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IRCT20180903040938N2 IRCT 2021-01-17 Birjand University of Medical Sciences The effect of structured education and post-discharge follow-up on the incidence of early complications and mortality after open heart surgery The effect of structured education and post-discharge follow-up on the incidence of early complications and mortality after open heart surgery 2020-12-21 anticipated 100 Complete https://irct.ir/trial/53472 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Random time block: In order to prevent patients from contacting each other and exchanging information between them, a random sequence of two-week time blocks will be randomly determined through SPSS software. The sequence is kept in a sealed envelope and when opened every two weeks, it is determined which intervention should be performed. N/A open heart surgery. Intervention 1: Intervention group: Educational content prepared from reputable sources such as Clinical key, Medline plus and nursing consult after approval by experts in this field (nurses and physicians working in open heart surgery) based on the average number of days of hospitalization of these patients in the ward with the titles of initial admission Ward, general rules of the ward, how to wash hands properly, introduction of staff and how to use the nurse summons, the nature of the disease and the cause of hospitalization, methods of diagnosis and treatment of the disease, preparations before open heart surgery, postoperative care Open heart surgery, physical activity, diet, constipation prevention, on-site care, medication regimen and on-the-go training will be provided in each shift from admission to discharge. The presentation method includes lectures, showing pictures and related videos and presenting a pamphlet containing a summary of the content presented in each shift, and after the training, the patient and his caregiver will understand the training provided with open-ended questions. Also, before presenting each training, the patient's understanding of the training provided in the previous shift will be measured by asking questions and will be reviewed if necessary. After the patient's discharge, a telephone call (with a maximum time of 15 minutes) will be made to follow up on the patient's condition, remind them of the issues mentioned at the time of admission and answer possible questions on a specific day and according to the previously coordinated time with patients / their caregivers. Also, the contact number of the department will be provided to them to answer the questions. The condition of the patients will be followed up (telephone-doctor's visit) up to 3 months after discharge. Intervention 2: Control group: Get routine care in the ward. Yes - There is a plan to make this available What will be shared: Participants' information will be kept confidential and the results will be presented without mentioning the names of the individuals. When: After printing the results To whom: Everyone Conditions: By respecting literary rights and trust Where to obtain: Birjand University of Medical Sciences How to obtain: After reviewing the application, within a maximum of one week Comments:
public Fahimeh Nikraftar
ghaffari street, Birjand University of Medical Sciences
Birjand Iran (Islamic Republic of) ۹۷۱۷۸۵۳۵۷۷ +98 56 3238 1210 Nikraftarf1992@gmail.com Birjand University of Medical Sciences scientific Fahimeh Nikraftar
Ghaffari street, Birjand University of Medical Sciences
Birjand Iran (Islamic Republic of) ۹۷۱۷۸۵۳۵۷۷ +98 56 3238 1210 Nikraftarf1992@gmail.com Birjand University of Medical Sciences Iran (Islamic Republic of) Age over 18 years Literacy Ability to make phone calls 18 years no limit Both receive additional training speech and hearing problems Being a member of a health team history of heart surgery history of stroke history of disease-related complications I23.8 Other current complications following acute myocardial infarction Rehabilitation Rehabilitation Intervention group: Educational content prepared from reputable sources such as Clinical key, Medline plus and nursing consult after approval by experts in this field (nurses and physicians working in open heart surgery) based on the average number of days of hospitalization of these patients in the ward with the titles of initial admission Ward, general rules of the ward, how to wash hands properly, introduction of staff and how to use the nurse summons, the nature of the disease and the cause of hospitalization, methods of diagnosis and treatment of the disease, preparations before open heart surgery, postoperative care Open heart surgery, physical activity, diet, constipation prevention, on-site care, medication regimen and on-the-go training will be provided in each shift from admission to discharge. The presentation method includes lectures, showing pictures and related videos and presenting a pamphlet containing a summary of the content presented in each shift, and after the training, the patient and his caregiver will understand the training provided with open-ended questions. Also, before presenting each training, the patient's understanding of the training provided in the previous shift will be measured by asking questions and will be reviewed if necessary. After the patient's discharge, a telephone call (with a maximum time of 15 minutes) will be made to follow up on the patient's condition, remind them of the issues mentioned at the time of admission and answer possible questions on a specific day and according to the previously coordinated time with patients / their caregivers. Also, the contact number of the department will be provided to them to answer the questions. The condition of the patients will be followed up (telephone-doctor's visit) up to 3 months after discharge. Control group: Get routine care in the ward Incidence of complications and mortality. Timepoint: At the beginning of the study and 3 months after the intervention. Method of measurement: Complication checklist. Birjand University of Medical Sciences Approved 2020-10-12 Ethics Committee of Birjand University of Medical Sciences ghaffari street Birjand South Khorasan Iran (Islamic Republic of)