Clinical trial NCT06284759: The Effect of Tele-Nursing Application on Self-Care Ability and Daily Living Activities in Fracture Surgery Patients
Official title: The Effect of Tele-Nursing Application Based on Orem's Self-Care Theory on Self-Care Ability and Daily Living Activities in Trauma-Related Lower Extremity Fracture Surgery Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lower Extremity Fracture
Keywords: Activities of Daily Living
Orem's Self Care Theory
Trauma Nursing
Tele-nursing
Lower extremity fracture surgery
Self care agency
Orthopaedic and trauma nursing
Lead sponsor: Gazi University
Sponsor class: OTHER
Collaborators: name: Lokman Hekim Üniversitesi
name: Ankara City Hospital Bilkent
First posted: 2024-02-29
Enrollment: 52
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study aims to determine the effect of tele-nursing application based on Orem's Self-care Theory on self-care agency and daily living activities in trauma-related lower extremity fracture surgery patients.

Detailed description: The research was conducted to determine the effect of tele-nursing application based on Orem's Self-care Theory on self-care agency and daily living activities in trauma-related lower extremity fracture surgery patients. The research was planned as a randomized controlled experimental type study. 52 patients (intervention 26, control 26) were included in the study sample using the "simple randomization method". In order to collect the data, Introductory Information Form, Self-Care Agency Scale, KATZ Activities of Daily Living Scale and Lawton Brody Activities of Daily Living Scale were used. Current hospital procedures were applied to patients in the control group without any intervention. Patients in the intervention group were monitored with a tele-nursing application based on Orem's Self-Care Theory, and training and counseling were provided for 6 weeks after discharge. Data; It was collected face to face once before discharge in both groups, and three times by video conference method: 7-10 days, 18-21 days and 40-45 days after discharge. Tele-Nursing Application Monitoring Form and reminder infographics, prepared based on Orem's Self-Care Theory, were used in the follow-up process of patients who had trauma-related lower extremity fracture surgery. Chi square, independent samples t test, analysis of variance in repeated measurements and Pearson correlation analysis were used to analyze the data. While there was no statistical difference between the groups in the first measurements, in the 2nd, 3rd and 4th measurements, the intervention group's self-care agency, KATZ activities of daily living and Lawton Brody instrumental activities of daily living scale scores were found to be statistically significantly higher than the control group (p\<0, 05). In this study, it was concluded that tele-nursing application based on Orem Self-Care Theory has a positive effect on self-care agency and daily life activities.

Eligibility criteria: Inclusion Criteria:

* Between the ages of 18-65,
* Agreeing to participate in the study voluntarily,
* Able to understand and speak Turkish,
* At least primary school graduate,
* Those who have undergone lower extremity fracture surgery,

Exclusion Criteria:

* Over 65 years of age,
* Having an uncontrollable medical problem,
* Having a hip fracture or fragility fracture due to a fall,
* Having an external fixator,
* Amputation develops,
* People whose speech, hearing and visual disabilities prevent them from participating in telenursing monitoring will not be included in the study.

Primary outcomes:
measure: Self Care, Assessed using the Self-Care Agency scale.
timeFrame: Baseline data were collected at the hospital on the 2nd and 3rd postoperative day. Post-discharge data were collected on the 7th-10th day, 18th-21st day and 40th-45th day.
measure: Activities of daily living, Assessed using the Katz index of independence in activities of daily living (ADL) scale.
timeFrame: Baseline data were collected at the hospital on the 2nd and 3rd postoperative day. Post-discharge data were collected on the 7th-10th day, 18th-21st day and 40th-45th day.
measure: Instrumental activities of daily living, Assessed using the The Lawton instrumental activities of daily living scale.
timeFrame: Baseline data were collected at the hospital on the 2nd and 3rd postoperative day. Post-discharge data were collected on the 7th-10th day, 18th-21st day and 40th-45th day.
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Lokman Hekim University
Study officials:
References: