Mindfulness-Based Nursing Care and Anxiety in Open Heart Surgery Patients

ConditionsOpen Heart Surgery Anxiety

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18-80

SponsorMersin University

About this trial

This randomized controlled trial aims to evaluate the effect of a mindfulness-based nursing intervention on anxiety levels and vital signs in patients undergoing open-heart surgery during the preoperative and early postoperative periods.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Having a planned elective open heart surgery

Being able to communicate in Turkish and understand the given instructions

Being conscious, cooperative and oriented

Having agreed to participate in the research in the preoperative period

Disqualifiers

Patients with pre-existing serious psychiatric illnesses (e.g., schizophrenia, bipolar disorder)

Patients with cognitive impairment or those unable to complete the STAI-S scale

Patients with neurological or sensory problems that impair hearing, speech, or communication

Patients requiring long-term mechanical ventilation in the postoperative period

Trial design

Design model

Parallel

Treatments tested in this trial

Mindfulness-Based Nursing Intervention Group
Other intervention
The mindfulness-based nursing intervention consists of three structured individual sessions delivered by a trained nurse. The first session is conducted one day before surgery, and the second and third sessions are conducted on postoperative day 1 and postoperative day 2, respectively, after extubation when the patient is cooperative and hemodynamically stable. Each session lasts approximately 15-20 minutes and includes guided breathing awareness, relaxation techniques, and brief body awareness exercises adapted to the perioperative cardiac surgery setting. The intervention focuses on present-moment awareness, non-judgmental attention to bodily sensations, and calming of anxiety-related thoughts. All sessions are delivered individually at the patient's bedside in a quiet environment. No prior mindfulness experience is required. The intervention is standardized and applied consistently to all participants in the intervention group.
Standard Care Control Group
Other intervention
Participants in the control group will receive standard perioperative nursing care routinely provided in the cardiovascular surgery clinic. This includes routine preoperative preparation, postoperative monitoring, pain management, and nursing care according to institutional protocols. No additional mindfulness, relaxation, or psycho-educational intervention will be provided.

Treatment groups

60 Participants

are divided into 2 treatment groups

Group A: Standard Care Control GroupOther 1 intervention

Group B: Mindfulness-Based Nursing Intervention GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

State Anxiety Level (STAI-S)

Anxiety level will be assessed using the State Anxiety subscale of the State-Trait Anxiety Inventory (STAI-S), a validated self-report scale consisting of 20 items. Total scores range from 20 to 80, with higher scores indicating higher levels of anxiety.

Time frame