Lai Veronica Ka Wai, Lee Anna, Leung Patricia, Chiu Chun Hung, Ho Ka Man, Gomersall Charles David, Underwood Malcolm John, Joynt Gavin Matthew
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Shatin, Hong Kong.
Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong.
BMJ Open. 2016 Jun 22;6(6):e011341. doi: 10.1136/bmjopen-2016-011341.
Patients and their families are understandably anxious about the risk of complications and unfamiliar experiences following cardiac surgery. Providing information about postoperative care in the intensive care unit (ICU) to patients and families may lead to lower anxiety levels, and increased satisfaction with healthcare. The objectives of this study are to evaluate the effectiveness of preoperative patient education provided for patients undergoing elective cardiac surgery.
100 patients undergoing elective coronary artery bypass graft, with or without valve replacement surgery, will be recruited into a 2-group, parallel, superiority, double-blinded randomised controlled trial. Participants will be randomised to either preoperative patient education comprising of a video and ICU tour with standard care (intervention) or standard education (control). The primary outcome measures are the satisfaction levels of patients and family members with ICU care and decision-making in the ICU. The secondary outcome measures are patient anxiety and depression levels before and after surgery.
Ethical approval has been obtained from the Joint Chinese University of Hong Kong-New Territories East Cluster Clinical Research Ethics Committee (reference number CREC 2015.308). The findings will be presented at conferences and published in peer-reviewed journals. Study participants will receive a 1-page plain language summary of results.
ChiCTR-IOR-15006971.
患者及其家属对心脏手术后并发症的风险和陌生体验感到焦虑是可以理解的。向患者及其家属提供有关重症监护病房(ICU)术后护理的信息可能会降低焦虑水平,并提高对医疗保健的满意度。本研究的目的是评估为接受择期心脏手术的患者提供术前患者教育的效果。
100例接受择期冠状动脉搭桥术(无论是否进行瓣膜置换手术)的患者将被纳入一项两组平行、优效性、双盲随机对照试验。参与者将被随机分为两组,一组接受由视频和ICU参观组成的术前患者教育并接受标准护理(干预组),另一组接受标准教育(对照组)。主要结局指标是患者及其家属对ICU护理和ICU决策的满意度。次要结局指标是手术前后患者的焦虑和抑郁水平。
已获得香港中文大学与新界东医院联网联合临床研究伦理委员会的伦理批准(参考编号CREC 2015.308)。研究结果将在会议上展示并发表在同行评审期刊上。研究参与者将收到一份1页的结果通俗语言摘要。
ChiCTR-IOR-15006971。