Preoperative Patient Education for Enhanced Recovery After Colon and Rectal Surgery

Cairo University (CU)

Status: Completed

Conditions: Colo-rectal Cancer

Treatments: Behavioral: Comprehensive Preoperative Education for Enhanced Recovery in Colorectal Surgery; Other: Routine hospital care

Study type: Interventional

Funder types: Other

Identifiers

NCT06660303

Preoperative Patient Education

Details and patient eligibility

About

The aim of this experimental study is to evaluate whether **preoperative patient education can improve outcomes for individuals undergoing colorectal surgery. This study will focus on adult male and female patients with colon cancer scheduled for colorectal surgery through colonoscopy, excluding those undergoing open surgery.

The primary questions this study seeks to answer are:

• Do patients who receive preoperative education experience significantly lower levels of preoperative anxiety compared to those receiving routine hospital care?
• Do patients receiving nursing instructions report significantly lower levels of oral pain postoperatively compared to those who do not?
• Does preoperative education lead to higher levels of patient satisfaction compared to standard care?

Researchers will compare a study group that receives preoperative education to a control group receiving routine hospital care to determine the effectiveness of the intervention.

Participants will be asked to:

• Complete a demographic and medical history questionnaire.
• Utilize the Pain Numeric Rating Scale (NRS-11) to self-report pain levels.
• Participate in assessments using the Amsterdam Preoperative Anxiety and Information Scale (APAIS)**.
• Complete a satisfaction survey using the Colorectal Surgical Patient's Satisfaction Tool after surgery.

The study aims to assess the impact of preoperative education on anxiety, pain management, and overall patient satisfaction.

Full description

Patient education and engagement are fundamental components of modern integrated colorectal care pathways. Surgeons and nurses play a crucial role in providing comprehensive education about what patients can expect during both the preoperative and postoperative phases of surgery. Setting clear expectations early-especially regarding the anticipated discharge date-significantly influences the postoperative recovery journey.

Enhanced Recovery After Surgery (ERAS) is an evidence-based, patient-focused strategy aimed at optimizing surgical outcomes by streamlining the recovery process. Initially designed for colorectal procedures, ERAS protocols have now been adapted for various surgical disciplines, with many of its principles safely applicable to most perioperative patients. The primary objective of ERAS is to minimize the physical and emotional strain of surgery, facilitating quicker recovery, reducing complications, and decreasing the length of hospital stays.

While much of the research on the ERAS program has traditionally centered on the surgeon's role, the multidisciplinary nature of patient care has brought increased recognition to the nurse's contribution. Nursing professionals are now acknowledged as vital components of the ERAS framework, playing a key role in ensuring the program's success.

Enrollment: 100 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult male and female patients with colon cancer undergoing colorectal surgery via colonoscope.

Exclusion criteria

• patients with open surgery.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

Study group

Experimental group

Description:

Patients who will receive comprehensive preoperative education tailored to their upcoming colorectal surgery. This education covers what to expect during the surgical process, postoperative care, pain management strategies, and guidelines to aid faster recovery.

Treatment:

Behavioral: Comprehensive Preoperative Education for Enhanced Recovery in Colorectal Surgery

Control Group

Active Comparator group

Description:

Participants which will receive routine hospital care. This means that participants in this group will go through the standard preoperative and postoperative procedures typically provided at the hospital without any additional specialized preoperative education or targeted nursing instructions

Treatment:

Other: Routine hospital care