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IRCT20251119068047N1 IRCT 2025-12-08 Yazd University of Medical Sciences The effect of implementing transitional nursing care in the elderly undergoing coronary artery bypass graft surgery. Investigating the effect of the transitional nursing care on functional independence, quality of life, and cardiac self-efficacy of the elderly undergoing coronary artery bypass graft surgery 2026-01-21 anticipated 70 Recruiting https://irct.ir/trial/87659 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Participants will be allocated to the intervention or control group using block randomization. The random allocation sequence will be generated by the third researcher using the online tool available at www.random.org/sequences/ . This sequence will then be placed as coded assignment labels inside 70 opaque, sealed envelopes. The allocation order will only be revealed upon opening each envelope at the time of a participant’s entry into the study. In this way, allocation concealment is ensured, minimizing the risk of selection bias. To prevent contamination between the two study groups, patients in the control and intervention groups will be accommodated in separate rooms from admission until discharge. Additionally, participants in the intervention group will be instructed not to share any educational materials with other patients during the study period. Patients and their companions will be reminded not to disclose the educational content or study procedures to other patients, especially to those who are candidates for CABG surgery. N/A Condition 1: Chronic ischemic coronary artery disease. Condition 2: Patients undergoing coronary artery bypass surgery. Condition 3: Transitional nursing care of patients undergoing coronary artery bypass surgery. Condition 4: Nursing-led multidisciplinary care for patients undergoing coronary artery bypass graft surgery. Intervention 1: Intervention group: The structured transitional nursing care intervention for the intervention group is delivered over four phases during 16 weeks. Before surgery, patients and one family member receive a validated multimedia CABG educational package consisting of seven short (5–10 minute) videos delivered via smartphone messenger or in-person, covering surgical preparation, procedure stages, hospital care, symptom monitoring, self-assessment, and post-discharge self-care. In the first week post-surgery (in-hospital and immediate post-discharge phase), the lead nurse conducts face-to-face consultation, assesses living conditions, support systems and medication adherence, reviews the educational package and answers questions while the surgeon performs clinical follow-up, the dietitian provides nutritional counseling, and the physiotherapist teaches rehabilitation exercises. From weeks 2 to 8 post-surgery, the lead nurse performs scheduled telephone follow-ups at weeks 2, 4, 6, and 8, reinforces self-care education, completes specific home-care follow-up forms, and refers patients to the multidisciplinary team as needed. From weeks 12 to 16, telephone follow-ups continue at weeks 12, 14, and 16 to monitor rehospitalization, complications, medication continuity, and medical visits, with completion of general follow-up forms and referral when necessary. All activities are coordinated by the coordinating nurse under the supervision of the principal investigator (lead nurse), and research instruments are completed at baseline, week 8, and week 16. Intervention 2: Control group: The control group receives routine hospital and cardiac rehabilitation center care, including pre-operative psychological counseling, general post-operative education in the ward, and telephone follow-up at one month and one year by the rehabilitation center. No additional research intervention is provided; participation in routine programs is only recommended. Yes - There is a plan to make this available What will be shared: All participant personal data in the study can be shared after anonymization. Data sharing can be done by uploading to official data repositories or upon request by the applicant via email to the corresponding author. When: 6 months after publication of the article To whom: The data will be available to researchers working in universities and scientific institutions. Conditions: For scientific application and use for systematic review studies Where to obtain: Fatemeh Bakhshi, Yazd, Bouali St., Safaieh, Shahid Sadoughi Nursing and Midwifery School, Yazd, Nursing and Midwifery Care Research Center, Postal Code: 8916877443, Contact Phone: 00989139684626, Email Addresses: fateme.bakhshii@gmail.com - f.bakhshi@ssu.ac.ir How to obtain: One week after the applicant's email Comments:
public Fatemeh Bakhshi
Nursing and Midwifery School, Bu Ali Street, Opposite the Infertility Center
