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临床试验/NCT06269289
NCT06269289尚未招募不适用

Effects of Web-Based Education on Patient Empowerment and Asthma Control in Asthma Patients

Saglik Bilimleri Universitesi2 个研究点 分布在 2 个国家目标入组 50 人开始时间: 2024年5月30日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
50
试验地点
2
主要终点
patient empowerment scale (PES)

研究概览

简要总结

Asthma is defined as a chronic inflammatory disorder of the airways associated with an extreme increase in airway hyperresponsiveness leading to recurrent wheezing, shortness of breath, chest tightness, and coughing attacks. The World Health Organization states that approximately 339 million individuals worldwide have asthma and more than 400 thousand deaths occur due to asthma every year.

With effective and sustainable asthma management, it is possible to reduce disease-related complaints, admissions to emergency units and hospitalizations, limit the physiological and psychological effects of the disease, prevent dependence on healthcare professionals and caregivers, increase the quality of life and reduce the mortality of the disease. Patient education, which is within the educational role of professional nurses, is very important in asthma management. The research was planned in a single-center, randomized control group pretest-posttest design. The sample will consist of individuals who applied to the Allergy and Immunology clinic of Sureyyapasa Chest Diseases and Surgery Training and Research Hospital between May 2024 and January 2024, who have been diagnosed with asthma for at least one year and who accept the study [25 intervention group - 25 control group]. Groups will be determined using the random numbers table from the simple random sampling method. A web-based asthma education module will be created in line with the literature, and participants in the intervention group will be given synchronous training in 5 modules. After meeting the individuals in the intervention and control groups and obtaining verbal and written consent, they will be asked to fill out the Patient Information Form, Patient Empowerment Scale and Asthma Control Test prepared via Google Forms. A 30-minute training session will be given to the intervention group every week and there will be short evaluations after each training. When the 5th Module is completed, the intervention group will be asked to fill out the Patient Empowerment Scale and Asthma Control Test Scale. No intervention will be applied to the control group. 5. At the end of the module, the Patient Empowerment Scale and Asthma Control Test will be completed by individuals in the control group. It is thought that web-based asthma education that individuals will receive will positively affect their empowerment levels and increase their disease control.

详细描述

The episodic nature of asthma symptoms and exacerbations makes effective self-management of the condition a necessity. Less than 40% of individuals with asthma monitor their symptoms regularly, and the proportion who initiate a prescribed course of action at the first sign of an exacerbation is even lower. Many patients have difficulty recognizing early signs of worsening and often fail to implement asthma action plans.

Many factors such as air pollution, genetic factors, cigarette smoke, allergens, respiratory infections and stress contribute to the development of asthma and triggering attacks. For this reason, a multifaceted approach is required in the treatment and control of asthma.

People with severe asthma may have debilitating symptoms that persist despite high-dose treatment. Clinical guidelines for severe asthma recommend concepts such as patient-centeredness, shared decision-making, and self-management, with autonomy at its core. To improve outcomes in individuals with mild or severe asthma, guidelines emphasize the importance of patient-centeredness, shared decision-making, and self-management. Central to these concepts is autonomy, a term widely used and valued in the healthcare literature for which there is no gold standard definition.

In parallel with the developments and changes in the field of information technology in recent years, the internet has replaced classical communication and teaching applications and has become used in many different areas such as keeping up with current information, social sharing, communicating professionally, shopping, banking transactions and education. Internet use has also become increasingly widespread in the field of health. Internet users can obtain ideas about their own health and the health of the individuals around them through the information they obtain from health websites.

Today, meeting the increasing demand for health services and supporting nursing care requires greater use of technology. Nurses who care for a healthy/sick individual and are closest to them should have all the information about the individuals' health as soon as possible in order to provide quality care, ensure their safety and interact quickly. Effectively used technology prevents waste of medical equipment, ensures proper use of resources, evidence-based practice, and improves standards and quality of care by providing clinical decision-making support. Nurses use technology as a tool of change by directing this process and policies in order to provide quality, qualified and low-cost care to individuals and society.

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
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Receiving treatment with a diagnosis of asthma for at least 1 year
  • Having severe asthma
  • Not having had any previous training
  • Being between the ages of 18-65,
  • Knowing how to read, write,
  • Volunteering to participate in research

排除标准

  • Having received treatment for less than 1 year
  • Being educated,
  • Not being at the level of severe asthma,
  • Not meeting the age criterion,
  • Not having the ability to understand, read and write Turkish

研究组 & 干预措施

intervention group

Experimental

It will be determined using a table of random numbers. The group has been diagnosed for at least 1 year, It will consist of people (25) between the ages of 18-65, who can read and write in Turkish, who volunteer to participate in the study and who have not received any training before. After meeting the individuals and obtaining their verbal and written consent, they will be asked to fill out the Patient Information Form, Patient Empowerment Scale and Asthma Control Test obtained through Google Forms. Post-tests will be applied to individuals who complete all 5 modules of training.

干预措施: web based education (Other)

Control group

Active Comparator

The participants will be individuals who apply to the Allergy and Immunology Clinic of Istanbul Sureyyapasa Chest Diseases and Surgery Training and Research Hospital, have been diagnosed with asthma for at least one year and agree to participate in the study. It will consist of people who are between the ages of 18-65, understand Turkish, know how to read and write. Twenty five people selected by the randomization table method will be in the control group. They will be given the Ministry of Health's asthma education brochure. As in the intervention group, pre-test and post-test will be conducted.

干预措施: Standard education brochure (Other)

结局指标

主要结局

patient empowerment scale (PES)

时间窗: five weeks

The scale consists of 37 items and five factors. Scale rating: 5-point Likert (1 = strongly disagree - 5 = strongly agree) The score that can be obtained from the scale varies between 37 and 185. As the score from the scale increases towards 5, patient empowerment is considered high, and as it decreases towards 1, patient empowerment is considered low.

次要结局

  • Asthma Control Test (ACT)(five weeks)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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