The effect of video-assisted education on postoperative outcomes after laparoscopic cholecystectomy: A randomized controlled trial

Abstract

Objective: To determine the effects of video-assisted education on postoperative physiological parameters and recovery outcomes of patients undergoing laparoscopic cholecystectomy. Background: Laparoscopic cholecystectomy is a widely used minimally invasive surgical method to treat gallstones. Effective preoperative education is critical to enhance postoperative recovery and reduce complications. Design: A randomized controlled trial. Methods: This study was conducted between October 1, 2023, and January 17, 2024, in the General Surgery Department of a public state hospital in Turkey. A total of 92 patients were randomly assigned to the intervention (n = 46) and control (n = 46) groups. The intervention group received video-assisted education, whereas the control group received the same content through a brochure. Educational content included information about postoperative pain, nausea-vomiting management, nutrition, early mobilization, fluid intake, wound care, bathing, and follow-up instructions. Data were collected using a sociodemographic form, Visual Analog Scale (VAS), pre/postoperative patient assessment form, and a dietary habits questionnaire. Primary outcome was bowel recovery, assessed as the presence of defecation on the follow-up day (postoperative day 5-7). Secondary outcomes included nausea/vomiting at discharge, pain intensity (VAS), bathing related support needes for assistance, vital signs/physiological parameters, mobilization, and dietary habits. Results: Vital signs remained stable in both groups, with no significant intergroup differences. Defecation at follow-up was more common in the intervention group (p < 0.001). Vomiting at discharge was lower in the intervention group (p < 0.05). Bathing-related support needs differed between groups at follow-up (p = 0.001). Innovation: This study integrates standardized video-based education into perioperative nursing care and evaluates functional recovery indicators alongside physiological measures. Conclusion: Video-assisted education was more effective than brochure-based education in promoting bowel recovery after laparoscopic cholecystectomy, while effects on other outcomes may vary by clinical context. Combining written materials with standardized video content may further enhance patient education in perioperative care.