solving skills, reducing ineffective cognitive processes on behavior. Week 5-6: Reconstructing automatic thoughts, identifying abilities, and learning self-treatment techniques. Weeks 7 to 8: Continue self-treatment and relapse prevention. Week 9 - 10: Training to improve self-care skills in the field of illness and to increase acceptable activity according to disease conditions, end Intervention and discontinuation of therapeutic relationship. In this intervention, two sessions were considered as floating to complete the questionnaire or if needed for a longer session and need to continue the intervention. Intervention 2: Control group:The control group includes those who receive only routine post-cardiac care routine care. Routine and routine care, including routine medical and nursing follow-up after cardiac surgery and psychiatric evaluation of a patient by a psychiatrist only if necessary, and requesting a psychiatric consultation by the ICU cardiologist.cognitive intervention. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Elham Navab
Faculty of Nursing and Midwifery., Dr Mirkhani St., Tohid Square.,Tehran
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4000 e_navab100@hotmail.com Tehran University of Medical Sciences scientific Elham Navab
Faculty of Nursing and Midwifery., Dr Mirkhani St., Tohid Square.,Tehran
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4000 e_navab100@hotmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) Ability to attend counseling sessions Minimum diploma education Age between 20 and 65 years Stay in shiraz Full vigilance and ability to speak Persian Physical and mental fitness required to answer questions Not attending other training courses at the same time Not having a specific psychiatric condition before surgery Having Depression After Heart Surgery Having a sleep disorder after heart surgery 20 years 65 years Both The unwillingness of the subject to participate or continue to participate in the research Cases of other diseases, including malignancies or autoimmune disorders Facing specific mental crises before surgery Treated with sedative drugs before surgery F32.1 F51 Moderate depressive episode Nonorganic sleep disorders Behavior N/A Intervention group: Cognitive behavioral intervention group or CBT. Intervention group includes those who have mild to moderate degrees of post-operative depression based on the tools used and will receive CBT protocol in addition to routine care at the treatment center. The CBT protocol will consist of 10 to 12 one-hour weekly sessions, when the patient is indicated, by a trained nurse and in an appropriate pre-embedded location. There will be interactions, discussions, assignments and feedback. Weekly focal points are as follows: Week One: Establish a therapeutic relationship, set a meeting schedule, identify problems objectively, and set treatment goals. Week 2: Increasing patient knowledge, activating behavioral functions, and problem solving techniques. Week 3-4: Identifying automatic thoughts, improving problem-solving skills, reducing ineffective cognitive processes on behavior. Week 5-6: Reconstructing automatic thoughts, identifying abilities, and learning self-treatment techniques. Weeks 7 to 8: Continue self-treatment and relapse prevention. Week 9 - 10: Training to improve self-care skills in the field of illness and to increase acceptable activity according to disease conditions, end Intervention and discontinuation of therapeutic relationship. In this intervention, two sessions were considered as floating to complete the questionnaire or if needed for a longer session and need to continue the intervention. Control group:The control group includes those who receive only routine post-cardiac care routine care. Routine and routine care, including routine medical and nursing follow-up after cardiac surgery and psychiatric evaluation of a patient by a psychiatrist only if necessary, and requesting a psychiatric consultation by the ICU cardiologist.cognitive intervention Depression Score in Beck Questionnaire. Timepoint: The beginning of the study and the end of the intervention. Method of measurement: Beck Depression Inventory. Sleep disorder. Timepoint: The beginning of the study and the end of the intervention. Method of measurement: Pittsburgh Sleep Quality Index (PSQI). Tehran University of Medical Sciences Approved 2019-06-19 The Ethics Committee of the Faculty of Nursing and Midwifery and Rehabilitation of Tehran University No. 29, 11 Ave., Shahidan Gerami Ave., Farhang Shahr Ave., Shiraz Shiraz Fars Iran (Islamic Republic of)