The Effect of Nursing Follow-Up by Phone on The Self-Efficacy,Pain,Disease Activity in Rheumatoid Arthritis Patients
Condition: Tele-nursing
MeSH terms: Arthritis; Arthritis, Rheumatoid
Study type: Interventional

Summary: 
      The aim of this study was to determine the effect of nursing follow-up by phone on the
      self-efficacy status, pain, and disease activity of individuals with RA using biological
      agents. The study sample consisted of 64 individuals, including 32 interventions and 32
      comparison groups, who met the inclusion criteria. The research was conducted in a randomized
      controlled experimental study design. In data collection; 'Personal Information Form',
      'Arthritis Self-Efficacy Scale', 'Visual Analog Scale' and 'DAS 28' score was used.
      Descriptive statistics (mean±sd) for numerical variables and frequency distributions for
      categorical variables were used to evaluate the data.

      Individuals in the intervention group participating in the research; 65.6% of them were women
      and their mean age was 50.12 (±13.200); of the individuals in the comparison group who
      participated in the study, it was determined that 56.3% of them were female, their mean age
      was 45.97 (±11.544). There was no difference in self- efficacy, pain, and disease activity in
      the first evaluation before the nursing follow-up by phone between the individuals in the
      intervention and comparison group, and as a result of the 24-week nursing follow-up by phone
      of the individuals in the intervention group after the training, when compared with the
      individuals in the comparison group who received routine outpatient service; It was noted
      that there was an increase in self- efficacy, a decrease in pain severity, and a decrease in
      disease activity.

      The self-efficacy, pain, and disease activity of individuals with a diagnosis of RA who use
      biological agents should be monitored regularly, training needs should be met, telenursing
      counseling practices should be expanded to increase the effectiveness of education and to
      manage the process more effectively, and arrangements should be made to enable patients to
      access telenursing counseling.
    

Detailed description: 
      The study was conducted in a randomized controlled experimental study design with the aim of
      determining the effect of nursing follow-up by phone on the self-efficacy status, pain, and
      disease activity of individuals with RA using biological agents. After the power analysis to
      calculate the sample size of the study, a total of 64 patients were included in each group
      with 80% power and 5% margin of error assuming that a minimum difference of 2 points was
      clinically significant in pairwise comparisons made according to VAS pain scores. In the
      research, patients who applied nursing follow-up by phone formed the intervention group, and
      patients who only received routine care formed the control group.
    

Intervention name(s): NURSING FOLLOW-UP BY PHONE
Intervention type(s): Behavioral
Intervention description(s): The training was carried out in the form of individual training and as a single session.The training,which lasted about 30 minutes,was carried out in the training room of the polyclinic with the support of Barco vision.In the training session,lecture,question-answer methods were used and at the end of the training session,a booklet containing the training content was given to the patients.The researcher phoned the patients once a week for 24 weeks,conveyed how they were doing,whether there was anything they wanted to ask or learn,and provided counseling to the patients in line with their needs.The next week's plan was also determined in the phone calls made in the following weeks.Patient follow-ups as stated were continued for 24 weeks.At the 12th and 24th weeks of the telephone nursing follow-up, the patients filled out the scales again.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The study was conducted as the randomized controlled experimental trial.
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Rheumatoid Arthritis; Biological Agent; Telephone Monitoring; Nursing Practices