CompletedNot Applicable

Culturally Tailored Nurse-Led Holistic Spiritual Care Improves Hemodynamic Stability and Well-Being in Cardiac Surgery Patients

Indonesia248 participantsStarted 2025-10-09

Plain-language summary

This study aims to evaluate the effectiveness of culturally tailored nurse-led holistic spiritual care in improving hemodynamic stability and psychological well-being among patients undergoing preoperative cardiac surgery in South Sumatra, Indonesia. Preoperative anxiety is common among cardiac surgery patients and can lead to increased blood pressure, heart rate, and overall physiological instability. In addition, psychological distress may negatively affect patient recovery and well-being. This multi-center randomized controlled trial involves adult patients scheduled for elective cardiac surgery. Participants are randomly assigned to either an intervention group or a control group. The intervention group receives a 20-minute session of culturally tailored holistic spiritual care, including therapeutic communication, deep breathing, progressive muscle relaxation, spiritual reflection, and culturally appropriate prayer. The control group receives standard preoperative care. Primary outcomes include changes in hemodynamic parameters such as blood pressure, heart rate, and mean arterial pressure. Psychological well-being is assessed using the WHO-5 Well-Being Index. The results of this study are expected to provide evidence on the effectiveness of integrating culturally responsive spiritual care into routine preoperative nursing practice to improve both physiological and psychological outcomes.

Who can participate

Age range

18 Years – 65 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patients scheduled for elective cardiac surgery * Age 18-65 years * Conscious and able to communicate effectively * Able to understand and provide informed consent * Hemodynamically stable prior to intervention * Willing to participate in the study Exclusion Criteria: * Patients scheduled for elective cardiac surgery * Age 18-65 years * Conscious and able to communicate effectively * Able to understand and provide informed consent * Hemodynamically stable prior to intervention * Willing to participate in the study

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Systolic Blood Pressure (mmHg)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.

Diastolic Blood Pressure (mmHg)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.

Heart Rate (beats per minute)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.

Mean Arterial Pressure (mmHg)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.

Trial details

NCT IDNCT07540598

SponsorLincoln University College Malaysia

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-03-12

View on ClinicalTrials.gov More Cardiovascular Diseases (CVD) trials

Plain-language summary

Who can participate

Age range

18 Years – 65 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Systolic Blood Pressure (mmHg)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.

Diastolic Blood Pressure (mmHg)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.

Heart Rate (beats per minute)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.

Mean Arterial Pressure (mmHg)

Timeframe: Measured at baseline (pre-intervention) and immediately after the intervention.