An interventional study of Individualized Nursing Intervention Program Based on Orem's Self-Care Theory and Usual postoperative care in Coronary Artery Bypass Grafting (CABG) Surgery, sponsored by Jerash Private University. Completed at 1 site in Jordan. Per ClinicalTrials.gov, last updated 2026-09-24.
Sponsored by Jerash Private University · Not applicable, Interventional, and Supportive care
This randomized controlled trial will evaluate the effectiveness of an individualized self-care and nursing intervention program based on Orem's Self-Care Theory among patients following coronary artery bypass grafting (CABG). The program is designed to address patients' learning needs, strengthen self-efficacy, promote self-care behaviors and wound-management practices, and improve quality of life while reducing anxiety and depression during postoperative recovery. Participants will be randomly assigned in a 1:1 ratio to either the individualized Orem-based self-care and nursing intervention program in addition to usual care or usual care alone. Outcomes will be assessed at baseline, 3 months, and 6 months after the intervention. The study will be conducted in cardiology departments and cardiac intensive care units of hospitals affiliated with the Jordanian Ministry of Health in Jordan.
This prospective, two-group, parallel randomized controlled trial evaluated an individualized self-care and nursing intervention program based on Orem's Self-Care Theory among patients following coronary artery bypass grafting (CABG).
The study was conducted in cardiology departments and cardiac intensive care units (CCUs/CICUs) of hospitals affiliated with the Jordanian Ministry of Health in Jordan. Participants were recruited from August 2025 to February 2026, and follow-up assessments continued for 6 months.
A total of 440 eligible patients were randomly allocated in a 1:1 ratio to either the intervention group or the control group. The intervention group received an individualized Nursing Intervention Program Based on Orem's Self-Care Theory in addition to usual postoperative care, whereas the control group received usual postoperative care. The intervention was designed to address patients' individual learning needs and self-care requirements during recovery following CABG.
The intervention incorporated individualized education and nursing support addressing postoperative recovery, medication management, physical activity and gradual mobilization, dietary and lifestyle recommendations, symptom monitoring, recognition of warning signs and complications, surgical wound care, self-care behaviors, cardiac self-efficacy, psychological adjustment, problem-solving, decision-making, and long-term cardiovascular self-management. Educational content was tailored according to each participant's identified learning needs, self-care difficulties, postoperative symptoms, functional limitations, and barriers to recommended self-care.
Participants were assessed at baseline and at 3- and 6-month follow-up. Study outcomes included postoperative learning needs, self-care behaviors, cardiac self-efficacy, anxiety, depression, wound-management behaviors, and health-related quality of life. The study used standardized assessment instruments, including the Postoperative Learning Needs Scale, a CABG-adapted self-care behavior measure, the Cardiac Self-Efficacy Questionnaire, the Hospital Anxiety and Depression Scale, and the EQ-5D-5L.
The primary longitudinal comparison was based on changes in outcomes over time between the intervention and control groups. Longitudinal outcome data were analyzed using linear mixed-effects models incorporating study group, assessment time, and the group-by-time interaction as fixed effects and participant as a random effect to account for repeated measurements.
8,577 studies on the registry are indexed under Depression; 1,720 are open to participants now.
This study's enrollment of 440 is above the median of 81 across 7,063 interventional studies indexed under Depression.
Browse Depression studies →Jerash Private University is the lead sponsor of 8 studies on the registry; 3 are open to participants now.
Compared within Depression, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Anxiety Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →
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Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants received an individualized Nursing Intervention Program based on Orem's Self-Care Theory in addition to usual postoperative care. The program was individualized according to patients' learning needs, self-care difficulties and capacity, postoperative symptoms, functional limitations, and barriers to recommended self-care. It addressed postoperative recovery, medication management, physical activity and gradual mobilization, dietary and lifestyle recommendations, symptom monitoring, recognition of warning signs and complications, surgical wound care, self-care behaviors, cardiac self-efficacy, psychological adjustment, problem-solving, decision-making, and long-term cardiovascular self-management.
Behavioral: Individualized Nursing Intervention Program Based on Orem's Self-Care Theory · Other: Usual postoperative care
Participants received usual postoperative care.
Other: Usual postoperative care
An individualized nursing intervention program based on Orem's Self-Care Theory, provided in addition to usual postoperative care. The program was tailored according to patients' identified learning needs, self-care difficulties and capacity, postoperative symptoms, functional limitations, and barriers to recommended self-care. It addressed postoperative recovery, medication management, physical activity and gradual mobilization, dietary and lifestyle recommendations, symptom monitoring, recognition of warning signs and complications, surgical wound care, self-care behaviors, cardiac self-efficacy, psychological adjustment, problem-solving, decision-making, and long-term cardiovascular self-management.
Participants received usual postoperative care according to the routine care provided at the participating hospitals following coronary artery bypass grafting.
Postoperative Learning Needs Scale (PLNS) Overall Score
Postoperative learning needs measured using the overall score of the Postoperative Learning Needs Scale (PLNS), with a possible score range of 0-65. Higher scores indicate greater postoperative learning needs.
Time frame: Baseline, 3 months, and 6 months after CABG
CABG-Adapted Revised Self-Care Behaviors Scale (RSCB) Overall Score
Self-care behaviors measured using the CABG-adapted Revised Self-Care Behaviors Scale (RSCB). The instrument contains 29 items scored from 0 to 5, yielding a possible total score of 0-145. Higher scores indicate more frequent performance of self-care behaviors.
Time frame: Baseline, 3 months, and 6 months after CABG
Cardiac Self-Efficacy Questionnaire (CSEQ) Overall Score
Cardiac self-efficacy measured using the Cardiac Self-Efficacy Questionnaire (CSEQ). The 16-item questionnaire is scored from 0 to 4 per item, yielding a total score of 0-64. Higher scores indicate greater cardiac self-efficacy.
Time frame: Baseline, 3 months, and 6 months after CABG
Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score
Anxiety symptoms measured using the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS). The anxiety subscale contains 7 items and produces a score ranging from 0 to 21, with higher scores indicating greater anxiety symptoms.
Time frame: Baseline, 3 months, and 6 months after CABG
Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score
Depressive symptoms measured using the depression subscale of the Hospital Anxiety and Depression Scale (HADS). The depression subscale contains 7 items and produces a score ranging from 0 to 21, with higher scores indicating greater depressive symptoms.
Time frame: Baseline, 3 months, and 6 months after CABG
Wound-Management Behaviors Score
Wound-management behaviors measured using the wound-related items of the CABG-adapted Revised Self-Care Behaviors Scale (RSCB). The derived wound-management score ranges from 0 to 15, with higher scores indicating more frequent performance of wound-management behaviors.
Time frame: Baseline, 3 months, and 6 months after CABG
EQ-5D-5L Health-Status Visual Analogue Scale (VAS) Score
Self-rated health status measured using the EQ-5D-5L visual analogue scale (VAS), recorded on a 0-100 scale. Higher scores indicate better self-rated health status.
Time frame: Baseline, 3 months, and 6 months after CABG
Study-Derived EQ-5D-5L Dimension-Sum Score
Health status summarized using the study-derived EQ-5D-5L dimension-sum score. The five EQ-5D-5L dimension levels were summarized as a score ranging from 5 to 25. This score is study-derived and is not a preference-based EQ-5D-5L utility index; higher or lower values should be interpreted according to the scoring procedure used in the study.
Time frame: Baseline, 3 months, and 6 months after CABG
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Jerash Private University