Kolcaba's Comfort Theory on the Comfort Levels of Patients Undergoing Open Heart Valve Surgery

Yuzuncu Yil University

Status: Completed

Conditions: Surgery (Cardiac)

Treatments: Behavioral: Nursing Care Based on Kolcaba's Comfort Theory

Study type: Interventional

Funder types: Other

Identifiers

NCT06769945

Ataturk Unıversity

TDK-2024-14325 (Other Identifier)

Details and patient eligibility

About

It is planned to determine the effect of comfort theory-based nursing care on the comfort and pain levels of patients undergoing open heart valve surgery.

• Does nursing care based on comfort theory reduce the comfort of patients undergoing open heart valve surgery?
• Does nursing care based on comfort theory reduce the pain level of patients undergoing open heart valve surgery?
• Does nursing care based on comfort theory increase the comfort level of patients undergoing open heart valve surgery?
• Does nursing care based on comfort theory increase the pain level of patients undergoing open heart valve surgery?

Full description

Comfort is defined as "an expected result with a complex structure within the physical, psychological, social and environmental integrity of helping the individual with his/her needs, providing peace of mind and being able to overcome problems." In his theory, Kolcaba defined comfort as "an expected result with a complex structure within the physical, psychospiritual, social and environmental integrity of helping the individual with his needs, providing peace of mind and overcoming problems. This situation affects recovery and discharge times. Studies indicate that comfort is one of the most important factors affecting the speed of recovery. The sample size of the study was determined using power analysis. As a result of the Power analysis (G*Power 3.1.9.4); when the effect size was taken as Cohen's d: 0.95, the number of samples determined for a confidence interval of 95%, a power of 95%, and a margin of error of 0.05 was determined as a total of 50 patients, with a minimum of 25 patients for each group (Experimental and Control). Considering the block randomization distributions, the study was completed with 56 patients.

Enrollment: 56 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Volunteering to participate in the study,
• Being 18 years of age or older,
• Being open to communication,
• Not having any obstacle in terms of consciousness and sensory organs,
• Being in the cardiovascular surgery service clinic

Exclusion criteria

• Hearing and/or visual loss
• Leaving the study voluntarily
• Patients transferred from the ward environment back to the intensive care environment

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

56 participants in 2 patient groups

experimental

Experimental group

Description:

Patients in the experimental group will receive nursing care based on Kolcaba's Comfort Theory during their stay in the cardiovascular surgery service. After determining the comfort-oriented care needs of the patients, the General Comfort Scale will be used and individualised nursing care plans will be created in line with these needs. According to Kolcaba, standard comfort interventions and comfort interventions provided by coaching will be applied.

Treatment:

Behavioral: Nursing Care Based on Kolcaba's Comfort Theory

Control

No Intervention group

Description:

Control group patients will receive routine nursing care in the ward environment.