{"title":"Effect of Kolcaba-Based Nursing Care on Comfort and Outcomes in Valve Surgery.","authors":"Özkan Sir, Mağfiret Kaşıkçı","doi":"10.1016/j.pmn.2026.05.014","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effect of nursing care based on Kolcaba's comfort theory on the comfort levels of patients undergoing open heart valve surgery.</p><p><strong>Design: </strong>A randomized controlled trial design was used.</p><p><strong>Methods: </strong>The study was conducted between October 2024 and April 2025 in the Cardiovascular Surgery Department of Van Health Sciences University Training and Research Hospital. Fifty-six eligible patients were randomly assigned to the intervention group (n = 28) or the control group (n = 28). The intervention group received nursing care guided by Kolcaba's comfort theory, while the control group received routine care. Data were collected using the Patient Information Form, General Comfort Scale, Visual Analog Scale (VAS), and Nursing Outcomes Classification (NOC).</p><p><strong>Results: </strong>Patients in the intervention group showed a statistically significant improvement in overall comfort levels after receiving theory-based nursing care. Post-test scores on the General Comfort Scale were higher in the intervention group compared to the control group. VAS scores decreased significantly in the intervention group, indicating reduced pain. In addition, postoperative NOC outcome scores were significantly higher in the intervention group than in the control group.</p><p><strong>Conclusion: </strong>Nursing care based on Kolcaba's comfort theory increases the comfort of open heart valve surgery patients, reduces their pain, and has been shown to increase nursing outcome classification scores.</p><p><strong>Clinical implication: </strong>Kolcaba-based nursing care can enhance postoperative comfort, improve recovery outcomes, and support holistic patient management in valve surgery, guiding nurses to implement structured comfort-focused interventions throughout perioperative care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain Management Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pmn.2026.05.014","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: This study aimed to evaluate the effect of nursing care based on Kolcaba's comfort theory on the comfort levels of patients undergoing open heart valve surgery.
Design: A randomized controlled trial design was used.
Methods: The study was conducted between October 2024 and April 2025 in the Cardiovascular Surgery Department of Van Health Sciences University Training and Research Hospital. Fifty-six eligible patients were randomly assigned to the intervention group (n = 28) or the control group (n = 28). The intervention group received nursing care guided by Kolcaba's comfort theory, while the control group received routine care. Data were collected using the Patient Information Form, General Comfort Scale, Visual Analog Scale (VAS), and Nursing Outcomes Classification (NOC).
Results: Patients in the intervention group showed a statistically significant improvement in overall comfort levels after receiving theory-based nursing care. Post-test scores on the General Comfort Scale were higher in the intervention group compared to the control group. VAS scores decreased significantly in the intervention group, indicating reduced pain. In addition, postoperative NOC outcome scores were significantly higher in the intervention group than in the control group.
Conclusion: Nursing care based on Kolcaba's comfort theory increases the comfort of open heart valve surgery patients, reduces their pain, and has been shown to increase nursing outcome classification scores.
Clinical implication: Kolcaba-based nursing care can enhance postoperative comfort, improve recovery outcomes, and support holistic patient management in valve surgery, guiding nurses to implement structured comfort-focused interventions throughout perioperative care.
目的：本研究旨在评价基于Kolcaba舒适理论的护理对心脏直视手术患者舒适度的影响。设计：采用随机对照试验设计。方法：研究于2024年10月至2025年4月在Van Health Sciences University Training and Research Hospital心血管外科进行。56例符合条件的患者被随机分为干预组（n = 28）和对照组（n = 28）。干预组采用Kolcaba舒适理论指导护理，对照组采用常规护理。采用患者信息表、一般舒适量表、视觉模拟量表（VAS）和护理结果分类（NOC）收集数据。结果：干预组患者接受理论护理后，整体舒适度有统计学意义的提高。与对照组相比，干预组的一般舒适量表测试后得分更高。干预组VAS评分明显下降，疼痛减轻。此外，干预组术后NOC结局评分明显高于对照组。结论：基于Kolcaba舒适理论的护理提高了心内直视手术患者的舒适度，减轻了患者的疼痛，并提高了护理结果分类评分。临床意义：基于kolcaba的护理可以提高术后舒适度，改善康复效果，支持瓣膜手术患者的整体管理，指导护士在围手术期护理中实施以舒适度为中心的结构化干预措施。
期刊介绍：
This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
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