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IRCT20241208063990N1 IRCT 2025-02-14 Bagheiat-allah University of Medical Sciences A study of a new training for preparing cardiac patients before discharge after open heart surgery. The Effect of Educational Intervention Based on Transition Theory on the Readiness for Hospital Discharge in Patients Undergoing Open Heart Surgery 2025-02-19 anticipated 60 Complete https://irct.ir/trial/80651 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Supportive, Randomization description: In this study, a block randomization method will be used to allocate patients to intervention and control groups. Initially, using random number generator software, blocks of size 4 will be created, consisting of combinations of intervention (I) and control (C) groups (such as IICC, ICIC, CCII). These blocks will be randomly arranged to create the final group allocation list. Each eligible patient entering the study will be assigned to either the intervention or control group in order from this randomized list. To maintain allocation concealment, sealed and numbered envelopes will be used. The person responsible for group allocation will not be involved in outcome assessment to ensure blinding. This method ensures that the number of participants in each group is balanced and minimizes the possibility of predicting group allocations, thereby increasing the internal validity of the study. N/A Heart failure. Intervention 1: Patients who are candidates for heart surgery at Baqiyatallah Hospital will be randomly selected to participate in the study. They will receive education over five days through in-person sessions, structured step-by-step based on the Transition Theory as follows: Session One (Day before surgery): To assess patient awareness, patients will complete an anxiety questionnaire and a readiness for discharge survey. Session Two (60-minute group session on the second day after surgery): Face-to-face education based on identified educational needs from reviewing literature on patient awareness, engagement, and participation. Education continues until patients demonstrate independence. Session Three (60-minute group session on the third day after surgery): Focuses on patient engagement and participation during the transition period to another ward. Feedback is provided on previously taught lessons, with additional instruction if needed. Patients are encouraged mentally to continue learning as they move wards. Session Four (15-20 minute individual or family interview): Considering critical aspects when preparing patients for home transfer, encouraging adherence to care plans taught earlier, motivating families to create a stress-controlled environment, monitoring medication intake. Session Five (Phone follow-up): Focusing on event aspects by contacting patients and their families two weeks post-discharge to review dietary and medication adherence; completing a medication regimen compliance questionnaire. This structured approach aims to enhance patient recovery through comprehensive support throughout their transition from hospital care back home. Intervention 2: In the control group, patients who are candidates for heart surgery are randomly assigned to the control group and receive routine hospital care. Yes - There is a plan to make this available What will be shared: All questionnaire questions, including researcher-made variables and scores of the questionnaires used, are available. When: Immediately after the article was published To whom: Researchers, professors and students of medical universities and healthcare workers Conditions: The results of this study can be used in medical centers to improve the health of patients and to benefit the educational system. Where to obtain: University Library, Published Article How to obtain: The request is sent via email or other means of communication to the responsible author or colleagues, and then the required information is made available to the applicants. Comments:
public Saeed Hashemi
Vanak Square, Mulla Sadra Street, Sheikh Bahai Street
Tehran Iran (Islamic Republic of) 1435916471 +98 21 8755 9800 hashemisaeed65@yahoo.com Bagheiat-allah University of Medical Sciences scientific Saeed Hashemi
Vanak Square, Mulla Sadra Street, Sheikh Bahai Street
Tehran Iran (Islamic Republic of) 1435916471 +98 21 8755 9800 hashemisaeed65@yahoo.com Bagheiat-allah University of Medical Sciences Iran (Islamic Republic of) No history of previous open heart surgery Age 30 to 75 years Willingness to participate in an educational session Literacy No history of psychological disorders 30 years 75 years Both History of open heart surgery Simultaneous participation in another study with similar educational content Deterioration of the patient's condition and return to the intensive care unit I50 Heart failure Lifestyle Lifestyle Patients who are candidates for heart surgery at Baqiyatallah Hospital will be randomly selected to participate in the study. They will receive education over five days through in-person sessions, structured step-by-step based on the Transition Theory as follows: Session One (Day before surgery): To assess patient awareness, patients will complete an anxiety questionnaire and a readiness for discharge survey. Session Two (60-minute group session on the second day after surgery): Face-to-face education based on identified educational needs from reviewing literature on patient awareness, engagement, and participation. Education continues until patients demonstrate independence. Session Three (60-minute group session on the third day after surgery): Focuses on patient engagement and participation during the transition period to another ward. Feedback is provided on previously taught lessons, with additional instruction if needed. Patients are encouraged mentally to continue learning as they move wards. Session Four (15-20 minute individual or family interview): Considering critical aspects when preparing patients for home transfer, encouraging adherence to care plans taught earlier, motivating families to create a stress-controlled environment, monitoring medication intake. Session Five (Phone follow-up): Focusing on event aspects by contacting patients and their families two weeks post-discharge to review dietary and medication adherence; completing a medication regimen compliance questionnaire. This structured approach aims to enhance patient recovery through comprehensive support throughout their transition from hospital care back home. In the control group, patients who are candidates for heart surgery are randomly assigned to the control group and receive routine hospital care. Score obtained using the Readiness for Discharge Scale. Timepoint: Before the intervention and two months after surgery. Method of measurement: Score obtained from the Morisky questionnaire. Bagheiat-allah University of Medical Sciences Approved 2024-12-03 Ethical Committee of Baqiyatallah Al-Azam Educational and Therapeutic Center No. 150, West Brazil Street, Tehran Tehran Tehran Iran (Islamic Republic of)