NCT07528989

Nurse Navigation Programs Affect to Anxiety, Perception of Quality Nursing Care and Stress Hormone Levels

The Effect of a Nurse-Led Preoperative Navigation Program on Anxiety, Perceived Quality of Perioperative Nursing Care, and Stress Hormone Levels in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Uludag University · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Accepted

Summary

This study aims to evaluate the effect of a nurse-led preoperative navigation program on preoperative anxiety, perceived quality of perioperative nursing care, and serum cortisol levels in patients undergoing coronary artery bypass graft (CABG) surgery. A total of 60 patients scheduled for CABG surgery will be recruited from the cardiovascular surgery clinic and randomly assigned to either the intervention group (n=30) or the control group (n=30). Patients in the intervention group will receive a structured nurse-led preoperative navigation program, including verbal education and an animated video about the surgical and operating room process. Patients in the control group will receive standard perioperative care. Preoperative anxiety, serum cortisol and glucose levels, and perceived quality of perioperative nursing care will be assessed at specified time points.

Detailed description

This study is designed as a randomized controlled trial to evaluate the effect of a nurse-led preoperative navigation program in patients undergoing coronary artery bypass graft (CABG) surgery. Participants in the intervention group (n=30) will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program includes verbal education about the surgical process and operating room procedures, along with an educational animated video that can be viewed repeatedly until the day of surgery. Participants in the control group (n=30) will receive standard perioperative care without the structured navigation program. Participants will be randomly assigned to either the intervention or control group. Outcome measures will be assessed at predefined time points.

Conditions

• Coronary Artery Bypass Grafting
• Preoperative Anxiety

Interventions

Type	Name	Description
OTHER	Nursing navigation program	Participants will receive a structured nurse-led preoperative navigation program delivered approximately 7 days prior to surgery. The program consists of verbal counselling provided by the researcher about the surgical process and operating room procedures, along with an educational animated video designed to explain the perioperative process in a clear and patient-friendly manner. The animated video (9 minutes and 56 seconds) includes information on the purpose of coronary artery bypass graft surgery, preoperative preparation, transfer to the operating room, the operating room environment and surgical team, and postoperative care in the intensive care unit. The video will be made available to patients and/or their relatives and can be viewed repeatedly until the day of surgery.

Timeline

• Start date: 2023-11-01
• Primary completion: 2024-06-01
• Completion: 2024-11-01
• First posted: 2026-04-14
• Last updated: 2026-04-14

Locations

1 site across 1 country: Turkey (Türkiye)