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IRCT20210303050566N1 IRCT 2021-07-08 Tehran University of Medical Sciences intervention based on Patient Expectation under Coronary Surgery Effect of Intervention Based on Patient Expectations on Coronary Surgery Outcomes 2021-09-23 anticipated 86 Complete https://irct.ir/trial/54823 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Sampling will initially be according to available sampling. This means that patients who meet the inclusion criteria will be included in the study. Patients are then divided into two groups of control and intervention based on random allocation of four blocks. For this purpose, four blocks are selected, so that the intervention group will have the letter A and the control group will have the letter B; The six possible states are written on separate cards and each card will be assigned a number from one to six, then the numbers will be written on paper and removed randomly. Until the expected number of samples is completed. In this study, the online randomization service (http // www.sealedenvelope.com / simple-randomiser / v1 / lists) will be used to block block randomization.Concealment of random allocation will be done using packets in the package. In this way, one of the letters is placed inside each envelope in the specified order, after which the envelope lid will be closed and will be given to the researcher. N/A Dementia/ Alzheimer. Intervention 1: Intervention group: Between one to week before surgery with patient in this research were contacted using telephone interview questionnaires Patient expectations will be completed by the researcher.Expectation questionnaire The patient will be analyzed and the necessary points to perform the intervention (intervention will be determined based on expectation and optimization of these expectation .After determining the points for intervention, before hospital admission at least tow sessions will be held with patients.It is noteworthy that to perform interventions was coordinated with a cardiologist and a psychiatrist Ahvaz Golestan Hospital then will be scheduled. In the expectations_based intervention outcomes The researcher provides information about surgery and benefits of surgery (The purpose is give information only is not patient education ).The aims of these information to cultivate realistic expectation of treatment and will not be very optimistic . then asked each patient to state their individual expectation of treatment as well as their activity plan after surgery.An example of this activity plan could be this which of the following activities can be used during the recovery process enjoy. And even asked about these activities have illustration and imagination. For positive impact on expectations individual control , to patient about possible symptoms after surgery they have information given. For example , gag reflexes due to the respiratory tract. Researcher and patient share ideas and they will develop programs for adapt to these symptoms. Also talk to patient about what change in health behaviors to help them accelerate recovery . Thus, the expectations of patient individual control are also will be strengthened . After discharge from hospital also during phone call to patient or through WhatsApp the content of specific intervention will be reminded . Intervention 2: Control group: The control group will receive only ordinary ward intervention, which includes explanations of nurse and doctors about heart surgery and care after discharge of hospital. 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
public Kobra Norouzilarki
School of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St., Tohid Sq.
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4325 katinorouzi@gmail.com Tehran University of Medical Sciences scientific Leila Sayadi
School of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St., Tohid Sq.
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4322 l-sayadi@sina.tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) Age over 18 years old Coronary artery surgery for the first time Fluency in Persian Elective surgery Satisfaction to participate in the study No serious underlying disease and mental illness ( respiratory and renal failure and dialysis) 18 years no limit Both Member of treatment staff Family members is a meddical staff G30 Alzheimer's disease N/A N/A Intervention group: Between one to week before surgery with patient in this research were contacted using telephone interview questionnaires Patient expectations will be completed by the researcher.Expectation questionnaire The patient will be analyzed and the necessary points to perform the intervention (intervention will be determined based on expectation and optimization of these expectation .After determining the points for intervention, before hospital admission at least tow sessions will be held with patients.It is noteworthy that to perform interventions was coordinated with a cardiologist and a psychiatrist Ahvaz Golestan Hospital then will be scheduled. In the expectations_based intervention outcomes The researcher provides information about surgery and benefits of surgery (The purpose is give information only is not patient education ).The aims of these information to cultivate realistic expectation of treatment and will not be very optimistic . then asked each patient to state their individual expectation of treatment as well as their activity plan after surgery.An example of this activity plan could be this which of the following activities can be used during the recovery process enjoy. And even asked about these activities have illustration and imagination. For positive impact on expectations individual control , to patient about possible symptoms after surgery they have information given. For example , gag reflexes due to the respiratory tract. Researcher and patient share ideas and they will develop programs for adapt to these symptoms. Also talk to patient about what change in health behaviors to help them accelerate recovery . Thus, the expectations of patient individual control are also will be strengthened . After discharge from hospital also during phone call to patient or through WhatsApp the content of specific intervention will be reminded . Control group: The control group will receive only ordinary ward intervention, which includes explanations of nurse and doctors about heart surgery and care after discharge of hospital. Patients Expectation. Timepoint: Before intervention, 1 and 3 months after coronary surgery. Method of measurement: Patient expectation questionnaire. Cardiac Anxiety. Timepoint: Before intervention, 1 and 3 months after coronary surgery. Method of measurement: Cardiac Anxiety Questionnaire. Pain Disability. Timepoint: Before intervention, 1 and 3 months after coronary surgery. Method of measurement: The Pain Disability Questionnaire. Length of Hospital Stay. Timepoint: After Discharge from hospital. Method of measurement: Based on day. Readmission. Timepoint: until 3 month after surgery. Method of measurement: Noted number of readmission during 3 month after surgery. Tehran University of Medical Sciences Approved 2021-02-20 Institutional research ethics committee of Nursing, Midwifery & Rehabilitation school School of Nursing and Midwifery,Tehran University of Medical Sciences, Nosrat street. Tohid sq. Tehran Tehran Iran (Islamic Republic of)