Investıgatıon Of The Effect Of Traınıng And Counselıng Provıded By Tele Nursing

NCT06130098 | Unknown

• 1 other identifier: HasanKU-HEM-GB-01
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

To examine the effect of education and consultancy provided via telenursing service after total knee arthroplasty on postoperative quality of life and some complications.

Conditions

Musculoskeletal Diseases

Keywords

total knee replacement; telenursing; post-discharge care

Outcome Measures

Primary Outcomes (1)

• OXFORD KNEE SCORE

  To evaluate the gains in daily life and the change in the health of patients who haveundergone TKA surgery after surgery.The scoring system is a 12-item self-reported measurement tool to evaluate physical function and pain in patients with total knee arthroplasty. After this scoring system is applied, the answers given by the patients are scored between 0 and 4. In total, a patient can get a minimum of 0 and a maximum of 48 points. For results, 0-19 points are considered excellent, 20-29 points are good, 30-39 points are fair, and 40-48 points are considered poor.

  at the end of the fourth and sixth weeks

Secondary Outcomes (1)

• EQ-5D-5L quality of life scale

  at the end of the fourth and sixth weeks

Study Arms (2)

control group

ACTIVE COMPARATOR

Training by the clinical nurse before discharge. Prepare an educational brochure and give it to patients. Application of patient information form, EQ-5D-5L Quality of Life and Oxford Knee Score Scale During the routine check-up in the first week, evaluates the development of complications without knowing which group the patient is in. Within the first week and at the end of the fourth week, the wound site is evaluated by the physician for the development of complications, . Patients who cannot come for a check-up should send a photo of the wound area to the researcher via WhatsApp application, and the photo will be forwarded to the clinician who performed the surgery and the physician will record the complication situation. It is planned to receive complication development and wound site evaluation results from the physician system. At the end of the fourth and sixth weeks after discharge, the EQ-5D-5L and OKS scale must be filled in again by the patients.

Other: control group

experimental group

ACTIVE COMPARATOR

Active Comparator: experimental group Providing education to patients by preparing a pre-discharge education brochure. You will be contacted by phone at the end of the first, second, third and fourth weeks after discharge. Application of the patient information form, EQ-5D-5L Quality of Life and Oxford Knee Score Scale. Evaluation of the wound site in terms of complications at the end of the first and fourth weeks. It is planned to receive complication development and wound site evaluation results from the system. After the first check-up, a call is made at the end of the first week after discharge. Providing training on the subjects included in the training brochure during the first phone call In the fourth meeting, tele-nursing service was provided through the "Telephone Counseling Protocol" Refilling of the EQ-5D-5L quality of life and Oxford Knee Score scale by patients at routine check-up at the end of the fourth and sixth weeks after discharge

Other: experimental group

Interventions

control group OTHER

Training by the clinical nurse before discharge. Prepare an educational brochure and give it to patients. Application of patient information form, EQ-5D-5L Quality of Life and OKS Scale During the routine check-up in the first week, evaluates the development of complications without knowing which group the patient is in. Within the first week and at the end of the fourth week, the wound site is evaluated by the physician for the development of complications, . Patients who cannot come for a check-up should send a photo of the wound area to the researcher via WhatsApp application, and the photo will be forwarded to the clinician who performed the surgery and the physician will record the complication situation. It is planned to receive complication development and wound site evaluation results from the physician system. At the end of the fourth and sixth weeks after discharge, the EQ-5D-5L and OKS scale must be filled in again by the patients.

control group

experimental group OTHER

Providing training before discharge Prepare an educational brochure and give it to patients. You will be contacted by phone at the end of the first, second, third and fourth weeks after discharge. Application of patient information form, EQ-5D-5L Quality of Life and OKS Scale Evaluating the wound site in terms of complications within the first week and at the end of the fourth week. It is planned to receive complication development and wound site evaluation results from the system. After the first check-up, calling the patients in the study group at the end of the first week after discharge. Providing training on the subjects included in the training brochure in the first phone call and recording any existing problems. In the fourth meeting, tele-nursing service will be provided through the "Telephone Counseling Protocol". EQ-5D-5L and OKS forms must be filled out again by patients at the routine check-up at the end of the fourth and sixth weeks after discharge.

experimental group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having TDP surgery for the first time,
• Having primary elective TKA surgery,
• Having had a single (unilateral) knee prosthesis surgery,
• Patients whose FFP indication is osteoarthritis,
• No hearing, understanding, vision or speaking problems,
• Agreeing to participate in the research voluntarily,
• Able to understand and speak Turkish,
• Least literate,
• Those who have a mobile phone that can take photos of themselves or those nearby,
• Patients who have a smartphone or a smartphone nearby,
• Patients who do not develop serious complications that will delay discharge from the hospital

You may not qualify if:

• Answering data collection forms incompletely
• Being illiterate in Turkish
• Patients who agreed to participate in the study but later left
• Patients who cannot be reached when called and whose follow-up cannot be completed

Sponsors & Collaborators

• Hasan Kalyoncu University: lead

Study Sites (1)

Nevşehir Devlet Hastanesi

Nevşehir, Merkez, 50000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Musculoskeletal Diseases

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• HasanKU HasanKU, LECTURER

  Hasan Kalyoncu University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

GULSAH BEKTAS, LECTURER

CONTACT

+905513846382; bektasgulsah@yahoo.com.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Randomized: Participants are assigned to intervention groups by chance and control groups will be established. In the randomization method, whether the participants will be in the study group or the control group will be determined by the simple random numbers method using a computer program.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: LECTURER

Model Details: There are two groups: control and study groups. Certain applications were planned to be applied to the control group and the study group.

Study Record Dates

• First Submitted: November 6, 2023
• First Posted: November 13, 2023
• Study Start: November 13, 2023
• Primary Completion: November 30, 2024
• Study Completion: December 30, 2024
• Last Updated: November 13, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)