Patient and family satisfaction levels in the intensive care unit after elective cardiac surgery: study protocol for a randomised controlled trial of a preoperative patient education intervention

Abstract

IntroductionPatients 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.Methods and analysis100 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.Ethics and disseminationEthical 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.Trial registration numberChiCTR-IOR-15006971.

Effects of Information Delivery Intervention for the Family of Patients Undergoing Surgery on Emergency in South Korea

“…Furthermore, they expected to have sufficient time to ask the surgeon some questions and receive satisfactory answers. Good communication between the patient's family and health professionals by directly explaining the status of the surgical progress can reduce the family's anxiety and increase their satisfaction with nursing (Balogh-Mitchell, 2012;Lai et al, 2016;Oberoi et al, 2016;Yang, 2010;Y. A. Yun, 2012).…”

Examining satisfaction of older adult patients and their caregivers following traumatic injury: a cross-sectional study of three level I trauma centres

“…Many studies have shown that satisfaction with care can be influenced by factors relating to a patient’s demographic and clinical characteristics,32 33 such as age,34 insurance status12 and mental health 35. Other components of satisfaction have been tied to accessibility of care, communication and decision-making, emotional support, coordination of care, pain management, and psychological health; however, an agreed on consensus has yet to be reached 3–5 15 32 36–39. We observed that satisfaction was related to some elements of a patient’s clinical status, as well as communication of information, availability and coordination of care, and symptom management.…”

“…The provision of patient-centred and family-centred medical care is well established in the published literature, with multiple studies highlighting the need for attention to experiences of both the patientand their family members 1–4. Particularly in older adult patients and their families, the need for satisfaction with communication and the management surrounding end-of-life treatment strategies is evident 5 6.…”

Effect of peer support on patient anxiety during the coronary angiography or percutaneous coronary intervention perioperative period: a protocol for a systematic review and meta-analysis of randomised controlled trials

“…Some foreign scholars have applied the non-drug psychological intervention nursing method to relieve anxiety after cardiac surgery. Lai et al 30suggested that patients and their families are unfamiliar with cardiac surgery and its complications, which leads to postoperative anxiety. Providing postoperative nursing information to patients and their families could effectively reduce anxiety.…”