Effect of SMS Use on Postoperative Respiratory and Cough Exercise Compliance

Effect of SMS Reminder Use on Postoperative Respiratory and Cough Exercise Compliance of Patients After Lung Cancer Surgery

Aim: This randomized controlled trial study aimed to evaluate the effect of SMS use on compliance with postoperative breathing and coughing exercises and patient satisfaction in patients undergoing pulmonary lobectomy for lung cancer surgery.

Material and methods: In the study, 62 patients who underwent lobectomy in a university hospital's thoracic surgery clinic between 01.02.2022 and 03.04.2023. The intervention group was chosen to be the group that received SMS messages.

Study Overview

• Status: Completed
• Conditions: Surgery; Pulmonary Cancer
• Intervention / Treatment: Procedure: SMS

Detailed Description

Background: Patients undergoing lung resection should be encouraged to cough, take deep breaths for pulmonary rehabilitation within the scope of enhanced recovery after surgery protocols. The success of protocols is related to patient compliance. SMS-based interventions increase compliance with medications and protocols in surgical patients and reduce hospital readmission rates, while improving patients' clinical participation and satisfaction.

Aim: This randomized controlled trial study aimed to evaluate the effect of SMS use on compliance with postoperative breathing and coughing exercises and patient satisfaction in patients undergoing pulmonary lobectomy for lung cancer surgery.

Material and methods: In the study, 62 patients who underwent lobectomy in a university hospital's thoracic surgery clinic between 01.02.2022 and 03.04.2023. The intervention group was chosen to be the group that received SMS messages.

"The Information Form", "Postoperative exercise follow-up chart", "Postoperative patient evaluation form" and "Patient satisfaction form were used in data collection. Independent sample t-test, Pearson chi- square and Mann Whitney U test were conducted for statistical analyses.

• Study Type: Interventional
• Enrollment (Actual): 62
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Edirne, Turkey, 22030
    • Turkey, Trakya University
  • Edi̇rne, Turkey, 22030
    • Trakya University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• undergoing elective pulmonary lobectomy,
• having preoperative normal lung capacity (pulmonary function test result FEV1/FVC >70%),
• being compatible with the use of triflow, undergoing pulmonary lobectomy for the first time,
• volunteering to participate in the study,
• having mental competence,
• not having Turkish communication problems,
• having a personal mobile phone and accepting to send SMS,
• being an adult (≥18)

Exclusion Criteria:

• If any SMSs are not received during the study period, the patient will be excluded from the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control group; The control group was chosen to be the group that did not receive SMS.
Experimental: SMS group; The intervention group was chosen to be the group that received SMS messages.	Procedure: SMS; Receive SMS

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
primary outcome measure	The primary point of the study was defined as evaluating the effect of sending SMSs, on compliance with postoperative breathing and coughing exercises undergoing pulmonary lobectomy surgery.A postoperative exercise follow-up chart includes the breathing, coughing, triflow exercises performed by the patients on the 1st and 4th postoperative days and the hours of the exercises. The mean number of breathing and coughing exercises on the first and fourth postoperative days was recorded.	change from after implamentation 1st and 4rd days of operation.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
secondary outcome measure	The second point of the study was defined as evaluating the effect of sending SMSs, on patient satisfaction undergoing pulmonary lobectomy surgery. "Patient satisfaction form" were used for data collection.The patient satisfaction form" consisted of two questions. The first question questioned the satisfaction with SMS reminders. Satisfaction levels were categorized in 4 ways. Level of "very satisfied" and "satisfied" were accepted as high satisfaction level, "was not satisfied" and "was not satisfied at all" were accepted as low level.	change from after implamentation 4rd days of operation.

Collaborators and Investigators

• Sponsor: Trakya University

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2022
• Primary Completion (Actual): April 3, 2023
• Study Completion (Actual): April 3, 2023

Study Registration Dates

• First Submitted: June 2, 2023
• First Submitted That Met QC Criteria: June 13, 2023
• First Posted (Actual): June 22, 2023

Study Record Updates

• Last Update Posted (Actual): June 22, 2023
• Last Update Submitted That Met QC Criteria: June 13, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Keywords: short message service; pulmonary lobectomy; breathing and coughing exercises
• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Neoplasms; Lung Diseases; Neoplasms by Site; Respiratory Tract Neoplasms; Thoracic Neoplasms; Lung Neoplasms
• Other Study ID Numbers: 2021/526

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No