Lung CancerNCT07388225
The Effect of Preoperative Education on Recovery of Thoracic Surgery Patients
A study testing Structured Preoperative Education and routine care in people with Lung Cancer and Nursing Care, run by Başakşehir Çam & Sakura City Hospital at 1 site in Turkey (Türkiye).
Trial summary
Brief Summary This randomized controlled study evaluated the effect of structured preoperative education on postoperative recovery outcomes in patients undergoing thoracic surgery for lung cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Cancer, Nursing Care, Patient Education
- What is being tested?
- Structured Preoperative Education and routine care
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Jun 2022to 31 Dec 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients diagnosed with lung cancer who are hospitalized for elective thoracic surgery
- Aged 18 years and older
- Able to read, write, and speak Turkish
- Able to understand the information provided and without any condition that interferes with verbal communication
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Patients scheduled for lung resection via thoracotomy
- Patients undergoing surgery under general anesthesia
Who cannot join
- Patients with chronic pain in the preoperative period who are using analgesic medications for pain management
- Patients receiving antineoplastic treatment
- Patients undergoing reoperation due to lung cancer
- Patients with an ECOG performance status greater than 2
- Patients diagnosed with metastatic lung cancer
- Patients with limited mobility in the preoperative period
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Başakşehir Çam and Sakura City Hospital
Istanbul, başakşehir, 34480
About this study
Brief Summary
This randomized controlled study evaluated the effect of structured preoperative education on postoperative recovery outcomes in patients undergoing thoracic surgery for lung cancer. The study was conducted in a tertiary public hospital in Istanbul between June 2022 and December 2023 and included 100 adult patients who met the inclusion criteria. Participants were randomly assigned to an intervention group or a control group.
Read more
Patients in the intervention group received structured, nurse-led preoperative education supported by a standardized patient education booklet, while the control group received routine hospital care. Recovery outcomes were assessed using physiological parameters, pulmonary function tests, shoulder joint range of motion measurements, pain intensity scores, and the Quality of Recovery-40 (QoR-40) questionnaire during the early postoperative period.
The findings of this study aim to contribute evidence on the role of preoperative nursing education in improving functional recovery, reducing postoperative pain, and supporting respiratory function in patients undergoing thoracic surgery.
Read the detailed description
Detailed Description
Thoracic surgery for lung cancer is associated with significant postoperative pain, reduced pulmonary function, limited shoulder mobility, and delayed functional recovery. These factors may negatively affect patient outcomes, prolong hospitalization, and increase the risk of postoperative complications. Preoperative education is considered a key nursing intervention that may enhance patients' physical and psychological preparedness for surgery and improve postoperative recovery.
This randomized controlled experimental study was conducted in the thoracic surgery units of a tertiary public hospital in Istanbul. A total of 100 patients scheduled for elective thoracic surgery due to lung cancer were enrolled and randomly assigned to either the intervention group (n=50) or the control group (n=50). Randomization was performed using a computer-generated randomization method.
Patients in the control group received standard preoperative and postoperative care routinely provided by the hospital. Patients in the intervention group received structured preoperative education delivered by a nurse, supported by a standardized patient education booklet. The education included information on the surgical procedure, breathing and coughing exercises, use of incentive spirometry, early ambulation, shoulder and upper extremity exercises, and pain management strategies.
Data were collected at three time points: preoperatively, on postoperative day 1, and on postoperative day 4. Outcome measures included pulmonary function tests (FEV1 and FVC), shoulder joint range of motion assessed by goniometry, pain intensity measured using the Visual Analog Scale (VAS), and recovery quality evaluated using the Quality of Recovery-40 (QoR-40) questionnaire. Vital signs and oxygen saturation levels were also recorded.
The primary objective of the study was to determine whether structured preoperative education improves postoperative recovery outcomes compared to routine care. Secondary objectives included evaluating the effects of education on pain levels, pulmonary function, shoulder mobility, and quality of recovery.
The results of this study are expected to provide evidence supporting the integration of structured preoperative nursing education into clinical care protocols for patients undergoing thoracic surgery, with the goal of improving functional recovery and patient-centered outcomes.
