Effect of Education and Counseling Provided Via Telenursing on Medication Compliance and Patient Satisfaction After Cataract Surgery
概览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- Züleyha Sönmez
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- Visual Analog Scale - Satisfaction (VAS-S)
概览
简要总结
This randomized controlled study aims to investigate the effects of tele-nursing-based education and counseling on medication adherence and patient satisfaction following cataract surgery.
Cataract surgery is a common procedure, especially among the elderly, to improve visual function. However, the postoperative period is critical, and the success of the treatment greatly depends on whether patients use their prescribed eye drops and medications correctly and consistently. Patient satisfaction with the healthcare experience also plays a key role in overall outcomes.
The main hypothesis of this study is that structured education and counseling provided remotely by nurses (tele-nursing) will lead to better medication adherence and higher satisfaction compared to standard postoperative care.
Participants undergoing cataract surgery will be randomly assigned into two groups:
Intervention group: Will receive tele-nursing education and counseling via scheduled phone calls.
Control group: Will receive routine postoperative care with no additional support.
Nurses in the intervention group will educate patients on medication usage, eye care, possible complications, and other relevant topics after surgery. Follow-up calls will allow patients to ask questions and receive continuous support.
Both medication adherence and patient satisfaction will be measured using validated scales. Data will be analyzed using SPSS (Statistical Package for the Social Sciences) statistical software.
The results of this study may demonstrate the potential benefits of integrating tele-health interventions into postoperative care, especially in ophthalmology. It may also highlight the critical role of nurses in delivering remote patient education and support, contributing to the growing field of digital health.
详细描述
This randomized controlled study investigates the impact of tele-nursing education and counseling on medication adherence and patient satisfaction following cataract surgery.
Cataract surgery is a widely performed procedure to restore vision by replacing the eye's clouded lens. While the surgical technique is well established, postoperative management remains critical for successful outcomes. Patients must adhere to prescribed eye drops and medications to prevent infection, control inflammation, and promote healing. Non-adherence can increase the risk of complications such as infection or poor visual recovery.
The study tests the hypothesis that structured, nurse-led telephonic education and counseling improves medication adherence and enhances patient satisfaction compared to standard postoperative care.
Participants who have undergone cataract surgery are randomly allocated to either:
An intervention group receiving scheduled tele-nursing sessions that provide education on medication administration, eye care, signs of complications, and emotional support.
A control group receiving routine postoperative instructions without additional tele-nursing support.
Tele-nursing sessions are designed to be interactive, allowing patients to ask questions and receive tailored advice. This method leverages accessible technology (telephone) to overcome barriers like geographical distance, mobility limitations, or lack of in-person follow-up resources.
Data collection focuses on self-reported medication adherence and validated patient satisfaction questionnaires, analyzed statistically to determine the effectiveness of tele-nursing interventions.
This study contributes evidence on integrating telehealth approaches in postoperative care protocols, potentially offering scalable solutions to improve patient outcomes and healthcare quality in ophthalmology.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18 years and older
- •Patients who voluntarily agree to participate in the study
- •Patients able to communicate in Turkish
- •Patients who own a personal mobile phone
- •Patients who can read text messages or have a relative at home who can assist them after discharge
- •Patients without hearing impairments
- •Patients undergoing eye surgery (cataract surgery) for the first time
排除标准
- •Patients under 18 years of age
- •Patients who do not volunteer to participate in the study
- •Patients who do not understand Turkish and cannot communicate in Turkish
- •Patients with any psychiatric illness
- •Patients with hearing or perception problems
结局指标
主要结局
Visual Analog Scale - Satisfaction (VAS-S)
时间窗: Postoperative day 30
Patient satisfaction will be assessed using the Visual Analog Scale - Satisfaction (VAS-S). This scale ranges from 0 to 10, where: 0 = No satisfaction, 10 = Highest possible satisfaction. Higher scores indicate better patient satisfaction
Medication Adherence Reporting Scale
时间窗: Postoperative day 30
Medication adherence will be evaluated using the Medication Adherence Self-Report Scale, a 5-item, 5-point Likert-type self-report scale. The scale total score ranges from 5 to 25, where: 5 = Lowest medication adherence, 25 = Highest medication adherence, Higher scores indicate better medication adherence.
次要结局
未报告次要终点
研究者
Züleyha Sönmez
research assistant
Ataturk University