Yazd Iran (Islamic Republic of) 8916877443 +98 35 3824 1751 fateme.bakhshii@gmail.com Yazd University of Medical Sciences scientific Fatemeh Bakhshi
Nursing and Midwifery School, Bu Ali Street, Opposite the Infertility Center
Yazd Iran (Islamic Republic of) 8916877443 +98 35 3824 1751 fateme.bakhshii@gmail.com Yazd University of Medical Sciences Iran (Islamic Republic of) Willingness to participate in the study Young elders (age group 60 to 75 years) Being alert and mentally healthy Performing coronary artery bypass grafting for the first time The patient's coronary artery bypass grafting procedure is not an emergency. No history of mental disorder The patient or their active companion must be literate. The patient or their active companion must have a smartphone and the patient or their companion must be able to use the internet. 60 years 75 years Both The patient's condition should be such that he/she is unable to visit in person, especially in the first two weeks, and this should be mentioned from the beginning. I25 T82.9 Z74.3 Z51.8 Chronic ischaemic heart disease Unspecified complication of cardiac and vascular prosthetic device, implant and graft Need for continuous supervision Encounter for other specified aftercare Behavior Behavior Intervention group: The structured transitional nursing care intervention for the intervention group is delivered over four phases during 16 weeks. Before surgery, patients and one family member receive a validated multimedia CABG educational package consisting of seven short (5–10 minute) videos delivered via smartphone messenger or in-person, covering surgical preparation, procedure stages, hospital care, symptom monitoring, self-assessment, and post-discharge self-care. In the first week post-surgery (in-hospital and immediate post-discharge phase), the lead nurse conducts face-to-face consultation, assesses living conditions, support systems and medication adherence, reviews the educational package and answers questions while the surgeon performs clinical follow-up, the dietitian provides nutritional counseling, and the physiotherapist teaches rehabilitation exercises. From weeks 2 to 8 post-surgery, the lead nurse performs scheduled telephone follow-ups at weeks 2, 4, 6, and 8, reinforces self-care education, completes specific home-care follow-up forms, and refers patients to the multidisciplinary team as needed. From weeks 12 to 16, telephone follow-ups continue at weeks 12, 14, and 16 to monitor rehospitalization, complications, medication continuity, and medical visits, with completion of general follow-up forms and referral when necessary. All activities are coordinated by the coordinating nurse under the supervision of the principal investigator (lead nurse), and research instruments are completed at baseline, week 8, and week 16. Control group: The control group receives routine hospital and cardiac rehabilitation center care, including pre-operative psychological counseling, general post-operative education in the ward, and telephone follow-up at one month and one year by the rehabilitation center. No additional research intervention is provided; participation in routine programs is only recommended. Health-Related Quality of Life. Timepoint: The time points for measuring quality of life in this study include: at the beginning of the study (before surgery), the end of the eighth week after the start of the study (end of intervention phase), and the end of the sixteenth week after the start of the study (end of follow-up phase). Method of measurement: SF-36 questionnaire. Hospital Readmission. Timepoint: The time points for measuring hospital readmissions in this study include: at the beginning of the study (before surgery), the end of the eighth week after the start of the study (end of intervention phase), and the end of the sixteenth week after the start of the study (end of follow-up phase). Method of measurement: Follow up form. Cardiac Self-Efficacy. Timepoint: The time points for measuring Cardiac Self-Efficacy in this study include: at the beginning of the study (before surgery), the end of the eighth week after the start of the study (end of intervention phase), and the end of the sixteenth week after the start of the study (end of follow-up phase). Method of measurement: Cardiac self-efficacy scale. Functional Independence. Timepoint: The time points for measuring functional independence in this study include: at the beginning of the study (before surgery), the end of the eighth week after the start of the study (end of intervention phase), and the end of the sixteenth week after the start of the study (end of follow-up phase). Method of measurement: Barthel scale. Yazd University of Medical Sciences Approved 2025-09-17 Ethics Committee of Shahid Sadoughi University of Medical Sciences Deputy of Research and Technology, Imam Reza Complex, Imam Hossein Square, Yazd, Iran Yazd Yazd Iran (Islamic Republic of)