An interventional study of Family Involvement-Based Nursing Intervention in Family Size and Coronary Artery Disease, sponsored by Yuzuncu Yil University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-09.
Sponsored by Yuzuncu Yil University · Not applicable, Interventional, and Supportive care
This randomized controlled trial was conducted to examine the effect of a family-based intervention prior to coronary artery bypass grafting (CABG) surgery on patients' psychosocial and functional outcomes. In the intervention group, family members who would participate in the care process received structured training, and their active participation in the pre- and post-operative care process was ensured. The control group received standard care.
The study found that the family-based intervention reduced patients' preoperative anxiety levels, supported their independence, and strengthened their psychological resilience. The findings suggest that encouraging family involvement in patient care prior to CABG surgery can significantly contribute to both improving psychosocial adjustment and supporting the recovery process.
Coronary Artery Bypass Grafting (CABG) surgery is a life-saving intervention in the treatment of cardiac diseases; however, it poses significant psychosocial and functional challenges for patients. In the preoperative period, uncertainty, fear of death, and concerns regarding recovery increase patients' anxiety levels, while in the postoperative period, loss of independence, limitations in daily living activities, and decreased psychological resilience are frequently observed. Existing literature predominantly focuses on pharmacological approaches or standard care practices for managing these issues, while studies systematically examining family involvement as an intervention model remain limited. This study evaluated the effects of a family involvement-based structured intervention on anxiety, independence, and psychological resilience in patients undergoing CABG surgery, using a randomized controlled design. Within the intervention, first-degree family members who would participate in the patient's care received training covering the surgical process, care needs, and psychosocial support strategies, and were actively engaged in both pre- and postoperative patient care. The results demonstrated that the family involvement-based intervention significantly reduced patients' anxiety, enhanced independence, and improved psychological resilience. These findings highlight that family involvement contributes not only to the physical care of CABG patients but also to their psychosocial adaptation and recovery processes. As one of the first studies to address these dimensions simultaneously, this research provides an original contribution to strengthening family-centered care in nursing practice and restructuring surgical patient care protocols.
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This study's planned enrollment of 54 is below the median of 124 across 3,436 interventional studies indexed under Coronary Artery Disease.
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Exclusion Criteria:
Family Involvement Intervention Group
Other: Family Involvement-Based Nursing Intervention
Standard Care Control Group
The intervention process began with the identification of a family member who could actively participate in the patient's care. These individuals were typically defined as spouses, children, siblings, or close relatives living together. Patients included in the study were admitted to the cardiovascular surgery ward approximately three days before the planned surgery. During this period, routine preoperative preparations were carried out for the patients. These preparations included carotid and saphenous vein Doppler ultrasonography, consultations with the pulmonary medicine and cardiology departments, and preoperative blood preparation
Also known as: Family Group
Preoperative Anxiety Level
Patients' anxiety levels prior to coronary artery bypass graft (CABG) surgery will be assessed using the State Anxiety Scale (SAS). The scale consists of 20 items and yields scores ranging from 20 to 80; higher scores indicate higher anxiety levels. The measurement will be conducted in person 24 hours before the surgical procedure.
Time frame: Measured on the day before surgery
Psychological Resilience Assessed by the Brief Resilience Scale (BRS)
Participants' psychological resilience levels will be assessed using the Brief Resilience Scale (BRS). The scale consists of 6 items and is scored on a 1-5 point scale. The average score is calculated; higher scores indicate stronger psychological resilience. The measurement will be taken prior to the surgical procedure (24 hours beforehand).
Time frame: The day before the surgery
Functional Independence in Activities of Daily Living Assessed by the Modified Barthel Index (MBI)
Participants' levels of independence in daily living activities will be assessed using the Modified Barthel Index (MBI). The MBI measures 10 basic activities of daily living (e.g., eating, bathing, dressing, mobility, toileting). The score range is 0-100; a higher score indicates greater independence. The measurement is taken upon discharge from the hospital (approximately 5-7 days after surgery).
Time frame: The measurement is taken upon discharge from the hospital (approximately 5-7 days after surgery).
Plan to share: No — No, IPD will not be shared
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This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.
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Yuzuncu Yil University