The Effect of Video-based Education on Anxiety, Pain and Recovery Quality in Patients Undergoing Laparoscopic Cholecystectomy.

Laparoscopic Cholecystectomy Clinical Trial

— EDUCATION  

Official title:

The Effect of Video-based Training Given by Operating Room Nurses to Patients Undergoing Laparoscopic Cholecystectomy on Anxiety, Pain and Recovery Quality.

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06254079
• Other study ID #: 2023/46
• Status: Active, not recruiting
• Phase: N/A
• Start date: March 1, 2023
• Est. completion date: June 1, 2024

Study information

• Verified date: February 2024
• Source: TC Erciyes University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The reasons for anxiety before laparoscopic cholecystectomy include the operation of the surgery process, its therapeutic effect, lack of information about the postoperative period and lack of communication. The increase in the preoperative anxiety level in patients undergoing surgical intervention negatively affects the patients' sleep, recovery and quality of life, length of hospital stay is prolonged, cost increases in hospitals, and socioeconomic losses occur in individuals and institutions. Therefore, this study will be conducted as a randomized controlled experimental study to determine the effect of video-based training given by an operating room nurse to patients undergoing laparoscopic cholecystectomy on preoperative anxiety, postoperative pain and recovery quality.

46 patients (23 experimental, 23 control group) who underwent laparoscopic cholecystectomy will be included in the study.Patient Information Form, Surgical Anxiety Scale, Visual Analogue Scale (VAS) and Recovery Quality Scale-15 will be used to collect data.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 46
• Est. completion date: June 1, 2024
• Est. primary completion date: April 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Agreeing to participate in the research,

• Knows how to read, write and speak Turkish,

• Patients who will undergo elective laparoscopic cholecystectomy in the General Surgery Service will be included.

Exclusion Criteria:

• Have cognitive, auditory and psychological problems that may affect communication with researchers,

• Using psychiatric medication,

• Undergoing surgical intervention under emergency conditions,

• Subjected to spinal, epidural or local anesthesia during surge

Related Conditions & MeSH terms

• Laparoscopic Cholecystectomy

Intervention

Procedure:
• video based education
The patients in the experimental group will be shown a video containing information about the operating room environment and care during surgery. The video content includes the following details: the operating room temperature being maintained at 18-24°C; the patient being placed on the operating table by the staff in the presence of an anesthesia technician; the establishment of intravenous access by the anesthesia technician; monitoring of blood pressure, pulse, respiration, and EKG indicators; the insertion of a urinary catheter by the surgical nurse after the patient is anesthetized; post-awakening transfer to the postoperative recovery unit with the anesthesia technician and personnel; reception and monitoring of vital signs, pain assessment, intervention, and observation for a period by a nurse in this unit; and finally, transfer to the General Surgery Service.

Locations

Country	Name	City	State
Turkey	Erciyes University	Kayseri	Talas
Turkey	Erciyes University	Kayseri

Sponsors (1)

Lead Sponsor	Collaborator
TC Erciyes University

Country where clinical trial is conducted

Turkey, 

References & Publications (3)

Dolan R, Huh J, Tiwari N, Sproat T, Camilleri-Brennan J. A prospective analysis of sleep deprivation and disturbance in surgical patients. Ann Med Surg (Lond). 2016 Jan 6;6:1-5. doi: 10.1016/j.amsu.2015.12.046. eCollection 2016 Mar. — View Citation

Gursoy A, Candas B, Guner S, Yilmaz S. Preoperative Stress: An Operating Room Nurse Intervention Assessment. J Perianesth Nurs. 2016 Dec;31(6):495-503. doi: 10.1016/j.jopan.2015.08.011. Epub 2016 May 6. — View Citation

Stark PA, Myles PS, Burke JA. Development and psychometric evaluation of a postoperative quality of recovery score: the QoR-15. Anesthesiology. 2013 Jun;118(6):1332-40. doi: 10.1097/ALN.0b013e318289b84b. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Video based education	The video includes information about various aspects such as preoperative waiting and postoperative recovery units, the operating room, tables with surgical instruments, sterile drapes, and characteristics of surgical team members. Additionally, details are provided regarding the information to be obtained from patients upon arrival in the operating room, positions to be instructed for the surgical procedure and corresponding precautions, communication methods with the patient's family during the surgery, interventions in the postoperative recovery unit, and criteria for transferring patients to the regular service after surgery.	1 day
Secondary	Surgical Anxiety	The surgical anxiety scale will be filled out when patients come from the ward to the preoperative waiting room on the day of surgery.Scores between 0 and 60 are taken from the scale. As the score obtained from the scale increases, the individual's anxiety is interpreted as high.	1 day
Secondary	Visual Analog Scale Pain	Application of visual analog scale pain to all patients at the 24 hours later after surgery. The range of scores on the scale varies between 0-10, and higher scores indicate increased pain intensity.	up to 24 hours
Secondary	Recovery Quality	The Quality of Healing-15 Scale was completed by all patients 24 hours later after the surgery.The score range that can be obtained from the scale varies between 0-150. As the score increases, the quality of recovery increases.	up to 24 hours