Telenursing and Transitional Care

Telenursing and Transitional Care After Lumbar Disc Herniation Surgery: A New Paradigm for Postoperative Care

Post-operative care for Lumbar Disc Herniation (LDH) is important to reduce postoperative complications. The transition from hospital to home after discharge is important for LDH patients, as the transition process is flawless, the necessary care is provided appropriately, and follow-up is important. The aim of the study is to determine the effects of transitional model-based telenursing and mobile application-based follow-up on fall risk, post-discharge recovery, mobility, anxiety, and complications in patients who underwent lumbar disc surgery.

Study Overview

• Status: Completed
• Conditions: Lumbar Disc Surgery
• Intervention / Treatment: Behavioral: mhealth

• Study Type: Interventional
• Enrollment (Actual): 107
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Gaziantep, Turkey (Türkiye), 27027
    • Deva Hospital
  • Gaziantep, Turkey (Türkiye), 27027
    • Gaziantep University Sahinbey Research and Application Hospital
  • Gaziantep, Turkey (Türkiye), 27027
    • Medical Point Hospital
  • Kahramanmaraş, Turkey (Türkiye), 46046
    • Kahramanmaraş Sütçü İmam University Health Practice and Research Hospital

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Patients who are 18 years of age or older,
• Can speak and understand Turkish,
• Have no hearing, understanding, vision or speech problems,
• Have undergone LDH surgery for the first time,
• Have undergone LDH surgery with the open method,
• Have not been diagnosed with depression or anxiety disorder before surgery and are not taking medication for this purpose,
• Have a smart mobile phone suitable for taking photos or for those close to them,
• Have not developed serious complications that would delay their discharge from the hospital,
• Volunteer to participate in the study will be included in the study.

Exclusion Criteria:

• Patients who wish to withdraw from the study at any stage after voluntarily participating in the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control Group; No intervention, only routin care
Experimental: Intervention Group; Telenursing and mHealth intervention	Behavioral: mhealth; mobile application for postoperative period

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Complication	developing complications	From enrollment to the end of treatment at 1 weeks
Rehospitalization	hospitalization in the postoperative period	From enrollment to the end of treatment at 1 weeks
Readmission	admission to hospital in the postoperative period	From enrollment to the end of treatment at 1 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Measuring recovery status with the Post-Discharge Surgical Recovery Scale	Postoperative recovery	From enrollment to the end of treatment at 4 weeks
mobilization	postoperative mobilization	From enrollment to the end of treatment at 4 weeks
Measurement of anxiety status with the hospital anxiety depression scale	Determination of change in anxiety levels between groups before discharge and one month after discharge	From enrollment to the end of treatment at 4 weeks

Collaborators and Investigators

• Sponsor: Hasan Kalyoncu University

Study record dates

Study Major Dates

• Study Start (Actual): December 24, 2024
• Primary Completion (Actual): May 30, 2025
• Study Completion (Actual): May 30, 2025

Study Registration Dates

• First Submitted: December 27, 2024
• First Submitted That Met QC Criteria: January 7, 2025
• First Posted (Actual): January 13, 2025

Study Record Updates

• Last Update Posted (Estimated): September 10, 2025
• Last Update Submitted That Met QC Criteria: September 9, 2025
• Last Verified: September 1, 2025

More Information

Terms related to this study

• Keywords: complications; mHealth; telenursing; transitional care; lumbar disc surgery
• Additional Relevant MeSH Terms: Health Services Administration; Delivery of Health Care; Patient Care Management; Telemedicine
• Other Study ID Numbers: New Paradigma

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
• product manufactured in and exported from the U.S.: No