- Conditions
- Lung Cancer, Nursing Care, Patient Education, Thoracic Surgery
- Being tested
- Structured Preoperative Education, routine care
- Keywords
- Preoperative Education, Quality of recovery, Thoracic surgery, Pulmonary function test, Shoulder joint range of motion
- Medical subject headings
- Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Structured Preoperative EducationBehavioural
A structured, nurse-led preoperative education program delivered prior to thoracic surgery.
routine careOther
Standard care routinely provided by the hospital
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group: Structured Preoperative Education | Experimental | Participants assigned to this arm receive structured, nurse-led preoperative education in addition to routine hospital care prior to thoracic surgery. Receives: Behavioral: Structured Preoperative Education |
| Control Group: Routine Care | Active comparator | Participants assigned to this arm receive standard preoperative and postoperative care routinely provided by the hospital. Receives: Other: routine care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Postoperative Recovery Quality
Postoperative recovery quality assessed using the Quality of Recovery-40 (QoR-40) questionnaire. The total score ranges from 40 to 200, with higher scores indicating better recovery quality.
Measured: Postoperative day 1 and postoperative day 4
Secondary outcomes (7)
Postoperative Pain Intensity
Pain intensity assessed using the Visual Analog Scale (VAS), ranging from 0 to 10, where higher scores indicate worse pain.
Measured: Preoperative period, postoperative day 1, and postoperative day 4
Pulmonary Function
Pulmonary function assessed using forced expiratory volume in one second (FEV1) and forced vital capacity (FVC), measured in liters.
Measured: Preoperative period, postoperative day 1, and postoperative day 4
Shoulder Joint Range of Motion
Shoulder joint range of motion measured using a goniometer and expressed in degrees. Higher values indicate better functional outcome.
Measured: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Heart Rate
Heart rate measured in beats per minute (bpm). Higher values indicate a worse outcome.
Measured: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Blood Pressure
Systolic and diastolic blood pressure measured in millimeters of mercury (mmHg). Higher values indicate a worse outcome.
Measured: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Respiratory Rate
Respiratory rate measured as breaths per minute. Higher values indicate a worse outcome.
Measured: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Oxygen Saturation
Peripheral oxygen saturation measured by pulse oximetry and expressed as percentage (%). Higher values indicate a better outcome.
Measured: Preoperative period, postoperative day 1, and postoperative day 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Feb 2026
- Study start1 Jun 2022
- Primary completion31 Dec 2023
- Study completion31 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lung CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants are randomly assigned to either an intervention group receiving structured preoperative education or a control group receiving routine care, and outcomes are assessed in parallel.
- Masking
- None (open label)
- Enrolment
- 100 participants (actual)
Sponsor and investigators
- Lead sponsor
- Başakşehir Çam & Sakura City Hospital
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Eda Çiftçi Karan, Istanbul University - Cerrahpasa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07388225
- Sponsor's protocol ID
- THORACIC-EDU-RECOVERY-01
- Status last verified
- Feb 2026
- First submitted
- 23 Jan 2026
- Last updated
- 5 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared, as this is a single-center academic thesis study and the informed consent and ethics approval do not include provisions for public data sharing.
Study at a glance
From the registry record, last updated by the sponsor on 5 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Preoperative Education on Recovery of Thoracic Surgery Patients
- ClinicalTrials.gov ID
- NCT07388225
- Acronym / sponsor ID
- THORACIC-EDU-RECOVERY-01
- Conditions
- Lung Cancer, Nursing Care, Patient Education, Thoracic Surgery
- Keywords
- Preoperative Education, Quality of recovery, Thoracic surgery, Pulmonary function test, Shoulder joint range of motion
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 100 participants (actual)
- Lead sponsor
- Başakşehir Çam & Sakura City HospitalOther government
- Study start
- 1 Jun 2022 (actual)
- Primary completion
- 31 Dec 2023 (actual)
- Study completion
- 31 Dec 2023 (actual)
- First posted
- 5 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Brief Summary
This randomized controlled study evaluated the effect of structured preoperative education on postoperative recovery outcomes in patients undergoing thoracic surgery for lung cancer. The study was conducted in a tertiary public hospital in Istanbul between June 2022 and December 2023 and included 100 adult patients who met the inclusion criteria. Participants were randomly assigned to an intervention group or a control group.
Patients in the intervention group received structured, nurse-led preoperative education supported by a standardized patient education booklet, while the control group received routine hospital care. Recovery outcomes were assessed using physiological parameters, pulmonary function tests, shoulder joint range of motion measurements, pain intensity scores, and the Quality of Recovery-40 (QoR-40) questionnaire during the early postoperative period.
The findings of this study aim to contribute evidence on the role of preoperative nursing education in improving functional recovery, reducing postoperative pain, and supporting respiratory function in patients undergoing thoracic surgery.
