The Effect of Post-discharge educatıon provıded vıa Tele-nursıng to Elderly patıents

The Effect of Post-discharge Education Provided Via Tele-nursing to Elderly Patients Who Had Surgery Due to Hip Fracture, on the Quality of Life and Functional Independence Levels of the Patients

Purpose: The aim of this study is to evaluate the effect of post-discharge training given via tele-nursing to elderly patients operated for hip fracture on the quality of life and functional independence levels of the patients.

Study Overview

• Status: Completed
• Conditions: Tele-Nursing
• Intervention / Treatment: Behavioral: Education provided via TeleNursing

Detailed Description

Materials and Methods: This randomized controlled, pretest-posttest, single-center experimental study was conducted in a hospital between August 2022 and April 2023, with 30 patients in the intervention group and 30 patients in the control group. Nursing intervention was administered to the intervention group by three educational online video calls (1st, 2nd and 3rd weeks after discharge), three educational voice phone calls (4th, 5th and 6th weeks after discharge) and It consists of a training booklet with educational content. No intervention was applied to the control group. Research data; It was collected using the Patient Introduction Form, SF-36, FIM. Informed consent was obtained from the patients and caregivers with the permission of the ethics committee and the institution. Data analysis was done using Chi-Square, Independent T-Test and Dependent T-Test.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Erzurum, Turkey
    • Ataturk University

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Being 65 years or older
• Being hospitalized and operated on with a diagnosis of hip fracture as a result of a simple fall/falling from one's own level/osteoporotic fracture
• Being literate
• Not having a visual/hearing disability that would hinder communication.
• Not having a Mental Disorder (According to the statements of the patients)
• Having a primary caregiver aged 18 and over who will cooperate throughout the research,
• Having any of the available technical equipment that allows online calls (Phone, tablet, computer, etc.).

Exclusion Criteria:

• • Having previously broken a hip and been operated on

  • Being bedridden or using walking aids before the current fracture

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; No intervention was made
Experimental: Education provided via TeleNursing; Nursing intervention consists of 3 online video calls with educational content to the intervention group (1st, 2nd and 3rd weeks after discharge), 3 audio phone calls (4th, 5th and 6th weeks after discharge) and an educational booklet.	Behavioral: Education provided via TeleNursing; Online Video Call Online video interviews were conducted with the patients in the intervention group once in the first week (day 1-7), once in the second week (day 8-14) and once in the third week, using mobile phone programs and/or computer programs that provide video conversation opportunities. It was conducted in the form of remote online video calls, held three times in total, once within the 15-21st day. Voice Phone Call After audio telephone interviews and online video interviews were completed within the first three weeks after the patients in the intervention group were discharged; It was carried out using a mobile phone 3 times in total: once in the fourth week (day 22-28), once in the fifth week (day 29-35) and once in the sixth week (day 36-42).; Other Names: Online Video Call and Voice Phone Call

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of Life Scale	The scale consists of 36 items; 8 sub-dimensions as "physical function, social function, physical role limitation, emotional role limitation, mental health, vitality (energy, liveliness, vitality), pain and general health perception"; It is a multi-headed scale that includes two main dimensions: "physical and mental".Total score is not obtained from the scale. Evaluation is made based on the scores obtained separately for each subscale. The highest score that can be obtained for each question of the scale, 100, indicates good health status and increased health-related quality of life; The lowest score, 0, indicates poor health status and decreased health-related quality of life. The total score of the sub-dimensions is obtained by dividing the sum of the corresponding scores for each question of the scale items by the number of items.	up to 7 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional Independence Scale	It determines the individual's degree of independence in physical and cognitive activities. The Functional Independence Scale consists of 18 items and measures in 2 areas: physical (motor) and cognitive.While physical function has 13 items, cognitive function domain has 5 items. Each item is evaluated between 1 and 7 points, with 1 point indicating complete dependence and 7 points indicating complete independence.	up to 7 weeks

Collaborators and Investigators

• Sponsor: HASRET YALÇINÖZ BAYSAL
• Investigators: Principal Investigator: Hasret Yalcinoz Baysal, Associate Prof, Ataturk University

Study record dates

Study Major Dates

• Study Start (Actual): March 25, 2021
• Primary Completion (Actual): April 1, 2023
• Study Completion (Actual): December 14, 2023

Study Registration Dates

• First Submitted: December 22, 2023
• First Submitted That Met QC Criteria: February 5, 2024
• First Posted (Actual): February 14, 2024

Study Record Updates

• Last Update Posted (Actual): February 14, 2024
• Last Update Submitted That Met QC Criteria: February 5, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: Functional Independence; Quality of Life.; Hip Fracture,; Post-Discharge Education,; Telenursing,
• Additional Relevant MeSH Terms: Fractures, Bone; Wounds and Injuries; Leg Injuries; Femoral Fractures; Hip Injuries; Hip Fractures
• Other Study ID Numbers: HYALCINOZBAYSAL

Drug and device information, study documents

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