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| Name | Class |
|---|---|
| Ataturk University | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tele-nursing Education | Experimental | Patients receive structured tele-nursing education and counseling through scheduled phone calls on postoperative days 1, 7, 15, and 30. The education includes medication adherence, eye care, symptom and complication management, nutrition, and balance precautions. Daily SMS(Short Message Service) reminders are sent during the first postoperative week to support medication adherence, followed by twice-weekly SMS (Short Message Service) reminders during weeks 2 to 4. |
|
| Standard Postoperative Care | No Intervention | Patients receive standard postoperative care without tele-nursing education or SMS (Short Message Service) reminders. They are contacted by phone once weekly for general follow-up during the first postoperative month. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured Tele-Nursing Education and Counseling | Behavioral | This intervention is distinguished by its use of a combined tele-nursing approach involving scheduled telephone counseling and frequent SMS (Short Message Service) reminders to enhance medication adherence and patient satisfaction after cataract surgery. It provides continuous, personalized remote support focusing on symptom management, complication awareness, nutrition, and medication compliance over a 30-day postoperative period. Unlike traditional care models that rely on in-person visits or infrequent follow-ups, this intervention integrates real-time communication with automated reminders, improving patient engagement and outcomes. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale - Satisfaction (VAS-S) | 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 | Postoperative day 30 |
| Medication Adherence Reporting Scale | 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. | Postoperative day 30 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| AYŞEGÜL YAYLA, ASSOCIATE PROFESSOR | Ataturk University | Principal Investigator |
| WORK Ataturk University | Atatürk Üniversitesi 25240 Erzurum/ TURKEY | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atatürk University | Erzurum | 25000 | Turkey (Türkiye) |
Individual participant data (IPD) from this randomized controlled trial will be shared with qualified researchers for academic or clinical research purposes. Shared data will include de-identified demographic information, treatment allocation, and outcome measurements. Data will be available after publication of the primary results. Access will be granted upon request through a data-sharing agreement to ensure confidentiality and ethical use.
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This study uses a parallel design in which participants are randomly assigned to one of two groups: an intervention group receiving structured tele-nursing education and counseling, and a control group receiving standard postoperative care. The groups are followed simultaneously throughout the study period without crossover.
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| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D003376 | Counseling |
| ID | Term |
|---|---|
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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