Detailed description
Detailed Description
Thoracic surgery for lung cancer is associated with significant postoperative pain, reduced pulmonary function, limited shoulder mobility, and delayed functional recovery. These factors may negatively affect patient outcomes, prolong hospitalization, and increase the risk of postoperative complications. Preoperative education is considered a key nursing intervention that may enhance patients' physical and psychological preparedness for surgery and improve postoperative recovery.
This randomized controlled experimental study was conducted in the thoracic surgery units of a tertiary public hospital in Istanbul. A total of 100 patients scheduled for elective thoracic surgery due to lung cancer were enrolled and randomly assigned to either the intervention group (n=50) or the control group (n=50). Randomization was performed using a computer-generated randomization method.
Patients in the control group received standard preoperative and postoperative care routinely provided by the hospital. Patients in the intervention group received structured preoperative education delivered by a nurse, supported by a standardized patient education booklet. The education included information on the surgical procedure, breathing and coughing exercises, use of incentive spirometry, early ambulation, shoulder and upper extremity exercises, and pain management strategies.
Data were collected at three time points: preoperatively, on postoperative day 1, and on postoperative day 4. Outcome measures included pulmonary function tests (FEV1 and FVC), shoulder joint range of motion assessed by goniometry, pain intensity measured using the Visual Analog Scale (VAS), and recovery quality evaluated using the Quality of Recovery-40 (QoR-40) questionnaire. Vital signs and oxygen saturation levels were also recorded.
The primary objective of the study was to determine whether structured preoperative education improves postoperative recovery outcomes compared to routine care. Secondary objectives included evaluating the effects of education on pain levels, pulmonary function, shoulder mobility, and quality of recovery.
The results of this study are expected to provide evidence supporting the integration of structured preoperative nursing education into clinical care protocols for patients undergoing thoracic surgery, with the goal of improving functional recovery and patient-centered outcomes.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants are randomly assigned to either an intervention group receiving structured preoperative education or a control group receiving routine care, and outcomes are assessed in parallel.
| Arm | Type | Receives |
|---|---|---|
| Intervention Group: Structured Preoperative Education | Experimental | Behavioral: Structured Preoperative EducationParticipants assigned to this arm receive structured, nurse-led preoperative education in addition to routine hospital care prior to thoracic surgery. |
| Control Group: Routine Care | Active comparator | Other: routine careParticipants assigned to this arm receive standard preoperative and postoperative care routinely provided by the hospital. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Patients diagnosed with lung cancer who are hospitalized for elective thoracic surgery
- Aged 18 years and older
- Able to read, write, and speak Turkish
- Able to understand the information provided and without any condition that interferes with verbal communication
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
Key exclusion criteria (6 listed)
- Patients with chronic pain in the preoperative period who are using analgesic medications for pain management
- Patients receiving antineoplastic treatment
- Patients undergoing reoperation due to lung cancer
- Patients with an ECOG performance status greater than 2
- Patients diagnosed with metastatic lung cancer
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Structured Preoperative EducationA structured, nurse-led preoperative education program delivered prior to thoracic surgery. | Behavioural | Intervention Group: Structured Preoperative Education |
| routine careStandard care routinely provided by the hospital | Other | Control Group: Routine Care |
Primary outcome
Postoperative Recovery Quality
Time frame: Postoperative day 1 and postoperative day 4
Postoperative recovery quality assessed using the Quality of Recovery-40 (QoR-40) questionnaire. The total score ranges from 40 to 200, with higher scores indicating better recovery quality.
7 secondary outcomes
Postoperative Pain Intensity
Time frame: Preoperative period, postoperative day 1, and postoperative day 4
Pulmonary Function
Time frame: Preoperative period, postoperative day 1, and postoperative day 4
Shoulder Joint Range of Motion
Time frame: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Heart Rate
Time frame: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Blood Pressure
Time frame: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Respiratory Rate
Time frame: Preoperative period, postoperative day 1, and postoperative day 4
Postoperative Oxygen Saturation
Time frame: Preoperative period, postoperative day 1, and postoperative day 4
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Feb 2026.
- Individual participant dataSharing planned: No. Individual participant data will not be shared, as this is a single-center academic thesis study and the informed consent and ethics approval do not include provisions for public data sharing.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Structured Preoperative Education and routine care in people with Lung Cancer and Nursing Care, run by Başakşehir Çam & Sakura City Hospital at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Postoperative Recovery Quality (time frame: Postoperative day 1 and postoperative day 4). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2026.