]>
IRCT20101113005163N6 IRCT 2018-01-03 Tehran University of Medical Sciences Assessing the Effects of Implementation of Comfort Caring Model on Distress, Pain, and Hemodynamic Parameters of Children with Congenital Heart Disease Following the Cardiac Surgery - Assessing the Effects of Implementation of Comfort Caring Model on Distress, Pain, and Hemodynamic Parameters of Children with Congenital Heart Disease Following the Cardiac Surgery 2017-12-06 anticipated 50 Complete https://irct.ir/trial/5513 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: -, Randomization description: In this research, random blocking sampling method is used. The researcher selects his samples from eligible children at a specified time interval. Assignment of samples is done in two experimental and control groups by random method and the completion of the samples is continued. Block random sampling is a randomized method that ensures that at each point in a research, roughly equal numbers of participants are assigned to all the comparison groups. To randomly assign samples to test groups and Random blocking control is the best method and it is possible to achieve the same number of samples in groups in sequential or sequential sampling at any time point of the study. The number of blocks based on the sample size determined according to the pilot study . N/A Check distress, pain and hemodynamic parameters in children with congenital heart defects after open heart surgery. Intervention 1: 1) Intervention group: The intervention in this group is the implementation of a nursing care program based on the nursing theory of comfort. Nurses carry out three levels of interventions for the care of children in the intervention group after surgery based on comfort theory. These three levels include relief, ease and transcendence in four aspects of physical, psycho spiritual, socio-cultural and environmental care. Interventions in the physical aspect include the establishment and maintenance of homeostasis in the body, maintaining water and electrolyte balance, oxygenation, temperature adjustment, heart rhythm monitoring, gastrointestinal stability, nervous system, respiratory system, circulation system Blood and disfiguring system. Another aspect of care is the psycho spiritual dimension, nursing care is touching, encouraging words, special appointments, and self-esteem strategies. The third dimension is the socio-cultural dimension, which includes support, attention to cultural sensitivities, the use of body language in the proper manner, and the care that is being taken to achieve it, including providing appropriate information about procedures, family presence And donations, respect for cultural traditions. The last one is the environmental dimension including silence, order, security, light and ambient control, ambient temperature control, avoidance of falling sleep rhythm and awakening and control of odor. Intervention 2: Control group: The control group will usual receive post-operative care. Regular care will be performed based on internal policies and care protocols related to nursing care after surgery for pediatric cardiopulmonary abnormalities. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no program for publishing participant data file.
public Akramsadat Sadat Hosieni
Faculty of Nursing and Midwifery, Nosrat St,Tohid Square, Tehran, Iran
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4423 ashoseini@tums.ac.ir Tehran University of Medical Sciences scientific Akramsadat Sadat Hosieni
ّFaculty of Nursing and Midwifery, Noshahr St, Tohid Square, Tehran, Iran
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4423 ashoseini@tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) child with cardiac abnormalities Parental satisfaction for participate in the study after undergo open heart surgery Lack of chromosomal abnormalities and mental retardation Non-treatment with neuromuscular blockers drugs Age of the child: from 28 days until the end of two years having no history of previous hospitalization and performing surgery for the first time having a CV line Connection to the mechanical ventilation device at the time of admission and separation within the first 24 hours after surgery 28 days 2 years Both Death of a child Dissatisfied parents to continue implementing a care method based on the comfort theory Incidence of unpredictable effects after surgery Q24.9 Acyanotic and cyanotic congenital heart disease Other N/A 1) Intervention group: The intervention in this group is the implementation of a nursing care program based on the nursing theory of comfort. Nurses carry out three levels of interventions for the care of children in the intervention group after surgery based on comfort theory. These three levels include relief, ease and transcendence in four aspects of physical, psycho spiritual, socio-cultural and environmental care. Interventions in the physical aspect include the establishment and maintenance of homeostasis in the body, maintaining water and electrolyte balance, oxygenation, temperature adjustment, heart rhythm monitoring, gastrointestinal stability, nervous system, respiratory system, circulation system Blood and disfiguring system. Another aspect of care is the psycho spiritual dimension, nursing care is touching, encouraging words, special appointments, and self-esteem strategies. The third dimension is the socio-cultural dimension, which includes support, attention to cultural sensitivities, the use of body language in the proper manner, and the care that is being taken to achieve it, including providing appropriate information about procedures, family presence And donations, respect for cultural traditions. The last one is the environmental dimension including silence, order, security, light and ambient control, ambient temperature control, avoidance of falling sleep rhythm and awakening and control of odor. Control group: The control group will usual receive post-operative care. Regular care will be performed based on internal policies and care protocols related to nursing care after surgery for pediatric cardiopulmonary abnormalities. Distress. Timepoint: On arrival, 24, 48, 72 hours after surgery and entering to PICU. Method of measurement: comfort behavior scale. Pain. Timepoint: On arrival, 24, 48, 72 hours after surgery and entering to PICU. Method of measurement: comfort behavior scale. Hemodynamic parameters. Timepoint: On arrival, 24, 48, 72 hours after surgery and entering to PICU. Method of measurement: comfort behavior scale. Tehran University of Medical Sciences Approved 2017-07-04 The Ethics Committee of the Research Committee of Midwifery Faculty, Tehran University of Medical Sc Nosrat St,Tohid Square Tehran Tehran Iran (Islamic Republic of)