]>
IRCT20090908002432N8 IRCT 2021-09-17 Shiraz University of Medical Sciences The Effect of Psycho-Educational Interventions on Anxiety, Physiological Indicators and Pain after the Surgery in the Coronary Artery Bypass Graft Patients -- The Effect of Psycho-Educational Interventions on Anxiety, Physiological Indicators and Pain after the Surgery in the Coronary Artery Bypass Graft Patients 2021-08-23 anticipated 56 Complete https://irct.ir/trial/55652 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: The present study is performed on 56 patients volunteered for coronary artery bypass graft surgery who are eligible to enter the study. Samples were selected through target-based sampling method until reaching the desired sample size and then samples were divided into two groups of experimental and control by random allocation method using RA software. Psycho-educational interventions were placed in three training sessions in the morning or evening the day before surgery and routine sedatives were given individually and face to face. Brochures were given to patients for study. Educational interventions included (effective breathing exercises after heart surgery and the way to use spirometry, self-care training and nutritional care after surgery, giving information about the process of the disease and treatment, routine medications after surgery and their side effects, surgery site, stitches and chest tube care training). Psychological interventions included: five mindfulness exercises trainings (conscious breathing, conscious observation, conscious listening, conscious awareness, conscious appreciation). There is no intervention for the control group. Spielberger questionnaire and McGill inventory will completed by the patient after surgery and before discharge. Physiological parameters of the patients, Randomization description: First, we will pick up the people who has the inclusion criteria based on their profiles and get a number to each one. Then, we will randomly select 56 of them with the random number software. We will use the randomized permutation block design with the size of 4 to allocate them into the two groups of intervention (n=28) and control (n=28), Blinding description: Control and intervention group members should not be in the same room or close to each other so that the sound of training would not heard by the control group. We will ask the control group not to share the training with other patients. N/A Condition 1: Pain. Condition 2: Anxiety. Condition 3: Physiological indexes. Intervention 1: Intervention group: Psycho-educational interventions will perform in 3 sessions alongside prescribing routine sedatives face to face before surgery. An educational brochure will give to patients. Educational interventions are including effective breathing exercises after heart surgery, spirometer use techniques, self-care training, nutritional care after surgery, giving information about the course of disease and treatment, routine medications after surgery and their side effects, training to take care of the surgical site, stitches and chest tube. Mental interventions including conscious breathing, conscious observation, conscious listening, conscious mindfulness, conscious appreciation. Intervention 2: Control group: There is no intervention for the control group. Spielberger questionnaire and McGill inventory will completed by the patient after surgery and before discharge. Physiological parameters of the patients will measure and record by the research assistant. Yes - There is a plan to make this available What will be shared: - When: - To whom: - Conditions: -- Where to obtain: - How to obtain: - Comments: -
public Azadeh Amiri
School of Nursing and Midwifery, Namazi Square, Zand Street, Shiraz
Shiraz Iran (Islamic Republic of) 7193613119 00987136474258 00987136474252 amiriea@sums.ac.ir Shiraz University of Medical Sciences scientific Azadeh Amiri
School of Nursing and Midwifery, Namazi Square, Zand Street, Shiraz
Shiraz Iran (Islamic Republic of) 7193613119 00987136474258 00987136474252 amiriea@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Patient candidates for coronary artery bypass graft surgery No history of heart surgery Having literacy of reading and writing Ages between 18 to 65 years Willing to participate in the study Participating in pre-test assessment and having a minimum level of mild anxiety No history of antidepressants use No physical disabilities and no mental illnesses No participation in similar studies 18 years 65 years Both Lack of cooperation after the surgery Postoperative fever and infection Any problems during anesthesia and surgery Other Other Intervention group: Psycho-educational interventions will perform in 3 sessions alongside prescribing routine sedatives face to face before surgery. An educational brochure will give to patients. Educational interventions are including effective breathing exercises after heart surgery, spirometer use techniques, self-care training, nutritional care after surgery, giving information about the course of disease and treatment, routine medications after surgery and their side effects, training to take care of the surgical site, stitches and chest tube. Mental interventions including conscious breathing, conscious observation, conscious listening, conscious mindfulness, conscious appreciation. Control group: There is no intervention for the control group. Spielberger questionnaire and McGill inventory will completed by the patient after surgery and before discharge. Physiological parameters of the patients will measure and record by the research assistant. Level of anxiety. Timepoint: Before intervention, during admission and after intervention. Method of measurement: Spielberger state-trait anxiety questionnaire. Pain. Timepoint: Before intervention, during admission and after intervention. Method of measurement: McGill Scale. Shiraz University of Medical Sciences Approved 2021-05-27 Ethics committee of Shiraz University of Medical Sciences Shiraz University of Medical Sciences, Zand Street, Shiraz. Shiraz Fars Iran (Islamic Republic of)